This doctor has a system

Chapter 264 253. Another article comes out

"What?" Hu Jiaran's face was full of disbelief.

Just now, Wang Liang suddenly ran over and told him that he was getting married. This was a good thing. Hu Jiaran immediately expressed congratulations and promised to give him a generous gift.

Then the other party asked him if the company could buy two more Audi A6s.

"That's it. I think the company already has 4 cars. If we buy two more, it will be 6."

"Then what?" Hu Jiaran asked.

"This way we can form a fleet of Audi A6Ls, and I won't have to rent a car when I get married."

"Get out of here!" Hu Jiaran kicked him out. Is this kid stupid for doing experiments?
What's your level?Dare you make this request!It was around the time I got married. Mr. Hu opened the memo on his phone and wrote it down.

Fu Jie from the cardiology department came again, this time with a little friend with pigtails.

"What are you doing here?" Dong Qianqian asked.

"My niece comes to see you for a consultation." Fu Jie pulled out the little friend behind her.

The patient's nickname is Mengmeng, a 6-year-old girl. She went to the hospital with the main complaint of chest tightness for 3 days.

Three days ago, the child developed chest tightness after returning home from an outing, without palpitation, shortness of breath, cough, wheezing, headache, dizziness, vomiting or diarrhea, and his body temperature was normal.

Physical examination: clear and in good spirits, clear breath sounds in both lungs, no wet or dry rales, no abnormality in cardiac auscultation, and no abnormality in abdominal examination.

Laboratory test results: Routine blood tests were normal, myocardial enzyme spectrum: creatine kinase, α-hydroxybutyrate dehydrogenase, etc. were slightly elevated, and chest X-ray showed no obvious abnormalities.

The treating doctor considered it to be myocardial damage and prescribed some medicine to nourish the myocardium and sent her home for oral observation.

However, Ning Ning's chest tightness worsened at night over the past two days, and it took a long time to relieve it.

"I did a 24-hour dynamic electrocardiogram and found no problems." Fu Jie was a little worried. "I don't think it has much to do with our cardiology department, so I came here to let you check if it is a respiratory disease."

Dong Qianqian held the stethoscope and gestured for a long time, but got nothing.

"When a child is sick, are there any abnormalities during cardiopulmonary auscultation?" she asked.

"No, I went to her house yesterday to listen. I found nothing special. The oxygen saturation was okay at that time, 97%. Her heart rate was not fast, but she was a little short of breath." Fu Jie recalled.

"It seems like this happened once before. I had a cold at that time." said the man on the side. He was Fu Jie's younger brother and Mengmeng's father.

"Oh." His words attracted Dong Qianqian's attention. He had a history of similar attacks in the past, which was a very important clue.

At this time, Gao Feng happened to come over.

Dong Qianqian quickly called him over. She didn't want to use her brain when Gao Feng was around.

After listening to Fu Jie's description, Gao Feng thought for a moment, "It could be chest tightness variant asthma."

Typical symptoms of asthma include recurrent coughing, wheezing, shortness of breath, and chest tightness, which are easier to diagnose clinically.Some special types of asthma do not have typical asthma symptoms, such as chest tightness variant asthma, where chest tightness or long sighing are the main or only clinical manifestations. They are often easily misdiagnosed or missed, and treatment is delayed.

"Chest tightness variant asthma?" Fu Jie and Dong Qianqian looked at each other.

"I don't think I've heard of this diagnosis!" Fu Jie said cautiously. She was not questioning Gao Feng.

"I didn't notice this type of asthma either." Dong Qianqian looked at Gao Feng, "Is it an article published in a foreign magazine?"

Isn’t this diagnosis available yet?Gao Feng was stunned for a moment. The medical knowledge the system instilled in him clearly included this disease.

"Let's do a bronchial provocation test first." He gestured to Dong Qianqian to prescribe a pulmonary function test for Mengmeng's friend. "If it's positive, it's definitely asthma."

Mengmeng is 6 years old and can fully cooperate with the pulmonary function test. The results are in line with Gao Feng's expectations. Mengmeng's bronchial provocation test is positive.

"Regularly conduct atomized inhalation of budesonide combined with terbutaline to see the effect." Gao Feng suggested.

After three days of application of the above-mentioned drugs, the patient's condition was relieved, and he no longer had chest tightness at night.

Gao Feng was discussing with Dong Qianqian the definition of chest tightness variant asthma.

"It's a good thing that there is no such thing abroad!" Gao Feng said, "We are the first to bring it up and try to get everyone's attention."

