I Can See Health

   Chapter 596 No blood coagulation

  In the coffee shop.

  Lu Chen and Wang Ruoxi sat opposite each other.

   "Our AstraZeneca China branch will cover all the expenses for your experiments." Wang Ruoxi smiled.

   When Lu Chen heard this, his heart moved slightly, "What if we want to expand the scale of the experiment?"

   "Within a reasonable range, we will also bear all the expenses!" Wang Ruoxi said.

   "Sister Ruoxi, can you represent AstraZeneca's China branch?" Lu Chen was a little puzzled.

   bear all the experimental expenses, which is not a small amount!

   "Of course!" Wang Ruoxi nodded slightly, "This time I came with instructions from the leaders of Huaxia District."

   "Then what do we need to pay?" Lu Chen paused and wondered.

   Capitalists, definitely won’t bleed so easily!

  Clinical research experiments are quite expensive, not to mention that in Lu Chen's next plan, if he wants to surpass AstraZeneca's European branch, he still needs to expand the scale of the experiment.

"It's very simple." Wang Ruoxi said sternly, "All the output of your papers, you need to bring the name of our AstraZeneca Huaxia branch, in addition, we AstraZeneca have the right to use all your related articles! "

   "This..." Lu Chen was slightly taken aback.

   Sounds like a simple condition.

   is easy to achieve, just add a name to the paper, and then hand over the rights to use the paper to AstraZeneca.

   But Lu Chen intuitively told him that things might not be so simple!

   Seeing Lu Chen's hesitant expression, Wang Ruoxi took another sip of coffee, she was not in a hurry.

   In her opinion, as long as Lu Chen has an idea for his experiment, he will definitely agree to her conditions.

   Unless, he chooses to lie flat!

  …

   Even with the help of the system, no matter how good Lu Chen is, he is still just a novice student.

   "Sister Ruoxi, I can't give you an answer for a while." Lu Chen raised his head and stared at Wang Ruoxi, "Give me some time to think, and I will contact you as soon as I think about it."

"Of course, I've been in Kyoto these few days." Wang Ruo smiled slightly, "but you have to make a decision as soon as possible, you know, every day we delay, the progress of the experiment will not be one point behind the European branch of AstraZeneca. ."

   "Okay, don't worry, it's just these two days." Lu Chen nodded slightly.

   "Alright then, the work is over." Wang Ruoxi looked at Lu Chen with a smile, "Let's talk about private matters."

   "Private business?"

  Lu Chen hadn't finished digesting what Wang Ruoxi brought to him, when he heard the word "private matter" and was slightly taken aback.

   "Sister Ruoxi, tell me." Lu Chen looked at Wang Ruoxi in surprise.

  Wang Ruoxi stretched her waist lazily, showing off her proud curves.

   "Lu Chen, you shouldn't have a girlfriend, right?"

   "No, not yet." Lu Chen was stunned.

  Wang Ruoxi is Wang Zihao's sister. Wang Zihao stays with Lu Chen every day, so he naturally knows Lu Chen's emotional state.

   "Then... Then what do you think of your sister?" Wang Ruoxi smiled and looked straight at Lu Chen.

  Lu Chen coughed lightly.

   To tell the truth, Wang Ruoxi is definitely a beauty above seven points, and she has a very good figure. The key is to have a big **** and be able to have a son.

   Seeing that Lu Chen didn't speak, Wang Ruoxi leaned in front of Lu Chen and lowered her eyebrows.

  Lu Chen smelled a fragrance and moved in his heart.

   However, Wang Ruoxi suddenly left again, and immediately raised her eyebrows and smiled, "I'm kidding you, how old are you, don't take it seriously."

   While Lu Chen breathed a sigh of relief, he was also slightly disappointed.

   Damn, he was molested!

   Soft and fragrant as jade, beautiful and delicious.

   He is not Liu Xiahui. Facing this kind of test, after a while, he may not be able to hold it.

