Chapter 592: No Blood Coagulation

Remember [New] in one second!     In the coffee shop.

Lu Chen and Wang Ruoxi sat opposite each other.

"We, AstraZeneca China Branch, will cover all the expenses of your experiment." Wang Ruoxi smiled.

Lu Chen's heart moved when he heard it, "What if we want to expand the scale of the experiment?"

"Within a reasonable range, we will also bear all the expenses!" Wang Ruoxi said.

"Sister Ruoxi, can you represent AstraZeneca China Branch?" Lu Chen was a little confused.

Bearing all the experimental expenses is not a small amount!

"Of course!" Wang Ruoxi nodded slightly, "This time I came with the instructions of the leaders of the China District."

"Then what do we need to pay?" Lu Chen paused and asked in confusion.

Capitalists will definitely not bleed so much easily!

Clinical 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 seriously, "All your papers need to carry the name of our AstraZeneca China Branch. In addition, we AstraZeneca have the right to use all your related articles!"

"This..." Lu Chen was slightly stunned.

It sounds like a very simple condition.

It is easy to achieve. You only need to add a name to the paper and then give the right to use the paper to AstraZeneca.

But Lu Chen's intuition told him that things might not be so simple!

Looking at Lu Chen's hesitant expression, Wang Ruoxi took another sip of coffee. She was not anxious.

In her opinion, as long as Lu Chen has an idea for his experiment, he will definitely agree to her conditions.

Unless, he chooses to lie down!

...

Even with the help of the system, no matter how powerful Lu Chen is, he is just a student who has not experienced much of the world.

"Sister Ruoxi, I can't give you an answer for a while." Lu Chen raised his head and stared at Wang Ruoxi. "Give me some time to think. I will contact you as soon as I think about it."

"Of course, I'll be in Kyoto these days." Wang Ruo smiled slightly, "But you have to make a decision as soon as possible. You know, every day we delay, the progress of the experiment will lag behind AstraZeneca's European branch."

"Okay, don't worry, it's just these two days." Lu Chen nodded slightly.

"Okay, the work is over." Wang Ruoxi looked at Lu Chen with a smile on her face, "Let's talk about private matters."

"Private matters?"

Lu Chen hadn't digested the things Wang Ruoxi brought him when he heard the word "private matters" and was slightly stunned.

"Sister Ruoxi, tell me." Lu Chen looked at Wang Ruoxi in surprise.

Wang Ruoxi stretched lazily, showing off her proud curves.

"Lu Chen, you don't have a girlfriend, right?"

"No, not yet." Lu Chen was stunned.

Wang Ruoxi is Wang Zihao's sister. Wang Zihao stays with Lu Chen every day, so he naturally knows Lu Chen's emotional state.

"Then... what do you think of my sister?" Wang Ruoxi smiled and looked straight at Lu Chen.

Lu Chen coughed lightly.

To be honest, Wang Ruoxi is definitely a beauty with a score of more than 70%, and she has a good figure. The key is that her butt is big and she can give birth to a son.

Seeing that Lu Chen didn't speak, Wang Ruoxi came in front of Lu Chen with her eyebrows drooping.

Lu Chen smelled a fragrance and his heart moved.

However, Wang Ruoxi suddenly left again, then raised her eyebrows and smiled, "I'm just teasing you. I'm a few years older than you. Don't take it seriously."

Lu Chen felt relieved, but also a little disappointed.

Damn it, he was teased!

Soft and fragrant like jade, beautiful and delicious.

He is not Liu Xiahui. Facing such a test, he may not be able to control himself after a while.

However, Lu Chen didn't want to be teased by the beautiful lady, so he stared at Wang Ruoxi in front of him, "Sister Ruoxi, if you are willing, I have no problem."

Wang Ruoxi was stunned. She didn't expect Lu Chen to be so bold. She smiled immediately, "You little kid, dare to tease me?"

Lu Chen looked at Wang Ruoxi with a smile, staring at her closely.

Wang Ruoxi pursed her lips and smiled, "Sister, I won't accompany you. I'm leaving first."

After paying the bill, Wang Ruoxi left quickly, leaving Lu Chen alone in the cafe.

Looking at Wang Ruoxi's back, Lu Chen also retracted his mind, threw away his distracting thoughts, and immediately contacted his mentor Li Yao.

He didn't have much experience in seeking cooperation with AstraZeneca's Huaxia branch, but mentor Li Yao could definitely give advice.

...

Contacted Li Yao.