"Is this possible?" Dong Qianqian was not confident. She felt that she was not worthy of such a high-end and classy thing as naming a disease.

Gao Feng admired this very much about her. She could clearly realize her own weakness. Many people with great ambitions and limited talents could not do this.

"You have to be more confident. We can write an article first." Gao Feng took out a few pages of A4 paper. "I have designed it for you. The rest is up to you to collect information."

“If the patient has chest tightness as the only or main manifestation, no wheezing, but has airway hyperresponsiveness and typical asthma pathological changes, and is effective in anti-asthma treatment, after excluding other causes of chest tightness, the patient can be diagnosed as a special type of asthma - chest tightness variant. sexual asthma.”

"Individual cases will definitely not work. You need to continue to collect cases. 20-30 cases will be enough." Gao Feng almost taught Dong Qianqian step by step. "The standard is to have repeated episodes of chest tightness as the only clinical manifestation, no wheezing, and no wheezing during attacks. If there is wheezing but there is airway hyperresponsiveness or reversible airflow limitation, treatment with bronchodilators and inhaled corticosteroids is effective.”

“The diagnostic criteria are tentatively set as
1. Chest tightness or long sighing persists or recurs for > 4 weeks, and chest tightness is the only or main clinical manifestation;

2. There is no wheezing on lung auscultation during chest tightness attack;
3. Chest X-ray shows no obvious organic changes;
4. Bronchial provocation test is positive;
5. Effective anti-asthma treatment;
6. Eliminate chest tightness caused by diseases such as the cardiovascular system, digestive system, nervous system, muscle and mental factors. "

"By the way, enrolled patients can undergo a bronchoscopy. If the biopsy finds pathological changes of typical asthma, it will be a sure thing."

Dong Qianqian's eyebrows were filled with joy. Even after saying this, if she still couldn't do it, then she would be an idiot who was sideways.

"Take Li Xun and do it together." Gao Feng added after seeing Li Xun looking envious next to him.

Let your boy get a bargain!Dong Qianqian thought to herself.

The project is progressing very smoothly. According to the diagnostic criteria of Gao Feng, many patients in the past have met the criteria.In the past, people did not have this definition in their concept. They just gave patients some hormones and bronchodilators. As long as the symptoms could be relieved, many doctors would not understand the cause in a deeper way.

"Yes, it's free. Come and check again!" Dong Qianqian called a former patient.

With a smile all over her face, she has collected information on 34 patients so far, and performed bronchoscopy on 8 of them. Typical pathological changes of bronchial asthma were found in all of them after biopsy. "Start writing an article. There are enough cases." Gao Feng looked at the information collected by the two, "Write it in English and vote for natural medicine when the time comes."

He wanted to vote directly for nature, but he felt that it was almost impossible. There should be no problem with natural medicine.

Dong Qianqian and Li Xun were very excited, especially Li Xun. Natural medicine was a high-end game for him, which he had never played before.

Sure enough, as long as you embrace the right thigh, you can have a bright future!
Dong Qianqian and Li Xun spent a week holding it together. When Dong Qianqian's husband even doubted whether he had green hair, they finally wrote the article.

Gao Feng was a little disgusted with "this". What he wrote was a der. The key points were completely missed, and there were obviously many grammatical errors.

"Let me change it for you."

Adam Davis of Natural Medicine quickly noticed the manuscript whose corresponding author was Gao Feng, and he paid special attention to the latter.

“chest tightness variant asthma (chest tightness variant asthma?)”

Hey, there's something new. Adam Davis is very excited. He keeps seeing some Sabi articles recently, and his eyes are almost going blind.

He quickly read the article and forwarded it directly to other reviewers.

"chest tightness variant asthma?" Jiro, a subject at the Graduate School of Medicine at Kyoto University in the island country, read the content of the article with a solemn expression.

"Lucky Chinese people!" He sighed helplessly. He had noticed this issue before, but before he took any action, these Chinese people actually wrote articles.

It seems that the scientific research in the medical field has made great progress in recent years. The subject Erlang felt a sense of urgency in his heart. He hesitated and submitted the manuscript.

The two reviewers from European and American countries read the entire article with a critical eye, and finally approved it readily.

"I seem to have an impression of Gao Feng." Professor Cassius Bello of Imperial College London said, "He has published articles in nature and natural medicine before, and each article has novel perspectives."

