I can see health

Chapter 594 A Good Boss at the Construction Site (Two Chapters in One)

bang bang bang bang bang bang...

There was a knock on the door, and the man took a puff of cigarette without haste, "Come in!"

A slender black silk secretary in business attire walked in.

She walked to the man's desk and handed over a document respectfully, "Mr. Wang, the author's information for Dagligentin's paper has been found."

"Oh, let's put it on the table." Wang Lei smiled and stared at the female secretary in front of him with a smile.

The female secretary lowered her head and raised her head slightly. When she saw Wang Lei's eyes, her face turned red, "Mr. Wang, if it's okay, I'll go out first."

Wang Lei tapped the smooth desktop with his left index finger, and picked up the file with his right hand, "Okay, you can go first, but I have something to do later."

"Yes." The female secretary nodded, and left the office with enchanting steps.

Wang Lei looked at the back of the female secretary, reluctantly looked away, and then focused on the document in front of him.

"Li Yao, the corresponding author of the paper, is a professor and doctoral supervisor of Jinghua Medical University. He is currently a member of the Huaxia Cardiovascular Medicine Association and chairman of the Jinghua Electrophysiology Society. He has published many high-scoring SCI papers. He was involved in plagiarism and plagiarism the year before last... ..."

All of Li Yao's information is clearly displayed in this document.

Wang Lei noticed a sentence in the document, "There are rumors in Jinghua Medical University that the national nature project about Dapagliflozin is run by Lu Chen, a student of Li Yao's mentor, and Lu Chen is also the first author of the paper."

"Lu Chen, the Second Affiliated Hospital of Jinghua Medical University, a master's student in the Department of Cardiovascular Medicine, has published three high-scoring SCI papers (all on the clinical research of dapagliflozin), the highest score is 11.98; Champion of Clinical Skills Competition, No.5 in Huaxia Wenxin Cup ECG Competition..."

"Hey, it's not easy to be a graduate student!" Wang Lei was slightly taken aback after reading Lu Chen's resume.

This is the first time he has seen such a gorgeous resume!
It is no exaggeration to say that these honors are comparable to many professors of cardiovascular medicine.

"Interesting, really interesting!" Wang Lei touched his chin, immediately picked up the phone on the desk, and dialed out.

On the other side of the phone, it was connected immediately.

Wang Lei said in a serious tone, "Lin Feng, help me contact the person in charge of Jinghua District, I want to meet with Professor Li Yao."

"Got it, Mr. Wang."

After hanging up the phone, Wang Lei looked at the document in his hand, and a bold idea popped up in his mind...

……

The First Affiliated Hospital of Kyoto University.

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

Lu Chen has recovered from the excitement after the paper was accepted.

As for the experimental progress of the National Natural Science Project, he has tried his best, and he can't grasp the next thing.

Lu Chen is a person who doesn't believe in heaven's rewards.

If you believe that heaven rewards hard work, once you have worked hard and achieved success, you may look down on those who failed.

If you still fail after hard work, you are likely to blame others and lament the injustice of heaven.

Therefore, Lu Chen feels that most of the things cannot be decided by himself.

He can only do everything with his heart and soul, and that's enough.

"Brother, thank you for this thesis." Junior sister Su Rui stood beside Lu Chen with a smile.

This time, for Lu Chen's thesis, Junior Sister Su Rui also did her part and got a fifth author.

Although it is only the fifth author, this is a high-scoring SCI paper with a score of 11.98.

It is no small honor to be named!
"No thanks, you deserve it." Lu Chen smiled. Su Rui really helped him a lot a while ago.

"Brother, are you free this weekend?" Su Rui blushed and looked at Lu Chen, "I want to treat you to dinner."

Lu Chen's heart tightened, and he looked down at the petite and lovely Junior Sister Su Rui beside him.

It's time to test veteran cadres again!
Just when Lu Chen was about to agree, the nurse in the ward suddenly ran into the ward, "Lu Chen, consult the emergency department!"

Today is Lu Chen's turn for consultation, and his bed just happens to be vacant again.

Lu Chen quickly grabbed the stethoscope and replied to the nurse, "Okay, I'll go now."

According to the hospital's consultation regulations, the emergency consultation must arrive within 10 minutes, so Lu Chen didn't dare to delay. He left the cardiology department and walked directly to the emergency department.

Junior sister Su Rui followed closely behind.

This time, Xiao Shikang did not continue to follow the consultation.

Lu Chen has long been familiar with the diagnosis and treatment process of the hospital, and can conduct consultations independently.

……

Came to the emergency department.

Lu Chen met an acquaintance again, Fan Jian, the attending doctor of the emergency department.

"Hey, Lu Chen, you're here." Fan Jian smiled when he saw Lu Chen.

"Well, it's our turn for the consultation today." Lu Chen nodded slightly, came to Fan Jian's side, and picked up the patient's medical records.

