I can see health

Chapter 595 Meeting with AstraZeneca

The First Affiliated Hospital of Kyoto University.

Emergency Internal Medicine.

In the ward, the alarm of the monitor and the shouts of doctors and nurses were mixed together.

"Doctor Fan, the patient is sick again!"

The patient on the hospital bed turned his eyes upwards, began to twitch violently, and foamed from the corners of his mouth.

Fan Jian had already rushed to the hospital bed and said loudly, "One diazepam, intravenous injection!"

The nurses in the emergency department are of high rescue quality and immediately prepared diazepam injection.

Just when the nurse is about to give the patient medicine.

Lu Chen discovered a very strange thing, and quickly shouted: "Wait a minute!"

He pointed to the ECG monitor at the patient's bedside.

On the ECG monitor, the ECG is a straight line!
This is too scary!
A straight line in the ECG means that the patient may have stopped the electrical activity of the heart!

In other words, the patient's heart may have stopped.

To be more blunt, the patient may have died.

Fan Jian looked in the direction Lu Chen pointed.

Sure enough, the ECG is a straight line!
He felt a little uneasy in his heart, and started CPR when he was about to pounce on him. He quickly felt the patient's carotid artery pulse, but he really couldn't feel it.

But within a few seconds, you can feel the pulse.

At this time, the nurse shouted again, and the heartbeat returned!

Fan Jian's back burst into cold sweat, fortunately it was a false alarm.

Immediately afterwards, the patient's convulsions also stopped, less than 10 seconds before and after.

Fan Jian shook his head helplessly: "A patient with epilepsy, the cause of which has not yet been figured out, that's good, the heartbeat stopped immediately. It's really embarrassing!"

But at this moment, Lu Chen suddenly froze. He seemed to know why the patient had a seizure.

Lu Chen stepped forward, quickly checked the patient's pupils on both sides, re-measured the blood pressure, and confirmed that the patient's vital signs were stable.

At this time, the patient has slowly woken up.

"Lu Chen, what's the matter?" Fan Jian stared at Lu Chen in surprise, did he find anything else?

"Can you call out the patient's ECG monitor?" Lu Chen asked.

"Of course." Fan Jian nodded, then turned around and ordered the nurse at the side to call out the records of the ECG monitor.

The nurse quickly called up the record.

Lu Chen looked through the patient's ECG monitoring record just now, corresponding to the time, the patient's heart rate was good before the attack, more than 80 times/min, but when the convulsions started, the heart stopped beating, and there was a long RR interval, It lasted 7 seconds.

"That's the problem!" Lu Chen said in a deep voice.

Fan Jian looked at Lu Chen suspiciously, not quite understanding what Lu Chen meant, "What's wrong?"

"The patient should have cardiac arrest first, and then convulsions." Lu Chen said slowly. "It seems to be convulsions caused by cardiology diseases, not epilepsy as we always thought."

Fan Jian was stunned for a moment, "Lu Chen, what do you mean...is this Aspen syndrome?"

Lu Chen nodded slightly, "That's right, it's Aspen Syndrome!"

The so-called Asperger syndrome refers to a disease in which fainting and convulsions occur due to the sudden lack of blood pumping of the heart or no blood pumping at all for some reason, resulting in cerebral ischemia and hypoxia.

A heart beating too slowly, not beating at all, or beating too fast can cause fainting and convulsions due to insufficient pumping.

The final diagnosis is only a thin layer of window paper away from reality.

Lu Chen pierced this layer of paper, and all the doctors present suddenly realized.

Originally, Fan Jian and the others also considered the possibility of heart disease, so they also arranged for dynamic electrocardiograms, cardiac color Doppler ultrasound, etc., but no abnormalities were found.

"Why are there no problems with the echocardiography and electrocardiogram?" Fan Jian asked.

Lu Chen smiled, "Because the patient did not have convulsions during the examination, naturally there was no cardiac arrest. The electrocardiogram taken at this time must not be able to find evidence."

Fan Jian nodded, "That makes sense, but why didn't the patient suffer cardiac arrest at the beginning?"

