I Can See Health

  Chapter 746 Xishi in the eyes of the beholder

   Back to the doctor's office.

  Jin Miao began to issue various blood tests and doctor's orders, and at the same time ordered the nurse to start an emergency blood test.

   At the same time, his admiration for Lu Chen became stronger and stronger.

  Lu Chen took a trip to the ward and was able to unearth so much information!

   Compared with his focus on cardiovascular disease, Director Lu has a broader vision.

   Even without giving up every small symptom and sign, he got such an important clue from the mouths of patients and their families.

   If there are still people who say that Lu Chen is here to live in the clinic, then he will really fight back!

  …

   The results of immunization and other related blood tests will not be released immediately. Most of them have to wait until the next morning. Some blood tests even need to be sent to private testing companies outside the hospital.

  Lu Chen was not in a hurry, and first ordered Jin Miao to treat the patient's heart failure symptomatically.

   Whether it is heart failure caused by any other cause, the basic symptomatic treatment is the same.

   is the so-called three-pronged axe for heart failure, cardiotonic, diuretic, and vasodilator.

   At this moment, the cardiac MRI result came out of the patient with "elevated myocardial enzymes" that Lu Chen saw in the morning.

  Cardiac MRI shows that the myocardial signal is delayed and enhanced, and the myocardial sheet is enhanced!

   This is an important imaging change in the diagnosis of myocarditis.

   Delayed enhancement of myocardial signal, whose histopathological basis is myocardial edema and necrosis.

   "Director Lu, this patient really has myocarditis!"

   When Jin Miao reported the results of the cardiac MRI to Lu Chen, her face was full of excitement.

   "It seems that my previous guess was correct." Lu Chen smiled.

   Myocarditis caused by immune checkpoint inhibitors is rare in clinical practice.

   It is even rarer to be able to diagnose it!

   "Doctor Jin, this case is extremely rare. If you have the will to write a medical case report, it can also be published in a good journal." Lu Chen thought about it and said.

   For him, writing this kind of medical report is not very meaningful.

   But for Jin Miao, even if he can write a low-scoring SCI paper, he will have some advantages when he is promoted to deputy chief physician.

   "Really...really?" Jin Miao's eyes widened, "How much SCI can you post?"

  Lu Chen smiled helplessly, "Don't think about publishing a few papers, organize the patient's medical records, and pay attention to the next treatment. If the patient can recover and even go back to chemotherapy on purpose, then it will be considered a relatively perfect case."

   "Well, I see."

  Jin Miao, like a taught student, nodded quickly and said yes.

   At this time, when he looked at this "myocarditis" patient again, his heart was full of excitement.

   "By the way, can you cure this myocarditis?" Lu Chen poured a spoonful of cold water on Jin Miao at the right time.

   "Ah? This..." Jin Miao blushed, "Is it different from normal myocarditis?"

   "There must be." Lu Chen smiled, "First of all, the cause is different."

  The common myocarditis is viral myocarditis, which is caused by viral infection. All conventional treatments are antiviral, hormones, and then life support therapy. If the heart is seriously injured, ECMO and other machines may be used.

   Myocarditis caused by immunosuppressive drugs is caused by drugs. At present, this drug has no antagonist, so the conventional therapy is hormones, hormone shocks, or the use of drugs such as immunoglobulin.

  Lu Chen gave Jin Miao a little explanation.

  Jin Miao felt her posture rise again.

Immediately afterwards, Lu Chen smiled and dropped a big news, "We have no clinical guidelines for myocarditis caused by immune checkpoint inhibitors in China. These are borrowed from foreign guidelines. If you can collect domestic Relevant cases may be able to walk in front of all scientific researchers, and even fill the gaps in this area..."

   Jin Miao scratched his head when he heard the words.

   He didn't think about it so much, he just thought of sending a simple medical report.

  I really didn't expect Lu Chen to be able to diverge his thoughts, thinking of so many things, even the things in the clinical guidelines.

  Lu Chen is really a treasure, just throwing a little thing can feed them all!

   At this time, Lu Chen didn't realize that when he was giving a lecture to Jin Miao just now, students from other groups in the department unconsciously surrounded him.

   When the lecture is over, various prompts will pop up frantically on the system panel.

   "Congratulations, I received a thank you from Jinmiao..."

   "Congratulations, received from..."

   Harvest a wave of gratitude, and Lu Chen was used to it.

   As an excellent superior doctor, if you can't control the inferior doctor, it will definitely be a failure.

  Lu Chen pointed out the general direction of treatment, and Jin Miao began to issue a doctor's order and write a record of the course of the disease.

The benefits of    superior physicians reflect these directions, only macro-control is required, and no hands-on is required.

  …

   The first day of work in Guanghai No. 1 Hospital is over.

  Compared with the clinical life of masters and doctors, the work of the deputy chief physician is easier, and a lot of "manual work" and "errands" are reduced, such as blood pressure measurement, electrocardiogram and so on.

   However, the psychological pressure must be greater than that of the student days. Now Lu Chen has the treatment direction of all the patients in the group.

   With great power comes great responsibility.

   Once something happens, Lu Chen is also the first responsible person.

   For dinner, Lu Chen went to a Sichuan restaurant near the community.

   He is already familiar with the boss here.

  I usually even add an extra side dish to Lu Chen. The amount is not large, but it is quite good with multiple flavors.

   "Are you here again?" The shop owner smiled and looked at Lu Chen, "The old way?"

   "Well, it's the same." Lu Chen nodded with a smile.

   "Okay, wait a moment." The shop owner immediately ordered the back kitchen to prepare the meal, and also gave a small half dish.

  Lu Chen smiled slightly, the owner of this shop is really good at doing business.

   He came very often, and the meals he ordered were not cheap every time.

  Although the apartment has everything for cooking, Lu Chen's cooking skills are too bad, it's completely dark cooking, and he can only make fried rice or something.

   Not long after Lu Chen sat down, a familiar figure sat across from him.

   She is Lu Chen's neighbor, Xu Shan.

   She beckoned to the shop owner and shouted, "Boss, I'm here too."

   "Okay!" The owner of the store was not surprised when he saw Lu Chen and Xu Shan fighting a table.

   During this time, Lu Chen and Xu Shan occasionally met in restaurants. No matter who came first, the two of them shared a table for convenience.

   "You got off work quite early." Xu Shan smiled.

   Today, she still wears large-frame glasses, and her bangs cover her brows.

   "I came two minutes earlier than you." Lu Chen smiled and poured a cup of tea for Xu Shan, and the two chatted.

   Let's talk about Corey's interesting things, and the meal time passed pretty quickly.

   After dinner, he returned to the apartment and saw Qian Xiaobao waiting in front of Xu Shan's room again.

  …

   "Xu Shan, that... have you eaten?" Qian Xiaobao asked nervously.

   "I ate." Xu Shan replied unexpectedly.

   "Oh." Qian Xiaobao scratched his head and glanced at Xu Shan in disappointment.

  Lu Chen didn't look at the two chatting very well, so he said hello and closed the door of his room.

   "This Qian Xiaobao is really persistent." Lu Chen couldn't help shaking his head.

  To be honest, Xu Shan looks quite normal, quite an ordinary girl, and an older female doctor.

   This Qian Xiaobao's own conditions are not bad. If you lower your requirements, you definitely don't have to lower your profile to chase people.

   However, there is something in the eyes of the lover, and Lu Chen doesn't say much, so he can just take care of himself.

   There are also updates

   (end of this chapter)