   However, Lu Chen didn't want to be molested by the beautiful young lady, so he stared at Wang Ruoxi in front of him, "Sister Ruoxi, if you want, of course I'll be fine."

  Wang Ruoxi was stunned for a moment, she didn't expect Lu Chen to be so bold all of a sudden, she smiled, "You little brat, you dare to molest your sister in turn?"

  Lu Chen looked at Wang Ruoxi with a smile, his eyes fixed on her.

  Wang Ruoxi pursed her lips and smiled, "Sister won't accompany you, I'll go first."

   After paying the bill, Wang Ruoxi left quickly, leaving Lu Chen alone to sit in the cafe.

   Looking at Wang Ruoxi's leaving back, Lu Chen also recovered his mind, put aside his distracting thoughts, and immediately contacted his tutor Li Yao.

   As for AstraZeneca's China branch seeking cooperation, he doesn't have much experience, but tutor Li Yao can definitely give advice.

  …

   contacted Li Yao.

   "I guessed it." Li Yao was not surprised as he imagined, but smiled: "They are also very complicated inside AstraZeneca, which is not uncommon."

   "Teacher, can I agree?" Lu Chen said.

   "Promise, definitely promise!" Li Yao smiled, "Such a good thing must not be missed. But you must avoid a few pits."

   "What pit?" Lu Chen wondered.

"First of all, AstraZeneca's Huaxia branch must not interfere with the progress of the experiment; secondly, they only have the right to use the paper, not ownership; finally, they can use the results we have made, but they need our authorization." Li Yao soon Just a few points.

  Lu Chen nodded slightly, fortunately, he asked Li Yao, his mentor, and did not rashly agree to Wang Ruoxi.

   "Teacher, how can I think that no matter what we do, the ultimate beneficiary is still AstraZeneca?" Lu Chen paused.

   "Oh, there's no way out." Li Yao explained, "You are now researching other people's drugs. Although the point of view is very novel, in the end, the biggest beneficiary is still AstraZeneca."

   "I'm not reconciled." Lu Chen sighed.

   "So, in your future research, try to avoid this kind of foreign medicine. Huaxia Medicine is too weak now."

  Lu Chen nodded slightly. When he first arrived at the First Affiliated Hospital of Kyoto University, Professor Qin Sifeng also said the same thing to him.

   "Okay, teacher, then I will contact AstraZeneca tomorrow and agree to their cooperation?" Lu Chen said.

Li Yao thought for a while: "Before cooperating, try to get some benefits. As you know, in our department's clinical trials, each patient enrolled in the group will reward the doctor in charge of the bed, so that everyone can be more motivated. participate."

   "Teacher, you mean..."

Li Yao said: "Tell AstraZeneca that in addition to paying for all the costs of the clinical experiment, they have to put aside a part of the money for the subsidy of the laboratory staff, especially your small team, the experiment is so hard, you must have some funds. "

  Lu Chen felt that what Li Yao said was very reasonable.

  Although he is not short of money, the other members of the research team are all students, and many of them are still living on the living expenses given by their parents!

  …

   hung up the phone, Lu Chen already had a rough plan in mind.

   The next day.

  Lu Chen found Wang Ruoxi directly through Wang Zihao.

   The two met again at the coffee shop and directly finalized the cooperation plan.

   In addition, Wang Ruoxi does not have the power to decide the subsidy plan proposed by Lu Chen for the time being.

"Lu Chen, I will report the cooperation plan first." Wang Ruoxi said, "The subsidy needs to be decided by the leaders at the top. If there is any news, I will notify you as soon as possible. However, the leaders value this cooperation very much. should agree."

   "Okay, thank you Sister Ruoxi." Lu Chen smiled, "I have troubled you these two days."

   "I'm the one who troubled you." Wang Ruoxi stood up and stretched out her right hand, "I hope we have a win-win situation."

  Lu Chen also stood up, stretched out his right hand, and shook Wang Ruoxi lightly.

