I can see health

Chapter 899 The First Master Tutor

The Fifth Hospital of Shanghai, as the latest public hospital established in Shanghai, has attracted the attention of countless people at this time.

In the past, as a private hospital, it did not attract much attention.

However, after the transfer from private to public, the Shanghai Fifth Hospital officially entered the field of vision of doctors and the general public.

For Lu Chen, the better news is that Dai Wansong is the head dean.

The Yunhua model can continue in the Fifth Hospital of Shanghai.

In addition, the plan for the family building of the Fifth Hospital of Shanghai has been put on the agenda again.

Fan Zhiping and other employees also temporarily gave up the idea of ​​resigning.

……

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 Shanghai.

The upper-level leaders deliberately set the Shanghai Fifth Hospital as a model hospital for "medical reform".

The policies of the Fifth Hospital of Shanghai can be decided by themselves to the greatest extent.

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

After this turmoil, the Fifth Hospital of Shanghai City stood in front of the world.

Lu Chen's medical ideals continue to be inherited by the Fifth Hospital of Shanghai.

Next week, the National Nature Review will be held.

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 considerable influence in the entire field of Cardiology in Huaxia.

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

In the office, Lu Chen summarized the final data of TAVR scientific 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 said suddenly.

"Well, tell me." 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 for a master's supervisor."

The basic conditions for a master's supervisor are that in the past three years, there must be a project above the provincial level, and two SCI papers have been published.

Ke Yue's conditions were basically met.

30-year-old master tutors are not uncommon.

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

Unexpectedly, Ke Yue was the first among them to have the opportunity to be a master tutor.

The Fifth Hospital of Shanghai, now belongs to the affiliated hospital of Shanghai University of Medical Sciences.

It has a doctorate and a master's degree.

As long as you have a tutor qualification, you can apply to recruit students.

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

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

Ke Yue must have paid a high price for coming to Yunhua before.

I gave up my mentorship and a stable job.

Ke Yue seemed to understand what Lu Chen was talking about, and said with a smile, "It's nothing."

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

Ke Yue's incident also reminded Lu Chen.

After the transfer from private to public, there are quite a number of directors or deputy directors in the Fifth Hospital of Shanghai, who can recruit students.

However, they are basically master supervisors, and only Dai Wansong is a doctoral supervisor.

A doctoral supervisor is a rare "creature".

Not to mention that Shanghai Fifth Hospital was only a private hospital before.

It is impossible to recruit doctors of this level.

……

the next period of time.

The Fifth Hospital of Shanghai is ushering in a period of peaceful development.

The number of patients increased significantly.

Lu Chen is also busy with clinical work while doing scientific research.

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

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

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

"Old Gu, what are you doing here?"

Jin Miao's eyes widened.

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

"First come, first served, Director Lu sees my patients first." Jin Miao said hastily.

"All right, all right, I won't rob you." Gu Xinyue curled her lips.

Lu Chen came to the ward.

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

She was thin, with dull eyes and a haggard appearance.

The life value on the head is only 30 (——)!

Just looking at this health value, Lu Chen could feel the abnormality of the patient in front of him.

Otherwise, with Jin Miao's current ability, he would not have asked him to see patients.

Jin Miao stood aside and began to introduce his condition.

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

"I went to the local hospital to see a doctor, and I reported that I performed coronary angiography, cardiac color Doppler ultrasound 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. However, the patient did not take the medicine regularly, and the chest tightness occurred intermittently. After continuing to take the medicine, it improved."

After a brief introduction to the condition, Lu Chen understood the patient's situation.

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 is not effective.

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

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

"The patient is low in sodium and chlorine, 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, and then said, "The patient's diet should not be good recently, right?"

"Yes, heart failure leads to gastrointestinal bleeding, and the old lady can't eat at all." Jin Miao said, "After low sodium and low chlorine, patients are prone to mental symptoms, but when I replenish fluids, it is easy to aggravate the symptoms." Heart failure."

That's the whole difficulty with heart failure.

The patient lacks many nutrients in the body.

But the appetite is poor, and there is no way to supplement it from the gastrointestinal tract.

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

Hearing this, Lu Chen said seriously, "Jin Miao, first of all, you have to be clear. Serious ion disturbances, 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 chlorine..."

"After adequate fluid rehydration, don't be afraid of heart failure. While rehydrating, diuretic is at the same time, so that the patient's intake and output can reach a negative balance..."

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

Jin Miao was recording on the side.

Even Gu Xinyue began to write and draw on paper.

The corner of Jin Miao's mouth twitched, it was too curly.

"Okay, that's all for now." Lu Chen said, "On the basis of expanding the diuresis, we can try to use some new drugs, such as Xinhuosu, levosimendan and other drugs for heart failure."

(End of this chapter)