I Can See Health

   Chapter 595 Meeting with AstraZeneca

   The First Affiliated Hospital of Kyoto University.

   Emergency Medicine.

   In the ward, the alarm sound of the monitor and the shouting of the medical staff were mixed together.

   "Doctor Fan, the patient is sick again!"

   The patient on the hospital bed rolled his eyes up and began to twitch violently, foaming from the corners of his mouth.

  Fan Jian has already rushed to the bedside and said loudly: "One diazepam, intravenous injection!"

   The emergency department nurses have high rescue quality and immediately prepared diazepam injection.

   Just when the nurse was about to give the patient medication.

  Lu Chen found something very strange, and hurriedly shouted: "Wait a minute!"

   He points to the ECG monitor at the patient's bedside.

   On the ECG monitor, the ECG is a straight line!

   This is so scary!

   A straight line on the ECG means that the patient may have stopped cardiac electrical activity!

   In other words, the patient may have had a cardiac arrest.

   To put it more bluntly, the patient may have died.

  Fan Jian looked in the direction Lu Chen pointed.

   Sure enough, the ECG is a straight line!

   He felt a little uneasy in his heart. He was about to jump on it and performed CPR. He quickly felt the patient's carotid artery pulse, but he really couldn't feel it.

   But after a few seconds, you can feel the throbbing.

   At this time, the nurse shouted again, her heartbeat came back!

  Fan Jian had a cold sweat on his back, but luckily it was a false alarm.

   Immediately afterwards, the patient's convulsions also stopped, less than 10 seconds before and after.

  Fan Jian shook his head helplessly: "A patient with epilepsy, the cause of which has not yet been figured out, which is good, the heartbeat stopped immediately. It's so embarrassing!"

   But at this moment, Lu Chen was stunned. He seemed to know why the patient had a seizure.

  Lu Chen stepped forward, quickly checked the patient's bilateral pupils, re-measured his blood pressure, and confirmed that the patient's vital signs had stabilized.

   At this time, the patient has also slowly woke up.

   "Lu Chen, what's the matter?" Fan Jian stared at Lu Chen in surprise. Did he find something again?

   "Can you call up the patient's ECG monitor record?" Lu Chen asked.

   "Of course you can." Fan Jian nodded, turned around and instructed the nurse beside him to call up the records of the ECG monitor.

  The nurse quickly called up the record.

Lu Chen flipped through the patient's ECG monitoring record, corresponding to the time. Before the attack, the patient's heart rate was good, more than 80 times per minute, but at the beginning of the convulsion, the heart stopped beating, and there was a long RR interval. Lasted 7 seconds.

   "The problem is here!" Lu Chen said in a deep voice.

  Fan Jian looked at Lu Chen suspiciously, still didn't quite understand what Lu Chen meant, "What's wrong?"

   "The patient should have cardiac arrest first and then convulsions." Lu Chen said slowly. "It seems that the convulsions are caused by diseases in the cardiology department, not the epilepsy we have always thought."

  Fan Jian was stunned, "Lu Chen, what do you mean...is this Aspen syndrome?"

  Lu Chen nodded slightly, "Yes, it's Aspen syndrome!"

  The so-called Aspen syndrome refers to a disease in which syncope and convulsions occur due to cerebral ischemia and hypoxia due to sudden insufficient or no pumping of blood by the heart for some reason.

   Heart beating too slowly, or not beating at all, or beating too fast may cause insufficient pumping and cause fainting and convulsions.

  The final diagnosis is only a thin layer of window paper from reality.

  Lu Chen pierced this layer of paper, and all the doctors present suddenly realized.

   Originally, Fan Jian and the others also considered the possibility of heart disease, so they also arranged to do a dynamic electrocardiogram, echocardiography, etc., but no abnormal findings were found.

   "Why are echocardiograms and electrocardiograms okay?" Fan Jian said.

  Lu Chen smiled, "Because during the examination, the patient did not have convulsions, and naturally there was no cardiac arrest. The electrocardiogram done at this time will definitely not be able to capture evidence."

  Fan Jian nodded, "It makes sense, but why didn't the patient have a cardiac arrest in the first place?"

