I can see health
Chapter 596
Chapter 596
in the coffee shop.
Lu Chen and Wang Ruoxi sat opposite each other.
"All the expenses for your experiments are covered by our AstraZeneca Huaxia branch." Wang Ruoxi smiled.
When Lu Chen heard it, his heart moved slightly, "What if we want to expand the scale of the experiment?"
"Within reasonable limits, we will also bear all the expenses!" Wang Ruoxi said.
"Sister Ruoxi, can you represent AstraZeneca Huaxia Branch?" Lu Chen was a little puzzled.
Bearing all the experimental expenses, this is not a small amount!
"Of course!" Wang Ruoxi nodded slightly, "This time I came with instructions from the leaders of Huaxia District."
"Then what do we need to pay?" Lu Chen paused, wondering.
Capitalists, surely they wouldn't bleed so easily!
Clinical scientific research experiments are quite expensive, not to mention that in Lu Chen's next plan, if he wants to surpass AstraZeneca's European branch, he still needs to expand the scale of the experiment.
"It's very simple." Wang Ruoxi said sternly, "All the output of your papers must bear the name of our AstraZeneca Huaxia branch. In addition, we, AstraZeneca, have the right to use all your related articles! "
"This..." Lu Chen was slightly taken aback.
A condition that sounds simple.
It's easy to achieve, just add a name to the paper, and then hand over the right to use the paper to AstraZeneca.
But Lu Chen intuitively told him that things might not be that simple!
Seeing Lu Chen's hesitant expression, Wang Ruoxi took another sip of coffee, she was not in a hurry.
In her opinion, as long as Lu Chen has ideas about his experiment, he will definitely agree to her conditions.
Unless, he chooses to lie flat!
……
Even with systematic help, no matter how powerful Lu Chen is, he is still a student who has not experienced much in the world.
"Sister Ruoxi, I won't be able to give you an answer for a while." Lu Chen raised his head and stared at Wang Ruoxi closely, "Give me a little time to think, and when I'm done thinking about it, I'll contact you as soon as possible."
"Of course, I'm in Kyoto these days." Wang Ruo smiled slightly, "But you have to make a decision as soon as possible. You also know that every day we delay, the progress of the experiment will be one point behind AstraZeneca's European branch. .”
"Okay, don't worry, it's only these two days." Lu Chen nodded slightly.
"That's fine, we're done talking about work." Wang Ruoxi looked at Lu Chen with a smile on the corner of her mouth, "Let's talk about private matters."
"Private business?"
Lu Chen hadn't finished digesting the things Wang Ruoxi brought him, when he heard the word "private matter", he was slightly taken aback.
"Sister Ruoxi, tell me." Lu Chen looked at Wang Ruoxi in surprise.
Wang Ruoxi lazily stretched her waist, showing her proud curves.
"Lu Chen, you don't have a girlfriend, do you?"
"No, not yet." Lu Chen was startled.
Wang Ruoxi is Wang Zihao's older sister. Wang Zihao stays with Lu Chen every day, so he naturally knows Lu Chen's emotional state.
"Then...then what do you think of my sister?" Wang Ruoxi smiled, looking straight at Lu Chen.
Lu Chen coughed lightly.
To be honest, Wang Ruoxi is definitely considered a seven-point beauty, and she has a good figure. The key is that she has a big butt and can bear a son.
Seeing that Lu Chen didn't speak, Wang Ruoxi moved closer to Lu Chen with lowered eyebrows.
Lu Chen smelled a burst of fragrance, and his heart moved.
However, Wang Ruoxi suddenly left again, then raised her eyebrows and smiled, "I'm just kidding, how old are you, don't take it seriously."
While Lu Chen breathed a sigh of relief, he also felt slightly disappointed.
Damn it, he was molested!
Soft and fragrant like jade, beautiful and delicious.
He is not Liu Xiahui, facing this kind of test, after a while, he may not be able to hold it.
However, Lu Chen didn't want to be molested by the pretty young lady, so he stared at Wang Ruoxi in front of him, "Sister Ruoxi, if you want, of course I'm fine."
Wang Ruoxi was taken aback, she didn't expect Lu Chen to be so bold all of a sudden, she immediately smiled, "You little brat, how dare you turn your back on your sister?"
Lu Chen looked at Wang Ruoxi with a smile, and fixed his eyes on her.
Wang Ruoxi pursed her lips and smiled, "Sister, I won't accompany you anymore, I'll be leaving first."
After paying the bill, Wang Ruoxi left quickly, leaving Lu Chen alone in the coffee shop.
Seeing Wang Ruoxi's leaving back, Lu Chen also withdrew his mind, put aside distracting thoughts, and immediately contacted his mentor Li Yao.
He doesn't have much experience in seeking cooperation with AstraZeneca's Huaxia branch, but Li Yao's mentor can definitely give advice.
……
Contacted Li Yao.
