2375 The invisible is more dangerous (Leader Choco1ate1)
"It is best to do coronary angiography, which requires hospitalization, the kind that is invasive." Zheng Ren frowned.
It’s not about intent to cause trouble, this is indeed the best way to solve the problem.
"Okay." Manager Hui did not hesitate and responded directly.
This... Zheng Ren and Su Yun looked at each other, it was too weird.
Could it be that he was going to collect evidence afterwards and then cause trouble? Such an idea 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 check it." Manager Hui Yibo Yuntian said: "Are you going to go through the hospitalization procedures now? When will the examination be done?"
Zheng Ren really encountered a situation he hadn't encountered this time.
He looked at Manager Hui in surprise and carefully calculated what he said just now. There should be no problem, even if it was recorded, it would be fine. Moreover, if the coronary angiography is done, the patient's heart x syndrome can be diagnosed.
Can you confirm the diagnosis, but still make a lot of trouble?
But even though that's the case, you still have to be careful.
Zheng Ren explained it one by one as if he had been stuck. Manager Hui was very proactive and took the female manager behind him to hurry up and handle the admission procedures for the patient.
According to Zheng Ren's requirements, he was admitted to the hospital with an emergency room and was diagnosed with cardiac x syndrome, with a question mark added to it.
Emergency admission, emergency examination, emergency surgery, everything is going on in an orderly manner.
"Manager Hui, let's do this..." the female manager asked in confusion.
She thought about it all the way, but she didn't understand why Manager Hui was so active. But she didn't have much chance to ask her all the way. This time the patient was sent to the operating room and finally got free to ask her about her doubts.
"Do you know who the one was just now?" Manager Hui also breathed a sigh of relief. He looked at the words on the door of the operating room and said restlessly.
"A doctor in the interventional department."
"You, who can offend people from 912, and who can't offend anyone, don't know." Manager Hui said coldly: "That one landed to 912 half a year ago."
Once the word "airdrop" is said, the female manager will know the importance.
In places like 912, let alone graduate students, even doctoral students cannot keep their doctoral students. Doctors who return from overseas still depend on their lives.
Those who can airborne are all powerful people!
"Director Yan exchanged a bunch of hospitalized bosses for such a boss Zheng."
"Change?"
"Well, those hospitalized people are now sent to Haicheng. Isn't this the same as supporting the border? Do you think such people can offend?"
In fact, Manager Hui couldn't understand the cause and effect, but after others said that, he didn't need to know why. He just needed to know that Boss Zheng is awesome and Boss Zheng is powerful.
"He is a tenured professor in the United States... just like our academicians." Manager Hui continued.
"So young..."
"Don't bully the young man is poor, and Boss Zheng is not poor. Don't be too arrogant. You did a good job today, and you still know how to report it." Manager Hui said: "Boss Zheng cannot be offended. A few days ago, someone went to the Imperial Capital Women and Children's Hospital to rescue the Taiwan Strait. After getting off the Taiwan Strait, the director didn't even go to the other side of the table to treat him to dinner. Tell me, how capable is this!"
“…”
"Wait honestly." Manager Hui said softly.
But he didn't relax at all, staring at the door of the circulation interventional operating room.
30 minutes later, the operating room door opened. Zheng Ren appeared at the door wearing an isolation suit, a hat and a mask.
"Manager Hui?" Zheng Ren shouted.
Manager Hui had long been standing beside Zheng Ren like a rabbit, and smiled and said with apologies: "Boss Zheng, has the operation been smooth?"
"Well, help push the patient back later. I'll tell you about the operation."
Another 20 minutes later, Zheng Ren changed his clothes and sat in the office of Director Zhang Lin of the Circulatory Department to explain the operation images to the patient's family.
The time is still a bit short, and the CD has not been engraved, but there is no hurry.
"Here, there is no problem with coronary artery viewing through angiography." Zheng Ren said with a tube of atomic pen in his hand and gently lit the screen.
"Yeah, no problem, no problem." Manager Hui responded repeatedly, almost whatever Zheng Ren said, he followed.
"This is the problem," Zheng Ren continued: "It seems that the patient's heart has no blood supply, but Manager Hui, please pay attention to the beating of the heart."
"Oh, pay attention to the beating of the heart."
"The black one is the image of contrast agent entering the coronary artery with the blood flow. Look at the heart and the blood flows to the last capillary." Zheng Ren said.
"1,2,3..." Manager Hui counted very obediently.
"8 times." Finally, he gave Zheng Ren an accurate answer.
"Well, that's the problem," Zheng Ren said. "Usually, the coronary blood flow of an ordinary person will reach all capillary branches within 1.5 seconds. Simply put, it is two cardiac cycles...it is the time for the heart to jump twice."
This time, Manager Hui understood.
2 times and 8 times, a 4-fold difference.
"The large blood vessels we can see are only responsible for about 5% of the blood supply of the heart, and 95% are invisible microvascular. " Zheng Ren felt that what he said was not detailed enough. He thought about it and said, "The coronary artery is like a highway. If it is blocked, the traffic will be paralyzed. But the highway does not get traffic jams. If it gets off the highway, you can't go directly to your home."
Manager Hui nodded constantly.
"To get home, you have to go to the streets and alleys, which means capillary oxygen supply." Zheng Ren continued: "Because the blood cannot be effectively transported to the location for a long time, the nutrients needed by the myocardium cannot be obtained in time. Like the results caused by vascular stenosis or vasospasm, it is also a kind of myocardium ischemia."
"Uh, the previous examination was useless." Manager Hui felt that Boss Zheng's surgery was easy to understand, so he gradually listened to it.
"It can't be said that it's useless. It's rare for cardiac x syndrome to be as severe as patients." Zheng Ren said: "To determine this, we will use nicordil injection to improve the state of the capillary."
As he said that, Zheng Ren clicked on the image and continued to play.
"Nicodil is suitable for all types of angina, including labor-type angina and spastic angina, and can significantly reduce the risk of cardiovascular events." Zheng Ren said: "Now is the case after intravenous injection of nicodil."
"The patient's capillary spasm has greatly relieved. Look at how quickly the black contrast agent goes down." Zheng Ren lit the screen.
It was indeed immediate, and the contrast agent almost "brushed" into all levels of blood vessels that provide the myocardium.
On the screen, the roots of the tangled tree are like tree roots, and countless branches are revived, providing nutrients to the patient's heart.
"The diagnosis is very clear, it is heart x syndrome, and the patient is not pretending to be sick." Zheng Ren said with a smile at the end.
Chapter completed!