"It's best to do coronary angiography, which requires hospitalization and is invasive." Zheng Ren said with a frown.
I'm not looking for trouble on purpose, this is indeed the best way to solve the problem.
"Okay." Manager Hui agreed without any hesitation.
This... Zheng Ren and Su Yun looked at each other, it was so weird.
Could it be that he planned to collect evidence afterwards and then cause trouble? Such an idea immediately appeared in Zheng Ren's mind.
Maybe he was recording.
Thinking of this, Zheng Ren put on his habitual fake smile and said gently: "The cost may be higher, but this is the best way to solve the problem. As for..."
"Boss Zheng, don't worry, just go ahead and check me." Manager Hui said politely: "Are we going to go through the hospitalization procedures now? When will the check-up be done?"
This time Zheng Ren really encountered a situation that he had not encountered before.
He looked at Manager Hui in surprise and carefully considered what he just said. There shouldn't be any problem, even if it's being recorded, it'll be fine. And if coronary angiography is performed, the patient's cardiac syndrome X can be diagnosed.
If you can confirm the diagnosis, why bother with it
But even though you say that, you still have to be careful.
Zheng Ren explained one after another as if his computer was stuck. Manager Hui was very proactive, and with the female manager behind him, he took the time to handle the admission procedures for the patient.
According to Zheng Ren's request, he was admitted to the hospital in the emergency department and diagnosed as cardiac syndrome X, with a question mark after it.
Emergency admission, emergency examination, and emergency surgery were all carried out in an orderly manner.
"Manager Hui, let's do this..." the female manager asked doubtfully.
She thought about it all the way, but couldn't figure out why Manager Hui was so active. But there was no chance to ask questions along the way. This time the patient was sent to the operating room and finally had time to ask questions in his heart.
"Do you know who that was just now?" Manager Hui also let out a sigh of relief. He looked at the words on the door of the operating room and said uneasily.
"A doctor from the interventional department."
"You, you don't know who the 912 people can offend and who they can't offend." Manager Hui said coldly: "That person was parachuted into 912 half a year ago."
As soon as the word "airborne" was mentioned, the female manager knew the importance.
In a place like 912, let alone graduate students, even Ph.D.s and Ph.D.s from my family cannot stay. Doctors who have returned from overseas also need to check their fate.
Anyone who can airborne is a powerful person!
"Dean Yan exchanged a bunch of hospital residents for Boss Zheng."
"Change?"
"Well, those hospital residents have now been sent to Haicheng. Isn't this the same as supporting the frontier? Do you think you can offend such people?"
His manager, Benefit, couldn't figure out the cause and effect, but if someone else said that, he didn't need to know why. He just needed to know that Boss Zheng was awesome and mighty.
"He is a tenured professor in the United States... just like our academician." Manager Hui continued.
"So young..."
"Don't bully young people who are poor. Besides, Boss Zheng is not poor. Don't look down on others. You have done well today, so you should report it." Manager Hui said: "This Boss Zheng can't be offended. He went to the Imperial Capital a few days ago. The women and children's hospital came to the rescue, and when I got off the stage, I didn't even go to the dean to treat me to dinner. Tell me, how capable this is!"
“…”
"Just wait patiently." Manager Hui said softly.
But he was not relaxed at all, staring closely at the door of the circulatory interventional operating room.
30 minutes later, the operating room door opened. Zheng Ren appeared at the door wearing an isolation suit, hat and mask.
"Manager Hui?" Zheng Ren shouted.
Manager Hui had been standing next to Zheng Ren like a rabbit for a long time, and said with a sorry smile: "Boss Zheng, did the operation go well?"
"Well, help push the patient back later, and I'll tell you about the operation."
Another 20 minutes later, Zheng Ren changed his clothes and sat in the office of Director Zhang Lin of the Department of Circulation, explaining the images of the surgery to the patient's family.
The time is still a bit short, the disc is not burned, but there is no rush.
"Here, there is nothing wrong with the coronary arteries through angiography." Zheng Ren held a ball pen in his hand and tapped the screen gently.
"Yeah, okay, no problem, no problem." Manager Hui responded repeatedly, almost following what Zheng Ren said.
"Here's the problem." Zheng Ren continued: "It seems that there is nothing wrong with the blood supply of the patient's heart, but Manager Hui, please pay attention to the beating of the heart."
"Oh, pay attention to the beating of your heart."
"The black ones are the images of the contrast agent that enters the coronary arteries as the blood flows. Look at how many times your heart beats before the blood flows to the last capillaries." Zheng Rendao.
"1, 2, 3..." Manager Hui counted obediently.
"8 times." Finally, he gave Zheng Ren an accurate answer.
"Well, that's the problem." Zheng Ren said, "Under normal circumstances, the coronary blood flow of an ordinary person will reach all capillary branches within 1.5 seconds. To put it simply, it is two cardiac cycles... that is, the heart jumps 2 time."
Manager Hui understood this time.
The difference between 2 times and 8 times is 4 times.
"The large blood vessels we can see only bear about 5% of the blood supply of the heart, and 95% are carried by the invisible capillaries." Zheng Ren felt that what he said was not detailed enough, thought for a while, and said: "Coronavirus The pulse is like a highway. If there is a traffic jam, the traffic will be paralyzed. But if the highway is not jammed, you can't get home directly even if you get off the highway."
Manager Hui kept nodding.
"To get home, you have to walk through the streets and alleys, which means the capillaries supply oxygen." Zheng Ren continued: "Because the blood cannot be effectively transported to the location, the nutrients needed by the myocardium cannot be obtained in time, which is related to blood vessel stenosis or vasospasm. The result is the same, which is also a type of myocardial ischemia."
"Well, the previous examinations were useless." Manager Hui felt that Boss Zheng's explanation of the surgery was easy to understand, and he gradually listened.
"It can't be said that it's useless. It's rare for patients with Cardiac Syndrome
With that said, Zheng Ren clicked on the video and continued playing it.
"Nicorandil is suitable for all types of angina, including exertional angina and spastic angina, and can significantly reduce the risk of cardiovascular events." Zheng Rendao: "Now this is the situation after intravenous bolus injection of nicorandil."
"The patient's capillary spasm has been greatly relieved. Look how fast the black contrast agent goes down." Zheng Ren clicked on the screen.
The effect is indeed immediate, the contrast agent is almost "brushed" into the blood vessels at all levels that supply the myocardium.
On the screen, like tangled tree roots, countless branches have come to life again, providing nutrients to the patient's heart.
"The diagnosis is very clear. It is cardiac syndrome X. The patient is not pretending to be sick." Zheng Ren finally said with a smile.