"I guessed it." Li Yao was not as surprised as she imagined, but said with a smile: "Their internal affairs of AstraZeneca are also very complicated. This kind of situation is not uncommon."
"Teacher, can I agree?" Lu Chen said.
"Promise, I must promise!" Li Yao smiled, "Such a good thing, you must not miss it. But you must avoid a few pitfalls."
"What pit?" Lu Chen wondered.
"First of all, AstraZeneca Huaxia Branch must not interfere with the progress of the experiment; secondly, they only have the right to use the paper, but not ownership; finally, they can use the results we have produced, but they need our authorization." Li Yao quickly Just listed a few points.
Lu Chen nodded slightly. Fortunately, he asked Li Yao, his mentor, and did not agree to Wang Ruoxi rashly.
"Teacher, how can I feel that no matter what we do, the final beneficiary is still AstraZeneca?" Lu Chen paused.
"Well, there's no way around it." Li Yao explained, "You are now researching other people's medicines. Although the idea is very novel, in the end, the biggest beneficiary of the research is still AstraZeneca."
"I'm not reconciled." Lu Chen sighed.
"So, in the future, your research content should try to avoid this kind of foreign medicine. Huaxia Medicine is too weak now."
Lu Chen nodded slightly. When he first arrived at the First Affiliated Hospital of Kyoto University, Professor Qin Sifeng also said the same thing to him.
"Okay, teacher, then I will contact AstraZeneca tomorrow and agree to their cooperation?" Lu Chen said.
Li Yao thought for a while: "Before the cooperation, try to get some benefits. You also know that every time a patient is enrolled in a clinical trial in our department, the bed doctor will be rewarded, so that everyone can be more motivated." participate."
"Teacher, you mean..."
Li Yao said: "Tell AstraZeneca that in addition to bearing all the clinical trial costs, they have to take out a part of the money for the subsidy of the experimenters, especially for your small team, the experiment is so hard, you must have that little money. "
Lu Chen felt that what Li Yao said was very reasonable.
Although he himself is not short of money, the other members of the research team are all students, and many of them still live on the living expenses given by their parents!
……
After hanging up the phone, Lu Chen already had a rough plan in mind.
The next day.
Lu Chen found Wang Ruoxi directly through Wang Zihao.
The two met again in the coffee shop and directly finalized the cooperation plan.
In addition, for the subsidy plan proposed by Lu Chen, Wang Ruoxi has no right to decide for the time being.
"Lu Chen, I will report the cooperation plan first." Wang Ruoxi said, "The subsidy matter needs to be decided by the upper management. If there is news, I will inform you as soon as possible. However, the leadership attaches great importance to this cooperation. If there is no accident, should agree."
"Okay, thank you Sister Ruoxi." Lu Chen smiled, "I'm sorry to trouble you these two days."
"I'm the one who troubled you." Wang Ruoxi stood up and stretched out her right hand, "I hope we can have a win-win situation."
Lu Chen also stood up, stretched out his right hand, and shook Wang Ruoxi lightly.
The tender feeling from the fingertips made Lu Chen's heart skip a beat.
Just as Lu Chen was about to take back his hand, Wang Ruoxi suddenly put his face in front of him.
In Lu Chen's surprised eyes, Wang Ruoxi's light red lips left light lip marks on his cheeks.
One touch away!
"Thank you little brother." Wang Ruoxi turned and left with a smile on her face.
Lu Chen touched his cheek subconsciously, and then he realized, "I was molested again?!"
"I'm not convinced..." Lu Chen yelled weakly in his heart.
He has been single solo for more than 20 years, but he hasn't felt this touch well, so it just disappeared?
……
With a faint aftertaste, Lu Chen returned to the dormitory.
This cooperation with AstraZeneca should be a win-win situation.
I thought I would just lie down here, but I didn't expect that the twists and turns would turn, and the flowers will turn bright!
As soon as Lu Chen sat down in the dormitory, Wang Zihao came to find him.
Just did "bad things" with someone else's sister, when Lu Chen faced Wang Zihao, he was a bit embarrassed.
"Lu Chen, what's wrong with you?" Wang Zihao looked at Lu Chen in surprise.
"No...it's nothing." Lu Chen rubbed his nose and quickly changed the subject, "Didn't you go to a big class? Why did you go back to the dormitory?"
Wang Zihao was very nervous, and he didn't care about Lu Chen's abnormality. He smiled, "Oh, class is not interesting, why not do clinical experiments!"
Recently published a paper, Wang Zihao was a little out of touch, bringing out clinical experiments from time to time to talk about things.
In this regard, Lu Chen could only smile helplessly. He could understand the excitement when he published the SCI paper for the first time.
"Where's Lao Gu and Ke Yue?" Lu Chen asked again.
"Lao Gu is teaching a big class, and Ke Yue should still be doing clinical research in the department." Wang Zihao said, "By the way, what should we do next for our experiment? Is it just a few of us?"
