I can see health

Chapter 592 Reply from the magazine
The first area of ​​the heart, the doctor's office.

Everyone was taken aback when they heard Lu Chen's words, and then shook their heads.

"Impossible, the patient has symptoms of chest pain!"

"This kind of electrocardiogram, I have never seen a patient without disease..."

"Lu Chen, you should at least rule out other diseases before considering the physical condition at the end, right?"

……

There was a lot of discussion among the people, and they didn't really support Lu Chen's "no disease theory".

In medicine, there is a default rule that after considering the physiological abnormalities of patients, all possible diseases need to be ruled out.

For example, for a patient with proteinuria, you may need to rule out kidney disease before considering physiological proteinuria. (Physiological proteinuria can be seen in situations such as body position changes, strenuous exercise, and high temperature.)
It is impossible to consider that proteinuria is caused by physiological conditions from the beginning.

Su Rui on the side also looked at Senior Brother Lu Chen very curiously.

She has been with Lu Chen for a while, and she knows the character of her senior brother, and she is definitely not the kind of person who is aimless.

Lu Chen must have his own reasons for saying this.

She looked at Lu Chen quietly, waiting for his next words.

After Lu Chen waited for everyone to express their opinions, he cleared his throat and said, "Teachers, have you ever seen a black man's electrocardiogram before?"

As soon as these words came out, everyone was a little puzzled and shook their heads.

Although Kyoto is an international metropolis, foreigners who come to the First Affiliated Hospital of Kyoto will go to the International Department and seldom come to them.

However, African medicine is backward, and black doctors are rarely seen at global conferences.

Xiao Shikang was also in the office, and he asked aloud, "Lu Chen, you mean that different races have different ECG performances?"

Lu Chen nodded, "Yes, actually this is easy to understand. For example, the recommended dosages in many clinical guidelines are different for different races, such as warfarin, rosuvastatin and other drugs..."

Warfarin, an anticoagulant drug, at the same dose, yellow people are more prone to bleeding complications than white people.

Xiao Shikang frowned, "It's just a drug, it doesn't represent changes in the electrocardiogram. As long as the black man's heart is on the left and its position in the chest remains unchanged, the pattern of the electrocardiogram should not change."

The principle of body surface electrocardiography is to use the electrocardiograph to record the electrical activity change pattern generated by each cardiac cycle of the heart from the body surface.

When everyone heard Xiao Shikang's words, they all nodded in agreement.

Lu Chen shook his head. When it comes to electrocardiogram and electrophysiology, that is his strong point!

"Ms. Xiao, you may have overlooked one point, and that is the adaptive change of the heart."

Xiao Shikang frowned deeply, "Adaptive change?"

Lu Chen nodded slightly, and continued: "Race is one of the main factors that cause exercise-adapted heart changes. More than two-thirds of black athletes have repolarization changes in their ECG."

"Including precordial leads (V1~V4) J-point elevation and ST-segment arch upward elevation, and T wave inversion, in the absence of other clinical or ECG features of cardiomyopathy, the above ECG showed normal variation, No further screening is required."

And the black man on Lu Chen's hospital bed was an athlete by profession.

In the cardiology office, it was difficult for everyone to digest what Lu Chen said.

"Lu Chen, are you saying that this patient doesn't need any other tests?" Xiao Shikang asked tentatively.

Lu Chen nodded slightly, "No need, it should be a normal physiological change."

"Then how do you explain his chest pain?"

Lu Chen thought for a while, and said, "I asked the patient carefully, and he was exercising vigorously when the chest pain occurred, so I think his chest pain is most likely caused by excessive exercise."

"This..." Xiao Shikang was taken aback for a moment, but didn't say much.

All of you here are the best of the young generation in the field of cardiology, and they will definitely not listen to Lu Chen's words easily.

One of the resident doctors who just started working in the department said, "Lu Chen, is there any literature to support what you said?"

Lu Chen nodded without hesitation: "Of course, it was mentioned in the latest issue of international athletes' electrocardiogram analysis. If you are interested in knowing more, I can send the literature to the group."

This document was also found by Lu Chen just now.

With the "Document Reading" skill card, it is very easy to find this kind of literature.

"Lu Chen, quickly post it in the group!" the resident doctor said quickly.

"Okay." Lu Chen nodded with a smile.

