"It's best to do coronary angiography. He needs to be hospitalized, the kind with trauma," Zheng Ren said with a frown.
He wasn't looking for trouble on purpose. This was indeed the best way to solve the problem.
"Okay." Manager Hui didn't hesitate and immediately agreed.
This … Zheng Ren and Su Yun looked at each other. It was too strange.
Could it be that he was preparing to collect evidence and then cause trouble? A thought immediately appeared in Zheng Ren's mind.
Perhaps he was recording.
Thinking of this, Zheng Ren put on his habitual fake smile and said gently, "The cost might be higher, but this is the best way to solve the problem. As for … "
"Boss Zheng, don't worry. Feel free to check him," Manager Hui said righteously. "Do you want to go through the hospitalization procedures now? When will the examination be done? "
This time, Zheng Ren had really encountered a situation that he had never encountered before.
He looked at Manager Hui in surprise and carefully thought about what he had just said. There shouldn't be any problem. Even if it was recorded, it should be fine. Moreover, if they did coronary angiography, the patient's cardiac syndrome X could be diagnosed.
If he could make a diagnosis, what was the point of tormenting himself?
Although he said that, he still had to be careful.
Zheng Ren seemed to have jammed as he explained everything to them one by one. Manager Hui was very proactive. She brought along the female manager behind her and quickly went through the admission procedures for the patient.
According to Zheng Ren's request, the patient was admitted to the hospital in the emergency department. The diagnosis was Cardiac Syndrome X with a question mark at the end.
Emergency admission, emergency examination, emergency surgery, everything was carried out in an orderly manner.
"Manager Hui, if we do this …" the female manager asked doubtfully.
She thought about it all the way, but she still couldn't figure out why Manager Hui was so proactive. However, he did not have a chance to ask along the way. Now that the patient was sent into the operating theater, he finally had the time to ask the questions in his heart.
"Do you know who that was?" Manager Hui heaved a long sigh of relief. He looked at the words on the door of the operating theater and said uneasily.
"A doctor from the Department of Interventional Medicine."
"You, why don't you know who you can and can't offend in the 912?" Manager Hui said coldly, "That person parachuted into the 912 half a year ago."
As soon as the female manager heard the word 'parachute', she knew the severity of the situation.
In a place like the 912, not to mention graduate students, even doctors and doctors from the same family could not stay. Even a doctor who had returned from abroad had to depend on fate.
Those who could appear out of nowhere were all mighty figures!
"Director Yan traded a bunch of chief residents for Boss Zheng."
"Exchange?"
"Yes, those chief residents have been sent to Sea City. Isn't this the same as supporting the borders? Do you think we can offend such a person? "
The manager did not understand the cause and effect, but since someone else said so, he did not need to know why. He only needed to know that Boss Zheng was awesome and mighty.
"He's a tenured professor in the United States … just like our academicians," Manager Hui continued.
"So young …"
"Don't bully the young for being poor. Besides, Boss Zheng isn't poor. Don't look down on me. You did a good job today. You even know to report it. " Manager Hui said, "You can't offend this Boss Zheng. A few days ago, he went to the Imperial Women's and Children's Hospital to save the day. After he left the stage, he didn't even go to the hospital director's treat. Tell me, just how capable is he? "
"…"
"Just wait patiently," Manager Hui said softly.
However, he did not relax at all. He stared closely at the door of the circulatory interventional radiology operating room.
Thirty minutes later, the door of the operating theater opened. Zheng Ren appeared at the door wearing an isolation suit, a hat, and a mask.
"Manager Hui?" Zheng Ren called out.
Manager Hui was already standing beside Zheng Ren like a rabbit. He smiled apologetically and said, "Boss Zheng, did the surgery go smoothly?"
"Yes, help push the patient back later. I'll explain the surgery to you."
Another twenty minutes later, Zheng Ren changed his clothes and sat in Chief Zhang Lin's office in the circulatory department, explaining the imaging of the surgery to the patient's family.
The time was still a little short. The disk had not been engraved, but there was no rush.
"Here, there's no problem with the coronary artery," Zheng Ren said with a pen in his hand, gently tapping on the screen.
"Yes, yes, no problem, no problem," Manager Hui replied repeatedly. He followed whatever Zheng Ren said.
"Here's 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 heart's beating."
"Oh, pay attention to the heart's beating."
"The black is the image of the contrast agent entering the coronary artery with the blood flow. Look at how many times the heart beats before the blood flow reaches the capillaries," Zheng Ren said.
"One, two, three …" Manager Hui was very obedient as he counted.
"Eight." In the end, he gave Zheng Ren an accurate answer.
"Yes, that's the problem," Zheng Ren said. "Under normal circumstances, the blood flow of an ordinary person's coronary artery will reach all the capillary branches within 1.5 seconds. Simply put, it's two cardiac cycles … which is the time it takes for the heart to beat twice. "
This time, Manager Hui understood.
Two times and eight times, the difference was four times.
"The large blood vessels that we can see only bear about 5% of the blood supply to the heart. 95% is borne by the invisible microvessels." Zheng Ren felt that he had not explained in detail enough. He thought for a moment and said, "The coronary artery is like a highway. If it's blocked, the traffic will be directly paralyzed. However, there's no traffic jam on the highway. Even if you get off the highway, you can't go home directly. "
Manager Hui could not help but nod.
"To get home, you have to walk through the streets and alleys, which is the capillary oxygen supply," Zheng Ren continued. "Because the blood can't be effectively delivered to the position, the nutrients needed by the heart muscle can't be obtained in time. It's the same result as blood vessel stenosis or vasospasm. It's also a type of myocardial ischemia."
"Uh, the previous examinations were useless." Manager Hui felt that Boss Zheng's explanation of the surgery was easy to understand, so he gradually listened.
"It can't be said that it's useless. It's rare to see a heart syndrome as severe as the patient's," Zheng Ren said. "To confirm this, we'll use Nicorandil for injection to improve the state of the capillaries."
As he spoke, Zheng Ren clicked on the video and continued to play it.
"Nicorandil is suitable for all types of angina pectoris, including exertional angina pectoris and spastic angina pectoris. Moreover, it can significantly reduce the risk of cardiovascular events," Zheng Ren said. "Now, this is the situation after intravenous injection of Nicorandil."
"The patient's capillary spasm has been greatly relieved. Look at how fast the black contrast agent went down." Zheng Ren pointed at the screen.
Indeed, the effect was immediate. The contrast agent entered the blood vessels that supplied the myocardium with a 'whoosh' in an instant.
On the screen, the countless branches were like intertwined tree roots that were rejuvenated, providing nutrients to the patient's heart.
"The diagnosis is very clear. It's heart syndrome X. The patient is not pretending to be sick," Zheng Ren said with a smile at the end.
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