"I heard you posted a ruthless article recently?" Fan Jian hooked Lu Chen's neck affectionately.

"Good luck." Lu Chen couldn't stand this kind of intimate contact, so he took a step back.

Unexpectedly, Fan Jian took another step forward, "Lu Chen, next time there is a topic suitable for me, don't forget me!"

Lu Chen: "..."

Su Rui, who was behind her, quickly turned her face away. This kind of flirtatious scene was not suitable for her to watch.

Lu Chen quickly changed the subject, "Brother Fan, what is the condition of the patient?"

Talking about the patient's condition, Fan Jian was a little more serious, "This is a fainting patient. He stayed in our emergency department for several days and basically did all the examinations, but he still couldn't find the cause. We have to ask your cardiology department for help." come and see."

Syncope, the most common cause is cardiac or cerebral.

"Go and see the patient first." Lu Chen handed the patient's medical record folder to Su Rui who was behind him, and followed Fan Jian to the ward.

……

On the hospital bed lay a middle-aged man about 40 years old.

Fan Jian introduced the patient's condition at the side, "The patient is an electric welder. He was welding on a one-meter-high platform three days ago, and suddenly fell down."

"At that time, the patient felt that his right hand and foot were convulsed, he couldn't squat stably, and he fell down. The construction site owner sent him to our emergency department. After preliminary inspection, his hands and feet were not injured, but the skin was broken. But for the sake of safety, the construction site boss still sent the patient to the hospital to carefully check the cause of the fall."

As soon as Fan Jian finished speaking, the middle-aged man on the hospital bed grinned and said, "Our boss said that he will pay for all hospital check-ups. It's not short of money. Let me go back after the check-up is all right."

Good guy, this construction site boss is really particular.

Fan Jian jokingly said, "This construction site is so good, I can apply for it tomorrow."

Everyone smiled.

Lu Chen turned his attention back to the patient.

The patient's health is 68 (--).

The two minus signs seem to be the problem!
Generally, those who fall for no reason like this are either brain problems or heart problems, which should not be able to escape.

"Did you have a clear consciousness at that time? Do you remember what happened? Did you know that you fell?" Lu Chen began to ask repeatedly.

The patient replied: "I remember, I remember all of them! I felt my right hand and right foot twitched like an electric shock. I lost my balance and fell down."

"You were welding at that time?" Lu Chen asked, "Don't worry about it, it might be an electric leakage, and you get an electric shock."

"No." The patient shook his head. "Electric welding has plastic handles, and the place where I stand is wooden ladders. It is impossible to get an electric shock."

Lu Chen nodded slightly, yes, if it was an electric shock, it is impossible for only one limb to twitch, the whole person should be taken off by the electric shock.

"Has this happened before?" Lu Chen asked.

"No, this is the first time."

Lu Chen frowned, which was a little strange.

Immediately afterwards, Lu Chen asked a lot of questions, and learned that the patient had no symptoms of chest tightness, chest pain, dyspnea, dizziness, or headache when he fell.

Moreover, the patient is usually in good health and has no underlying diseases, such as high blood pressure and diabetes.

The entire twitching of hands and feet lasted only a few seconds, and it quickly subsided.

After a routine physical examination of the patient, the muscle strength and muscle tone of the patient's limbs are normal.Other neurologic examinations were also essentially normal.

Lu Chen thought for a while, then said to Fan Jian, "Brain problems should be considered first. I fell down for no reason, and one limb twitched. It may be epilepsy, cerebral hemorrhage, cerebral infarction, or brain tumor. or other neurological diseases."

Fan Jian said helplessly: "The neurological examination has been done, and the results are all normal."

Lu Chen frowned even deeper. He took the medical record from Su Rui and examined it carefully.

Sure enough, the patient's brain CT, MRI, and dynamic EEG have all been done!
All were normal, and no cerebral hemorrhage, cerebral infarction, or tumor was found.

"What about the blood test results and the electrocardiogram?" Lu Chen asked again.

Some patients may also be caused by heart problems, such as the heartbeat is too slow or too fast, resulting in poor heart pumping, followed by cerebral ischemia, which will cause the above symptoms, so the heart examination is normal.

"Normal!" Fan Jian spread his hands helplessly, "Except for a little high uric acid, everything else is normal."

Lu Chen turned to the electrocardiogram, dynamic electrocardiogram, and echocardiogram.

It was indeed the same as what Fan Jian said, it was all normal.

Lu Chen frowned, this is strange, any inspection is normal now!

"Could it be epilepsy?" Lu Chen pondered for a long while, then slowly said to Fan Jian, "The patient first convulsed his limbs for no reason, and then fell from a height. At that time, he was conscious and could clearly remember what happened. After a few seconds, I stopped smoking, my hands and feet moved normally afterwards, and there was no incontinence, and the current physical examination of the nervous system is not abnormal, it seems that the possibility of epilepsy is still high!"

