I can see health

Chapter 746 Beauty is in the Eye of the Beholder
Go back to the doctor's office.

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

At the same time, his admiration for Lu Chen became stronger and stronger.

Lu Chen took a trip to the ward and found so much information!
Director Lu's vision is broader than his own, which only focuses on cardiovascular diseases.

Even without giving up every tiny symptom and sign, we got such an important clue from the mouth of the patient and his family.

If there are still people who say that Lu Chen came to the clinic to dawdle, then he will really push back!
……

Immunization and other related blood test results will not be released immediately, most of them will wait until the next morning, and even some blood tests need to be sent to private testing companies 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 heart failure caused by any other etiology, the basic symptomatic treatment is the same.

As the so-called three tricks for heart failure, heart strengthening, diuresis, and vasodilator.

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

Cardiac MRI showed delayed enhancement of myocardial signal and myocardial flake enhancement!
This is an important imaging change for the diagnosis of myocarditis.

Myocardial signal delay is enhanced, and its histopathological basis is myocardial edema and necrosis.

"Director Lu, this patient really has myocarditis!"

When Jin Miao reported the results of the heart MRI to Lu Chen, his face was full of 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 rare to be able to diagnose it!

"Doctor Jin, this case is extremely rare. If you are willing to write a case report, it will be published in a good journal." Lu Chen thought for a while and said.

For him, writing this kind of case report doesn't mean much.

But for Jin Miao, even if he can get a low-scoring SCI thesis, he will be promoted to the deputy chief physician, and at the same time, he will have some more advantages.

"Really...Really?" Jin Miao's eyes widened, "How much SCI can you issue?"

Lu Chen smiled helplessly, "Don't think about publishing some papers, organize the patient's medical records, and pay attention to the next treatment. If the patient can be cured, and even continue to go back for chemotherapy, it will be considered a relatively perfect case."

"Well, I see."

Like a student being taught, Jin Miao quickly nodded in agreement.

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

"By the way, can you cure this kind of myocarditis?" Lu Chen poured 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 cause is different."

The common myocarditis is viral myocarditis, which is caused by viral infection. All the conventional treatment methods are anti-virus, 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. At present, there is no antagonist for this drug, so the conventional treatment is hormone, hormone shock, or the use of drugs such as immunoglobulin.

Lu Chen gave Jin Miao a brief explanation.

Jin Miao felt that he had raised his posture again.

Immediately afterwards, Lu Chen smiled and dropped a big news, "We have no clinical guidelines for myocarditis caused by immune checkpoint inhibitors in China. These are all borrowed from foreign guidelines. If you can collect domestic Related cases may be able to go ahead of all scientific researchers, and even fill in the gaps in this area..."

Hearing this, Jin Miao scratched his head.

He didn't think about it so much, he just thought about posting a simple case report.

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

Lu Chen is really a treasure, he can feed them with anything he throws out!
At this time, Lu Chen hadn't noticed that when he was giving a lecture to Jin Miao just now, students from other groups in the department unconsciously surrounded him.

When the lecture was over, various prompts frantically popped up on the system panel.

"Congratulations, I received the thank you value from Jin Miao..."

"Congratulations, received from..."

Lu Chen is used to harvesting a wave of gratitude.

As an excellent superior physician, if he cannot calm down the subordinate physicians, he must be a failure.

After Lu Chen pointed out the general direction of treatment, Jin Miao began to issue doctor's orders and write a record of the course of the disease.

The benefits of senior physicians reflect these directions, only macro-control is required, and there is no need to do everything personally.

……

The first day of work in Guanghai No. [-] Hospital ended like this.

Compared with the clinical life of a master's or doctor's degree, the work of the deputy chief physician is easier, reducing a lot of "manual work" and "errand work", such as measuring blood pressure and doing electrocardiograms.

However, the psychological pressure must be greater than when he was a student. Now Lu Chen grasps the direction of treatment for all the patients in the group.

With great power comes great responsibility.

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

For dinner, Lu Chen went to a Sichuan restaurant near the neighborhood again.

He has become acquainted with the boss here.

Usually, I even add an extra side dish to Lu Chen. The amount is not much, but it is quite good with multiple flavors.

"Are you here again?" The store owner looked at Lu Chen with a smile, "Same as usual?"

"Well, it's the same." Lu Chen smiled and nodded.

"Okay, wait a minute." The shop owner immediately ordered the back kitchen to prepare the food, and gave him half an extra dish.

Lu Chen smiled slightly, the owner of this shop really knows how to do business.

He came frequently, and the meals he ordered each time were not cheap.

Although the apartment has everything to cook, Lu Chen's cooking skills are too poor, it's completely dark cooking, so he can only make simple fried rice or something.

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

She is Lu Chen's neighbor, Xu Shan.

She beckoned to the shop owner and shouted, "Boss, I'm ordering as usual."

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

During this period of time, Lu Chen and Xu Shan occasionally met in restaurants. No matter who arrived first, they shared a table together for convenience.

"You leave work quite early." Xu Shan smiled.

Today she still wears big-rimmed glasses with bangs covering her brows.

"I came 2 minutes earlier than you." Lu Chen poured Xu Shan a cup of tea with a smile, and the two chatted.

Talk about interesting things about Corey, and the time for eating passes pretty quickly.

After eating and returning to the apartment, he saw Qian Xiaobao waiting in front of Xu Shan's room again.

……

"Xu Shan, that...have you eaten?" Qian Xiaobao asked nervously.

"Eat." Xu Shan replied without any surprise.

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

Lu Chen didn't like watching the two of them chatting, and after saying hello, he closed the door of his room.

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

To be honest, Xu Shan looks well-behaved, quite an ordinary girl, and an older female doctor.

This Qian Xiaobao's own conditions are not bad, if he lowers his requirements, he definitely doesn't have to lower his profile to chase people.

However, since beauty is in the eye of the beholder, Lu Chen doesn't have much to say, as long as he takes care of himself.

　There are also updates

　　
　
(End of this chapter)