I Can See Health

Vol 2 Chapter 822: Absolute proof!

Chapter 822 Absolute Evidence!

Oncology.

shows the classroom.

At this moment, everyone's attention was on Lu Chen.

Those who are familiar with Lu Chen and those who are not familiar with Lu Chen are all looking forward to Lu Chen's mouth, what different opinions will there be?

Director Tang of the Oncology Department looked at Lu Chen with burning eyes.

No one knew that he and Professor Ouyang were actually friends in private.

During the usual gatherings, Professor Ou Yangming mentioned Lu Chen to him many times.

Director Tang is naturally very curious about this outstanding young man.

raised it in public today, and asked Lu Chen to answer this question in the end.

In addition to the test, it is more of a help!

Everyone present here is the director or deputy director of each department, showing his face in front of everyone.

There are not many opportunities like this!

Lu Chen naturally didn't know the secret behind this.

For him, no matter what the reason, he is willing to accept the challenge.

The condition of the tumor patient in front of him was just a small challenge for him.

The last thing Lu Chen is afraid of is diagnosis!

His system comes with a "diagnostic" function.

The system will pop up a prompt only if the diagnosis is correct.

Therefore, in Lu Chen's mind, he has already thought about most of the possible diagnoses.

As long as the diagnosis of this patient exists in the current medical field, then Lu Chen can diagnose it.

…

Lu Chen stood up and looked around the crowd.

"I am honored to stand here today and share my views on this patient with everyone."

"Director Huang was right in what he said before. This patient can't rule out coronary heart disease just from the symptoms of dyspnea, electrocardiogram, troponin, etc.!"

Director Tang was slightly disappointed.

He thought that Lu Chen had some special opinion, but he didn't expect it to be the same!

At this time, Lu Chen changed his words, "However, my next opinion may be different from Director Huang!"

"Huh?" Director Tang raised his brows, showing interest.

In the classroom, other doctors also turned their attention to Lu Chen.

"The patient's coronary CTA showed that the anterior stenosis was only 40%." Lu Chen said slowly, "From the analysis of coronary heart disease mechanism, this level of stenosis will definitely not cause serious symptoms, such as myocardial infarction. , heart failure, etc."

"In this regard, Director Huang's opinion is the obstruction of coronary microcirculation, but I think that any disease must first start from the idea of monism!"

Medical monism, in simple terms, is to use one disease to explain all the symptoms and signs!

Hearing this, Huang Xiaofeng couldn't help interrupting: "Director Lu, what is the relationship between tumor and heart disease? I think it is very likely that the patient may have coronary heart disease before, but the symptoms are not obvious. After getting the tumor, the body suffered a trauma, which caused the coronary heart disease to aggravate!"

Huang Xiaofeng's remarks are not without reason.

Many doctors present echoed and agreed with this view.

Lu Chen smiled, "I don't deny Director Huang's idea. But I want to put forward some small opinions of my own!"

"Okay, you say, we all listen!"

Huang Xiaofeng looked at Lu Chen, wanting to see what different reasons could be given from the mouth of this young man? !

Lu Chen didn't pay attention to Huang Xiaofeng anymore, but stepped onto the stage, came to the position of the doctor in charge of the bed, and operated the PPT projection of the projector.

He first returned the PPT to the interface of three electrocardiograms.

Everyone is a little puzzled. Didn't you just see this picture?

Why watch it again?

Just listen to Lu Chen slowly say: "All auxiliary examinations must be fully combined with clinical to make sense."

"Director Huang is right, these three electrocardiograms look like very typical myocardial infarction electrocardiograms. The first and second electrocardiograms AVR, V1-V3, and V3R-V5R lead ST segment elevation, the entire vector goes to Right deviation, very much like left main disease."

"The third ECG showed extensive ST elevation in the precordial and inferior leads, also very similar to myocardial infarction."

"In the above two cases, if it is a myocardial infarction, it must be a very serious myocardial infarction. Then, the patient has no symptoms of progressive ischemia, no obvious chest pain, and no very dangerous clinical manifestations!"

Lu Chen paused, "That is to say, the electrocardiogram is seriously inconsistent with the clinical symptoms! This shows that the diagnosis of coronary heart disease is in the wrong direction!"

After Lu Chen finished speaking, the audience was silent!

No one expected that this young Director Lu would directly overturn Director Huang Xiaofeng's diagnosis!

The diagnosis of coronary heart disease...wrong!

This stunned everyone.

Director Tang of the Oncology Department, at this time, the more he listened, the more excited he became.

Although Lu Chen didn't finish his sentence, he could feel the confidence from Lu Chen's words.

This confidence is something that no one else is present.

The person that Professor Ou Yangming admires is really two brushes!

"Have you overlooked a very important thing?" Lu Chen continued, "The patient is a tumor patient and is undergoing targeted therapy and immunotherapy!"

"I guess this patient is likely to have myocarditis caused by immunotherapy!"

As soon as the voice fell, the system popped up a prompt.

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

At the same time, everyone present was puzzled.

"Myocarditis caused by tumor immunotherapy?"

Myocarditis is known to everyone, but the myocarditis caused by immunotherapy...

This is beyond the scope of their cognition!

Even oncologists, they are unheard of!

"Director Lu, can you explain this illness to everyone?" Director Tang said quickly.

"Okay, no problem." Lu Chen nodded slightly, then took out his phone.

Everyone was a little puzzled, but Lu Chen connected his mobile phone to the projector.

Lu Chen began to introduce: "This is a document I read last month and it was published in The Lancet."

The paper is all in English, but everyone is a big man in the medical industry, so naturally they cannot be beaten.

"This paper is to study the side effects of immunotherapy. Immune myocarditis, as the name suggests, is a drug for tumor immunotherapy. While treating tumors, it will also damage the patient's cardiomyocytes!" Lu Chen picked out the focus of the paper, " Among the many adverse reactions, myocarditis caused by immunotherapy is a side effect that doctors are very unwilling to see."

The incidence of immune myocarditis ranges from 0.06% to 3.8%.

Although the incidence is relatively low, it has the characteristics of high lethality.

The fatality rate of immune myocarditis is as high as 39.7%-50%! Once it happens, nearly half of them will be life-threatening.

"After reading this article, let's look at the second article!" Lu Chen switched to another article, "This paper is also published in the New England Journal, the top journal in the cardiovascular field."

"Researchers warn patients using immunotherapy to be highly vigilant against the occurrence of immune myocarditis. Because the symptoms of this adverse reaction are not specific, it is easy to be ignored or mistaken for other underlying diseases!"

After reading the two documents, there was silence in the classroom.

It's not how good you are.

But after stating your reasons, you can find the corresponding evidence!

Compared with Lu Chen, Huang Xiaofeng's diagnosis seemed pale at this time.

Director Tang smiled with relief, but he felt a little more disappointed in his heart.

The joy is that this young man Lu Chen is really extraordinary!

Sadly, China's research still lags behind foreign countries after all!

When will this situation be reversed?

Director Tang looked at Lu Chen in front of him with no reason to hope.

Myocarditis caused by immune checkup inhibitors has been brought up in China in recent years.

The first domestic guideline was issued last year.

The content written in the article is partially behind the reality.