"In the future, you don't need to participate in the experiment for the time being." Lu Chen thought for a while and said.
This time the paper was published in the cardiovascular field, and Wang Zihao was in general surgery. If he can publish a paper this time, or make a name for himself, it can’t be like this all the time, right?
Wang Zihao's face changed, "Why, what's wrong?"
Could it be that Lu Chen is going to kick him?
Seeing his expression, Lu Chen knew that he was thinking wrong, so he kicked him lightly, and scolded with a smile: "You are a general surgeon, you come to our cardiology department every day to review papers, once or twice is fine, time is enough. How long does it make others think?"
Wang Zihao scratched his head, "Well... I also want to do a general surgery experiment, but no one brings it."
"Start simple." Lu Chen suggested, "Actually, clinical trials are all similar. As long as you grasp the essence, you can draw inferences. If you have any questions that you don't understand, you can ask me anytime."
"Okay, then I'll try." Wang Zihao nodded slightly, now that he had Lu Chen's guarantee, he had to try it.
"Oh, that's right." Wang Zihao said again, "What is my sister looking for from you?"
Hearing Wang Ruoxi mentioned by Wang Zihao, Lu Chen blushed slightly, and then returned to normal, "Experimental matters."
Wang Zihao didn't have any doubts.
Afterwards, Lu Chen and Wang Zihao chatted for a few words, and then went about their own business.
……
Back to the Department of Cardiology.
Lu Chen performed a cardiac electrophysiological examination on the uncle who was transferred from the emergency department.
Sick sinus syndrome was finally found out.
After Lu Chen placed a dual-chamber pacemaker in the patient, the patient's symptoms were relieved, and the "epilepsy" never occurred again, so he was discharged from the hospital.
The First Affiliated Hospital of Kyoto University is indeed the top hospital in the country. Lu Chen has seen many difficult and miscellaneous diseases here.
The degree of completion of the system upgrade has been soaring all the way, basically by a few points every day.
This was basically impossible before.
Lu Chen reckoned that before the end of this exchange, his system upgrade should be 100% complete.
Just as Lu Chen was immersed in the system properties, the doctor's office suddenly became noisy.
……
"My dad only spent 3000 yuan for one day's stay? Your hospital is too dark!"
A middle-aged woman about 40 years old stood at the door of the doctor's office with her hips akimbo.
Beside her stood a young doctor.
Lu Chen knew him. His name was Fang Ao, and he was a graduate student in the Department of Cardiology at Kyoto University School of Medicine.
With an apology on his face, Fang Ao explained patiently: "Auntie, I told you before that the fee is more expensive on the first day, and it will be less after today."
"I don't care about that, I'm going to be discharged from the hospital now, and I won't be treated in your hospital!" The middle-aged woman's face was full of anger, and she didn't listen to Fang Ao's words at all.
"Your father is currently admitted to the hospital with chest pains, and he can't be discharged yet." Fang Ao reminded.
Lu Chen noticed that all the senior doctors in the medical group were absent, only residents and postgraduates were in the ward.
"I'm still staying here? Wouldn't I be killed by your hospital!" The middle-aged woman doctor snorted coldly, and her voice became louder, "I don't care! I'm leaving the hospital today."
Fang Ao looked a little embarrassed, looked into the doctor's office, and lowered his head again.
"Auntie, don't get excited, let's talk about things slowly." Lu Chen helped him out, "Everything should be based on the patient's condition."
However, middle-aged women don't like Lu Chen at all.
At this time, the senior doctor in Fang Ao's group just came back!
Relieved, Fang Ao hurried forward, "Teacher, the family members of the five-bed patient want to be discharged."
The senior doctor glanced at the middle-aged woman, and said coldly: "Yes, you can sign and express your willingness to bear all the consequences, then you can leave the hospital!"
After he finished speaking, he immediately sat in front of the computer, typed a doctor-patient communication record, and then said to the middle-aged woman beside him, "Sign here, and your dad can be discharged from the hospital after signing."
The anger on the face of the middle-aged woman did not diminish at all. She picked up the communication record, just glanced at it, and then her face suddenly changed, "Maybe there may be cardiac arrest, shock, or rupture of the heart? Don't scare me!"
"I didn't scare you, we've seen many of them," said the senior doctor.
"Then...then I won't sign it. I have no right to sign this. When my elder brother comes over, let him sign it!"
After saying this, the middle-aged woman left the doctor's office.
……
"Lu Chen, thank you just now!" Fang Ao came to Lu Chen's side and whispered.
"It's okay, I didn't help much." Lu Chen smiled, "What's wrong with this patient?"
This was the first time Lu Chen encountered such a situation after coming to Jingdu Hospital.
Because in this top-level hospital, others are worried that there will be no beds and they will not be able to move in. This rarely happens.
