I Can See Health

   Chapter 839 First appearance

   Lu Chen, an unfamiliar face, appeared in the classroom, and everyone looked at him in astonishment.

   But when the Fellow in the team saw Amy next to Lu Chen, he probably guessed Lu Chen's identity.

   "Amy, why don't you introduce the new guy to the big guys?" Fellow smiled.

   "Haha, of course no problem, it's my honor." Amy stood up, "This doctor is Lu Chen, a visiting doctor from Huaxia..."

  Amy briefly introduced Lu Chen's background.

   Then, Lu Chen stood up and introduced himself

   "Oh, from Huaxia?" Fellow glanced at Lu Chen, "By the way, our team has not been in Huaxia for a long time."

  Because of the language, doctors from Europe, America, India and other regions are most often accepted here.

   "Lu Chen, right? I heard you just now. You have your own opinions on this case. You can talk about it now."

   The Fellow of this team got straight to the point.

   "Yes, I have some immature opinions of my own." Lu Chen didn't deny it, "I hope to share it with everyone."

  This is Mayo, not Huaxia.

   There is no middle way here.

   If you have a good idea, if you don’t express it, then you won’t!

  If you have the ability and the ability to stand out, you must seize the opportunity!

   This was also explained to Lu Chen by Yu Weiguang many times.

   Work hard, of course.

   But it is best to let others know that you have done it.

  Lu Chen immediately stood up from his seat and said slowly:

   "As far as I can think of, there are three treatment options!"

   When these words came out, everyone present was shocked.

three methods?

   Everyone just mentioned a method, and it is enough.

  Lu Chen is good now, I want to say three things at once!

  Lu Chen continued: "First of all, it must be to optimize the drug treatment. If the situation allows, consider coronary angiography and revascularization."

"Finally, consider palliative care in a patient with severe comorbidities. In treating this patient, we felt we optimized his medication first, using maximum doses of beta-blockers and calcium antagonists, along with long-acting nitric acid. Ester therapy…”

   Everyone is listening carefully to Lu Chen's story.

  Fellow suddenly said: "What if intervention is possible? Which do you think should be chosen?"

  Lu Chen was silent for a while, then said: "If possible, I think it is best to perform laser revascularization treatment on the patient, which is better."

"okay!"

  Fellow nodded slightly, very satisfied with Lu Chen's answer.

   In fact, many visiting scholars only come to Mayo for gold plating.

   "Now, taking advantage of this time, let's welcome the arrival of this Dr. Lu Chen from Huaxia!"

  Fellow was the first to applaud, and others followed suit.

   The entire Mayo environment is relatively not that complicated.

   Lu Chen's first speech was well received by Fellow.

   The other doctors in the team were also very interested in Lu Chen. """"""

   "Then I'll go first."

  Amy nodded to Lu Chen, he finished his task and left.

   in the classroom.

   regained the atmosphere of the previous case discussion.

   "Next, let's look at the second case!"

  Fellow went on to provide you with a second case.

  Lu Chen understood.

   Case discussions like this are conducted almost every day under the leadership of Fellow.

   The second case is still about "refractory angina pectoris".

   "Everyone, please look at the screen."

  Fellow called up the patient's case.

   This is a 55-year-old female marathon runner.

   The patient was evaluated in a local hospital for nearly 3 months after developing exertional angina, and the results of the stress test were normal.

  Angiography showed mild to moderate myocardial bridging in the mid-segment of the left anterior descending artery.

   After treatment with calcium antagonists and nitrates, the symptoms were relieved slightly. After that, the patient began to develop resting angina pectoris, and the pain caused the patient to wake up at night.

  Lu Chen reviewed the specific concept of refractory angina pectoris again in his mind.

  Refractory angina is usually divided into 3 types.

   The most common one is patients with anatomical lesions. The lesions of these patients are more serious and complex, and cannot be treated simply by PCI or CABG; of course, some lesions are diffuse small vessel lesions and cannot receive revascularization therapy.

   The second category is physiological lesions, that is, the patient's coronary artery structure is normal, but there may be microvascular dysfunction or endothelial dysfunction.

   The third situation is that the patient has serious comorbidities, such as patients with advanced cancer and severe gastrointestinal bleeding.

  Fellow continued: "What should we do with such a patient? How to do further functional tests? Should invasive or non-invasive tests be performed? How to start treatment?"

   Soon a resident stood up and replied, "Since the patient's stress test result is negative, there is no need to repeat the same examination. The patient's previous angiography results suggest that there is a myocardial bridge in the middle left anterior descending artery, so are these lesions obvious?"

  …

   Full hour of case discussions.

  Lu Chen has gained a lot.

   This is something he rarely feels in China!

The opinions of   Fellow and the attending doctor are very innovative and creative, and they are definitely at the top level in the world.

   And Lu Chen's speech when he entered the room also left a deep impression on everyone.

   "Lu, you just came to Mayo, and you are not familiar with the environment." Fellow of the Cardiology Department said to Lu Chen, "For the past two days, please follow me around first, and then I will give you some simple tasks later."

"OK, thanks."

   At noon on the first day of coming to Mayo, the fellow and the professor of the team insisted on inviting Lu Chen to dinner.

   Lu Chen arrived for the first time, and there was no reason to refuse.

   went to Mayo's restaurant with Fellow and Professor in the team.

   "Lu, you should like pizza, right?" Fellow laughed.

  In the whole restaurant, there is only one kind of food, pizza.

  Lu Chen is really not used to it and doesn't like pizza.

   However, now I can only bite the bullet.

   He had been busy for most of the morning, and he was tired enough at this time.

  The hungry Lu Chen still ate two plates of pizza.

   This made the Fellow and the professor in the team think that Lu Chen, who is from China, likes pizza very much.

   (end of this chapter)