   A tender feeling came from his fingertips, which made Lu Chen's heart move.

   Just as Lu Chen was about to withdraw his hand, Wang Ruoxi suddenly brought his face close to him.

   In Lu Chen's surprised eyes, Wang Ruoxi's light red lips left a light lip print on his cheek.

   One touch away!

   "Thank you little brother." Wang Ruoxi turned and left with a smile on her face.

  Lu Chen touched his cheek subconsciously, and then he realized, "I was molested again?!"

   "I'm not convinced..." Lu Chen shouted weakly in his heart.

   Single solo for more than 20 years, he hasn't felt this touch well, just disappeared like this?

  …

   With a faint aftertaste, Lu Chen returned to the bedroom.

  This cooperation with AstraZeneca should be a win-win situation.

  I thought it would just lay flat, but I didn’t expect the twists and turns, and the willows will be dark and bright!

   As soon as Lu Chen sat down in the bedroom, Wang Zihao looked for him.

   Just did a "bad thing" with someone else's sister. When Lu Chen faced Wang Zihao, he was a little embarrassed.

   "Lu Chen, what's wrong with you?" Wang Zihao looked at Lu Chen in surprise.

   "No...nothing." Lu Chen touched his nose and quickly changed the subject, "Didn't you go to the big class? Why did you go back to the dormitory?"

   Wang Zihao was very nervous, and he didn't care about Lu Chen's abnormality, he smiled, "Oh, class is boring, why don't you do a clinical experiment!"

   Recently published a paper, Wang Zihao was a little out of touch, and from time to time he brought out clinical experiments to talk about things.

   In this regard, Lu Chen could only helplessly smile, he could understand the excitement when he first published an SCI paper.

   "What about Lao Gu and Ke Yue?" Lu Chen asked again.

   "Lao Gu is in a big class, Ke Yue should still be doing clinical research in the department." Wang Zihao said, "By the way, what will we do next for our experiment? Does it depend on a few of us?"

   "Next, you don't have to participate in the experiment for the time being." Lu Chen thought about it and said.

   This time, he published a paper in the field of cardiovascular disease. Wang Zihao is a general surgeon. This time he can publish a paper or put on a name. It can’t be like this all the time, right?

   Wang Zihao's face changed, "What, what's wrong?"

   Could it be that Lu Chen was going to kick him?

Seeing his face, Lu Chen knew that he wanted to be crooked, so he kicked him lightly and scolded with a smile: "You are a general surgeon, come to our cardiology department every day to rub papers, once or twice is okay, time is good. It's been too long, what does this make others think?"

   Wang Zihao scratched his head, "This... I also want to do general surgery experiments, but no one takes me."

   "You should start simple." Lu Chen suggested, "Actually, clinical trials are all the same. As long as you grasp the essence, you can draw inferences from one case. If you have any questions, you can ask me at any time."

   "Okay, then I'll try it." Wang Zihao nodded slightly, now that he has Lu Chen's assurance, he has to try it.

   "Oh, that's right." Wang Zihao said again, "What is my sister looking for from you?"

   Hearing Wang Zihao talking about Wang Ruoxi, Lu Chen blushed slightly, and then returned to normal, "Something about the experiment."

   Wang Zihao had no doubts.

   Afterwards, Lu Chen and Wang Zihao chatted for a while, and went off to do their own thing.

  …

   Back to the first area of ​​Cardiology.

  Lu Chen performed a cardiac electrophysiological examination on the uncle who was transferred from the emergency department.

   In the end, sick sinus syndrome was found.

   After Lu Chen placed a dual-chamber pacemaker on the patient, the patient's symptoms were relieved, and the "epilepsy" never occurred again, so he was discharged from the hospital.

  The First Affiliated Hospital of Kyoto University is worthy of being the top hospital in the country. Lu Chen has seen many intractable diseases here.

   The completion rate of system upgrades has skyrocketed, basically every day.

   This was basically impossible before.

