Back to the interventional department, Lin Yuan reported everything she knew to Boss Zheng. He had an attack once before, and he was cured by taking medicine to treat facial paralysis, leaving no sequelae. Even the migraine she thought was not important was reported to Boss Zheng.

I have been talking for a longer time and have more symptoms, so I seem to be more serious.

She did not emphasize that the patient had surgery and did not get first-hand information. It would be useless to emphasize more people like Boss Zheng, and Lin Yuan knew it clearly.

"Su Yun, what do you think?" Zheng Ren asked.

"Don't smoke or drink, why do you have such a good life at a young age? It's fun in life. Do you have to go to a nightclub when you get old?" Su Yun nagged.

For him who smokes and drinks, Yang Lixin is a typical example of his opposite "evil".

"I asked about my medical history but I didn't ask. If Sister Yue went, I would definitely know more details." Lin Yuan took advantage of the fact that Boss Zheng had not gotten angry and first reviewed himself and admitted his mistakes.

This method is very useful when you are at home. Every time you meow meow, no matter what happens, it is revealed. Although Boss Zheng doesn't use this set, Lin Yuan still habitually calls out first.

Perhaps if Boss Zheng takes action, it may be easier.

"You asked very well, your condition has basically been clear." Zheng Ren smiled faintly.

"Well……"

This sentence is even more unacceptable than being scolded by Lin Yuan.

Have the condition been clear? Is it clear? Where is it clear? Do not smoke, drink, and stay up late often? Or something else?

"Oh? Do you suspect that the foramen ovale is not closed?" Su Yun asked, "Is it because of migraine, plus a suspected cerebral infarction, and a cerebral infarction?"

"If it is a point, there is no way to diagnose it. If the two points are combined, the possibility of the foramen ovale being precavated will be very high." Zheng Ren said.

The diagnostic criteria and clinical symptoms of patent foramen ova flashed in Lin Yuan's mind.

The book clearly states that - pre-closure of the ovale is often asymptomatic, it is difficult to hear murmurs, electrocardiograms, and chest x-rays are all normal. Therefore, it is not easy to discover and is not valued by people.

Lin Yuan even thought of what he wrote in the information many years ago that one of 4-5 people had a disease of patent foramen ovale.

Because most patients have no symptoms, it is particularly likely that they will not be able to detect this disease in their entire lives.

For a long time, people believe that the pre-closure of the foramen ova generally does not cause diversion between the two rooms and has no effect on the hemodynamics of the heart, so they are considered "insignificant".

Is this how Boss Zheng diagnosed it?

Su Yun glanced at Zheng Ren, and frowned and said, "Boss, have you started to doubt this from a young man and a cerebral infarction?"

"It's almost the same, there must be a reason not." Zheng Ren said, "The probability of migraine caused by pre-closure of the foramen ova is very high. A considerable number of patients have migraines, but it is difficult to diagnose them. They are all caused by pre-closure of the foramen ova."

"Contradictory cerebral infarction, it turns out that you have always suspected this." Su Yun smiled, "So you asked Xiaolinzi to ask about her medical history?"

"Well, as long as you have migraine, it is likely that it can be diagnosed as a contradictory cerebral infarction. If you do a transesophageal ultrasound...it's still quite difficult, and you may also need to do a foaming test."

"Boss Zheng, wait a moment." Lin Yuan immediately stopped Boss Zheng's words. If this continues, there will be even treatment. The discussion on a case has come to an end.

But I had no idea.

Lin Yuan knew about contradictory cerebral infarction. Generally speaking, cerebral infarction is caused by arterial thrombosis. However, some people do not have emboli in the artery system, but the emboli in their venous system can be embolised into the blood vessels in the head through the foramen ovale.

This is also a theoretical basis for the medical community to treat the patent foramen ova once a contradictory cerebral infarction is discovered.

"You are trying to ask what is the relationship between migraine and the pre-closure of the foramen ovale?" Zheng Ren asked.

"yes."

"There is no theoretical explanation in clinical practice now." Zheng Ren smiled and said, "But there are several types of migraines. First, the difficult-to-explain migraine may be that some neurotransmitters in the venous system pass through this patented foramen oval oval bypassing the inactivation and filtration function of the pulmonary blood vessels, and directly reach the brain circulatory system. After combining with some receptors of certain nerves, they produce migraine symptoms."

"Second, under deep breathing, coughing, exercise and other conditions, the complete foramen ova opens, and the tiny thrombus of the venous system enters the human brain circulation through the foramen ova, aggravates the spread of cortical expansion inhibition, which is also the initiation of migraine."

Lin Yuan sighed in his heart. It seemed that his diagnosis was not good enough.

"When encountering cerebral infarction with unknown reasons, recently it is more inclined to check the heart." Zheng Ren continued, "Parental foramen ova is also a trigger."

Cerebral infarction, if you want to check for a color ultrasound, it is also related to migraine... Lin Yuan sighed deeply again.

Everyone says that you can't treat your head and feet, but you don't expect that you will be taught another lesson today.

Su Yun said: "Do you want to do a B-ultrasound by yourself?"

"No need." Zheng Ren said, "Do you have anyone familiar with neurology?"

"The hospitalization officer has had a deal before, but do you also know people in the internal medicine department? They don't have a deep contact with each other." Su Yun said, "I want me to remind you?"

"Well, do a transesophageal echocardiac, or do a foaming test, in short, how to do it conveniently, check the pre-closure of the foramen ovale. If so, the probability of recurrence is high. Please contact the interventionist of the circulatory department to block it directly."

"Look at how much intervention delays things. This was a mental job before." Su Yun glanced at his boss, and all the resentment was piled on the boss.

"The Circulatory Department now mainly does cardiac interventional surgery. Who do you blame for this?" Zheng Ren said.

"I'll ask me if I'm going to check it out first. Don't be so hot on this side. Neurology Department has been preparing to undergo surgery for examination, so that's so embarrassing." Su Yun changed the topic and changed to another direction.

"That's fine, as long as you don't miss this. If there are consecutive attacks and one time it's not opened, the patient will be in trouble in the future." Zheng Ren didn't care and said casually.

It would be good to just fool this matter. Su Yun reminded the patient of the diagnosis that the patient may be ignored, but did not arouse any suspicion. Lin Yuan did a good job in this matter.

Well, Fuguier left a few days later, and he had to teach her the operation well. If there was any mistake, he would use hemostatic forceps to knock it well.
Chapter completed!