Chapter 895: The First Master Supervisor
The Fifth Hospital of Shanghai, as the newest public hospital in Shanghai, has attracted the attention of countless people.
In the past, as a private hospital, it did not attract much attention.
However, after the private-to-public transition, the Fifth Hospital of Shanghai has officially entered the field of vision of doctors and the general public.
For Lu Chen, the good news is that Dai Wansong is the top dean.
The Yunhua model can continue in the Fifth Hospital of Shanghai.
In addition, the family building plan of the Fifth Hospital of Shanghai has been put back on the agenda.
Fan Zhiping and other employees have temporarily given up the idea of resigning.
…
After the private-to-public transition.
Lu Chen's position has not changed, he is still the chief director of the Department of Cardiology of the Fifth Hospital of Shanghai.
The upper-level leaders are determined to set the Fifth Hospital of Shanghai as a model hospital for "medical reform".
The policies of the Fifth Hospital of Shanghai can be decided by themselves to the greatest extent.
After solving the hospital's problems, Lu Chen turned his attention to clinical and scientific research again.
After this storm, the Fifth Hospital of Shanghai stood before the world.
Lu Chen's medical ideals continue to be inherited by the Fifth Hospital of Shanghai Magic City.
Next week, the review of the National Natural Science Foundation will be conducted.
Lu Chen took out all his time to prepare for the corresponding topics.
This time, it is different from the one in Guanghai three years ago.
Today, Lu Chen has a good influence in the entire field of cardiology in China.
"Ke Yue, help me improve the data on tavr."
In the office, Lu Chen summarized the final data of tavr scientific research.
"Okay."
Ke Yue nodded.
In addition to her own research on heart failure, she is also helping Lu Chen to improve this National Natural Science Foundation project.
"Lu Chen, I have something to tell you." Ke Yue suddenly said.
"Well, you say." Lu Chen looked up at Ke Yue.
"I applied for a provincial general project some time ago." Ke Yue said, "According to my current qualifications, I should be able to apply for a master's supervisor."
The basic conditions for master supervisors are that there must be provincial-level projects in the past three years and two SCI papers have been published.
Ke Yue's conditions are basically met.
Thirty-year-old master's supervisors are not rare.
"This is a good thing!" Lu Chen smiled.
Unexpectedly, Ke Yue is the first one in their group to have the opportunity to become a master's supervisor.
The Fifth Hospital of Magic City is now an affiliated hospital of Magic City Medical University.
It has doctoral and master's degree programs.
As long as you have the qualification of a supervisor, you can apply to recruit students.
Before, if you were in Yunhua, it would be impossible to become a master's supervisor in a private hospital.
"Ke Yue, thank you." Lu Chen said slowly.
Before, Ke Yue definitely paid a great price to come to Yunhua.
She gave up her status as a supervisor and a stable job.
Ke Yue seemed to understand what Lu Chen was saying and smiled: "This is nothing."
The significance of her staying with Lu Chen is far more important than being a supervisor.
Ke Yue's incident also reminded Lu Chen.
After the private-public transition, there are quite a number of directors or deputy directors in the Fifth Hospital of Magic City who can recruit students.
However, they are basically all master's supervisors, and only Dai Wansong is a doctoral supervisor.
Doctoral supervisors are rare creatures.
Not to mention that the Fifth Hospital of Shanghai was just a private hospital before.
It is impossible to recruit doctors of this level.
…
The next period of time.
The Fifth Hospital of Shanghai ushered in a period of peaceful development.
The number of patients increased significantly.
In addition to his scientific research, Lu Chen was also busy in the clinic.
"Director Lu, a patient with refractory heart failure came."
"Okay, I'll go and see him right away."
Lu Chen was pulled over by Jin Miao for rounds, and Gu Xinyue followed them closely.
"Old Gu, what are you doing here?"
Jin Miao's eyes widened.
"I also have a patient looking for Director Lu." Gu Xinyue grinned.
"First come, first served, Director Lu will see my patient first." Jin Miao said hurriedly.
"Okay, okay, I won't compete with you." Gu Xinyue curled her lips.
Lu Chen came to the ward.
On the bed, an old lady in her eighties was lying on the bed.
She was thin, her eyes were dull, and her appearance was haggard.
The life value on the head is only 30 (---)!
Just looking at this life value, Lu Chen can feel that the patient in front of him is not ordinary.
Otherwise, with Jin Miao's current ability, he would not ask him to see the patient.
Jin Miao stood aside and began to introduce the patient's condition.
"The patient began to experience chest tightness and shortness of breath after activities 4 years ago, accompanied by fatigue, palpitations, occasional nausea and vomiting, and edema of both lower limbs."
"Go to the local hospital for treatment, and report that coronary angiography, cardiac ultrasound and other examinations were performed, and dilated cardiomyopathy was diagnosed."
"The local hospital treated with drugs such as perindopril, metoprolol succinate, spironolactone, furosemide, and isosorbide dinitrate, and the chest tightness improved, but the patient did not take the medicine regularly, and the chest tightness occurred intermittently, and it improved after continuing to take the medicine."
After a simple introduction to the condition, Lu Chen understood the patient's condition.
The old lady's current diagnosis is heart failure caused by dilated cardiomyopathy.
The diagnosis is clear, and the tricky part is the treatment method.
This is also the difficulty of internal medicine.
Many times, the diagnosis of the disease is clear, but the treatment effect is not good.
Lu Chen looked through the patient's test results and examination sheets.
He soon noticed where the "difficult" in refractory heart failure lies.
"The patient has low sodium and chloride, and has severe heart failure. There is no way to achieve a balance between diuresis and rehydration." After Lu Chen said this, he turned to look at Jin Miao aside.
Jin Miao nodded quickly.
As expected of Director Lu, he immediately saw the problem clearly.
"Director, what should we do about treatment?"
Lu Chen thought for a while and then said, "The patient's recent diet must not be good, right?"
"Yes, heart failure causes blood stasis in the gastrointestinal tract. The old lady can't eat at all." Jin Miao said, "After low sodium and low chloride, the patient is prone to mental symptoms, but when I replenish fluids, it is easy to worsen. Heart failure."
That’s the hard part about this whole heart failure thing.
The patient's body lacks many nutrients.
But if the appetite is not good, there is no way to supplement it from the gastrointestinal tract.
If the intravenous infusion is too large, it will easily aggravate the original heart failure.
Lu Chen heard this and said seriously: "Jin Miao, UU Reading www.uukanshu.net First of all, you have to be clear that severe ion disorders, such as low sodium, low chloride and low potassium, can easily lead to mental symptoms and even cardiac arrest."
"So the first step now is to stabilize the patient's internal environment and avoid low sodium and low chloride..."
"After sufficient rehydration, don't be afraid of heart failure. While replenishing fluids, diuresis can be done to allow the patient's intake and output to reach a negative balance..."
Lu Chen began to explain the key points of the entire treatment.
Jin Miao was recording on the side.
Even Gu Xinyue began to write and draw on paper.
The corners of Jin Miao's mouth twitched, this was too curly.
"Okay, that's all for now." Lu Chen said, "On the basis of dilation and diuresis, we can try to use some new drugs, such as neoactivin, levosimendan and other drugs for the treatment of heart failure."
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