  Lu Chen estimated that before the end of this exchange, the completion of his system upgrade should reach 100%.

   Just when Lu Chen was immersed in the system attributes, the doctor's office suddenly started to quarrel.

  …

   "My dad spent 3,000 yuan for just one day's stay? Your hospital is too dark!"

  A middle-aged woman about forty years old, with her hips on her back, stood at the door of the doctor's office.

   A young doctor stood beside her.

   Lu Chen knew him. His name was Fang Ao, and he was a graduate student of Cardiology at Kyoto University School of Medicine.

  Fang Ao explained patiently with an apology on his face: "Auntie, I told you before that the first day you came here, the fee was more expensive, and it will be less after today."

   "I don't care about that. I'm going to be discharged from the hospital now. I won't be treated in your hospital!" The middle-aged woman was full of anger and did not listen to Fang Ao's words.

   "Your father is currently hospitalized with chest pains, and he can't be discharged for the time being." Fang Ao reminded.

  Lu Chen noticed that the superior physicians of all medical groups were absent, only the resident physicians and graduate students were in the ward.

   "I'm still living? Wouldn't I be killed by your hospital!" The middle-aged female doctor snorted coldly, and his voice became louder, "I don't care! I'm going to be discharged from the hospital today."

  Fang Ao looked a little cramped, looked into the doctor's office, and lowered his head again.

   "Auntie, don't get excited first, let's talk about it slowly." Lu Chen helped him out, "Everything depends on the patient's condition."

  However, middle-aged women don’t look like Lu Chen at all.

   At this time, the senior doctor in Fang Ao's group just came back!

   Fang Ao was relieved and stepped forward quickly, "Teacher, the family members of the 5-bed patient want to be discharged from the hospital."

   The superior doctor glanced at the middle-aged woman, and said coldly: "Yes, if you sign and express your willingness to bear all the consequences, then you can be discharged from the hospital!"

   After he finished speaking, he immediately sat in front of the computer, typed a doctor-patient communication record, and then said to the middle-aged woman beside him, "Sign it here. After you sign it, your father can be discharged from the hospital."

   The anger on the middle-aged woman's face did not diminish at all. She picked up the communication record, just glanced at it, and her face changed suddenly, "There may be cardiac arrest, shock, or rupture of the heart? Don't you scare me!"

   "I didn't scare you, we have seen a lot." said the superior doctor.

   "Then...then I won't sign it. I don't have the right to sign this. When my eldest brother comes over, let him sign it!"

   After saying this, the middle-aged woman left the doctor's office.

  …

   "Lu Chen, thank you just now!" Fang Ao came to Lu Chen's side and whispered.

   "It's okay, I didn't help anything." Lu Chen smiled, "What's the condition of this patient?"

   This is the first time that Lu Chen has encountered such a situation since he came to Jingjing Hospital.

  Because in such a top hospital, others are worried that there will be no beds and will not be able to live in, which rarely happens.

Fang Ao said helplessly: "Yesterday, the patient admitted to the emergency department had chest pain for a day, the changes in electrocardiogram were not obvious, and the troponin was elevated. We should still consider acute non-ST-segment elevation myocardial infarction. The patient's chest pain has eased and surgery is not needed for the time being. Treatment. Just now, the family members felt that the cost of hospitalization was expensive, so they shouted to be discharged."

  Lu Chen nodded slightly.

  The first day of admission for a myocardial infarction patient, including blood drawing, monitoring, oxygen inhalation, etc., does cost thousands of dollars, which is similar in every hospital.

   "What about the patient's electrocardiogram?" Lu Chen said casually.

   For patients considering myocardial infarction, he is still used to looking at pictures.

  Fang Ao opened the medical record folder, found three electrocardiograms, handed them to Lu Chen, and continued: "The patient's electrocardiogram has not changed, but the myocardial enzymes have continued to rise, so we did not dare to let him out of the hospital at all."

  Lu Chen got three electrocardiograms. After a little comparison, there was indeed not much change.

