Medical road ahead

Chapter 107 Diseases Caused by Heart Disease

"Director Qin, what's the result of Ms. Tian Gong's physical examination?"

Qiao Tan was also frightened by the battle in front of him, and then looked at Qin Xiao, asking with frowned eyebrows.

"There are many problems, but fortunately none of them hurt sexually transmitted diseases, and it only takes some time to treat them." Qin Xiao said.

Then, he handed Tian Gong's physical examination report to Qiao Tan.

"Huh scared me to death. You guys are surrounded by my bed like this. I thought you were going to perform a farewell ceremony for the dead body."

Tian Gong patted his chest, feeling disappointed.

"Sister Ling, they said I'm fine."

She smiled and looked at Sister Ling, but found that the latter was still frowning, "What's wrong? Sister Ling."

"cough!"

Sister Ling smiled at her, and immediately said: "Since the problem is not serious, then cooperate with the doctor's treatment."

"okay."

Tian Gong nodded obediently, always feeling that Sister Ling was full of thoughts.

"Ms. Tian Gong, do you have a family history of heart disease?"

After reading Tian Gong's medical report, Qiao Tan frowned and looked at her.

Just as Qin Xiao said, although Tian Gong is not in danger of his life right now, there are indeed many problems and some complicated ones.

"No!" Tian Gong shook his head.

Dr. Liu from the Department of Cardiology came and conjectured: "It seems that Ms. Tian Gong suffered from arrhythmia the day after tomorrow. It may be a complication caused by adaptation disorder. However, before Ms. Tian Gong No similar examination has been done, and it cannot be ruled out that it was suffered from before."

"Arrhythmia? But I don't have a heart attack!" Tian Gong was surprised.

"Your heart rate has exceeded 160 beats per minute, which belongs to paroxysmal tachycardia." Dr. Liu explained.

"Sister Tian, ​​didn't you often complain about chest tightness and palpitations a while ago? Maybe it's caused by arrhythmia." Xiaomei reminded.

"I see."

Tian Gong caressed his heart belatedly, his brows gradually tightened.

After a while, she looked up at Dr. Liu, and asked worriedly, "Doctor, will I be cured? Will I die suddenly from a heart attack?"

"In severe cases, there is a possibility of sudden death, but don't worry, I will prescribe some heart-saving granules for you and keep them by your side. I will also treat you according to your condition during your hospitalization. Of course, the premise is that you yourself Relax, because whether it is arrhythmia or adjustment disorder, it is all caused by mental illness, so the cause is here."

As he said that, Dr. Liu pointed to his heart, "The so-called heart disease requires a doctor of heart medicine, and heart medicine cannot be prepared for you by a doctor, only you can rely on yourself."

"Did you hear that? Xiaotian, you must relax yourself, don't be tense all day long, take advantage of the opportunity of being hospitalized, and adjust yourself well." Sister Ling comforted.

"Then how long will I stay? Ten days and a half months, or a year and a half? What about my future work arrangements? Are you going to find someone to replace me in the next play?"

Tian Gongning looked at her, his expression gradually turned cold.

"No, you are irreplaceable."

Sister Ling patted her hand and continued to comfort her: "I just haven't figured out how to rearrange your work, so I'm a little anxious. Don't worry, I will try to postpone the shooting time of those commercials as much as possible. For the TV series that came down, the screenwriter is still revising the script, and the draft will not be finalized for a while."

"During my hospitalization, how do you plan to explain it to the public?" Tian Gong asked again.

"Let's say you went abroad to study." Sister Ling said immediately.

Hearing this, Tian Gong felt relieved, "Okay, I will cooperate with Dr. Qiao and the others, and I hope you can arrange my future affairs well."

After Tian Gong's mood stabilized, Qin Xiao signaled to director Liang of the psychiatry department to ask her to further elaborate on Tian Gong's diagnosis and treatment methods.

Later, Director Liang walked to the bedside and said to Tian Gong: "I will make a final diagnosis of your adjustment disorder from the following points.

1. There are obvious life event (but not catastrophic or unusual) stressors as triggers. Your stressors are the reduced exposure and reduced workload caused by isolation, and the time of your illness is exactly Within [-] month of the onset of this stressor.

[-]. Your social adaptability has weakened.

[-]. Severe emotional disorders, such as worry, anxiety, depression, etc., accompanied by maladaptive behaviors (such as unwillingness to interact with others, withdrawal, etc.), and physical dysfunction (such as poor sleep, loss of appetite, etc.).

[-]. Impairment of social functions, that is, degradation of social functions and language communication functions.

1. The duration of the disease is at least 6 month, and the longest is no more than [-] months. At present, it seems that you have been sick for about four months.

Among other things, the diagnosis ruled out depression and personality disorders. "

"Then how to treat it? Especially the problem of stressors." Sister Ling asked hastily.

"Now that the isolation has been lifted in a large area, the stressors will disappear. Therefore, we should focus on psychotherapy and drug treatment. In terms of psychology, I will come here once or twice a day to talk with Ms. Tian Gong; as for drugs, I will It needs to cooperate with the drug treatment of other departments, and then use targeted drugs." Director Liang said.

"Talk about what?"

Hearing this, Tian Gong immediately became vigilant.

"Hehe. Naturally, it's about how to relieve stress." Director Liang said with a smile.

"Well."

Tian Gong nodded slightly, without denying it.

"cough!"

Director Xu stepped forward, took over Director Liang's words, and continued: "Esophageal manometry showed that Ms. Tian Gong's esophageal body was simultaneously experiencing non-propelling, uncoordinated contractions, and intermittent normal peristalsis. X-ray examination It can be seen that the peristaltic wave only reaches the level of the aortic arch, and after the endoscopic examination ruled out other diseases, it was diagnosed as diffuse esophageal spasm."

Looking up at Tian Gong, who was in a fog, Director Xu explained with a smile: "It sounds complicated, but it is actually a benign lesion, so Ms. Tian Gong does not need to cause psychological burden, and this disease is exactly Due to mental factors, it is even more necessary for Ms. Tian Gong to relax, especially before meals.

If necessary, I will give you some sedatives to keep you calm before your meal.

In addition, avoid cold food and too sticky food in the future, I will prescribe you some nitroglycerin to reduce symptoms.

If the symptoms worsen, or do not relieve for a long time, I will use dilation therapy to expand the LES.If it doesn't work, the only way to relieve symptoms is to cut the longitudinal muscle of the entire distal esophagus surgically.

Of course, surgery is the last option. I still hope that you can decompress psychologically and keep the condition under control. "

"Understood, thank you, doctor."

Tian Gong nodded in thanks, then looked at Qin Xiao again, "I remember you are from the Department of Endocrinology, right? Am I suffering from an endocrine disorder?"

Qin Xiao smiled and said: "It seems that you are not completely ignorant of your physical condition."

"My aunt is abnormal, most likely because of endocrine problems." Tian Gong frowned.

"Well, but I don't intend to treat you." Qin Xiao nodded and said.

"why?"

Tian Gong was astonished.

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