Buying autumn vegetables is the only strenuous exercise that Zheng Ren can think of for people of Director Kong's lover's age.
Older people are willing to store autumn vegetables, which seems to be directly related to the lack of abundant living materials a few decades ago.
If you don’t store enough autumn vegetables in autumn, the whole family will have nothing to eat in winter. Not to mention the vegetables that can be eaten casually nowadays, even potatoes and cabbage are not included, how miserable it is.
Zheng Ren looked at Director Kong's lover with hope, but he got an answer that disappointed him.
Director Kong's lover shook his head and tried his best to smile, "Xiao Zheng, what age is this? We no longer store autumn vegetables."
"Yes, there is a supermarket downstairs. You can buy whatever you want to eat." Director Kong said, "In the past few years, I used to store a little bit, but it would be a waste to store more. In the end, it is better to go to the supermarket to buy."
Zheng Ren frowned and thought deeply. If rhabdomyolysis was not caused by a sudden large amount of activity, then what could be causing rhabdomyolysis
"Boss, what are you considering?" Su Yun asked quietly from behind Zheng Ren.
Zheng Ren slowly shook his head, indicating that he had not yet been diagnosed.
The cause of striated muscle is very complex. Foreign researchers have pointed out that there are more than 190 causes of this disease, and there are more than 40 genetic-related causes. But the most common thing is excessive exercise, so what should you do
Director Kong's wife diagnosed rhabdomyolysis accompanied by acute renal failure. Treatment requires going to the hospital to avoid triggering factors and then treat acute renal failure.
In any case, let's go to the hospital for dialysis first. Finding the cause is not the most important thing. Symptomatic treatment is urgent.
"Besides the soreness in your limbs, have you had anything else abnormal lately?" Zheng Ren then asked, thinking about what reason he should use to send Director Kong's lover to 912.
"I have a little cough and don't want to eat." Director Kong's lover whispered.
“…”
Zheng Ren obviously had nothing to do with this statement. He pushed back and asked, why is it so difficult to guide Director Kong's lover in the direction he needs
Speaking of food, Zheng Ren began to wonder if rhabdomyolysis was caused by an allergic reaction induced by a certain food.
"Sister-in-law, have you eaten anything that you usually eat less recently?"
"Fruit, grapefruit juice is there." Su Yun said from behind.
Yuzi... Zheng Ren was stunned for a moment, then re-examined Director Kong's lover's system panel, and suddenly realized something.
"Sister-in-law, I have to say that you are really meticulous about your food. You have to squeeze some grapefruit juice when you eat it." Su Yun continued with a smile.
"Oh, don't mention it," said Director Kong. "I don't know who I heard about the acid-base balance theory of the human body, saying that an acidic body is prone to cancer and illness. I tried to persuade her many times, but she refused to listen to a word."
"It has been proven medically." Director Kong's lover argued: "Eating alkaline food is good for your health."
"I've refuted the rumors a long time ago, but you wouldn't believe it even if I told you. I haven't eaten meat for a long time, and my greedy eyes are blue every day." Director Kong sighed and said.
"Sister-in-law, you..." Zheng Ren walked to the other side of the bed, picked up the cup, put it under his nose and smelled it.
This action was a bit strange. No matter what, it was Director Kong's house or his bedroom. It seemed a little inappropriate to move things around.
"What do you want to ask?" Su Yun asked in surprise.
"Sister-in-law, do you have hyperlipidemia?"
"Yes, even those who are older and don't have high blood pressure or high blood lipids are embarrassed to say hello to people when they go out." Director Kong said.
"What medicine should I take?" Zheng Ren asked in a deep voice.
"Lipitor." Director Kong said, "Is there a problem?"
"Uh... I think it was rhabdomyolysis caused by Lipitor." Zheng Ren took a deep breath and said, "Director, call 120 and send him to the renal department for dialysis."
Director Kong and his lover were both stunned. Director Kong whispered: "Boss Zheng, I have been taking Lipitor for many years."
"You eat grapefruit every year?" Zheng Ren asked, holding a cup.
The two shook their heads.
"Grapefruit contains coumarin compounds. This active substance is an inhibitor of the main drug-degrading enzymes in the human body. It quickly increases the concentration of statins in the blood in a short period of time, doubling the amount of drugs entering the blood. And inhibits the breakdown and metabolism of drugs in the body.”
"It used to be okay to eat, but now it's a problem."
Seeing that Director Kong was still dazed, Zheng Ren put the cup aside, picked up his cell phone and made a call, asking, "Sister-in-law, how much have you been urinating these days? Are your lower limbs swollen?"
Director Kong immediately began to examine his lover's feet.
There is swelling, but it is not very severe. If you press hard, you can see a depression.
Really kidney failure? Director Kong was stunned.
"Boss, how did you come up with this?" Su Yun asked in confusion when he saw that Director Kong's lover's feet were swollen.
Zheng Ren smiled bitterly, could it still be said that it was based on the system panel
"120? This is..." As he said that, he glanced at Director Kong and handed over the phone.
"You reminded me." Zheng Ren threw the blame to Su Yun, "Juicing the grapefruit, plus the muscle soreness, made me think of the problems mentioned in the Lipitor instructions."
"Diffuse myalgia, muscle tenderness or weakness during treatment, especially when accompanied by general malaise or fever?" Su Yun asked.
"Well, there's something wrong with eating grapefruit and Lipitor together."
"You just said that it's nothing. How did you know?" Su Yun didn't quite understand his boss's thinking, but he had nothing to say, as long as he could solve the problem.
After Director Kong made the 120 emergency call, Zheng Ren took the phone and said, "Sister-in-law, don't worry, it's a small problem."
"Xiao Zheng, what's wrong with me?" Director Kong's lover was a little confused when he heard that he called 120 for emergency help.
Seeing that there was still time and that Director Kong's lover was very worried, Zheng Ren explained patiently.
"Simply put, grapefruit contains a substance called nonocoumarins, which can inhibit an enzyme in the liver that metabolizes drugs, thereby affecting the statins metabolized by this enzyme, causing drug metabolism to be blocked."
"It's not rigorous." Su Yundao said, "It doesn't affect the metabolism of all statins."
"Simvastatin, lovastatin, atorvastatin, etc. are metabolized through this enzyme. Other statins such as fluvastatin, pravastatin, pitavastatin, rosuvastatin, etc. do not undergo this enzyme. Metabolism, so it is not affected by grapefruit." Zheng Ren glanced at Su Yun and added.
"No, a friend of mine also eats grapefruit, and like me, he also takes Lipitor." Director Kong's lover said.