  Lu Chen explained patiently: "The patient was only twitching on one side of the limb at the beginning, and his consciousness was still awake. Considering that the cerebral ischemia was not serious at that time."

   "Afterwards, the arrhythmia aggravated, and the arrest time may be prolonged, leading to disturbance of consciousness and generalized seizures. The patient never felt chest tightness, chest pain, palpitations and other discomforts before the seizure."

   Just now, the patient had a sudden convulsion, which occurred directly under the eyes of the tube doctor and the ECG monitor.

  So, we finally caught the real murderer!

   As soon as Lu Chen finished speaking, he noticed a prompt popped up from the system.

   "Congratulations, +1 for the thank you from Fan Jian!"

   "Congratulations, the completion of the system upgrade has increased!"

  …

   "Lu Chen, it's really thanks to you."

   Fan Jian patted Lu Chen on the shoulder, but he didn't expect Lu Chen to help him solve the problem for the second time.

  Lu Chen smiled, he also accidentally discovered that the patient's electrocardiogram showed a straight line.

   "Do you have a bed? Take this patient to your department?" Fan Jian said again.

   Now that epilepsy is ruled out, then instead of going to the neurology department, you need to go to the cardiology department to be hospitalized.

"There just happens to be a bed, so you can go." Lu Chen nodded, "But Brother Fan, you need to talk to the patient first. He may have to complete the electrophysiological examination and may need a pacemaker. If you don't go for surgery If so, there may be no need to go.”

   "Okay, as long as there is a bed, I will communicate with the patient." Fan Jian grinned, it is better to transfer out such a high-risk patient as soon as possible.

  …

   Go back to the doctor's office in the first district of the heart.

  Lu Chen explained to the nurse, ready to accept a patient from the emergency department.

   Although this patient does not have medical insurance, the boss of others reimburses him in full!

   "Senior brother, I have a little question about the patient just now." Su Rui whispered.

   "Ask." Lu Chen smiled, he liked this little junior sister, not because she was beautiful, but because...you could earn thanks!

  Su Rui blinked and asked, "Why does this kind of patient have no symptoms before the onset? Such as chest tightness, chest pain, palpitations..."

Lu Chen explained with a smile, "Not every patient with arrhythmia will feel uncomfortable. Some people don't have any heart discomfort and just fell to the ground. Later, they were diagnosed with sick sinus syndrome. Heart disease. The beating is irregular, the brain is ischemic, and after a few seconds, it will darken and fall."

   "Isn't that dangerous?"

   "Yes." Lu Chen nodded, "So after this patient finds out the specific reason, he may need a pacemaker."

  Su Rui nodded, in her eyes, Senior Brother Lu Chen is too powerful, he knows everything he asks, it's just a treasure chest!

  …

   The First Affiliated Hospital of Kyoto University.

   General Surgery Ward 1, doctor's office.

   Since coming to Kyoto University, Wang Zihao has felt a lot of pressure!

   He never imagined that one day he would be able to stand in the top medical school in China.

   Surrounded by academic masters and academic gods...

  Although he is usually heartless and doesn't care much about other people's opinions, he still suffered a big blow when he came to this competitive environment.

   In the entire department, his clinical knowledge and skills may be the worst.

   However, a recently published 2-point SCI paper turned him around!

  As a postgraduate student, it is not easy to be able to complete a SCI paper alone.

   Even in Kyoto University, where there are many scholars, only a small number of people can achieve this achievement.

   Since the publication of this SCI paper, Wang Zihao instantly gained confidence!

   Usually in the department, he walks straight.

   Returning to the bedroom after get off work, Wang Zihao was about to find Lu Chen, but he didn't expect his sister Wang Ruoxi to call.

   "Zihao, are you with Lu Chen now?"

   Thought Wang Ruoxi was concerned about his younger brother, but opened his mouth and asked Lu Chen.

   "Yes, sister, what's the matter?"

   Wang Zihao knew that his sister was "specially concerned" about Lu Chen for a while.

   But after Lu Chen didn't respond, Wang Ruoxi stopped the offensive.

   Could it be that the old love is rekindled this time?

   Could it be that Lu Chen is going to be his brother-in-law again?

   Wang Zihao is very tangled...

