I Can See Health

   Chapter 899 The first master director

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

  Before, as a private hospital, it did not attract much attention.

   However, after the private transfer to the public, the Fifth Academy of Magic Capital officially entered the field of vision of doctors and the general public.

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

The    Yunhua mode can continue to continue in the body of the Fifth Academy of the Magic Capital.

   In addition, the family building plan of the Fifth Academy of the Magic City has been put on the agenda again.

  Fan Zhiping and other employees also temporarily dispelled the idea of ​​resignation.

  …

   After private to public.

   Lu Chen's position has not changed, he is still the chief director of the Cardiology Department of the Fifth Hospital of the Magic Capital.

   The upper-level leaders set the No. 5 Hospital of Magic Capital as a model hospital for "medical reform".

   The policy of the Fifth Academy of the Magic Capital can be determined by itself to the greatest extent possible.

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

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

  Lu Chen's medical ideals continue to be inherited from the Fifth Academy of Magic Capital.

   Next week, the National Nature Review will be conducted.

  Lu Chen took all his time to prepare for the corresponding topics.

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

   Today's Lu Chen has a good influence in the entire Huaxia Cardiology field.

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

In the    office, Lu Chen summarized the final data of TAVR research.

"OK."

   Ke Yue nodded.

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

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

   "Well, you said." Lu Chen looked up at Ke Yue.

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

  Basic requirements for a master's supervisor. In the past three years, there must be projects at or above the provincial level, and two SCI papers have been published.

   Ke Yue's condition is basically satisfied.

   Thirty-year-old master directors are not rare.

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

   Unexpectedly, Ke Yue was the first in their group to have the opportunity to become a master director.

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

   Has doctoral and master's degrees.

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

Before   , if it was in Yunhua, it was impossible for a private hospital to become a master director.

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

Before   , Ke Yue was able to come to Yunhua, and he definitely paid a great price.

   gave up his mentorship and gave up a stable job.

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

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

   Ke Yue also reminded Lu Chen.

After    transferred from private to public, there are quite a number of directors or deputy directors of the Fifth Academy of the Magic City, who can recruit students.

   However, they are basically master tutors, and only Dai Wansong is a doctoral tutor.

  The Ph.D. guide is a rare "creature".

   Not to mention that Modu No. 5 Hospital was just a private hospital before.

   It is impossible to recruit a doctor of this level.

  …

   The next period of time.

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

The number of    patients increased significantly.

  Lu Chen is also busy clinically in addition to scientific research.

   "Director Lu, here comes a patient with refractory heart failure."

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

  Lu Chen was pulled over by Jin Miao for rounds, and Gu Xinyue followed them closely.

   "Old Gu, what are you doing here?"

  Jin Miao widened her eyes.

   "I also have a patient looking for Director Lu." Gu Xinyue grinned.

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

   "Xingxingxing, I won't rob you." Gu Xinyue pouted.

  Lu Chen came to the ward.

   On the hospital bed, an old lady in her 80s was lying on the bed.

   She was thin, her eyes were dull, and she was described as withered.

   The health on his head is only 30(—)!

   Just by looking at this HP, Lu Chen could feel the unusualness of the patient in front of him.

  Otherwise, with Jin Miao's current ability, he would not have come to see the patient.

  Jin Miao stood aside and began to introduce his condition.

   "The patient started to experience chest tightness and shortness of breath after exercise 4 years ago, accompanied by fatigue, palpitation, and occasionally nausea and vomiting, and edema of both lower extremities."

   "Go to the local hospital for treatment, self-reported coronary angiography, echocardiography and other examinations to diagnose dilated cardiomyopathy."

   "The local hospital gave perindopril, metoprolol succinate, spironolactone, furosemide, isosorbide dinitrate and other drugs, and the chest tightness improved, but the patient did not take regular medication, and the chest tightness occurred intermittently, which can be improved after continued medication."

   After a brief introduction to the disease, 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 the difficulty of internal medicine.

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

  Lu Chen flipped through the patient's tests and checklists.

   soon noticed where the "difficulty" in refractory heart failure was reflected.

   "The patient has low sodium and chloride levels, and has severe heart failure. There is no way to achieve a balance between diuresis and fluid replacement." After Lu Chen said this, he turned to look at Jin Miao who was beside him.

  Jin Miao nodded quickly.

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

   "Director, what should we do in terms of treatment?"

  Lu Chen thought for a while, then said, "The patient's recent diet shouldn't be too 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, patients are prone to mental symptoms, but when I rehydrate, it is easy to aggravate. Heart failure."

   This is the whole difficulty of heart failure.

   Patients are deficient in many nutrients.

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

   If the intravenous infusion is added, the amount is too large, and it is easy to aggravate the original heart failure.

  Lu Chen heard the words and said solemnly: "Jin Miao, first of all you need to be clear. Severe ion disorders, such as low sodium, low chloride and low potassium, can easily lead to mental symptoms and even cardiac arrest."

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

   "After adequate rehydration, don't be afraid of heart failure, while rehydration, diuretic at the same time, let the patient's intake and output reach a negative balance..."

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

  Jin Miao was recording.

   Even Gu Xinyue began to write and draw on paper.

  The corner of Jin Miao's mouth twitched, this is too curly.

   "Okay, that's all for now." Lu Chen said, "On the basis of diuresis, you can try some new drugs, such as Xinhuosu, Levosimendan and other drugs for the treatment of heart failure."

   (end of this chapter)