Chapter 835: Showing Off One's Talents for the First Time

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

However, when the fellow in the team saw ay next to Lu Chen, he roughly guessed Lu Chen's identity.

"Ay, why don't you introduce a newcomer to everyone?" The fellow smiled.

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

Ay briefly introduced Lu Chen's background.

Then, Lu Chen stood up and introduced himself.

"Oh, from China?" The fellow glanced at Lu Chen, "By the way, our team hasn't had anyone from China for a long time."

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

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

The fellow of the team immediately got straight to the point.

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

This is Mayo, not in China.

There is no such thing as a golden mean here.

If you have good ideas but don't express them, then you don't have any!

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

This is also what Yu Weiguang has told Lu Chen many times.

Working hard is good.

But letting others know that you have done it is the best.

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

"I can think of three treatment options at present!"

As soon as this was said, everyone present was shocked.

Three methods?

Everyone just said one method, which was enough.

Lu Chen is good now, he wants to say three at once!

Lu Chen continued: "First of all, it must be to optimize drug treatment, and if the situation permits, consider coronary angiography and revascularization."

"Finally, for patients with serious complications, consider palliative treatment. When treating this patient, we think that we should first optimize his medication, use the maximum dose of beta-blockers and calcium antagonists, and at the same time treat him with long-acting nitrates..."

Everyone was listening carefully to Lu Chen's story.

Fellow suddenly asked: "What if intervention is possible? Which one do you think should be chosen?"

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

"Well, good!"

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

In fact, many visiting scholars only come to Mayo to gild their reputation.

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

Fellow applauded first, and then others followed suit.

The entire Mayo environment is relatively not that complicated.

Lu Chen's first speech was deeply agreed by fellow.

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 the previous case discussion was restored again.

"

The fellow continued to provide everyone with a second case.

Lu Chen learned.

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

The second case is still about "refractory angina pectoris."

"Please look at the screen."

The fellow called up the patient's case.

This is a 55-year-old female marathon runner.

The patient was evaluated in a local hospital for nearly 3 months after developing exertional angina pectoris, and the stress test results were normal.

Angiography showed that there was a mild to moderate myocardial bridge in the middle segment of the left anterior descending branch.

After treatment with calcium antagonists and nitrates, the symptoms were slightly relieved. After that, the patient began to experience resting angina pectoris, and the pain caused the patient to wake up at night.

Lu Chen reviewed the specific concept of refractory angina pectoris in his mind again.

Refractory angina pectoris can usually be divided into 3 types.

The most common type is patients with anatomical lesions. The lesions of this type of patients are more serious and complex, and cannot be simply treated by PCI or CABG; of course, some lesions are diffuse small vessel lesions and cannot be treated with revascularization.

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 that the patient has serious complications, such as advanced cancer patients and severe gastrointestinal bleeding.

The fellow continued: "For such patients, UU reading www.uukanshu.net what should we do? How to do further functional tests? Should we perform 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 test. The patient's previous angiography results indicate that there is a myocardial bridge in the middle segment of the left anterior descending branch, so 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 the fellow and the attending physician were very novel and creative, and were definitely at the top level in the world.

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 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 restaurant of Mayo with the fellows and professors in the team.

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

The whole restaurant only had pizza.

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.

7017k