Lu Chen patiently explained: "At the beginning of the attack, only one limb twitched, and the consciousness was still clear. Considering that the cerebral ischemia may not be serious at that time."

"Later, the arrhythmia worsened, and the arrest time may be prolonged before the disturbance of consciousness and generalized seizures occurred. The patient never felt chest tightness, chest pain, palpitations and other discomforts before the seizures."

The patient had a sudden convulsion just now, and it happened directly under the eyes of the doctor in charge of the bed and the ECG monitor.

So, finally caught the real culprit!
Just as Lu Chen finished speaking, he noticed a prompt popped up by the system.

"Congratulations, I received the thank you value +1 from Fan Jian!"

"Congratulations, the completion of the system upgrade has increased!"

……

"Lu Chen, it's really thanks to you."

Fan Jian patted Lu Chen on the shoulder, unexpectedly, Lu Chen helped him solve the problem for the second time.

Lu Chen smiled. He also accidentally discovered that the patient's electrocardiogram was in a straight line.

"Do you have a bed? Send this patient to your department?" Fan Jian asked again.

Now that epilepsy has been ruled out, I don't need to go to the neurology department, but need to go to the cardiology department for hospitalization.

"There's just a bed, you can go." Lu Chen nodded, "But Brother Fan, you have to talk to the patient first, he may need to complete the electrophysiological examination, maybe he needs a pacemaker. If you don't go for surgery If so, there may be no need to go.”

"Okay, as long as there is a bed, I will communicate with the patient." Fan Jian grinned. It is better to transfer out such a high-risk patient as soon as possible.

……

Go back to the doctor's office in the heart area.

Lu Chen explained to the nurse that he was going to receive a patient from the emergency department.

Although this patient does not have medical insurance, the other boss reimburses him in full!
"Brother, I have a little question about the patient just now." Su Rui whispered.

"Ask." Lu Chen smiled. He likes this kind of junior sister, not because she is beautiful, but because...you can earn gratitude!

Su Rui blinked and asked, "Why didn't this kind of patient have any symptoms before the onset? Such as chest tightness, chest pain, palpitations..."

Lu Chen explained with a smile, "Not every patient with arrhythmia will feel uncomfortable. Some people don't have any heart discomfort and just fall to the ground. Later, it was found to be sick sinus syndrome. The beating is irregular, the brain is ischemic, and it will be dark for a few seconds and then fall."

"Isn't that dangerous?"

"Yeah." Lu Chen nodded, "So this patient may need a pacemaker after finding out the specific reason."

Su Rui nodded straight after listening. In her eyes, senior brother Lu Chen is too powerful, he knows everything when asked, he is like a treasure chest!
……

The First Affiliated Hospital of Kyoto University.

Ward [-] of general surgery, doctor's office.

Since coming to Kyoto University, Wang Zihao feels a lot of pressure!
He never thought that one day he would be able to stand in the top medical school in China.

Surrounded by masters and gods of learning...

Although he is usually heartless and doesn't care much about other people's opinions, he was still hit hard when he came to this highly competitive environment.

In the entire department, he may have the worst foundation in clinical knowledge and skills.

However, a recently published 2-point SCI paper made him reverse the situation!
As a master, it is not easy to complete an SCI thesis alone.

Even at Kyoto University, where there are many top students, only a small number of people can complete this achievement.

Since publishing this SCI paper, Wang Zihao instantly gained confidence!

Usually in the department, he walks straight.

Returning to the dormitory after get off work, Wang Zihao was about to find Lu Chen, but unexpectedly his sister Wang Ruoxi called.

"Zihao, are you with Lu Chen now?"

She thought Wang Ruoxi cared about his younger brother, but she opened her mouth and asked Lu Chen.

"Yes, sister, what's the matter?"

Wang Zihao knew that his sister had been "specially concerned" about Lu Chen for a while.

It's just that after Lu Chen didn't respond, Wang Ruoxi suspended the offensive.

Could it be that this time the old love is revived?

Could it be that Lu Chen is going to be his brother-in-law again?

Wang Zihao was very conflicted...

Lu Chen is very good, but from brother to brother-in-law, I always feel that this is so strange!

