I Can See Health

Remember [new] in one second! Bang bang bang… bang bang bang…

There was a knock on the door, and the man took a puff of cigarette and said, "Come in!"

A slim female secretary in black stockings wearing professional attire walked in.

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

"Oh, put it on the table." Wang Lei stared at the female secretary in front of him with a smile on his face.

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 nothing happens, I'll go out first."

Wang Lei tapped the smooth desktop with his left index finger and picked up the document 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 charming steps.

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

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

All the information about Li Yao is extremely clear in this document.

Wang Lei noticed a sentence in the document, "There are rumors within Beijing Medical University that the national natural project on dapagliflozin was handled by Lu Chen, a student of Li Yao's mentor, and Lu Chen is also the first author of the paper."

"Lu Chen, a master's student in cardiovascular medicine at the Second Affiliated Hospital of Beijing Medical University, has published three high-scoring SCI papers (all on the clinical research of dapagliflozin), with the highest one scoring 11.98 points; he has won the award from Hua Xia Medical University Champion of the Clinical Skills Competition, fifth place in the China Wenxin Cup ECG Competition..."

"Hey, this master's degree is not easy!" Wang Lei was slightly stunned after reading Lu Chen's resume.

This was the first time he had 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 table and dialed.

The phone 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."

"Copy that, Mr. Wang."

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

…

Kyoto University First Affiliated Hospital.

A section of the heart, the doctor's office.

Lu Chen had already 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 has no control over what happens next.

Lu Chen is a person who doesn't really believe in God's reward for hard work.

If you believe that God rewards hard work, once you work hard and achieve success, you will probably look down on those who fail.

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

Therefore, Lu Chen felt that most things were beyond his control.

He can only do everything he does with all his heart, and that's enough.

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

This time, Junior Sister Su Rui also did her part to get a fifth author for Lu Chen's paper.

Even though he is only the fifth author, this is an 11i paper.

It’s no small honor to be able to name one!

"No thanks, you deserve this." Lu Chen smiled. Su Rui really helped him a lot some time ago.

"Senior brother, are you free this weekend?" Su Rui looked at Lu Chen with a blushing face, "I want to treat you to a meal."

Lu Chen's heart tightened, and he lowered his head and glanced 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 ward nurse suddenly ran into the ward, "Lu Chen, emergency department consultation!"

Today was Lu Chen's turn for consultation, and his bed happened to be vacant.

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

According to the hospital's consultation regulations, emergency consultation must arrive within 10 minutes, so Lu Chen did not 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 had long been familiar with the hospital's diagnosis and treatment procedures and could conduct consultations independently.

…

Came to the emergency department.

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

"Hey, Lu Chen, you're here." When Fan Jian saw Lu Chen, a smile appeared on his face.

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

"I heard that you recently published a cruel article?" Fan Jian put his arm around Lu Chen's neck affectionately.

"Good luck." Lu Chen couldn't bear this kind of close contact and took a step back.

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

Lu Chen: "..."

Su Rui behind her quickly turned her face away. Such an erotic scene was not suitable for her to watch.

Lu Chen quickly changed the subject, "Brother Fan, what's the condition of the patient being consulted?"

Talking about the patient's condition, Fan Jian became a little more serious, "This is a patient with syncope. He stayed in our emergency department for several days and basically did all the examinations, but still no cause was found, so we had to call your cardiology department." come and see."

The most common cause of syncope is cardiogenic or cerebral.

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

…

Lying on the hospital bed was a middle-aged man of about forty years old.

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

"At that time, the patient felt severe cramps in his right hand and foot. He could not squat stably and fell down. The boss of the construction site sent him to our emergency department. After preliminary examination, it was found that his hands and feet were not injured from the fall, but he had some bruises. But for safety reasons, the construction site boss still admitted the patient to the hospital to carefully examine 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 hospitalization examinations. There is no shortage of money. Let me check and make sure everything is fine before going back."

Good guy, this construction site boss is really fastidious.

Fan Jian joked: "Why is this construction site so good? I can apply for the job tomorrow."

Everyone smiled.

Lu Chen turned his attention back to the patient.

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

Two minus trends, it seems there should be a problem!

Generally, if someone falls down for no reason like this, it is either a brain problem or a heart problem, which should be impossible to escape.

"Were you conscious at the time? Do you remember what happened? Did you know you fell?" Lu Chen began to ask three questions in a row.

The patient replied: "I remember, I remember everything! I felt like my right hand and right foot were twitching constantly, like an electric shock. I couldn't balance my whole body, and then I fell down."

"Were you welding at that time?" Lu Chen asked, "Maybe there was a leakage of electricity and you got an electric shock."

"No." The patient shook his head, "Everything welded has plastic handles, and the place where I stood was a wooden ladder. It was impossible to get an electric shock."

Lu Chen nodded slightly. Yes, if it was an electric shock, it would not be possible for only one limb to twitch. The whole person should be lifted off by the electric shock.

"Has this happened before?" Lu Chen asked.

"No, this is the first time."

Lu Chen frowned, this was a bit strange.