Fang Ao said helplessly: "The patient admitted to the emergency department yesterday had a day of chest pain, no obvious changes in the electrocardiogram, and elevated troponin. It is still considered acute non-ST-segment elevation myocardial infarction. The patient's chest pain has relieved and no surgery is needed for the time being. Treatment. Just now, the family members felt that the hospitalization fee was too expensive, so they shouted to be discharged from the hospital.”
Lu Chen nodded slightly.
On the first day of admission for patients with myocardial infarction, including blood drawing, monitoring, oxygen inhalation and other expenses, it does cost several thousand, which is similar in every hospital.
"Where's the patient's ECG?" Lu Chen said casually.
For patients considering myocardial infarction, he is still used to looking at the picture.
Fang Ao opened the medical record folder, found three ECGs, handed them to Lu Chen, and continued: "The patient's ECG has not changed, but the myocardial enzymes continue to rise, so we dare not discharge him at all."
Lu Chen got three electrocardiograms, and after a little comparison, there was indeed not much change.
Acute myocardial infarction in a narrow sense is divided into two types. The first type of ECG ST segment elevation can be seen, which is called acute ST segment elevation myocardial infarction.
In the other, there is no ST-segment elevation on the ECG, which is called acute non-ST-segment elevation myocardial infarction.
"Lu Chen, this should be an acute non-ST segment elevation myocardial infarction." Fang Ao said.
Lu Chen carefully studied the three electrocardiograms and nodded slowly, "Yes. But why didn't you do emergency surgery?"
Fang Ao said helplessly: "Just one day after being hospitalized, their family members felt that the operation fee was too expensive. As soon as we talked about the operation, their family members directly refused. In addition, the patient's chest pain has relieved, and the best time for the operation has passed. Take it easy."
"Sigh." Lu Chen put down the electrocardiogram in his hand, shook his head and sighed, "If there is no operation, this patient will probably be very difficult!"
Hearing this, Fang Ao's eyes showed doubts.
The mortality rate of acute myocardial infarction is indeed high.
However, this patient has acute non-ST-segment elevation myocardial infarction, not transmural myocardial infarction. Compared with ST-segment elevation myocardial infarction, the condition is milder and the prognosis is slightly better.
It didn't reach the level of seriousness that Lu Chen said at all!
What's more, Lu Chen has never been in contact with the patient at all. Just based on an ECG without any ECG, he can judge that the patient will die without surgery?
Knowing Fang Ao's doubts, Lu Chen picked up the electrocardiogram and was about to explain.
Suddenly, the nurse's shout came from outside the doctor's office.
"5 beds rescue! 5 beds rescue!"
Fang Ao immediately ran out, Lu Chen grabbed the stethoscope and followed closely behind.
……
ran into the ward.
Lu Chen saw the nurse performing cardiopulmonary resuscitation on the 5-bed patient.
"The patient just suffered a sudden cardiac arrest!" The nurse said loudly while performing cardiopulmonary resuscitation.
Fang Ao ran to the bedside, the patient had lost consciousness, and the pulse of the aorta could not be touched.
On the side, the family member of the patient, the middle-aged woman was crying frantically.
A few nurses were afraid that she would disturb the rescue work, so they forcibly pulled her out.
At this moment, in Lu Chen's eyes, the patient's HP was 24 (----)!
This is the one with the lowest health value among the patients he has seen recently.
What's worse is that the patient's health drops at a speed visible to the naked eye!
The life value was still 24 just now, but after a few seconds, it immediately became 22!
"Open two more venous channels, and bring the endotracheal tube!" Fang Ao's superior physician quickly began to rescue him, and at the same time turned to Fang Ao and said, "Go and bring the echocardiogram!"
"Got it!" Fang Ao was about to go out when he was stopped by Lu Chen.
"You are familiar with the patient's situation, you are here to help, and I will get it."
"Okay." Fang Ao nodded, now is not the time to be humble.
Lu Chen came to the nurse's station, found the portable echocardiography instrument, and immediately ran back to the ward.
……
"Ruptured heart! Massive pericardial effusion!"
The moment the ultrasound probe was placed on the patient's heart, Lu Chen knew that there was basically no hope for this patient.
Heart rupture, one of the most serious complications after a myocardial infarction.
After the heart breaks, a large amount of blood flows out, causing circulatory shock and pericardial tamponade!
At this point, the patient's health has dropped to 15 (----)!
Even so, Fang Ao's superior physician immediately started pericardiocentesis!
Lu Chen had to admire the high rescue quality of the doctors at Kyoto University.
In this critical situation, the rescue of "pericardial puncture" can still be carried out calmly!
The senior doctor picked up the puncture needle, and there was a burst of blood!
The non-clotting blood was quickly drawn out!
However, at this time the patient's heartbeat could no longer be maintained.
With a large amount of rescue drugs, the patient's heart rate and blood oxygen saturation are still showing a progressive decline.