Everyone is very interested in this new knowledge.

Especially this kind of theory is completely opposite to everyone's normal thinking mode!

A profession like medicine requires continuous learning, and only relying on experience to treat diseases will sooner or later be eliminated.

Everyone clicked on Lu Chen's documents in the group.

Not long after, Lu Chen noticed the prompt that popped up on the system panel.

"Congratulations, I received a thank you value of +1 from Xiao Shikang!"

"Congratulations, the thank you from Su Rui is worth +1!"

"..."

Looking at the series of thank you values, Lu Chen sighed in his heart, and successfully pretended again.

What pleased Lu Chen the most was that the completion of the system upgrade had also increased, making it one step closer to the next upgrade!
……

After finding the correct diagnosis and the next diagnosis and treatment plan, let the black people decide for themselves.

"Doctor Lu, are you saying that my electrocardiogram is physiological?" The black man also smiled.

In fact, he also felt that he didn't have a big problem, but the doctors in the school hospital were too nervous.

"Well, we rarely see foreigners." Lu Chen patiently explained, "But we have read the international clinical guidelines, and about two-thirds of black athletes will have this kind of electrocardiogram, so it is a normal physiological phenomenon." , there is no need to deal with it for now.”

"However, if you are worried, we can complete further cardiac examinations for you, such as cardiac ultrasound, cardiac angiography, etc."

The black man quickly shook his head, "Doctor Lu, I trust your judgment, how about this, I also have doctor friends in Africa, let me tell them about the situation here."

"Of course." Lu Chen nodded.

An international guideline is just a piece of paper, and it would be best if it can be verified in reality.

Then, the blacks began to contact their doctor friends in Africa.

half an hour.

The black man came to the doctor's office and found Lu Chen.

"Doctor Lu, you are really amazing!" The black man showed his white teeth, "My friend in Africa said that this happens to me very often!"

When everyone in the office heard the black man's words, they became more convinced of Lu Chen's previous remarks.

I didn't thank Lu Chen just now, but this time, I finally gave Lu Chen a thank you.

Lu Chen smiled slightly, this black man has a high EQ, so he knew he would come to the office to praise him.

"In this case, you can leave the hospital."

After all, the black man had an electrocardiogram and a blood test, and there was still a fee. Su Rui went through a 24-hour admission and discharge record, and the black man was discharged.

……

After dealing with the black patient, the doctor's office in the heart area had a short period of tranquility.

Lu Chen was looking at the system panel, calculating how long it would take before the next system upgrade.

At this time, the beautiful little junior sister Su Rui suddenly moved in front of Lu Chen.

There was a faint fragrance, so refreshing that it made Lu Chen's heart flutter.

Having been single solo for so many years, even Lu Chen, a veteran cadre, had a hard time resisting this test.

"Brother, this black man gave me an idea just now." Su Rui said softly.

"Tell me." Lu Chen was concentrating, not squinting.

Su Rui thought for a while, and said slowly: "Brother, the experimental group of the National Nature Project you are working on now is yellow people, and the experimental group of AstraZeneca is Caucasian. In fact, if you think about it, there is not much conflict, right? "

Lu Chen looked at Su Rui in surprise, this little girl is not bad!

It is actually possible to infer other cases from one instance, from black patients to the National Natural Experiment Project.

It must be a good seedling for scientific research in the future!

"How should I put it..." Lu Chen rubbed his chin. Su Rui's words were correct, but she ignored a very important point, "Where do you think the most advanced medical science is in the world?"

"Europe, America, and Japan." Su Rui said, "Most of the clinical treatment guidelines are written by experts from European and American countries. Our Chinese medical experts are translating them, making slight changes, and turning them into domestic guidelines."

"Well, that's a good point." Lu Chen nodded, "Then tell me, under the same conditions, if I study yellow people and AstraZeneca studies white people, who will have the most influence in the end?"

Su Rui froze for a moment, "It should be AstraZeneca. However, this does not affect our research results, after all, the research objects are different."

"It does not affect our results. However, compared with AstraZeneca in this frontier field of science, if our research results come out slower than them, the number of experiments is smaller than them, and the statistical methods are lower than theirs, then our Does the research result have any influence in the world?" Lu Chen said slowly.

