I can see health

Chapter 839
Lu Chen, an unfamiliar face, appeared in the classroom, and everyone looked in surprise.

But when the Fellows in the team could see Amy next to Lu Chen, they probably guessed Lu Chen's identity.

"Amy, why don't you introduce newcomers to everyone?" Fellow smiled.

"Haha, of course it's no problem, it's my honor." Amy stood up, "This doctor is called Lu Chen, and he's a visiting doctor from China..."

Amy briefly introduced Lu Chen's background.

Afterwards, Lu Chen stood up and introduced himself

"Oh, from China?" Fellow glanced at Lu Chen, "By the way, our team hasn't been to China for a long time."

Because of the language relationship, doctors from Europe, America and India are most often accepted here.

"Lu Chen, right? I just heard from you that you still have your own opinion on this case. You can talk about it now."

The Fellow of this team immediately got to the point.

"Yes, I have some immature opinions." Lu Chen did not deny, "I hope to share them with everyone."

This is Mayo, not Huaxia.

There is no middle ground here.

If you have a good idea, if you don't express it, then you won't!

If you have the ability and can stand out, you must seize the opportunity!

This was also what Yu Weiguang told Lu Chen many times.

It's good to work hard.

But letting others know that you have done it is the best.

Lu Chen immediately stood up from his seat and said slowly:
"As far as I can think of, there are three treatment options!"

As soon as these words came out, everyone present was shocked.

three methods?

Everyone mentioned a method just now, which is enough.

Lu Chen is doing well, I want to say three things at once!

Lu Chen continued: "First of all, we must optimize the drug treatment, and consider coronary angiography and revascularization if the situation permits."

"Finally, consider palliative care in patients with severe comorbidities. In treating this patient, we felt that we optimized his medications first, using maximum doses of beta-blockers and calcium antagonists, and long-acting nitrates. Ester drug therapy..."

Everyone was listening carefully to Lu Chen's narration.

Fellow suddenly said: "Then if you can do intervention? Which one do you think you should choose?"

Lu Chen was silent for a while, and then said, "If possible, I think it would be better to perform laser revascularization on the patient."

"okay!"

Fellow nodded slightly, very satisfied with Lu Chen's answer.

In fact, many visiting scholars only come to Mayo to coat gold.

"Now, let's take advantage of this time to welcome the arrival of Dr. Lu Chen from China!"

Fellow applauded first, and then others followed suit.

The entire Mayo environment is relatively uncomplicated.

Lu Chen's first speech won the approval of Fellow.

The other doctors in the team were also very interested in Lu Chen. """""

"Then I'll go first."

Amy nodded to Lu Chen, he finished his task and left.

in the classroom.

The breath of the previous case discussion was restored again.

"Next, let's look at the second case!"

Fellow continued to provide everyone with a second case.

Lu Chen understood.

Case discussions like this are carried out almost every day under the leadership of Fellows.

The second case is still about "refractory angina pectoris".

"Everyone, please look at the screen."

Fellow called up the patient's case.

This is a 55-year-old female marathon runner.

The patient was evaluated at a local hospital for nearly 3 months after developing exertional angina, and the stress test results were normal.

Angiography revealed mild to moderate myocardial bridging in the mid-section of the left anterior descending artery.

After treatment with calcium antagonists and nitrates, the symptoms were slightly relieved, and then the patient began to develop rest angina, and the pain caused the patient to wake up at night.

Lu Chen reviewed the specific concept of refractory angina in his mind again.

Refractory angina can generally be divided into 3 types.

The most common type is patients with anatomical lesions, whose lesions are serious and complex and cannot be treated simply by PCI or CABG; of course, some lesions are diffuse small vessel lesions that cannot be treated with revascularization.

The second category is physiological lesions, that is, the patient's coronary artery structure is normal, but there may be microvascular dysfunction or endothelial dysfunction.

The third situation is that the patient has serious comorbidities, such as patients with advanced cancer and severe gastrointestinal bleeding.

Fellow continued: "For such patients, what should we do? How to do further functional tests? Should we perform invasive or non-invasive tests? How to start treatment?"

Soon a resident stood up and replied: "Since the patient's stress test result was negative, there is no need to repeat the same examination. The patient's previous angiography results showed that there was a myocardial bridge in the middle of the left anterior descending artery. Are these lesions obvious?"

……

A full hour of case discussion.

Lu Chen gained a lot.

This is something he rarely feels in China!

The opinions of fellows and attending doctors are very novel and creative, and they are definitely at the top level in the world.

And Lu Chen's speech just entering the room also left a deep impression on everyone.

"Lu, you just came to Mayo, and you are not familiar with the environment yet." The Cardiology Fellow said to Lu Chen, "For the past two days, follow me around first, and I will send you some simple tasks later."

"OK, thanks."

At noon on the first day at Mayo, the Fellow and the professor insisted on treating Lu Chen to dinner.

Lu Chen had just arrived and had no reason to refuse.

So I came to Mayo's restaurant with the fellows and professors in the team.

"Lu, you like pizza, right?" Fellow laughed.

In the whole restaurant, there is only one kind of food, pizza.

Lu Chen is really not used to it, and he doesn't like eating pizza either.

However, now I can only bite the bullet and eat.

He has been busy for most of the morning, and he is quite tired at this time.

The hungry Lu Chen still ate two plates of pizza.

This made the fellows and professors in the team think that Lu Chen, who is from China, likes pizza very much.

(End of this chapter)