Chapter 2493 Grapefruit Juice (Alliance Advocate Lin Min Adds 5)

Buying autumn vegetables was the only strenuous exercise that Zheng Ren could think of that people of Director Kong's wife's age could do.

Older people are willing to store autumn vegetables, which seems to be directly related to the lack of abundant living materials 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 dishes that can be eaten casually now, not even potatoes and cabbage, how miserable it is.

Zheng Ren looked at Director Kong's lover with hope, but 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, and autumn vegetables have not been stored for a long time."

"Yes, there is a supermarket downstairs. You can buy whatever you want to eat." Director Kong said, "A few years ago, I saved a little bit, but it would be a waste to make too much. In the end, I might as well go to the supermarket to buy."

Zheng Ren frowned and pondered, it wasn't rhabdomyolysis caused by a sudden large amount of activity, so what could be the cause of rhabdomyolysis?

"Boss, what are you thinking about?" Su Yun asked in a low voice behind Zheng Ren.

Zheng Ren shook his head slowly, indicating that he has not yet diagnosed.

The etiology of striated muscle is very complex. Foreign researchers have pointed out that there are more than 190 causes of this disease, and more than 40 genetic related causes. It's just that the most common thing is excessive exercise, so what should I do?

Director Kong's lover diagnosed rhabdomyolysis with acute renal failure, and the treatment required going to the hospital to avoid predisposing 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, and symptomatic treatment is imminent.

"Apart from sore limbs, is there anything else abnormal about you recently?" Zheng Ren asked afterwards, wondering what reason he should use to send Director Kong's lover to 912.

"I have a little cough, and I don't want to eat." Director Kong's lover whispered.

"..."

Zheng Ren was obviously helpless with this statement, and pushed against it, why is it so difficult to guide Director Kong's lover in the direction he needs?

Speaking of food, Zheng Ren began to suspect that rhabdomyolysis was caused by allergic reactions induced by certain foods.

"Sister-in-law, have you eaten anything that you seldom eat recently?"

"Fruit, grapefruit juice is there." Su Yun said later.

Grapefruit... Zheng Ren was stunned for a moment, then re-examined the system panel of Director Kong's lover, and suddenly realized.

"Sister-in-law, if you say that your food is really delicate, you need to squeeze some grapefruit juice." Su Yun continued with a smile.

"Oh, don't mention it." Director Kong said, "I don't know who has heard the theory of the acid-base balance of the human body. It is said that an acidic body is easy to get cancer and get sick. I persuaded many times, but she refused to listen to a word."

"It's been proven medically." Director Kong's lover argued, "Eating alkaline food is good for your health."

"The rumors have been refuted a long time ago, and you won't believe it. It's been a long time since I ate meat, and my greedy eyes are blue every day." Director Kong said with a sigh.

"Sister-in-law, you..." Zheng Ren walked to the other side of the bed, picked up the cup, put it under his nose and sniffed it.

This action is a little strange, no matter how it is at Director Kong's house, or in the bedroom, it seems a little inappropriate to mess around with things.

"What do you want to ask?" Su Yun asked in surprise.

"Sister-in-law, do you have hyperlipidemia?"

"That's right, people who are old and don't have high blood pressure or high blood lipids are too embarrassed to say hello to people when they go out," Director Kong said.

"What kind of medicine do you take?" Zheng Ren asked in a deep voice.

"Lipitor." Director Kong said, "Is there a problem?"

"Uh... think it's lipitor-induced rhabdomyolysis." Zheng Ren heaved a sigh of relief, and said, "Director, call 120 and send him to the Nephrology Department for dialysis."

Director Kong and his lover were both stunned. Director Kong whispered, "Boss Zheng, I have been taking Lipitor for many years."

"Grapefruit, do you eat it every year?" Zheng Ren asked while holding a cup.

The two shook their heads.

"Grapefruit contains nocoumarin compounds. This active substance is an inhibitor of the main drug-decomposing enzyme in the human body. It rapidly increases the concentration of statins in the blood in a short period of time, resulting in the doubling of the drug entering the blood. And inhibit the decomposition and metabolism of drugs in the body."

"It used to be okay to eat, but now it's okay."

Seeing that Director Kong was still in a daze, Zheng Ren put the cup aside, picked up his mobile phone and made a call while asking, "Sister-in-law, how much have you urinated these days? Are your lower limbs swollen?"

Director Kong immediately starts examining his lover's feet.

There is edema, not very heavy, and you can see a depression when you press hard.

Really kidney failure? Director Kong was stunned.

"Boss, how did you think of it?" Su Yun asked incomprehensibly when he saw Director Kong's lover's feet were swollen.

Zheng Ren smiled wryly. Could it be said that it was reversed according to the system panel?

"120? I'm here..." As he spoke, he glanced at Director Kong and handed over the phone.

"You reminded me." Zheng Ren threw the pot at Su Yun, "Squeezing grapefruit juice, coupled with my sore muscles, reminded me of the problems mentioned in the Lipitor manual."

"Diffuse myalgia, muscle tenderness or weakness occurred during the treatment, especially the sentence accompanied by general discomfort or fever?" Su Yun asked.

"Well, there's something wrong with grapefruit and Lipitor."

"You just said that it's not a problem. How did you know?" Su Yun didn't quite understand his boss's thinking, but he didn't have anything to say, as long as he could solve the problem.

After Director Kong finished calling 120, 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 the 120 emergency call.

Zheng Ren saw that there was still time, and Director Kong's lover was very worried, so he patiently explained.

"Simply speaking, grapefruit contains a substance called nocoumarin, which can inhibit an enzyme in the liver that metabolizes drugs, thereby affecting the statins metabolized by this enzyme, and hindering drug metabolism."

"Not rigorous." Su Yun said, "It doesn't affect the metabolism of all statins."

"Simvastatin, lovastatin, atorvastatin, etc. are metabolized by this enzyme, other statins such as fluvastatin, pravastatin, pitavastatin, rosuvastatin, etc., do not pass through 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 Lipitor like me." Director Kong's love said.