"I guessed it." Li Yao was not as surprised as she imagined, but smiled and said, "The internal situation of AstraZeneca is also very complicated. This situation is not uncommon."

"Teacher, can I agree?" Lu Chen said.

"Agree, you must agree!" Li Yao smiled, "Such a good thing must not be missed. But you must avoid a few pitfalls."

"What pitfalls?" Lu Chen asked in confusion.

"First, AstraZeneca China Branch must not interfere with the progress of the experiment; second, they only have the right to use the paper, not the ownership; finally, they can use the results we have produced, but they need our authorization." Li Yao quickly listed a few points.

Lu Chen nodded slightly. Fortunately, he asked his mentor Li Yao and did not rashly agree to Wang Ruoxi.

"Teacher, why do I feel that no matter what we do, the final beneficiary is still AstraZeneca?" Lu Chen paused.

"Alas, there is no way." Li Yao explained, "You are now studying other people's drugs. Although the ideas are very novel, in the end, the biggest beneficiary is still AstraZeneca."

"I am unwilling." Lu Chen sighed.

"So, in the future, your research content should try to avoid this kind of foreign medicine. Chinese medicine is too weak now."

Lu Chen nodded slightly. When he first arrived at Kyoto University First Affiliated Hospital, 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 more benefits. You also know that in our department's clinical trials, every patient enrolled will be rewarded with the cost of the attending physician, so that everyone can participate more passionately."

"Teacher, what you mean is..."

Li Yao said: "Tell AstraZeneca that in addition to bearing all the clinical trial costs, they have to take out another part of the money to subsidize the experimenters, especially your small team. The experiment is so hard, so you have to have that little money."

Lu Chen felt that what Li Yao said made a lot of sense.

Although he himself is not short of money, the other members of the research team are all students, and many of them still rely on the living expenses given by their parents!

...

After hanging up the phone, Lu Chen already had a rough plan in his mind.

The next day.

Lu Chen found Wang Ruoxi directly through Wang Zihao.

The two met again in a cafe and finalized the cooperation plan directly.

In addition, Wang Ruoxi did not have the power to decide on the subsidy plan proposed by Lu Chen for the time being.

"Lu Chen, I will report the cooperation plan first." Wang Ruoxi said, "The subsidy issue still needs to be decided by the upper-level leaders. If there is any news, I will inform you as soon as possible. However, the leaders attach great importance to this cooperation. If nothing unexpected happens, they should agree."

"Okay, thank you Sister Ruoxi." Lu Chen smiled, "I'm sorry to bother you these two days."

"I'm bothering you." Wang Ruoxi stood up and stretched out her right hand, "I hope we can be a win-win situation."

Lu Chen also stood up, stretched out his right hand, and gently shook hands with Wang Ruoxi.

The warm feeling from his fingertips made Lu Chen's heart move.

Just as Lu Chen was about to withdraw his hand, Wang Ruoxi suddenly put her face in front of him.

In Lu Chen's surprised eyes, Wang Ruoxi's light red lips left a light lip print on his cheek.

Touch and go!

"Thank you, little brother." Wang Ruoxi turned and left with a smile on her face.

Lu Chen subconsciously touched his cheek, and then he realized, "I was teased again?!"

"I don't accept it..." Lu Chen shouted weakly in his heart.

After being single for more than 20 years, he didn't feel this touch properly before it disappeared!

...

With a faint aftertaste, Lu Chen returned to the dormitory.

This cooperation with AstraZeneca should be a win-win situation.

I thought it was all over, but I didn't expect it to be a turnaround!

As soon as Lu Chen sat down in the dormitory, Wang Zihao came over.

Having just done a "bad thing" with someone else's sister, Lu Chen felt a little embarrassed when facing Wang Zihao.

"Lu Chen, what's wrong with you?" Wang Zihao looked at Lu Chen in surprise.

"Nothing... nothing." Lu Chen touched his nose and quickly changed the subject, "Didn't you go to class? Why did you go back to the dormitory?"

Wang Zihao was a bit nervous and didn't care about Lu Chen's abnormality. He smiled and said, "Alas, class is boring. It's better to do clinical experiments!"

Having recently published a paper, Wang Zihao was a bit jumpy and would talk about clinical experiments from time to time.

In response, Lu Chen could only smile helplessly. He could understand the excitement of publishing an SCI paper for the first time.

"Where are Lao Gu and Ke Yue?" Lu Chen said again.

