Chapter 2373 Invisible Is More Dangerous (Leader Choco1ate Plus 1)
"It's best to do a coronary angiography, which requires hospitalization and is invasive." Zheng Ren said with a frown.
Not intentionally looking for trouble, this is indeed the best way to solve the problem.
"Okay." Manager Hui replied without hesitation.
This... Zheng Ren and Su Yun looked at each other, it was too weird.
Could it be that he planned to collect evidence afterwards and make trouble? Such a thought immediately appeared in Zheng Ren's mind.
Maybe he was recording.
Thinking of this, Zheng Ren put on a habitual smirk, 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 it out." Manager Hui said with Bo Yuntian: "Should I go through the hospitalization procedures now? When will the checkup be done?"
Zheng Ren really encountered a situation that he hadn't encountered this time.
He looked at Manager Hui in surprise, and carefully considered what he just said. There should be no problem, even if it is recorded, it's fine. And if coronary angiography is done, the patient's cardiac X syndrome can be diagnosed.
Can be diagnosed, but also toss a wool?
But having said that, you still have to be careful.
Zheng Ren explained it one after another, as if the machine was stuck. But Manager Hui took the initiative, took the female manager behind him, and seized the time to go through the admission procedures for the patient.
According to Zheng Ren's request, he was admitted to the hospital in an emergency department. The diagnosis was Cardiac Syndrome X, followed by a question mark.
Emergency admission, emergency examination, emergency surgery, everything is going on in an orderly manner.
"Manager Hui, let's do this..." the female manager asked suspiciously.
She thought about it all the way, but she didn't understand 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 he was free to ask his own doubts.
"Do you know who that was just now?" Manager Hui also heaved a sigh of relief. He looked at the words on the door of the operating room and said uneasy.
"A doctor in the interventional department."
"You, the 912 people don't know who can be offended and who can't be offended." Manager Hui said coldly, "That person was airborne to 912 half a year ago."
As soon as the word "airborne" was mentioned, the female manager knew the importance.
A place like 912, let alone a graduate student, even a Ph.D., or a Ph.D. from the same family, can't stay. Returnees' Ph.D. depends on fate.
Those who can airborne are all powerful!
"Dean Yan replaced Boss Zheng with a bunch of hospitalizations."
"Change?"
"Well, those hospitalized people are now sent to Haicheng. Isn't this the same as supporting the frontier? Do you think this kind of person can be offended?"
In fact, Manager Hui can't figure out the cause and effect, but he doesn't need to know why when others say that. He only needs to know that Boss Zheng is awesome and Boss Zheng is mighty.
"He is a tenured professor in the United States... just like our academician." Manager Hui continued.
"So young..."
"Don't bully the young man into being poor. Besides, Boss Zheng is not poor. Don't look down on others. You did a good job today, and you know how to report it." Manager Hui said: "This Boss Zheng can't be offended. He went to the capital a few days ago. The Women and Children's Hospital rescued the stage, and even the dean didn't go to treat the guests to dinner when he stepped down from the stage. Tell me, how capable this is!"
"..."
"Just wait honestly." Manager Hui said softly.
However, he didn't relax at all, staring closely at the door of the circulation intervention operating room.
After 30 minutes, the door of the operating room opened. Zheng Ren appeared at the door wearing an isolation suit, a hat and a mask.
"Manager Hui?" Zheng Ren called out.
Manager Hui had been standing beside Zheng Ren like a rabbit for a long time, and smiled apologetically, "Boss Zheng, did the operation go well?"
"Well, I will help push the patient back later, and I will tell you about the operation process."
Another 20 minutes later, Zheng Ren changed his clothes and sat in the office of Director Zhang Lin of the Circulation Department, explaining the operation images to the patient's family members.
The time is still a bit short, the disc is not engraved, but there is no rush for that.
"Here, it's no problem to see the coronary arteries with radiography." Zheng Ren held a ballpoint pen in his hand and tapped the screen lightly.
"Yeah, no problem, no problem." Manager Hui replied again and again, almost following what Zheng Ren said.
"This is the problem." Zheng Ren continued: "It seems that the blood supply of the patient's heart is fine, but Manager Hui, pay attention to the beating of the heart."
"Oh, watch your heart beat."
"The black one is the image of the contrast agent entering the coronary artery with the blood flow. Look at the heart beating a few times, and the blood flow reaches the last capillary." Zheng Ren said.
"1, 2, 3..." Manager Hui counted obediently.
"8 times." Finally he gave Zheng Ren an accurate answer.
"Well, this is the problem." Zheng Ren said, "Under normal circumstances, the coronary blood flow of an ordinary person will reach all the capillary branches within 1.5 seconds. Simply put, it is two cardiac cycles... that is, the heart beats." 2 times."
This time Manager Hui understood.
2 times and 8 times, the difference is 4 times.
"The large blood vessels that we can see are only responsible for about 5% of the blood supply to the heart, and 95% are carried by the invisible microvessels." Zheng Ren felt that what he said was not detailed enough. After thinking about it, he said: "The crown The pulse is like a highway, if it is blocked, the traffic will be paralyzed. But if there is no traffic jam on the highway, you can't go home directly when you get off the highway."
Manager Hui nodded incessantly.
"To get home, you have to go through the streets and alleys, which is the oxygen supply of capillaries." Zheng Ren continued: "Because the blood cannot be effectively transported to the place, the nutrients needed by the heart muscle cannot be obtained in time, which is related to vascular narrowing or vasospasm. The result is the same, and it is also a type of myocardial ischemia."
"Uh, the previous inspections are useless." Manager Hui felt that Boss Zheng's explanation of the operation was easy to understand, and he gradually listened to it.
"It can't be said that it's useless. Cardiac X syndrome is rare." Zheng Ren said: "In order to confirm this, we will use Nicorandil for injection to improve the state of capillaries."
With that said, Zheng Ren clicked on the video and continued playing.
"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 it is the situation after intravenous injection of nicorandil."
"The patient's capillary spasm has been greatly relieved. You can see how quickly the black contrast medium goes down." Zheng Ren tapped the screen.
Indeed, the effect was immediate, and the contrast agent almost "swiped" into the blood vessels at all levels that support the myocardium.
On the screen, like intertwined tree roots, countless branches are rejuvenated, providing nutrients to the patient's heart.
"The diagnosis is very clear. It's Cardiac Syndrome X. The patient is not pretending to be sick." Zheng Ren finally said with a smile, "Sometimes, what is invisible is the most dangerous. Many people who were checked out and found nothing wrong died suddenly. This is the case. "