Su Rui glanced at Lu Chen, "Everyone will say...that we are plagiarism, plagiarism?"

"Yeah." Lu Chen nodded slightly, "Not only does it not have much influence, but it is very likely that others will say it is AstraZeneca!"

Although Lu Chen didn't want to think about it, this is reality.

China's medicine is indeed lagging behind the international level. Although it is catching up non-stop, it is already at the forefront of the world in some fields, but in general, there is still a big gap between it and Europe, America, Japan and other powerful countries.

Why is Lu Chen trying so hard to catch up with AstraZeneca?

Because once he slacks off and asks AstraZeneca to complete the experiment ahead of schedule, then his experimental results will not make a splash in the world at all, and he can only be self-satisfied in China.

"Brother, when did you say that China will surpass foreign countries?" Su Rui sighed slightly. Medical students value English ability very much, because most of the top documents come from Europe and the United States.

When Lu Chen heard Su Rui's words, he was slightly taken aback, surpassing Europe, America and Japan?
A seed slowly germinated in Lu Chen's heart.

Lu Chen murmured in his heart: "Yes, there will be such a day!"

……

Across the ocean.

USA, Harvard Medical School.

Fan Boyan, as the review editor (peer review expert) of the journal "Basic Research in Cardiology", will be assigned to review one or two papers every once in a while.

He has been in the United States for many years, and through his own efforts, he was successfully rated as an associate professor at Harvard Medical School.

As a Chinese, this is extremely rare at Harvard Medical School.

Today, Boyan Fan received another email from the editorial department of "Basic Research in Cardiology", "Professor Fan please help me review the manuscript."

Fan Boyan happened to be free, so he clicked on the email.

As a paper peer review expert, he has great power to decide the final result of an article.

There are generally three peer reviews for each paper. As long as two experts are favored, the paper can basically be accepted by the editor-in-chief.

Peer expert review can be divided into single-blind and double-blind. "Basic Research in Cardiology" magazine chooses double-blind, that is, the contributors and reviewers do not know the identity of each other.

"The habit of reading this English exercise is too authentic. It should be a thesis of a European or American university or research institute."

As a native of China, Fan Boyan is well aware of the English writing habits of contributors from various countries.

In general, people from other countries, no matter how professional their English is, their thinking in writing papers tends to be similar to that of their own country.

The paper in front of him, Fan Boyan's first glance, was too authentic.

It is absolutely impossible to come from the handwriting of people from other countries.

"Hey, this is still research on Dapagliflozin!" Fan Boyan murmured, "Could it be another AstraZeneca paper?"

Recently, Dapagliflozin has become a big hit in the field of international cardiovascular drugs!

Fan Boyan has also read several papers on AstraZeneca's research on dapagliflozin.

"I remember that in China, there seems to be a laboratory researching dapagliflozin, and it has also published a few good papers."

Fan Boyan will dabble in this cutting-edge hot field.

In particular, this time, the research team of "Dapagliflozin" also comes from China!
For Fan Boyan, that was a big surprise.

As a native of Huaxia, although he is in the United States, his heart is in China. He is always concerned about the news in the field of cardiovascular drugs in China.

Fan Boyan put away the distracting thoughts in his mind and continued to read.

"Hey, something's wrong!"

As a professor and doctoral supervisor in the cardiovascular field, he immediately noticed the abnormality of this paper.

"The statistical method used in this paper is wrong!"

It's not that the statistical method is bad, on the contrary, it's great!

For this type of clinical research experiment, such high-end statistical methods are simply not needed.

The same conclusion can be reached only by using a slightly lower level of statistical methods.

Fan Boyan frowned slightly. He paused to review the paper on "Dapagliflozin", but found the previous documents published by AstraZeneca.

In this comparison, Fan Boyan found an abnormality.

In the previous papers published by AstraZeneca, such advanced statistical methods have never been tried.

How could a "special case" suddenly appear?

"Could it be that the paper in my hand was not published by AstraZeneca?"

Fan Boyan was taken aback by the thought in his heart!

If it wasn't published by AstraZeneca, wouldn't it be published by the laboratory in China?
"When did China dare to do this kind of scientific research competition with AstraZeneca?"

Fan Boyan still couldn't believe it.

In his subconscious mind, aren't domestic scientific researchers following behind in Europe, America and other countries to carry out translation work?