  Lu Chen is very good, but from a brother to a brother-in-law, it always feels so strange!

   Just listen to Wang Ruoxi continue: "Lu Chen recently published a paper on Dapagliflozin, right?"

   "Well." Wang Zihao responded, he knew that his sister happened to be AstraZeneca's Jinghua regional manager, so it's not surprising to know these things.

   Wang Ruoxi said solemnly, "Zihao, there is something, you have to tell me the truth."

   "Sister, what you said is right, I'm your younger brother, and I definitely won't lie to you!" Wang Zihao said in surprise.

   Listening to the serious tone of the old lady, isn't it about emotions?

  Wang Ruoxi paused and said slowly, "Then tell me, did Lu Chen complete this thesis himself, or did his supervisor help?"

   Wang Zihao blurted out when he heard this: "It must have been done by Lu Chen alone! Professor Li Yao gave at most a little opinion, and most of the content was done by Lu Chen himself."

   "Really?" Wang Ruoxi still didn't believe it.

   This is not some SCI paper with two or three points!

   is one of the top journals in the cardiovascular field!

   The department directors of many provincial tertiary hospitals have not reached this level...

   "Really! I promise!" Wang Zihao said immediately.

On the other end of the phone, Wang Ruoxi was a little silent. He knew that Lu Chen was unusual, but he still underestimated him.

   This time, he was even noticed by the people above.

   "Okay, I got it. I'll come to Kyoto to find you tomorrow."

  Wang Ruoxi hung up the phone after she finished speaking.

   Hearing the busy voice over the phone, Wang Zihao pouted, "That's nice, look for me? Mostly Lu Chen..."

  …

   On Lu Chen's side, his mentor Li Yao also contacted him.

   "Lu Chen, people from AstraZeneca may have contact with you recently." Li Yao gave Lu Chen a vaccination in advance, "It should be to talk to you about the Dapagliflozin natural project."

  Lu Chen was a little confused when he saw the news.

   "Teacher, why is AstraZeneca looking for me?"

   "I don't know exactly, but they are very interested in your paper." Li Yao replied, "You completed this paper independently, so I asked their people to find you directly."

  Although Li Yao has a correspondent author, she has really touched Lu Chen's light.

   "Okay, thank you teacher, I got it." Lu Chen was quite puzzled.

  Why did AstraZeneca come to him, isn't there a competitive relationship between them?

   Is AstraZeneca here to "call for security"?

   At the same time, Lu Chen also learned from Wang Zihao that Wang Ruoxi would come to Kyoto.

   It seems that Li Yao's tutor is right, the people from AstraZeneca are coming!

  …

   The next day.

   As soon as Lu Chen got off work, he was blocked by Wang Ruoxi downstairs in the bedroom.

   "Lu Chen, long time no see."

  Although Wang Ruoxi was wearing black business clothes, she still couldn't hide her hot figure. She had shoulder-length short hair, and she looked very capable and had a touch of charm.

   "Sister Ruoxi, why did you come all the way to the capital?" Lu Chen greeted him with a smile.

   Wang Ruoxi also provided a lot of support for his national nature project about Dapagliflozin. For example, experimental drugs are all sold at discounted prices.

   This saved Lu Chen a lot of project funds!

   "Brother Lu Chen, of course I'm here to find you, and there are still important things to do." Wang Ruoxi is not a few years older than Lu Chen, but she has been in the workplace all the year round, and there is a little more in her tone that Lu Chen is not mature and sophisticated.

   "Any time? Let's talk somewhere else."

"it is good."

   Being accompanied by beautiful women, Lu Chen is also willing.

   Facing patients in the hospital every day is sometimes quite boring.

   found a cafe near the hospital, the two found a booth and started chatting.

  Lu Chen is not used to the coffee here, so he has to add a lot of sugar every time.

   "Brother Lu Chen, take your time and taste it, it's all bittersweet." Wang Ruoxi took a sip of the sugar-free coffee.

   "Forget it, I'll add sugar." In his opinion, life is very difficult many times, so let's try to sweeten it as much as possible.

   "Sister Ruoxi, what's the matter with me this time?" Lu Chen asked straight to the point.

   "Oh, if it's okay, I can't come to you?" Wang Ruoxi put down the coffee cup and said softly.