   There are two types of acute myocardial infarction in the narrow sense. The first type of ECG can see ST segment elevation, which is called acute ST segment elevation myocardial infarction.

   Another type of ECG without ST segment elevation is called acute non-ST segment elevation myocardial infarction.

   "Lu Chen, this should be an acute non-ST-segment elevation myocardial infarction." Fang Ao said.

  Lu Chen carefully studied the three electrocardiograms and nodded slowly, "Yes. But why didn't you do emergency surgery?"

Fang Ao reluctantly said: "Just one day in the hospital, their family members thought the operation was expensive. As long as we talked about the operation, their family members directly refused. In addition, the patient's chest pain has eased, and the best time for the operation has passed. We feel relieved. Slow down."

   "Alas." Lu Chen put down the electrocardiogram in his hand, shook his head and sighed, "If there is no surgery, this patient will be very difficult!"

   Hearing this, Fang Ao had a puzzled look in his eyes.

   Acute myocardial infarction has a very high mortality rate.

   However, this patient has acute non-ST-segment elevation myocardial infarction, not transmural myocardial infarction. Compared with ST-segment elevation myocardial infarction, the condition is still milder and the prognosis is slightly better.

   is not as serious as Lu Chen said!

   What's more, Lu Chen had never been in contact with the patient at all. Just based on the absence of any electrocardiogram, he could judge that the patient did not undergo surgery?

  Lu Chen knew Fang Ao's doubts, picked up the electrocardiogram, and was about to explain.

  Suddenly, the cry of a nurse came in from outside the doctor's office.

   "5-bed rescue! 5-bed rescue!"

  Fang Ao immediately took off his legs and ran out, Lu Chen grabbed the stethoscope and followed closely behind.

  …

   ran into the ward.

  Lu Chen saw that the nurse was performing CPR on the 5-bed patient.

   "The patient just suffered a sudden cardiac arrest!" the nurse shouted while performing CPR.

  Fang Ao ran to the bedside, the patient had lost consciousness, and the aortic pulse could not be touched.

   Beside the patient's family, the middle-aged woman was crying frantically.

   Several nurses forcibly pulled her out for fear that she would disturb the rescue work.

   At this time, in Lu Chen's eyes, the patient's HP is 24 (---)!

   This is the one with the lowest health value among the patients he has seen recently.

   To make matters worse, the patient's health drops at a rate visible to the naked eye!

   The HP was still 24 just now, but after a few seconds, it immediately became 22!

   "Open two more venous channels and bring the endotracheal tube here!" Fang Ao's superior doctor quickly began to rescue him, and at the same time turned to Fang Ao and said, "Go and get the echocardiography!"

   "Received!" Fang Ao was about to go out when Lu Chen stopped him.

   "You are familiar with the patient's situation, you are here to help, I will get it."

   "Okay." Fang Ao nodded, now is not the time to be humble.

  Lu Chen came to the nurse station, found a portable cardiac ultrasound machine, and immediately ran back to the ward.

  …

   "Ruptured heart! Massive pericardial effusion!"

   The moment the ultrasound probe was placed on the patient's heart, Lu Chen knew that the patient basically had no hope.

   Heart rupture, one of the most serious complications after myocardial infarction.

  After the heart is broken, a large amount of blood flows out, causing circulatory shock and pericardial tamponade!

   At this point, the patient's HP has dropped to 15 (---)!

   Despite this, Fang Ao's superior doctor immediately started pericardiocentesis!

  Lu Chen had to admire the high rescue quality of the doctors of Kyoto University.

   In this critical situation, the rescue of "pericardiocentesis" can still be carried out calmly!

   The superior doctor picked up the puncture needle and saw blood!

   Quickly draw out the uncoagulated blood!

   However, the patient's heartbeat could no longer be maintained at this time.

   After using a lot of rescue drugs, the patient's heart rate and blood oxygen saturation still showed a progressive decline.

   (end of this chapter)