(End of this chapter)
in the coffee shop.
Lu Chen and Wang Ruoxi sat opposite each other.
"All the expenses for your experiments are covered by our AstraZeneca Huaxia branch." Wang Ruoxi smiled.
When Lu Chen heard it, his heart moved slightly, "What if we want to expand the scale of the experiment?"
"Within reasonable limits, we will also bear all the expenses!" Wang Ruoxi said.
"Sister Ruoxi, can you represent AstraZeneca Huaxia Branch?" Lu Chen was a little puzzled.
Bearing all the experimental expenses, this is not a small amount!
"Of course!" Wang Ruoxi nodded slightly, "This time I came with instructions from the leaders of Huaxia District."
"Then what do we need to pay?" Lu Chen paused, wondering.
Capitalists, surely they wouldn't bleed so easily!
Clinical scientific research experiments are quite expensive, not to mention that in Lu Chen's next plan, if he wants to surpass AstraZeneca's European branch, he still needs to expand the scale of the experiment.
"It's very simple." Wang Ruoxi said sternly, "All the output of your papers must bear the name of our AstraZeneca Huaxia branch. In addition, we, AstraZeneca, have the right to use all your related articles! "
"This..." Lu Chen was slightly taken aback.
A condition that sounds simple.
It's easy to achieve, just add a name to the paper, and then hand over the right to use the paper to AstraZeneca.
But Lu Chen intuitively told him that things might not be that simple!
Seeing Lu Chen's hesitant expression, Wang Ruoxi took another sip of coffee, she was not in a hurry.
In her opinion, as long as Lu Chen has ideas about his experiment, he will definitely agree to her conditions.
Unless, he chooses to lie flat!
……
Even with systematic help, no matter how powerful Lu Chen is, he is still a student who has not experienced much in the world.
"Sister Ruoxi, I won't be able to give you an answer for a while." Lu Chen raised his head and stared at Wang Ruoxi closely, "Give me a little time to think, and when I'm done thinking about it, I'll contact you as soon as possible."
"Of course, I'm in Kyoto these days." Wang Ruo smiled slightly, "But you have to make a decision as soon as possible. You also know that every day we delay, the progress of the experiment will be one point behind AstraZeneca's European branch. .”
"Okay, don't worry, it's only these two days." Lu Chen nodded slightly.
"That's fine, we're done talking about work." Wang Ruoxi looked at Lu Chen with a smile on the corner of her mouth, "Let's talk about private matters."
"Private business?"
Lu Chen hadn't finished digesting the things Wang Ruoxi brought him, when he heard the word "private matter", he was slightly taken aback.
"Sister Ruoxi, tell me." Lu Chen looked at Wang Ruoxi in surprise.
Wang Ruoxi lazily stretched her waist, showing her proud curves.
"Lu Chen, you don't have a girlfriend, do you?"
"No, not yet." Lu Chen was startled.
Wang Ruoxi is Wang Zihao's older sister. Wang Zihao stays with Lu Chen every day, so he naturally knows Lu Chen's emotional state.
"Then...then what do you think of my sister?" Wang Ruoxi smiled, looking straight at Lu Chen.
Lu Chen coughed lightly.
To be honest, Wang Ruoxi is definitely considered a seven-point beauty, and she has a good figure. The key is that she has a big butt and can bear a son.
Seeing that Lu Chen didn't speak, Wang Ruoxi moved closer to Lu Chen with lowered eyebrows.
Lu Chen smelled a burst of fragrance, and his heart moved.
However, Wang Ruoxi suddenly left again, then raised her eyebrows and smiled, "I'm just kidding, how old are you, don't take it seriously."
While Lu Chen breathed a sigh of relief, he also felt slightly disappointed.
Damn it, he was molested!
Soft and fragrant like jade, beautiful and delicious.
He is not Liu Xiahui, facing this kind of test, after a while, he may not be able to hold it.
However, Lu Chen didn't want to be molested by the pretty young lady, so he stared at Wang Ruoxi in front of him, "Sister Ruoxi, if you want, of course I'm fine."
Wang Ruoxi was taken aback, she didn't expect Lu Chen to be so bold all of a sudden, she immediately smiled, "You little brat, how dare you turn your back on your sister?"
Lu Chen looked at Wang Ruoxi with a smile, and fixed his eyes on her.
Wang Ruoxi pursed her lips and smiled, "Sister, I won't accompany you anymore, I'll be leaving first."
After paying the bill, Wang Ruoxi left quickly, leaving Lu Chen alone in the coffee shop.
Seeing Wang Ruoxi's leaving back, Lu Chen also withdrew his mind, put aside distracting thoughts, and immediately contacted his mentor Li Yao.
He doesn't have much experience in seeking cooperation with AstraZeneca's Huaxia branch, but Li Yao's mentor can definitely give advice.
……
Contacted Li Yao.