Immediately afterwards, Lu Chen asked a lot of questions and learned that the patient did not have chest tightness, chest pain, difficulty breathing, dizziness, headache, etc. when he fell.

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

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 patient's limb muscle strength and muscle tone were normal. Other neurological examinations were also essentially normal.

Lu Chen thought for a long time and said to Fan Jiian on the side: "The problem of the brain must be considered first. If you fall for no reason and have twitching of one limb, it may be epilepsy, it may be cerebral hemorrhage, cerebral infarction, or it may be a brain tumor. or other neurological diseases.”

Fan Jian said helplessly: "We have done all the neurological examinations and the results are normal."

Lu Chen's frown deepened. He took the medical record from Su Rui and looked at it carefully.

Sure enough, the patient's brain CT, MRI, and dynamic EEG were all done!

Everything was normal, and no cerebral hemorrhage, cerebral infarction, or tumor was found.

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

In some patients, it may also be caused by heart problems. For example, the heartbeat is too slow or too fast, causing the heart to not pump blood smoothly, and then cerebral ischemia occurs, which then causes the above symptoms. Therefore, heart examinations are normal.

"Normal!" Fan Jian spread his hands helplessly, "Except for the patient having a slightly higher uric acid level, everything else is normal."

Lu Chen turned to the electrocardiogram, dynamic electrocardiogram, and heart ultrasound.

It is indeed the same as Fan Jian said, it is normal.

Lu Chen frowned. This was strange. All current examinations were normal!

"Could it be epilepsy?" Lu Chen thought for a long time and said slowly to Fan Jian aside, "The patient first had twitching limbs for no reason, and then fell from a height. At that time, he was conscious and could clearly remember what happened. The whole process was... After a few seconds, he stopped twitching. His hands and feet moved normally afterwards, and there was no incontinence. Moreover, there are no abnormalities in the physical examination of the nervous system. It seems that the possibility of epilepsy is still high! "

There are many types of epilepsy, and their classification is very complex.

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

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

Fan Jian asked in confusion: "Lu Chen, if it's an epileptic attack, why is the patient's EEG normal?"

EEG is the most important auxiliary examination for diagnosing epilepsy.

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

"It is possible for electroencephalography to record this epileptic discharge process." Lu Chen explained, "But it is not 100%, just like dynamic electrocardiography."

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

"Then it seems like epilepsy is more likely." Fan Jian murmured 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."

You still have to be cautious when it comes to work-related injuries.

"Brother Fan, it's better to ask for a neurological consultation." Lu Chen said.

After all, he is not a neurosurgery major, and he can only have a little knowledge of the nervous system.

"I've already invited him. He should be on his way." Fan Jiandao.

As soon as he finished speaking, the consultant neurology doctor came to the emergency department.

Lu Chen didn't know him. The hospital was too big and he had only been here for a short time. 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: "At present, the patient does not rule out epilepsy. But diagnosing epilepsy is not a trivial matter. Many people call epilepsy epilepsy, which shows how much discrimination there is against this disease." sick."

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

"This is no joke. I suggest you admit him to the hospital and continue the investigation. Try to find out as much as possible."

The internal medicine doctor was still professional, and he immediately named the key to the problem.

It is easy to diagnose epilepsy, but after diagnosis, this series of problems becomes more troublesome.

The middle-aged man in the hospital bed panicked when he heard what the neurologist said, "Doctor, if it is really epilepsy, can't this disease be cured?"

The neurologist shook his head, "With current medical surgery, epilepsy cannot be cured. Only long-term oral anti-epileptic drugs, such as sodium valproate sustained-release tablets, can be cured."

This sentence made the patient collapse a little, "I am a skilled worker. If my boss knew that I had epilepsy, no one would dare to hire me anymore..."

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

The neurologist said: "How to put it... about 30% of epilepsy patients may experience spontaneous remission if they don't take medicine. In other words, 30% of epilepsy patients may gradually reduce their symptoms or even stop having seizures if they don't take medicine."

"In other words, it is not necessary to take medicine for a long time?" the patient asked again.

The neurologist shook his head slightly, "But we can't judge which type of people belong to the 30% at the moment. If you are among the remaining 70% and don't take medicine, it may get worse and worse, and you may not be so lucky next time. , you may have an attack while swimming, you may have an attack while driving, you may have an attack while crossing the road.”

"Once an attack occurs in such a dangerous environment, even if the symptoms only last for 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 attacks, but they were both in the hospital bed, so there was no danger."

Hearing this, the neurologist said: "Three attacks in a short period of time, UU Reading www.uｋｋｋｕ.net shows that you still need to take medicine."

Hearing this, the patient became somewhat silent.

Seeing that the communication was almost complete, Fan Jian brought Lu Chen and the Department of Neurology back to the office, "Then if there are beds in the Department of Neurology, I can just take them in?"

"No problem." The neurologist nodded, "I will contact you when a bed becomes available."

"Thank you both for your consultation." Fan Jian breathed a sigh of relief and finally sent the patient away. Faced with such a patient whose condition was unclear, it was really a time bomb.

When Lu Chen saw this, he was ready to leave.

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

Lu Chen stopped and looked back into the ward.

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

－－－－－－Digression－－－－－

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