"Lao Gu is in class, and Ke Yue should still be doing clinical research in the department." Wang Zihao said, "By the way, what should we do with our experiment next? Will it depend on just a few of us?"

"Next, you don't have to participate in the experiment for the time being." Lu Chen thought about it and said.

This time, the paper published is in the field of cardiovascular disease. Wang Zihao is a general surgeon. He can publish a paper this time, or put his name on it, but it can't always be like this in the future, right?

Wang Zihao's face changed, "What, what's wrong?"

Is Lu Chen going to kick him?

Lu Chen saw his face and knew that he had misunderstood, so he kicked him lightly and scolded him with a smile: "You are a general surgeon, and you come to our cardiology department every day to get papers. It's okay once or twice, but over time, how will others see it?"

Wang Zihao scratched his head, "This... I also want to do general surgery experiments, but no one will lead me."

"You start with the simple ones." Lu Chen suggested, "In fact, clinical trials are similar. As long as you grasp the essence, you can draw inferences from one example. If you have different things, you can ask me."

"Okay, then I'll try." Wang Zihao nodded slightly. With Lu Chen's guarantee, he had to try it.

"Oh, by the way." Wang Zihao said again, "What does my sister want to ask you about?"

When he heard Wang Ruoxi mentioned by Wang Zihao, Lu Chen's face flushed slightly, and then returned to normal, "Experimental matters."

Afterwards, Lu Chen and Wang Zihao chatted for a few words and then went about their own business.

…

Return to the cardiology department.

Lu Chen performed a cardiac electrophysiological examination on the uncle who came from the emergency department.

Finally, sick sinus syndrome was diagnosed.

After Lu Chen placed a dual-chamber pacemaker on the patient, the patient's symptoms were relieved and the "epilepsy" never occurred again, and 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 complicated diseases here.

The system upgrade completion degree has been skyrocketing, and it can basically increase by a few points every day.

This was basically impossible before.

Lu Chen estimated that before the end of this exchange, his system upgrade completion should reach 100%.

Just when Lu Chen was immersed in the properties of his system, there was a sudden noise in the doctor's office.

…

"My dad stayed here for just one day and it cost 3,000 yuan? Your hospital is too dark!"

A middle-aged woman, about forty years old, stood at the door of the doctor's office with her hands on her hips.

Standing next to her was a young doctor. Lu Chen knew him. His name was Fang Ao, a graduate student in cardiology at Kyoto University School of Medicine.

With an apology on his face, Fang Ao explained patiently: "Auntie, I told you before, the fee is more expensive on the first day here, and then it will be less today."

"I don't care about this. I'm going to be discharged from the hospital now. I'm dead!" The middle-aged woman's face was full of anger and she couldn't listen to Fang Ao's words at all.

"Your father is currently hospitalized for chest pain and cannot be discharged yet." Fang Ao reminded.

Lu Chen noticed that all the senior doctors from the medical team were not here this time, only residents and graduate students were in the ward.

"Do I still want to stay? Will I be cheated by your hospital?" The middle-aged female doctor snorted, her voice getting louder, "I don't care! I will be discharged today."

Fang Ao looked a little embarrassed, looked into the doctor's office, and then lowered his head.

"Auntie, please don't get too excited. Let's talk about it slowly if we have anything to do." Lu Chen spoke up to help him out.

However, middle-aged women don't like Lu Chen at all.

At this time, the senior doctor in Fang Ao's team just came back!

Fang Ao felt relieved and stepped forward quickly, "Teacher, the patient in bed 5 wants to be discharged."

The superior doctor glanced at the middle-aged woman and said coldly: "Okay, if you sign to express your willingness to bear all the consequences, you can be discharged!"

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. Once you sign, your dad can be discharged from the hospital."

The anger on the middle-aged woman's face did not diminish at all. She picked up the communication record and just glanced at it. Then her face suddenly changed, "Possible cardiac arrest, shock, or heart rupture?"

"That's right." The senior doctor nodded slightly.

"Then...then I won't sign. I have no power. When my elder brother comes over, let him sign!"

After saying these words, 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 can't help anything." Lu Chen smiled, "What's going on with this patient?"

This was the first time Lu Chen encountered such a situation after arriving at Kyoto Hospital.

Because in such a top hospital, others are afraid of not being able to stay, and this rarely happens.

Fang Ao said helplessly: "The patient admitted to the emergency department yesterday suffered from chest pain for 1 day. The changes in the electrocardiogram were not obvious and the troponin increased. We should consider acute non-ST-segment elevation myocardial infarction. The patient's chest pain has relieved and there is no need for the time being. Surgical treatment. Just now, the family members felt that the cost of hospitalization was too high, so they called for discharge.”