"I guessed it." Li Yao was not as surprised as she imagined, but said with a smile: "Their internal affairs of AstraZeneca are also very complicated. This kind of situation is not uncommon."
"Teacher, can I agree?" Lu Chen said.
"Promise, I must promise!" Li Yao smiled, "Such a good thing, you must not miss it. But you must avoid a few pitfalls."
"What pit?" Lu Chen wondered.
"First of all, AstraZeneca Huaxia Branch must not interfere with the progress of the experiment; secondly, they only have the right to use the paper, but not ownership; finally, they can use the results we have produced, but they need our authorization." Li Yao quickly Just listed a few points.
Lu Chen nodded slightly. Fortunately, he asked Li Yao, his mentor, and did not agree to Wang Ruoxi rashly.
"Teacher, how can I feel that no matter what we do, the final beneficiary is still AstraZeneca?" Lu Chen paused.
"Well, there's no way around it." Li Yao explained, "You are now researching other people's medicines. Although the idea is very novel, in the end, the biggest beneficiary of the research is still AstraZeneca."
"I'm not reconciled." Lu Chen sighed.
"So, in the future, your research content should try to avoid this kind of foreign medicine. Huaxia Medicine is too weak now."
Lu Chen nodded slightly. When he first arrived at the First Affiliated Hospital of Kyoto University, Professor Qin Sifeng also said the same thing to him.
"Okay, teacher, then I will contact AstraZeneca tomorrow and agree to their cooperation?" Lu Chen said.
Li Yao thought for a while: "Before the cooperation, try to get some benefits. You also know that every time a patient is enrolled in a clinical trial in our department, the bed doctor will be rewarded, so that everyone can be more motivated." participate."
"Teacher, you mean..."
Li Yao said: "Tell AstraZeneca that in addition to bearing all the clinical trial costs, they have to take out a part of the money for the subsidy of the experimenters, especially for your small team, the experiment is so hard, you must have that little money. "
Lu Chen felt that what Li Yao said was very reasonable.
Although he himself is not short of money, the other members of the research team are all students, and many of them still live on the living expenses given by their parents!
……
After hanging up the phone, Lu Chen already had a rough plan in mind.
The next day.
Lu Chen found Wang Ruoxi directly through Wang Zihao.
The two met again in the coffee shop and directly finalized the cooperation plan.
In addition, for the subsidy plan proposed by Lu Chen, Wang Ruoxi has no right to decide for the time being.
"Lu Chen, I will report the cooperation plan first." Wang Ruoxi said, "The subsidy matter needs to be decided by the upper management. If there is news, I will inform you as soon as possible. However, the leadership attaches great importance to this cooperation. If there is no accident, should agree."
"Okay, thank you Sister Ruoxi." Lu Chen smiled, "I'm sorry to trouble you these two days."
"I'm the one who troubled you." Wang Ruoxi stood up and stretched out her right hand, "I hope we can have a win-win situation."
Lu Chen also stood up, stretched out his right hand, and shook Wang Ruoxi lightly.
The tender feeling from the fingertips made Lu Chen's heart skip a beat.
Just as Lu Chen was about to take back his hand, Wang Ruoxi suddenly put his face in front of him.
In Lu Chen's surprised eyes, Wang Ruoxi's light red lips left light lip marks on his cheeks.
One touch away!
"Thank you little brother." Wang Ruoxi turned and left with a smile on her face.
Lu Chen touched his cheek subconsciously, and then he realized, "I was molested again?!"
"I'm not convinced..." Lu Chen yelled weakly in his heart.
He has been single solo for more than 20 years, but he hasn't felt this touch well, so it just disappeared?
……
With a faint aftertaste, Lu Chen returned to the dormitory.
This cooperation with AstraZeneca should be a win-win situation.
I thought I would just lie down here, but I didn't expect that the twists and turns would turn, and the flowers will turn bright!
As soon as Lu Chen sat down in the dormitory, Wang Zihao came to find him.
Just did "bad things" with someone else's sister, when Lu Chen faced Wang Zihao, he was a bit embarrassed.
"Lu Chen, what's wrong with you?" Wang Zihao looked at Lu Chen in surprise.
"No...it's nothing." Lu Chen rubbed his nose and quickly changed the subject, "Didn't you go to a big class? Why did you go back to the dormitory?"
Wang Zihao was very nervous, and he didn't care about Lu Chen's abnormality. He smiled, "Oh, class is not interesting, why not do clinical experiments!"
Recently published a paper, Wang Zihao was a little out of touch, bringing out clinical experiments from time to time to talk about things.
In this regard, Lu Chen could only smile helplessly. He could understand the excitement when he published the SCI paper for the first time.
"Where's Lao Gu and Ke Yue?" Lu Chen asked again.
"Lao Gu is teaching a big class, and Ke Yue should still be doing clinical research in the department." Wang Zihao said, "By the way, what should we do next for our experiment? Is it just a few of us?"
