Chapter 590: The Good Boss of the Construction Site (2 Chapters in 1)

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 slowly, "Come in!"

A slim female secretary in black silk stockings, dressed in a professional suit, walked in.

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

"Oh, put it on the table." Wang Lei smiled and stared at the female secretary in front of him.

The female secretary lowered her head, raised her head slightly, and saw Wang Lei's eyes, her face flushed a little, "Mr. Wang, if there's nothing else, 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 go first, but I'll have something to do later."

"Yeah." The female secretary nodded, took a charming step, and left the office.

Wang Lei looked at the back of the female secretary, reluctantly withdrew his gaze, and then focused on the document 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 Cardiovascular Medical Society and the chairman of the Jinghua Electrophysiology Society. He has published many high-scoring SCI papers and was involved in a paper plagiarism scandal two years ago..."

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

Wang Lei noticed a sentence in the document, "There are rumors within Jinghua Medical University that the National Natural Science Project on dapagliflozin was handled by Li Yao's student Lu Chen, who is also the first author of the paper."

"Lu Chen, a master's student in cardiovascular medicine at the Second Affiliated Hospital of Jinghua Medical University, has published three high-scoring SCI papers (all about the clinical research of dapagliflozin), with the highest score of 11.98 points; he has won the championship of the Huaxia Medical Clinical Skills Competition and the fifth place in the Huaxia Wenxin Cup Electrocardiogram Competition..."

"Hey, this master's student is not simple!" Wang Lei was slightly stunned 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 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."

"Got it, Mr. Wang."

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

...

Kyoto University First Affiliated Hospital.

Doctor's office, Cardiology District 1.

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

As for the experimental progress of the National Natural Science Foundation project, he has done his best, and he cannot control what happens next.

Lu Chen is a person who does not believe in God's reward for hard work.

If you believe in God's reward for 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 may complain about the injustice of heaven.

Therefore, Lu Chen feels that most things are not something he can decide.

He could only try his best to do everything, that was enough.

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

Junior sister Su Rui also contributed to Lu Chen's paper this time and got the fifth author.

Although it is only the fifth author, this is an 11i paper.

It is a great honor to be able to have a name!

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

"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 looked down at the petite and lovely junior sister Su Rui beside him.

It's time to test the old cadres again!

Just when Lu Chen was about to agree, the ward nurse suddenly ran into the ward, "Lu Chen, emergency department consultation!"

It was Lu Chen's turn to consult today, 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 consultations must arrive within 10 minutes, so Lu Chen did not dare to delay. He left the cardiology department and went directly to the emergency department.

Su Rui followed closely behind.

This time, Xiao Shikang did not continue to follow.

Lu Chen had long been familiar with the hospital's diagnosis and treatment process and could conduct consultations independently.

...

Come to the emergency department.

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

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

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

"I heard that you recently published a fierce article?" Fan Jian hooked Lu Chen's neck affectionately.

"Good luck." Lu Chen couldn't stand this kind of intimate contact and 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 behind him quickly turned her face away. This kind of gay scene was not suitable for her to watch.

Lu Chen quickly changed the subject, "Brother Fan, what is the situation of the patient in the consultation?"

Talking about the patient's condition, Fan Jian became a little more serious, "This is a patient with syncope. He has been in our emergency department for several days. We have basically done all the tests, but we still can't find any cause. We can only ask your cardiology department to come and take a look."

The most common cause of syncope is cardiac 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.

...

On the bed, there was a middle-aged man about 40 years old.

Fan Jian introduced the patient's condition, "The patient is a welder. Three days ago, he was welding on a one-meter-high platform and suddenly fell down."

"At that time, the patient felt that his right hands and feet were twitching severely, and he couldn't squat steadily, so he fell down. The construction site boss sent him to our emergency department. After a preliminary examination, his hands and feet were not injured, but he just broke some skin. But for safety reasons, the construction site boss still let the patient be hospitalized and carefully check the cause of the fall."

As soon as Fan Jian finished speaking, the middle-aged man on the bed grinned and said, "Our boss said that he will cover all the expenses for hospitalization and examination. He is not short of money. Let me check it out and go back."

Good guy, this construction site boss is really particular.

Fan Jian joked: "What kind of construction site is so good? I will apply for a job tomorrow."

Everyone smiled.

Lu Chen put his attention back on the patient.

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

Two minus signs trend, it seems that there should be a problem!

Generally, if someone falls down for no reason, it is either a brain problem or a heart problem. There is no way to avoid it.

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

The patient replied: "I remember everything! I felt my right hand and right foot twitching constantly as if they were electrified. I couldn't balance myself and then I fell down."

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

"No." The patient shook his head, "The welding handles are all plastic, and the place where I stood was a wooden ladder. It's impossible for me to get an electric shock."

Lu Chen nodded slightly. Yes, if it was an electric shock, it would be impossible for only one hand or foot to twitch. The whole person should have been electrocuted and flew off.

"Has this happened before?" Lu Chen said.

"No, this is the first time."

Lu Chen frowned, which was a bit strange.

Then, 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 was in good health and had no underlying diseases, such as hypertension and diabetes.

The twitching of the whole hand and foot lasted only a few seconds, and it recovered quickly.

After the patient was examined routinely, the patient's limb muscle strength and muscle tension were normal. Other neurological examinations were basically normal.

Lu Chen thought for a while and said to Fan Jian beside him: "The brain problem should be considered first. Falling for no reason and twitching on one side of the limb may be caused by epilepsy, cerebral hemorrhage, cerebral infarction, or brain tumor, or other neurological diseases."

Fan Jian said helplessly: "All neurological examinations were done, and the results were all normal."

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

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

All were normal, no cerebral hemorrhage, cerebral infarction, or tumors were found.

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

For some patients, it may also be caused by heart problems, such as a slow or fast heartbeat, which causes the heart to pump blood poorly, followed by cerebral ischemia, which will cause the above symptoms, so the heart examinations are all normal.

"Normal!" Fan Jian spread his hands helplessly, "Except for a little bit of high uric acid, the patient is normal in all other aspects."

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

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

Lu Chen frowned, this is strange, all the current examinations are normal!

"Could it be epilepsy?" Lu Chen thought for a long time, and slowly said to Fan Jian on the side, "The patient first convulsed for no reason, and then fell from a height. At that time, he was conscious and could remember what happened clearly. The whole process took only a few seconds, and then he stopped convulsing. Afterwards, his hands and feet moved normally, and he did not have incontinence. Moreover, there are no abnormalities in the current physical examination of the nervous system. It seems that epilepsy is still likely!"

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

Some are very serious, with full-blown 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, a few seconds, more than ten seconds.

Fan Jian asked in confusion: "Lu Chen, if it is an epileptic seizure, 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 discharge and random discharge of a certain part of the brain tissue.

"The EEG may record the epileptic discharge process." Lu Chen explained, "but it is not 100%, just like the dynamic electrocardiogram."

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 anything 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, there is no way to cure epilepsy. We can only take long-term oral anti-epileptic drugs, such as sodium valproate sustained-release tablets."

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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