Buying autumn vegetables was the only strenuous exercise that Zheng Ren could think of that Director Kong's wife could carry out at her age.
The fact that older people were willing to store autumn vegetables seemed to be directly related to the lack of abundant living materials decades ago.
If they did not store enough autumn vegetables in autumn, the whole family would not have anything to eat in winter. Not to mention the vegetables that could be eaten casually now, they did not even have potatoes or cabbage. It was as miserable as it could be.
Zheng Ren looked at Director Kong's wife with hope, but he received an answer that disappointed him.
Director Kong's wife shook her head and tried her best to show a smile. "Little Zheng, what era is this? It's been a long time since we stored autumn vegetables."
"Yes, there's a supermarket downstairs. Go buy whatever you want to eat," Director Kong said. "A few years ago, we still stored a little, but it would be a waste if we stored too much. In the end, we might as well go to the supermarket to buy it."
Zheng Ren frowned and pondered. If it was not a sudden large amount of activity that caused rhabdomyolysis, then what could have caused it?
"Boss, what are you thinking about?" Su Yun asked softly behind Zheng Ren.
Zheng Ren shook his head slowly, indicating that he had not diagnosed it yet.
The cause of rhabdomyolysis was very complicated. Foreign researchers had pointed out that there were more than 190 causes of the disease and more than 40 hereditary causes. However, the most common cause was excessive exercise. What should he do?
Director Kong's wife diagnosed rhabdomyolysis with acute kidney failure. The treatment required going to the hospital to avoid triggering factors and then treating acute kidney failure.
No matter what, it was better to go to the hospital for dialysis first. Finding the cause of the disease was not the most important thing. It was urgent to treat the symptoms.
"Other than the soreness of your limbs recently, is there anything else unusual?" Zheng Ren asked. He was thinking about what reason he should use to send Director Kong's wife to the 912.
"I have a little cough and don't want to eat," Director Kong's wife said softly.
"…"
Zheng Ren was obviously helpless against this statement. Why was it so difficult to go against the flow and guide Director Kong's wife in the direction he needed to go?
Speaking of food, Zheng Ren began to suspect if it was some kind of food that induced an allergic reaction that caused rhabdomyolysis.
"Sister-in-law, have you eaten anything that you don't usually eat recently?"
"Fruit. The grapefruit juice is there," Su Yun said from behind.
Pomelo … Zheng Ren was stunned for a moment. Then, he re-examined the System panel of Department Chief Kong's wife and came to a realization.
"Sister-in-law, I have to say that you're really meticulous when it comes to eating. You even need to squeeze the juice out of some grapefruit," Su Yun continued with a smile.
"Sigh, don't mention it." Department Chief Kong said, "I don't know who told me about the acid-base balance theory in the human body. It's said that people with acidic bodies are prone to cancer and illness. I tried to persuade her many times, but she refused to listen. "
"It's been proven medically," Department Chief Kong's wife argued. "Eating alkaline food is good for the body."
"I've already refuted the rumors. Even if I told you, you wouldn't believe me. How long has it been since I last ate meat? My eyes are blue with greed every day, "Department Chief Kong said with a sigh.
"Sister-in-law, you …" Zheng Ren walked to the other side of the bed, picked up the glass, and sniffed it.
This action was a little strange. No matter what, they were in Department Chief Kong's house and in the bedroom. It seemed a little inappropriate to touch things.
"What do you want to ask?" Su Yun asked in surprise.
"Sister-in-law, do you have high blood fat?"
"Yes, I'm old and don't have high blood pressure or high blood fat. I'm embarrassed to go out and greet people," Department Chief Kong said.
"What medicine do you take?" Zheng Ren asked in a deep voice.
"Lipitor," Department Chief Kong said. "Is there a problem?"
"Uh … I think it's rhabdomyolysis caused by Lipitor." Zheng Ren let out a long sigh and said, "Chief, call 120. Send her to the nephrology department for dialysis."
Department Chief Kong and his wife were stunned. Department Chief Kong whispered, "Boss Zheng, I've been taking Lipitor for many years."
"Do you eat grapefruit every year?" Zheng Ren asked, holding the glass.
The two shook their heads.
"Grapefruit contains coumarin-like compounds. This active substance is the main inhibitor of drug decomposition enzymes in the human body. In a short period of time, it rapidly increases the concentration of statin drugs in the blood, causing the amount of drugs to enter the blood to double, and inhibits the decomposition and metabolism of drugs in the body.
"It used to be fine to eat it, but now it's not."
Zheng Ren saw that Department Chief Kong was still in a daze. He put the glass aside, picked up his phone, and made a call while asking, "Sister-in-law, how much urination have you been these days? Are your lower limbs swollen? "
Department Chief Kong immediately began to examine his wife's feet.
There was swelling, but it was not very heavy. If he pressed hard, he could see a depression.
Was it really kidney failure? Department Chief Kong was stunned.
"Boss, how did you think of that?" Su Yun asked in confusion when he saw that Department Chief Kong's wife's feet were swollen.
Zheng Ren smiled bitterly. Could he say that he had followed the System's panel in reverse?
"120? I'm here … "As he said that, he glanced at Department Chief Kong and handed the phone over.
"You reminded me." Zheng Ren threw the blame to Su Yun. "The grapefruit juice and muscle soreness reminded me of the problem mentioned in Lipitor's instructions."
"During the treatment process, there's diffuse muscle pain, muscle tenderness, or weakness, especially the one accompanied by general discomfort or fever?" Su Yun asked.
"Yes, there's a problem with eating grapefruit and Lipitor together."
"You just said that it's not a problem. How did you know?" Su Yun did not quite understand his boss's thinking, but he had nothing to say. As long as he could solve the problem, it was fine.
Seeing that Department Chief Kong had finished calling 120, Zheng Ren took the phone and said, "Sister-in-law, don't worry. It's a small problem."
"Little Zheng, what's wrong with me?" Department Chief Kong's wife was a little confused when she heard the 120 emergency call.
Zheng Ren saw that there was still time and Department Chief Kong's wife was very worried, so he patiently explained.
"Simply put, grapefruit contains a substance called coumarin. It can inhibit an enzyme in the liver that metabolizes drugs, thus affecting the metabolism of statin drugs through this enzyme, causing drug metabolism to be blocked."
"It's not strict," Su Yun said. "It doesn't affect the metabolism of all statin drugs, okay?"
"Simvastatin, lovastatin, atorvastatin, and other statins are metabolized through this enzyme. Other statins such as fluvastatin, pravastatin, pivastatin, rosuvastatin, and other statins do not pass through this enzyme, so they are not affected by grapefruit," Zheng Ren glanced at Su Yun and added.
"No, I have a friend who also eats grapefruit and takes Lipitor like me," Department Chief Kong's wife said.
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