"In the future, you don't need to participate in the experiment for the time being." Lu Chen thought for a while and said.
This time the paper was published in the cardiovascular field, and Wang Zihao was in general surgery. If he can publish a paper this time, or make a name for himself, it can’t be like this all the time, right?
Wang Zihao's face changed, "Why, what's wrong?"
Could it be that Lu Chen is going to kick him?
Seeing his expression, Lu Chen knew that he was thinking wrong, so he kicked him lightly, and scolded with a smile: "You are a general surgeon, you come to our cardiology department every day to review papers, once or twice is fine, time is enough. How long does it make others think?"
Wang Zihao scratched his head, "Well... I also want to do a general surgery experiment, but no one brings it."
"Start simple." Lu Chen suggested, "Actually, clinical trials are all similar. As long as you grasp the essence, you can draw inferences. If you have any questions that you don't understand, you can ask me anytime."
"Okay, then I'll try." Wang Zihao nodded slightly, now that he had Lu Chen's guarantee, he had to try it.
"Oh, that's right." Wang Zihao said again, "What is my sister looking for from you?"
Hearing Wang Ruoxi mentioned by Wang Zihao, Lu Chen blushed slightly, and then returned to normal, "Experimental matters."
Wang Zihao didn't have any doubts.
Afterwards, Lu Chen and Wang Zihao chatted for a few words, and then went about their own business.
……
Back to the Department of Cardiology.
Lu Chen performed a cardiac electrophysiological examination on the uncle who was transferred from the emergency department.
Sick sinus syndrome was finally found out.
After Lu Chen placed a dual-chamber pacemaker in the patient, the patient's symptoms were relieved, and the "epilepsy" never occurred again, so he was discharged from the hospital.
The First Affiliated Hospital of Kyoto University is indeed the top hospital in the country. Lu Chen has seen many difficult and miscellaneous diseases here.
The degree of completion of the system upgrade has been soaring all the way, basically by a few points every day.
This was basically impossible before.
Lu Chen reckoned that before the end of this exchange, his system upgrade should be 100% complete.
Just as Lu Chen was immersed in the system properties, the doctor's office suddenly became noisy.
……
"My dad only spent 3000 yuan for one day's stay? Your hospital is too dark!"
A middle-aged woman about 40 years old stood at the door of the doctor's office with her hips akimbo.
Beside her stood a young doctor.
Lu Chen knew him. His name was Fang Ao, and he was a graduate student in the Department of Cardiology at Kyoto University School of Medicine.
With an apology on his face, Fang Ao explained patiently: "Auntie, I told you before that the fee is more expensive on the first day, and it will be less after today."
"I don't care about that, I'm going to be discharged from the hospital now, and I won't be treated in your hospital!" The middle-aged woman's face was full of anger, and she didn't listen to Fang Ao's words at all.
"Your father is currently admitted to the hospital with chest pains, and he can't be discharged yet." Fang Ao reminded.
Lu Chen noticed that all the senior doctors in the medical group were absent, only residents and postgraduates were in the ward.
"I'm still staying here? Wouldn't I be killed by your hospital!" The middle-aged woman doctor snorted coldly, and her voice became louder, "I don't care! I'm leaving the hospital today."
Fang Ao looked a little embarrassed, looked into the doctor's office, and lowered his head again.
"Auntie, don't get excited, let's talk about things slowly." Lu Chen helped him out, "Everything should be based on the patient's condition."
However, middle-aged women don't like Lu Chen at all.
At this time, the senior doctor in Fang Ao's group just came back!
Relieved, Fang Ao hurried forward, "Teacher, the family members of the five-bed patient want to be discharged."
The senior doctor glanced at the middle-aged woman, and said coldly: "Yes, you can sign and express your willingness to bear all the consequences, then you can leave the hospital!"
After he finished speaking, he immediately sat in front of the computer, typed a doctor-patient communication record, and then said to the middle-aged woman beside him, "Sign here, and your dad can be discharged from the hospital after signing."
The anger on the face of the middle-aged woman did not diminish at all. She picked up the communication record, just glanced at it, and then her face suddenly changed, "Maybe there may be cardiac arrest, shock, or rupture of the heart? Don't scare me!"
"I didn't scare you, we've seen many of them," said the senior doctor.
"Then...then I won't sign it. I have no right to sign this. When my elder brother comes over, let him sign it!"
After saying this, the middle-aged woman left the doctor's office.
……
"Lu Chen, thank you just now!" Fang Ao came to Lu Chen's side and whispered.
"It's okay, I didn't help much." Lu Chen smiled, "What's wrong with this patient?"
This was the first time Lu Chen encountered such a situation after coming to Jingdu Hospital.
Because in this top-level hospital, others are worried that there will be no beds and they will not be able to move in. This rarely happens.