I just heard Wang Ruoxi continue: "Recently, Lu Chen published a paper on Dapagliflozin, right?"

"En." Wang Zihao responded, he knew that his sister happened to be the Jinghua regional manager of AstraZeneca, so it's not surprising to know these things.

Wang Ruoxi said in a deep voice: "Zihao, there is something, you have to tell me the truth."

"Sister, you're right. I'm your younger brother, so I won't lie to you!" Wang Zihao said in surprise.

Listening to the serious tone of the old lady, isn't it about emotions?
Wang Ruoxi paused, and said slowly: "Then tell me, did Lu Chen complete this paper by himself, or did his tutor help?"

When Wang Zihao heard this, he blurted out: "Lu Chen must have done it alone! Professor Li Yao gave a little advice at most, and most of the content was done by Lu Chen himself."

"Really?" Wang Ruoxi still couldn't believe it.

This is not some SCI paper with two or three points!
It is one of the top journals in the cardiovascular field!

The directors of departments in many provincial tertiary hospitals have not reached this level...

"Really! I promise!" Wang Zihao said immediately.

On the other end of the phone, Wang Ruoxi was a little silent. He knew that Lu Chen was unusual, but he still underestimated him.

This time, even the superiors noticed him.

"Okay, I see. I will come to Kyoto to find you tomorrow."

After Wang Ruoxi finished speaking, she hung up the phone.

Hearing the busy tone from the phone, Wang Zihao twitched the corners of his lips, "That's a nice word, looking for me? Probably looking for Lu Chen..."

……

On Lu Chen's side, his mentor Li Yao also contacted him.

"Lu Chen, people from AstraZeneca may contact you recently." Li Yao vaccinated Lu Chen in advance, "It should be to talk to you about the natural project of Daglierjing Country."

When Lu Chen saw the news, he was a little confused.

"Teacher, why did AstraZeneca find me?"

"I don't know the details, but they are very interested in your thesis." Li Yao replied, "You completed this thesis independently, so I asked their people to find you directly."

Although Li Yao has a corresponding author, she is really in Lu Chen's favor.

"Okay, thank you teacher, I understand." Lu Chen was quite puzzled.

Why did AstraZeneca come to him? Isn't there a competitive relationship between them?

Is AstraZeneca here to "recruit"?

At the same time, Lu Chen also learned from Wang Zihao that Wang Ruoxi will come to the capital.

It seems that Teacher Li Yao is right, people from AstraZeneca are coming!

……

The next day.

As soon as Lu Chen got off work, he was blocked downstairs in the dormitory by Wang Ruoxi.

"Lu Chen, long time no see."

Although Wang Ruoxi was wearing a black professional attire, she still couldn't conceal her hot and good figure. With short shoulder-length hair, she looked very capable and charming.

"Sister Ruoxi, why did you come all the way to the capital?" Lu Chen greeted her with a smile.

Wang Ruoxi also provided a lot of support for his national nature project about Dapagliflozin.For example, experimental drugs are all sold at a discounted price.

This saved Lu Chen a large amount of project funds!

"Brother Lu Chen, I'm here to find you, and there's still something important to do." Wang Ruoxi is not a few years older than Lu Chen, but he has been in the workplace all year round, and his tone is a bit more mature than Lu Chen's.

"Do you have time? Let's talk in another place."

"it is good."

Lu Chen is also willing to be accompanied by a beautiful woman.

Facing patients in the hospital every day is quite boring sometimes.

They found a coffee shop near the hospital, the two found a booth, and started chatting.

Lu Chen couldn't get used to the coffee here, he had to add a lot of sugar every time.

"Brother Lu Chen, taste it slowly, it's rewarding after suffering." Wang Ruoxi took a sip of the sugar-free coffee lightly.

"Forget it, I'm adding sugar." In his opinion, life is already very difficult in many cases, so let's try to make it as sweet as possible.

"Sister Ruoxi, what are you looking for me this time?" Lu Chen cut to the chase.

"Oh, if it's okay, I can't come to you?" Wang Ruoxi put down the coffee cup and said softly.

Lu Chen sneaked a glance at Wang Ruoxi's delicate face, then retracted his gaze, and coughed lightly, "Of course."