If it is really a domestic laboratory... Thinking of this, Fan Boyan had a faint expectation in his heart.

……

……

……

The First Affiliated Hospital of Kyoto University.

The doctor's office in the first area of ​​the heart.

"Lu Chen, you have been in the capital for about two months, right?" Xiao Shikang said to Lu Chen.

"Well, almost." Lu Chen nodded slightly.

Time flies so fast, half a year of exchange life, one-third has passed in the blink of an eye.

"The postgraduate department in the college asks you to submit a summary of the students who come to exchange." Xiao Shikang said, "The main thing is to talk about what you have done in the past two months, and what gains or results you have."

"Okay." Although Lu Chen doesn't like this kind of thing, he can only carry out what the hospital asks.

Back to the bedroom.

Lu Chen started to prepare the monthly summary.

He heard that the academy would give certain rewards to students who performed well.

The specific criteria for judging are still unknown.

"It's been two months so soon!" Lu Chen murmured in his heart, there was not much time left for them to conduct clinical research experiments!

According to the previous deployment, if he cannot publish a high-scoring SCI paper within two months and cannot prove that he has the strength to compete with AstraZeneca, then he can only lie flat!
"Time is running out."

At this time, Lu Chen could only look forward to the reply from the magazine "Basic Research in Cardiology".

As for the rest of the research team.

Ke Yue's paper has been accepted, which is good news!
As for Gu Xinyue and Wang Zihao, due to lack of experience, the thesis they completed together was sent back for revision.

The other party did not directly reject the manuscript, but returned it for re-editing, which also means that there is still a chance.

Lu Chen was relatively free for the time being. Taking this opportunity, he happened to help Gu Xinyue and Wang Zihao revise their papers.

……

In a blink of an eye, another week has passed.

The paper that Lu Chen helped Gu Xinyue and Wang Zihao revise was also accepted by the magazine!

For this reason, Wang Zihao was excited for several days, and even Lao Gu, who had always been aloof, showed a long-lost smile on his face.

However, neither Ke Yue's thesis nor Gu Xinyue's and Wang Zihao's papers are decisive.

One of them got 2 points and the other 3 points. Compared with AstraZeneca's thesis, they really can't get on the table, they can only make up for it.

"Lu Chen, hasn't your magazine responded yet?"

Taking advantage of lunch, when the research team had dinner together, Wang Zihao asked.

Lu Chen shook his head helplessly: "Not yet."

"If there is no reply this month, is our experiment..." Ke Yue whispered, her expression was a bit bitter, and she also devoted a lot of effort to Lu Chen's national nature project.

Hearing this, Lu Chen did not respond, and the atmosphere at the scene was a bit dull.

Everyone understands that if Lu Chen's paper has not been accepted within this month, then this national nature project can only be declared flat, and there is no way to compete with AstraZeneca.

"It's nothing, please be happy." Seeing that everyone was in a bad mood, Lu Chen could only comfort him, "We are still so young, even if we don't succeed this time, there will be more opportunities in the future!"

Having said that, everyone is still a little unwilling.

Just when Lu Chen was about to continue comforting everyone, suddenly, his phone vibrated slightly.

He thought it was a notification from WeChat, but when he took out his phone to look, there were a few large characters on the notification bar: "You have a new email, please check it!"

Lu Chen was taken aback, new email?
Could it be...

At this moment, Wang Zihao came over to take a look, and said in surprise, "New email!"

When everyone heard this, they all looked up at Lu Chen.

Lu Chen swallowed lightly, he had never been so nervous before...

Unlock the phone, and click on the information in the notification bar.

The interface jumps, enters the mail APP, and then enters the inbox.

Lu Chen focused his eyes on the sender's message, then paused slightly, looked up at Ke Yue and the others, "It's a reply from the magazine."

Hearing Lu Chen's words, everyone sat upright, staring at Lu Chen closely, not daring to show their breath.

　After thinking about it, in the future, try to have more words in each chapter, so as not to separate them, and it is too troublesome to think about the title.

　　ps: As a front-line clinical worker, it is too difficult to keep updating!
　　After all, in the case of two consecutive night shifts, it is impossible to update.

　　However, I will manage my time, work hard, and try to update as much as possible.

　　
　
(End of this chapter)