Fang Ao said helplessly: "The patient admitted to the emergency department yesterday had a day of chest pain, no obvious changes in the electrocardiogram, and elevated troponin. It is still considered acute non-ST-segment elevation myocardial infarction. The patient's chest pain has relieved and no surgery is needed for the time being. Treatment. Just now, the family members felt that the hospitalization fee was too expensive, so they shouted to be discharged from the hospital.”
Lu Chen nodded slightly.
On the first day of admission for patients with myocardial infarction, including blood drawing, monitoring, oxygen inhalation and other expenses, it does cost several thousand, which is similar in every hospital.
"Where's the patient's ECG?" Lu Chen said casually.
For patients considering myocardial infarction, he is still used to looking at the picture.
Fang Ao opened the medical record folder, found three ECGs, handed them to Lu Chen, and continued: "The patient's ECG has not changed, but the myocardial enzymes continue to rise, so we dare not discharge him at all."
Lu Chen got three electrocardiograms, and after a little comparison, there was indeed not much change.
Acute myocardial infarction in a narrow sense is divided into two types. The first type of ECG ST segment elevation can be seen, which is called acute ST segment elevation myocardial infarction.
In the other, there is no ST-segment elevation on the ECG, which is called acute non-ST-segment elevation myocardial infarction.
"Lu Chen, this should be an acute non-ST segment elevation myocardial infarction." Fang Ao said.
Lu Chen carefully studied the three electrocardiograms and nodded slowly, "Yes. But why didn't you do emergency surgery?"
Fang Ao said helplessly: "Just one day after being hospitalized, their family members felt that the operation fee was too expensive. As soon as we talked about the operation, their family members directly refused. In addition, the patient's chest pain has relieved, and the best time for the operation has passed. Take it easy."
"Sigh." Lu Chen put down the electrocardiogram in his hand, shook his head and sighed, "If there is no operation, this patient will probably be very difficult!"
Hearing this, Fang Ao's eyes showed doubts.
The mortality rate of acute myocardial infarction is indeed high.
However, this patient has acute non-ST-segment elevation myocardial infarction, not transmural myocardial infarction. Compared with ST-segment elevation myocardial infarction, the condition is milder and the prognosis is slightly better.
It didn't reach the level of seriousness that Lu Chen said at all!
What's more, Lu Chen has never been in contact with the patient at all. Just based on an ECG without any ECG, he can judge that the patient will die without surgery?
Knowing Fang Ao's doubts, Lu Chen picked up the electrocardiogram and was about to explain.
Suddenly, the nurse's shout came from outside the doctor's office.
"5 beds rescue! 5 beds rescue!"
Fang Ao immediately ran out, Lu Chen grabbed the stethoscope and followed closely behind.
……
ran into the ward.
Lu Chen saw the nurse performing cardiopulmonary resuscitation on the 5-bed patient.
"The patient just suffered a sudden cardiac arrest!" The nurse said loudly while performing cardiopulmonary resuscitation.
Fang Ao ran to the bedside, the patient had lost consciousness, and the pulse of the aorta could not be touched.
On the side, the family member of the patient, the middle-aged woman was crying frantically.
A few nurses were afraid that she would disturb the rescue work, so they forcibly pulled her out.
At this moment, in Lu Chen's eyes, the patient's HP was 24 (----)!
This is the one with the lowest health value among the patients he has seen recently.
What's worse is that the patient's health drops at a speed visible to the naked eye!
The life value was still 24 just now, but after a few seconds, it immediately became 22!
"Open two more venous channels, and bring the endotracheal tube!" Fang Ao's superior physician quickly began to rescue him, and at the same time turned to Fang Ao and said, "Go and bring the echocardiogram!"
"Got it!" Fang Ao was about to go out when he was stopped by Lu Chen.
"You are familiar with the patient's situation, you are here to help, and I will get it."
"Okay." Fang Ao nodded, now is not the time to be humble.
Lu Chen came to the nurse's station, found the portable echocardiography instrument, and immediately ran back to the ward.
……
"Ruptured heart! Massive pericardial effusion!"
The moment the ultrasound probe was placed on the patient's heart, Lu Chen knew that there was basically no hope for this patient.
Heart rupture, one of the most serious complications after a myocardial infarction.
After the heart breaks, a large amount of blood flows out, causing circulatory shock and pericardial tamponade!
At this point, the patient's health has dropped to 15 (----)!
Even so, Fang Ao's superior physician immediately started pericardiocentesis!
Lu Chen had to admire the high rescue quality of the doctors at Kyoto University.
In this critical situation, the rescue of "pericardial puncture" can still be carried out calmly!
The senior doctor picked up the puncture needle, and there was a burst of blood!
The non-clotting blood was quickly drawn out!
However, at this time the patient's heartbeat could no longer be maintained.
With a large amount of rescue drugs, the patient's heart rate and blood oxygen saturation are still showing a progressive decline.
(End of this chapter)
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