I Can See Health

When Lu Chen, a strange face, appeared in the classroom, everyone looked at him in surprise.

However, when the fellows in the team saw Ay next to Lu Chen, they roughly guessed Lu Chen's identity.

"Ay, why don't you introduce the newcomers to everyone?" fellow smiled.

"Haha, of course it's no problem. It's my honor." Ay stood up and said, "This doctor's name is Lu Chen. He is a visiting doctor from China..."

ay briefly introduced Lu Chen’s background.

Afterwards, Lu Chen stood up and introduced himself.

"Oh, from China?" fellow glanced at Lu Chen, "Speaking of which, there are no people in our team who have been to China for a long time."

Because of language issues, doctors from Europe, America, India and other regions are most commonly accepted here.

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

This team fellow immediately got straight to the point.

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

This is Mayo, not in China.

There is no such thing as moderation here.

If you have good ideas and don’t express them, you won’t be able to!

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

This is what Yu Weiguang told Lu Chen many times.

It’s good to work hard.

But it’s best to let others know that you did it.

Lu Chen immediately stood up from his seat and said slowly:

"There are three treatment options that I can think of right now!"

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

three methods?

The method you just mentioned is quite annoying.

Lu Chen is so good now, he wants to say three kinds of things at once!

Lu Chen continued: "First of all, we must optimize drug treatment. If circumstances permit, consider coronary angiography and revascularization."

"Finally, consider palliative care for patients with severe comorbidities. When treating this patient, we felt that we first optimized his medication, using the maximum dose of beta-blockers and calcium antagonists, as well as long-acting nitric acid Ester drug therapy…”

Everyone was listening carefully to Lu Chen's story.

Fellow suddenly said: "What if intervention is possible? Which one do you think we should choose?"

Lu Chen was silent for a moment and then said: "If possible, I think it is better to perform laser revascularization treatment on the patient."

"okay!"

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

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

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

fellow was the first to applaud, and then others followed suit.

The entire Mayo environment is relatively not that complicated.

Lu Chen's first speech won the fellow's approval.

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

"Then I'll leave first."

ay nodded to Lu Chen, he completed his task and left.

In the classroom.

The atmosphere of previous case discussions was again restored.

"

Fellow went on to provide you with the second case.

Lu Chen learned.

Case discussions like this are conducted almost every day under the leadership of fellow.

The second case is still about "refractory angina".

"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 showed mild to moderate myocardial bridging in the middle part of the left anterior descending artery.

The symptoms were slightly relieved after treatment with calcium antagonists and nitrates. After that, the patient began to develop resting 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 is generally divided into 3 types.

The most common type is patients with anatomical lesions. The lesions in these patients are serious and complex and cannot be simply treated with PCI or cabg. Of course, there are also some lesions that are diffuse small vessel lesions and cannot receive revascularization treatment.

The second type of situation 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 when the patient has severe comorbidities, such as patients with advanced cancer and severe gastrointestinal bleeding.

Fellow continued: "For such patients, UU Reading www.uukansｈhu.net What should we do? How to do further functional tests? Should we conduct invasive or non-invasive tests? How to start treatment?"

Soon a resident stood up and replied: "Since the patient's stress test result is negative, there is no need to repeat the same examination. The patient's previous angiography results showed that there is a myocardial bridge in the middle part 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 physicians were very novel and creative, and were definitely at the world's top level.

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

"Lu, you just came to Mayo and are not familiar with the environment." The fellow of the Department of Cardiology said to Lu Chen, "In the next two days, you will follow me to look around, and I will assign you some simple tasks in the future."

"Okay, thank you."

At noon on the first day of arriving at Mayo, the fellows and professors of the team insisted on inviting Lu Chen to dinner.

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

So he went to the Mayo restaurant with the fellows and professors in the team.

"Lu, you should like pizza, right?" The fellow smiled.

There was only pizza in the whole restaurant.

Lu Chen was really not used to it and didn't like pizza.

However, he had to bite the bullet and eat it now.

He was busy for most of the morning and was very tired at this time.

Hungry Lu Chen still ate two plates of pizza.

This made the fellows and professors in the team think that Lu Chen from China really liked eating pizza.

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