"I'm not teasing you." Wang Ruoxi withdrew her smiling face, and said seriously, "I heard from Zihao that the 12-point SCI paper you published recently was completed by you alone?"

Lu Chen shook his head slightly.

"Ah... isn't it?" Wang Ruoxi was taken aback.

Lu Chen said slowly: "First of all, this SCI paper is not 12 points, but 11.98 points; secondly, I can only say that I completed most of it independently, and I asked the professors of Kyoto University for help in the statistical methods."

Lu Chen is telling the truth, and anyone with a discerning eye can see that this statistical method, the average person really doesn't know it!

"Why do I think so?" Wang Ruoxi smiled, she mainly wanted to ask if Lu Chen was by name.

Generally speaking, if you can have one or two low-scoring SCI papers for a master's degree, it will be excellent.

Once the SCI impact factor exceeds 5 points, it must be considered that this is not a "scholar"!

The current second generation of students is as good as the second generation of officials and the second generation of rich people.

Elementary school has begun to study genes. How can this embarrass many masters and Ph. Ds?

"Lu Chen, actually, I came to you this time to represent the AstraZeneca Huaxia Division." Wang Ruoxi said slowly.

Lu Chen smiled, "Sister Ruoxi, you can finish it in one breath, what are you looking for me for?"

Wang Ruoxi paused, "Looking for you, cooperate!"

"Cooperation?" Lu Chen was puzzled, "Aren't you AstraZeneca also doing this experiment?"

Thinking of this, he was suddenly taken aback. Could it be that AstraZeneca wants to turn their experiment into a "sub-center" of AstraZeneca?
If this is the case, Lu Chen's independent National Nature Project will directly become an affiliate of AstraZeneca and become the Huaxia Sub-Center for Clinical Research.

Although there is no need to compete with AstraZeneca, it also loses the meaning of the original experiment, which is no different from choosing to "lay flat".

"Lu Chen, don't get me wrong." Wang Ruoxi seemed to have insight into what Lu Chen was thinking, "Currently, the same experiment as you is not conducted at the AstraZeneca headquarters, but a branch of AstraZeneca Europe."

"Branch?" Lu Chen frowned, "Is there any problem?"

"There are a lot of problems." Wang Ruoxi smiled, "If it is a clinical research led by AstraZeneca headquarters, then we won't talk about it, there must be a competitive relationship between us. Now the scientific research competition with you is only a European branch. Department. Our Huaxia branch and the European branch are actually in a competitive relationship."

"Isn't it all a company? It's so complicated?" Lu Chen wondered.

Wang Ruoxi shook her head, "AstraZeneca is a multinational giant company, the more this kind of company, the more complicated the relationship among them. The people in the branch all want to be promoted to the headquarters. Therefore, there is a relationship between each branch. There is a certain competitive relationship, which mainly depends on which district has improved its performance more, or who has produced more influential scientific research."

Hearing this, Lu Chen understood a little.

"Oh, so you guys want to work with me on the Dapagliflozin project to compete with the European division?"

Wang Ruoxi smiled and nodded: "That's right! The headquarters support this kind of scientific research competition, because no matter which side wins, the AstraZeneca headquarters will ultimately benefit!"

Lu Chen curled his lips, these Europeans and Americans, it's a good idea!
No matter which division wins, it will benefit AstraZeneca's headquarters in the end, so the headquarters will acquiesce in this competition.

"Actually, we didn't intend to compete with the European branch in this project. The progress in Europe is so fast that we can't keep up." Wang Ruoxi continued, "But because of your sudden emergence, our Huaxia branch noticed you. Only then did I regain my desire to compete with the European division.”

Hearing this, Lu Chen frowned.

At present, if there is no accident, the experimental progress of AstraZeneca's European branch must be faster than them!
From this point of view, the request for cooperation from Huaxia Branch is an opportunity.

But AstraZeneca is a foreign company after all, blood-sucking capitalists, without clear benefits, they will definitely not easily sell.

"How do you want to cooperate?" Lu Chen looked up at Wang Ruoxi.

(End of this chapter)