Lu Chen nodded slightly.

The first day a patient with myocardial infarction is admitted to the hospital, including blood drawing, monitoring, oxygen inhalation, etc., does cost several thousand, which is similar in every hospital.

"Where's the electrocardiogram?" Lu Chen said casually.

For patients considering myocardial infarction, he is still accustomed to looking at pictures.

Fang Ao opened the medical record folder, found three electrocardiograms, handed them to Lu Chen, and continued: "The patient's electrocardiogram has not changed, but myocardial enzymes continue to rise, so we don't dare to discharge him at all."

Lu Chen got three electrocardiograms and compared them a little, and found that there was indeed not much change.

Acute myocardial infarction in a narrow sense is divided into two types. The first type can see elevation of the st segment on the electrocardiogram, which is called acute st segment elevation myocardial infarction.

The other type, in which the st segment of the electrocardiogram is not elevated, 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 studied the three electrocardiograms carefully and nodded slowly, "Yes. But why didn't you do emergency surgery?"

Fang Ao said helplessly: "After one day in the hospital, their family members felt that the cost of the operation was too expensive. As soon as we discussed the operation, their family members refused directly. In addition, the patient's chest pain was relieved and the best time for the operation had passed. We felt that it was slow. also."

"Alas." Lu Chen put down the electrocardiogram in his hand, shook his head and sighed, "Without surgery, this patient will be in a very difficult situation!"

Hearing this, Fang Ao had a puzzled look in his eyes.

The mortality rate of acute myocardial infarction is indeed very high!

However, this patient had acute non-ST-segment elevation myocardial infarction, not transmural myocardial infarction. Compared with ST-segment elevation myocardial infarction, the condition was milder and the prognosis was slightly better.

It's not as serious as what Lu Chen said!

What's more, Lu Chen had never come into contact with the patient. Just based on an ECG without any information, he could tell that the patient would not survive without surgery?

Lu Chen knew Fang Ao's doubts, picked up the ECG, and was about to explain when he heard the nurse's call in the ward.

"Rescue bed 5! Rescue bed 5!"

Fang Ao immediately ran out, and Lu Chen grabbed the stethoscope and followed closely.

...

Ran into the ward.

Lu Chen saw the nurse performing CPR on the patient in bed 5.

"The patient just had a sudden cardiac arrest!" The nurse shouted while performing CPR.

Fang Ao ran to the bedside, and the patient had lost consciousness, and the pulsation of the aorta could not be touched.

On the side, the patient's family, the middle-aged woman, was crying frantically.

Several nurses were afraid that she would disturb the rescue work, so they forcibly pulled her out.

At this time, in Lu Chen's eyes, the patient's life value was 24 (---)!

This was the lowest life value he had seen recently.

What's worse is that the patient's life value is decreasing at a visible speed!

Just now, the life value was 24, and after a few seconds, it became 22!

"Open two more intravenous channels and bring the tracheal tube!" Fang Ao's superior doctor quickly began to rescue, and at the same time returned to Fang Ao and said, "Go and get the cardiac ultrasound!"

"Received!" Fang Ao was about to go out when he was stopped by Lu Chen.

"You are familiar with the patient's condition, you help here, I'll get it."

"Okay." Fang Ao nodded, now is not the time to be humble.

Lu Chen came to the nurse station, found the portable cardiac ultrasound instrument, and immediately ran back to the ward.

...

"Heart rupture! A lot of pericardial effusion!"

The moment the ultrasound probe was placed on the patient's heart, UU Reading www.uukanshu． net Lu Chen knew that this patient basically had no hope.

Heart rupture is one of the most serious complications after myocardial infarction.

After the heart ruptures, a large amount of blood flows out, causing circulatory shock and pericardial tamponade!

At this time, the patient's life value has dropped to 15 (---)!

Despite this, Fang Ao's superior doctor immediately started pericardiocentesis!

Lu Chen had to admire the high rescue quality of Kyoto University doctors.

In such a critical situation, they were still able to calmly perform "pericardiocentesis" rescue!

The superior doctor picked up the puncture needle and blood came out!

The non-coagulated blood was quickly drawn out.

However, the patient's heartbeat could no longer be maintained at this time.

After using a large amount of rescue drugs, the patient's heart rate and blood oxygen saturation still showed a progressive decline.