I Can See Health

The Fifth Hospital of Magic City, as the newest public hospital established in Magic City, has attracted the attention of countless people at this time.

In the past, as a private hospital, it did not attract much attention.

However, after the transfer from private to public, the Fifth Hospital of Magic City officially entered the field of vision of doctors and the general public.

For Lu Chen, the better news is that Dai Wansong is the top dean.

The Yunhua model can continue to be extended to the Fifth Academy of Magic City.

In addition, the plan for a family building in the Fifth Academy of the Magic City has been put back on the agenda.

Fan Zhiping and other employees have temporarily given up the idea of ​​resigning.

…

After private transfer to public.

Lu Chen's position has not changed. He is still the chief director of the Department of Cardiology at the Fifth Hospital of Shanghai.

The upper-level leaders deliberately set the Fifth Hospital of Shanghai as a model hospital for "medical reform".

The policies of the Fifth Academy of Magic City can be decided by themselves to the greatest extent.

After settling the hospital matters, Lu Chen turned his attention to clinical and scientific research again.

After this turmoil, the Fifth Academy of Magic City stood in front of the world.

Lu Chen's medical ideals continue to be inherited by the Fifth Hospital of Shanghai.

Next week, the National Natural Science Foundation of China will conduct a review.

Lu Chen spent all his time preparing for the corresponding topics.

This time, it was different from the one in Guanghai three years ago.

Today, Lu Chen has considerable influence in the entire field of cardiology in China.

"Ke Yue, help me improve the tavr data."

In the office, Lu Chen summarized the final data from tavr scientific research.

"OK."

Ke Yue nodded.

In addition to her own research on heart failure, she is also helping Lu Chen improve this national natural project.

"Lu Chen, I have something to tell you." Ke Yue said suddenly.

"Well, tell me." Lu Chen raised his head and looked at Ke Yue.

"I applied for a provincial general project some time ago." Ke Yue said, "According to my current qualifications, I should be able to apply as a master's tutor."

The basic requirements for a master's degree supervisor include having a project at or above the provincial level in the past three years and publishing two SCI papers.

Ke Yue's conditions are basically met.

Thirty-year-old master's degree supervisors are not uncommon.

"This is a good thing!" Lu Chen smiled.

Unexpectedly, Ke Yue was the first among their group to have the opportunity to become a master's degree supervisor.

The Fifth Hospital of Modu is now an affiliated hospital of Modu Medical University.

Has doctoral and master's degrees.

As long as you have tutor qualifications, you can apply to recruit students.

Previously, it was impossible to become a master's degree supervisor in a private hospital in Yunhua.

"Ke Yue, thank you." Lu Chen said slowly.

Before, Ke Yue was able to come to Yunhua at a high price.

I gave up my mentorship and a stable job.

Ke Yue seemed to understand what Lu Chen was talking about, and smiled: "This is nothing."

The meaning of her staying by Lu Chen's side was far more important than being a mentor.

Ke Yue's incident also reminded Lu Chen.

After the private transfer to public, the Fifth Academy of Magic City has quite a number of directors or deputy directors who can recruit students.

However, they are basically all master's degree supervisors, and only Dai Wansong is a doctoral supervisor.

A doctoral supervisor is a rare "creature".

Not to mention that the Fifth Hospital of Magic City was just a private hospital before.

It is simply impossible to recruit doctors of this caliber.

…

the next period of time.

The Fifth Academy of Magic City ushered in a period of peaceful development.

The number of patients increased significantly.

In addition to his scientific research work, Lu Chen is also busy in clinical practice.

"Director Lu, a patient with refractory heart failure has arrived."

"Okay, I'll go take a look right away."

Lu Chen was pulled by Jin Miao to check the ward, and Gu Xinyue followed them closely.

"Lao Gu, what are you doing here?"

Jin Miao's eyes widened.

"I also have a patient who came to Director Lu." Gu Xinyue grinned.

"First come, first served. Director Lu will see my patient first." Jin Miao said quickly.

"Okay, okay, I won't compete with you." Gu Xinyue curled her lips.

Lu Chen came to the ward.

On the hospital bed, an old lady in her eighties was lying on the bed.

She was thin, with dull eyes and a haggard appearance.

The health value on the head is only 30(---)!

Just by looking at this health value, Lu Chen could feel that the patient in front of him was unusual.

Otherwise, given Jin Miao's current ability, he would not be approached to see patients.

Jin Miao stood aside and began to introduce the condition.

"The patient began to experience chest tightness and shortness of breath after activity 4 years ago, accompanied by fatigue, palpitation, occasional nausea and vomiting, and edema of both lower limbs."

"Go to the local hospital for treatment and perform coronary angiography, cardiac color Doppler ultrasound and other examinations to diagnose dilated cardiomyopathy."

"The local hospital gave perindopril, metoprolol succinate, spironolactone, furosemide, isosorbide dinitrate and other drugs for treatment, and the chest tightness improved. However, the patient did not take the medicine regularly and had intermittent chest tightness. It improved after continued medication."

After a brief introduction to the condition, Lu Chen understood the patient's condition.

The old lady's current diagnosis is heart failure caused by dilated cardiomyopathy.

The diagnosis is clear, the tricky part is the treatment.

This is also a difficult part of internal medicine.

Many times, the diagnosis of the disease is clear, but the treatment is not effective.

Lu Chen looked through the patient's laboratory tests and examination sheets.

It didn’t take long to notice where the “difficulty” in refractory heart failure lies.

"The patient has low sodium and chloride, and severe heart failure. There is no way to achieve a balance between diuresis and rehydration." After Lu Chen said this, he turned to look at Jin Miao aside.

Jin Miao nodded quickly.

As expected of Director Lu, he immediately saw the problem clearly.

"Director, what should we do about treatment?"

Lu Chen thought for a while and then said, "The patient's recent diet must not be good, right?"

"Yes, heart failure causes blood stasis in the gastrointestinal tract, and the old lady can't eat at all." Jin Miao said, "After low sodium and low chloride, the patient is prone to mental symptoms, but when I replenish fluids, it is easy to worsen. Heart failure."

That’s the hard part about this whole heart failure thing.

The patient's body lacks many nutrients.

But if the appetite is not good, there is no way to supplement it from the gastrointestinal tract.

If the intravenous infusion is too large, it will easily aggravate the original heart failure.

Lu Chen heard this and said seriously: "Jin Miao, UU Reading www.uukanshu.net First of all, you have to be clear that severe ion disorders, such as low sodium, low chloride and low potassium, can easily lead to mental symptoms and even cardiac arrest."

"So the first step now is to stabilize the patient's internal environment and avoid low sodium and low chloride..."

"After sufficient rehydration, don't be afraid of heart failure. While rehydrating, diuresis will occur, so that the patient's intake and output can reach a negative balance..."

Lu Chen began to explain the key points of the entire treatment.

Jin Miao was recording on the side.

Even Gu Xinyue began to write and draw on paper.

The corners of Jin Miao's mouth twitched, this was too curly.

"Okay, that's all for now." Lu Chen said, "On the basis of dilation and diuresis, we can try to use some new drugs, such as neoactivin, levosimendan and other drugs to treat heart failure."

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