"This article is not bad." The assistant responded, "There don't seem to be many experts in the respiratory field in China. It is rare to see them publish such articles on the definition of the disease in top magazines."

"Well, actually, the natural hair is barely qualified." Professor Cassius Bello said.

"If the author is you, that's for sure! But this Professor Gao Feng is only slightly famous, so I'm afraid it's not enough." The assistant skillfully delivered a flattery.

"Hahaha!"

Who said foreigners can't flatter people?
"I heard that you have another article to be published in Nature Medicine!" Director Zhao called Gao Feng over, "You are so capable."

"It was all a sudden inspiration." Gao Feng said modestly, but he was really a little excited inside.

Although the concept of chest tightness variant asthma was knowledge he acquired in the system, the design of the experiment and the conception of this article came entirely from his own brain, which gave him a great sense of accomplishment.

Even the system recognized his achievements and specially issued 10 skill points.

"Can you go to the capital soon?" Director Zhao asked.

"Go to the capital?"

"Yes, Academician Bao's project is almost completed, and he has invited us to send people over to visit." Director Zhao explained, "There seems to be some other things during the period. Director Shen wants you to bring a few young doctors with you. Go to Beijing and see the world."

In the eyes of Director Shen, Gao Feng is now the face of the Provincial Department of Respiratory Medicine. Since Academician Bao has formally sent the invitation letter, of course he has to send his face.

"There are several hospitals. You can see what the conditions are like after you go there. You must perform well if you have the chance."

Gao Feng hesitated but agreed. He was also very interested in Academician Bao's project. After all, he was a leader in the respiratory field, and the projects he was working on were definitely not trivial.

"I'll go with you." Xiong Huaxin came over. As a disciple of Academician Bao, he must also go back at this time. He is still responsible for some aspects of the project.

Ai Hongkai, Li Xun, Li Youliang, Wang Zejia, Xu Yinghui, Ma Huilan, plus Gao Feng and Xiong Huaxin, a total of 8 people.

Xu Yinghui was a junior doctor under Director Shen and he had met him several times. However, Wang Zejia and Ma Huilan were not doctors on Gao Feng's floor, so he had no impression of them.

"Teacher Gao, I am Ma Huilan from the 9th floor. Please take good care of me from now on." Ma Huilan hurriedly greeted Gao Feng as soon as she came up. In her mind, this is a great person, the kind who can go to heaven.

Have you ever seen anyone publish three heavyweight articles on nature, natural medicine, and pharmaceutical science trends in less than a year after starting work?Have you ever seen any resident doctor develop generic drugs on a whim?The key is that it was successful!
There is also the catalytic substrate whose details are unknown to everyone. It is said that the other party made tens of millions of wealth from it.

She wanted to kneel down and call her "big boss", but the self-esteem of a doctoral student made Ma Huilan hold back.

"Hello." Gao Feng stepped forward and shook hands with her. Ma Huilan's face turned red with excitement when she saw the other person's handsome face.

"Hello, Teacher Gao!"

When Wang Zejia saw Ma Huilan's cautious look, he felt a little disdainful. As for you?
Although he is very considerate, he usually can't control us. You don't have to be like this, right?
"Look at Ma Huilan like this, I feel ashamed for her." He said to Ai Hongkai beside him, who gave him a puzzled look.

What you're talking about to me is a piece of shit, don't you know I'm his?

Being stared at by Ai Hongkai like a fool, Wang Zejia felt a little uncomfortable. He finally understood that this place seemed to be full of high-feng people.

A good man doesn't want to suffer the immediate consequences. He hesitated for a moment and then stepped forward, "Hello, Teacher Gao, I'm Wang Zejia."

"Yeah." Gao Feng nodded in response, and his extraordinary mental strength told him that this kid was a little unconvinced by him.

"Would you like me to put on some shoes for him?" Li Youliang whispered as he got in the car.

"You are a gangster!" Gao Feng punched him, "Do your job honestly."

Gao Feng really felt that it was unnecessary. No matter how awesome a person is, there will always be people who are not convinced by you. There are people in life who object for the sake of opposition, and it is difficult to reason with them.

Wang Zemin is just a small character in his eyes. When an elephant walks, will he notice the dissatisfaction and hatred of an ant on the roadside towards him?
The answer is definitely no. The elephant just needs to walk its own path. If an ant bumps into it due to overestimation of its strength, just lift its foot and crush it to death. It's very simple.

"Compared with the boss, I still don't have enough structure." Li Youliang smiled and flattered him.

(End of this chapter)