There are many types of epilepsy, and the classification is very complicated.

Some are very serious, full-scale seizures, the whole person twitches violently, and the consciousness is not light.

But there are also mild ones, such as simple partial seizures, which are relatively short in duration, usually a few seconds or more than ten seconds.

Fan Jian wondered, "Lu Chen, if it's an epileptic seizure, why is the patient's EEG normal?"

EEG is the most important auxiliary examination for the diagnosis of epilepsy.

Because the so-called epilepsy is actually caused by abnormal and random discharge of a certain tissue of the brain.

"The EEG may record this epileptic discharge process." Lu Chen explained, "But it's not 100%, just like the dynamic electrocardiogram."

In fact, for one reason or another, only 50% of epilepsy patients can be recorded with abnormal EEG results, and the other 50% of patients will be missed.

"Then it looks like epilepsy is more likely." Fan Jian muttered to himself.

At this time, the patient on the hospital bed suddenly asked in a low voice: "Doctor, does my illness have something to do with work? Is it possible that it is caused by work?"

"It's hard to say." Lu Chen said, "The cause of epilepsy is unknown."

When it comes to work-related injuries, you still have to be cautious.

"Brother Fan, please consult with a neurologist." Lu Chen said.

After all, he is not a major in neurology, and his knowledge of the nervous system can only be said to be half-knowledgeable.

"Already invited, it should be on the way here." Fan Jian said.

As soon as the words fell, the consultant doctor from the neurology department came to the emergency department.

Lu Chen didn't know him, the hospital was too big, and he had been here for too short a time, so he was not familiar with many people.

However, Lu Chen still stayed in the emergency department, wanting to hear the opinion of the neurology department.

After reading the medical records, the neurologist said to Fan Jian and Lu Chen: "Currently, the patient does not rule out epilepsy. But diagnosing epilepsy is not a trivial matter. Many people call epilepsy epilepsy, which shows how much they discriminate against it." sick."

"We neurologists generally have to be confident enough to give patients this diagnosis. In addition, if the diagnosis is epilepsy, it means that long-term oral anti-epileptic drugs may be needed later."

"This is not a joke. I suggest you stay in the hospital and continue the investigation. Try to find out as much as possible."

The neurologist is still a professional, and he named the crux of the problem at once.

Diagnosing epilepsy is easy, but after the diagnosis, this series of problems is more troublesome.

The middle-aged man on the hospital bed panicked when he heard the neurologist say this, "Doctor, if it is really epilepsy, can this disease not be cured?"

The neurologist shook his head, "There is no way to cure epilepsy with current medical operations. We can only take long-term oral anti-epileptic drugs, such as sodium valproate sustained-release tablets."

This sentence made the patient collapse, "I am a skilled worker, if the boss knows that I have epilepsy, no one will dare to hire me..."

There was a trace of bitterness on the patient's face, "Doctor, do you have to take medicine for a long time?"

The neurologist said: "How should I put it... About 3% of epilepsy patients may have spontaneous remission without taking medicine. In other words, 3% of epilepsy patients may gradually alleviate or even stop having seizures if they do not take medicine."

"That is to say, it is not necessary to take medicine for a long time?" the patient asked again.

The psychiatrist shook his head slightly, "But we can't judge which type of people belong to the 3% for the time being. If you belong to the remaining 7% and don't take medicine, you may get worse and worse. You may not be so lucky next time. You could be swimming, you could be driving, you could be crossing the street."

"Once it occurs in such a dangerous environment, don't look at the symptoms that last for only a few seconds, it will be fatal!"

Fan Jian whispered from the side: "In the past two days in the emergency department, the patient had two seizures, but they were both on the hospital bed, so there is no danger."

Hearing this, the neurologist said, "Three seizures in a short period of time indicate that you still need to take medicine."

Hearing this, the patient fell silent.

Seeing that the communication was almost complete, Fan Jian brought Lu Chen and the Department of Neurology back to the office, "If there is a bed in the Department of Neurology, I will take it in directly?"

"No problem." The neurologist nodded, "I will contact you when there is a free bed."

"Thank you both for your consultation." Fan Jian heaved a sigh of relief, and finally sent the patient away. Facing such a patient whose condition is unknown, it is really a ticking time bomb.

Seeing this, Lu Chen prepared to leave.

But as soon as Lu Chen stepped out of the door of the emergency ward with his right foot, he heard the nurse's shout from the ward: "Help! Help!"

Lu Chen stopped and looked back into the ward.

Junior Sister Su Rui also stretched her neck, looked inside, and said in amazement: "Brother, it seems that the patient we rescued was the patient we just consulted!"

　Try to post as many chapters as possible.

　　
　
(End of this chapter)