  Lu Chen secretly glanced at Wang Ruoxi's delicate face, then withdrew his gaze and coughed lightly, "Of course you can."

   "Stop teasing you." Wang Ruoxi retracted her smile and said sternly, "I heard Zihao say that the 12-point SCI paper you published recently was done independently by you?"

  Lu Chen shook his head slightly.

   "Ah... not?" Wang Ruoxi was taken aback.

  Lu Chen said slowly: "First of all, this SCI paper is not 12 points, but 11.98 points; secondly, I can only say that most of it was done by me, and the statistical methods in it were obtained by a professor at Kyoto University."

  Lu Chen tells the truth, and anyone with a discerning eye can see that this statistical method is really impossible for ordinary people!

   "What do I think." Wang Ruoxi smiled, she mainly wanted to ask if Lu Chen was in real name.

   Generally speaking, if you can have one or two low-scoring SCI papers, it is very good.

  Once the SCI impact factor exceeds 5 points, it must be considered that this is not a "study valve"!

   The current second generation of learning is better than the second generation of officials and the second generation of wealthy people.

   Elementary schools have begun to study genes, which makes many masters and doctorates feel bad?

   "Lu Chen, in fact, I came to you this time to represent the AstraZeneca China Division." Wang Ruoxi said slowly.

  Lu Chen smiled, "Sister Ruoxi, just finish it in one breath, what's the matter with me?"

  Wang Ruoxi paused, "Looking for you, cooperation!"

   "Cooperation?" Lu Chen was puzzled, "Aren't you AstraZeneca doing this experiment too?"

   Thinking of this, he was suddenly stunned. Does AstraZeneca want to turn their experiments into AstraZeneca's "sub-center"?

   If this is the case, Lu Chen's independent National Natural Project will directly become a subsidiary of AstraZeneca and become a clinical research center in China.

  Although there is no need to compete with AstraZeneca, it also loses the meaning of the original experiment, which is no different from choosing "laying flat".

   "Lu Chen, don't get me wrong." Wang Ruoxi seemed to have insight into what Lu Chen was thinking, "Currently, the one who is conducting the same experiment as you is not the AstraZeneca headquarters, but an AstraZeneca European branch."

   "The branch?" Lu Chen frowned, "Is there any problem?"

"There are many problems." Wang Ruoxi smiled, "If it is a clinical research led by AstraZeneca's headquarters, then we won't talk much about it, and we must be in a competitive relationship. Now, it is only a European branch that competes with you in scientific research. Department. Our China branch, and the European branch, are actually competitive.”

   "Isn't it all one company? Is it so complicated?" Lu Chen wondered.

Wang Ruoxi shook her head, "AstraZeneca is a multinational giant company. The more this kind of company is, the more complicated the relationship will be. The people in the branches all want to be promoted to the headquarters. There is a certain competitive relationship, which mainly depends on which district’s performance has improved more, or who produces more influential scientific research.”

   Hearing this, Lu Chen understood a little.

   "Oh, so you want to work with me on the Dapagliflozin project, and want to compete with the European branch?"

  Wang Ruoxi smiled and nodded: "That's right! The headquarters supports this kind of scientific research competition, because no matter which side wins, it is the AstraZeneca headquarters that will ultimately benefit!"

  Lu Chen pouted, these Europeans and Americans have a good plan!

   No matter which division wins, it is ultimately beneficial to AstraZeneca headquarters, so the headquarters acquiesced to this competition.

"Actually, we didn't intend to compete with the European branch on this project. The European side is progressing very fast, and we simply can't keep up." Wang Ruoxi added, "But because of your sudden emergence, our Huaxia branch noticed you. Only then did I have the mind to compete with the European branch again.”

   Lu Chen frowned upon hearing this.

   At present, if nothing else, AstraZeneca's European branch's experimental progress must be faster than them!

   In this way, the cooperation request of the Huaxia branch is an opportunity.

  But AstraZeneca is a foreign company after all, a blood-sucking capitalist who can’t see clear interests, so they will definitely not take it lightly.

   "How do you want to cooperate?" Lu Chen looked up at Wang Ruoxi.

   (end of this chapter)