I Can See Health

Back to the doctor's office.

Jin Miao began to issue various blood tests and medical examination orders, and at the same time ordered the nurse to start urgent blood tests.

At the same time, his admiration for Lu Chen grew stronger in his heart.

Lu Chen could dig out so much information during a visit to the ward!

Compared with himself who only focused on cardiovascular diseases, Director Lu’s vision is broader.

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

If there were still people here who said that Lu Chen came to the clinic to hang out, then he would really fight back!

…

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

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

Regardless of any other cause of heart failure, the basic symptom treatment is the same.

As the saying goes, there are three pillars of heart failure: strengthening the heart, diuresis, and dilating blood vessels.

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

Cardiac MRI shows delayed myocardial signal enhancement and patchy myocardial enhancement!

This is the important imaging change for the diagnosis of myocarditis.

The histopathological basis of delayed myocardial signal enhancement is myocardial edema and necrosis.

"Director Lu, this patient really has myocarditis!"

When Jin Miao reported the cardiac MRI results to Lu Chen, her face was filled with 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!

"Dr. Jin, this case is extremely rare. If you are willing to write a medical case report, you can publish it in a good journal." Lu Chen thought for a while and said.

For him, writing this kind of medical case report didn't make much sense.

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 many points of sci can you get?"

Lu Chen smiled helplessly, "Don't think about publishing some papers yet. Organize the patient's medical records and focus on the subsequent treatment. If the patient can recover and even go back for chemotherapy, then it will be considered a perfect case."

"Yeah, I understand."

Jin Miao was like a student who was being taught, nodding in agreement.

At this time, when he looked at the "myocarditis" patient again, his heart was filled with excitement.

"By the way, can you treat this kind of myocarditis?" Lu Chen poured a ladle 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 causes are different."

Common myocarditis is viral myocarditis, caused by viral infection. All conventional treatments are antiviral, hormones, and then life support treatment. If the heart is seriously injured, ecmo and other machines may be used.

Myocarditis caused by immunosuppressants is caused by drugs. Currently, there are no antagonists for this kind of drugs, so the conventional treatments are hormones, hormone shock, or the use of immunoglobulin and other drugs.

Lu Chen gave Jin Miao a little explanation.

Jin Miao felt herself rising again.

Immediately afterwards, Lu Chen dropped another bombshell with a smile, "We in China do not yet have clinical guidelines for myocarditis caused by immune checkpoint inhibitors. These are borrowed from foreign guidelines. If you can collect domestic Relevant cases may be able to get ahead of all scientific researchers and even fill the gaps in this area..."

Jin Miao scratched his head when he heard this.

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

I really didn't expect that Lu Chen could think divergently and think of so many things, even thinking of things in clinical guidelines.

Lu Chen is really a treasure. He can feed them just by throwing something away!

At this time, Lu Chen had not noticed that when he was giving a lecture to Jin Miao, students from other departments in the department unconsciously gathered around him.

After the lecture ended, various prompts popped up on the system panel like crazy.

"Congratulations, I received a thank you from Jin Miao..."

"Congratulations, received from..."

Lu Chen was accustomed to reaping a wave of gratitude.

As an excellent superior physician, if he cannot restrain his subordinate physicians, it will definitely be a failure.

Lu Chen pointed out the general direction of treatment, and Jin Miao began to issue medical orders and write down the course of the disease.

The benefits of superior doctors reflect these directions. They only need macro-control and do not need to do everything personally.

…

The first day of work at Guanghai No. 1 Hospital ended like this.

Compared with the clinical life of master's and doctoral students, the work of deputy chief physician is easier, and it reduces a lot of "physical work" and "errands", such as taking blood pressure, doing electrocardiograms, etc.

However, the psychological pressure is definitely greater than when he was a student. Now Lu Chen controls the treatment direction of all patients in the group.

With great power comes great responsibility.

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

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

He is already familiar with the boss here.

Usually, he would even give Lu Chen an extra side dish. The quantity was not large, but it was quite good to have more flavors.

"Are you here again?" The shop owner smiled and looked at Lu Chen, "Same as usual?"

"Yes, same as usual." Lu Chen smiled and nodded.

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

Lu Chen smiled slightly. This shop owner really knows how to do business.

He comes here very frequently, and the food he orders every time is not cheap.

Although the apartment is fully equipped with cooking utensils, Lu Chen's cooking skills are too poor. It is completely dark cuisine. He can only make simple fried rice or something.

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

She was Lu Chen's neighbor, Xu Shan.

She waved to the shop owner and shouted, "Boss, I'll have one portion as usual."

"Okay!" The shop owner was not surprised to see Lu Chen and Xu Shan sharing a table.

During this period, Lu Chen and Xu Shan occasionally met in the restaurant. No matter who arrived first, they would share a table for convenience.

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

Today she still wore big-framed glasses, and her bangs covered her eyebrows.

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

Chatting about interesting things in the department, the meal time passed quite quickly.

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

...

"Xu Shan, UU Reading www.uukanshu.net That... have you eaten?" Qian Xiaobao asked nervously.

"I have." Xu Shan replied without surprise.

"Oh." Qian Xiaobao scratched his head and looked at Xu Shan with disappointment.

Lu Chen didn't feel comfortable watching the two chatting, so he said hello and closed his door.

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

To be honest, Xu Shan looks very ordinary, a very ordinary girl, and an older female doctor.

Qian Xiaobao's conditions are not bad. If he lowers his own requirements, he will definitely not have to lower his posture to pursue her.

However, the lover's eyes are full of beauty, Lu Chen can't say much, he just needs to take care of himself.

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