I can see health

Chapter 581 Obtaining Gratitude from Junior Sister

While Lu Chen was worrying about his SCI thesis, Li Wenqian, a patient he was managing, was also in trouble.

Li Wenqian couldn't sleep well in the hospital, so she went home to sleep privately.

In fact, this is not allowed. According to relevant rules and regulations, hospitalized patients cannot go home at night.

But Li Wenqian couldn't take it anymore, the "symphony" played one after another in the ward at night, and finally returned home with the medicine Lu Chen prescribed for her.

Coincidentally, in the middle of the night, her heart discomfort broke out again.

An extremely uncomfortable feeling of near-death!

Li Wenqian ate the betaloc that she had been taking before, and the pantoprazole that Lu Chen prescribed for her today.

She is going to wait for her symptoms to improve before going to the hospital.

However, what she didn't expect was that after more than ten minutes, the discomfort in her heart disappeared suddenly.

Li Wenqian was only slightly taken aback, but didn't take it to heart.

I thought it was an accident, because she had this situation before, and the "near-death feeling" would gradually disappear.

However, on the second day......

At night, Li Wenqian was lying on the hospital bed, and the "near-death feeling" in her heart didn't happen for a whole day!

Li Wenqian began to have some doubts.

"Did the stomach medicine work?"

During this time, except for today, she would have palpitations and a sense of dying every day.

Day three, early morning.

Li Wenqian opened her eyes, and a gleam of joy flashed in her eyes.

Sure enough, there was no heart attack of "dying feeling" all night long!

However, in the morning, the symptoms of heart palpitations reappeared. Li Wenqian did not take her previous medicine, but only took pantoprazole capsules.

The symptoms of heart palpitations disappeared again!

……

In the morning, Lu Chen made rounds as usual.

Li Wenqian immediately explained her strange phenomenon.

"After taking stomach medicine, the feeling of dying in the heart did not occur?" Lu Chen was also quite surprised.

Is it possible that the heart is uncomfortable caused by the stomach disease?

"I also deliberately only took stomach medicine, and didn't take the usual medicine before." Li Wenqian said, "It turns out that the symptoms of my heart haven't happened yet!"

"Then let's suspend the electrophysiological examination." Lu Chen said in a deep voice, "I will arrange a gastroscope for you first."

Li Wenqian trusted Lu Chen unconditionally at this time.

The simple stomach medicine actually cured the heart "dying feeling" that had troubled me for a long time!
Li Wenqian was a little afraid of having a gastroscopy, so she finally had a painless gastroscopy.

After this investigation, the problem was found: cardia lesion.

Pathological biopsy suggested: chronic inflammation with acute active inflammation.

Some people may not know what a cardia is.

The cardia is a checkpoint for the esophagus to enter the stomach. If the cardia is relaxed, the food in the esophagus will enter the stomach. If the cardia is clamped, the food cannot fall down, and the gastric acid in the stomach cannot reflux into the esophagus.

The cardia is the gate, to ensure that it can go out smoothly, and it is definitely not allowed to enter.

In this way, the path from the esophagus to the stomach can only go along, not the other way around.

But normal people occasionally have acid reflux, which is the performance of the cardia.Under certain pathological conditions, the cardia is relaxed, and gastric acid is easily refluxed into the esophagus, causing esophagitis.

This is gastroesophageal reflux disease.

……

In the ward, Li Wenqian's eyes showed a look of incomparable gratitude.

In Junior Sister Su Rui's eyes, the admiration was even stronger.

"Congratulations, received a thank you from Li Wenqian +1!"

"Congratulations, the completion of the system upgrade has increased!"

"Doctor Lu, it turns out that I really have a stomach problem!" Li Wenqian tightly clutched the gastroscope pathology report in her hand.

In the process of seeking medical treatment for more than half a year, she was almost always in the outpatient department of cardiology, and she never thought about the problem of digestive tract.

"Actually, your heart problem cannot be ruled out for the time being." Lu Chen didn't say anything, some people have heart and stomach problems at the same time, "But you don't need to check your heart for the time being, take stomach medicine for a while, the symptoms haven't recurred , can be diagnosed, this feeling of dying heart comes from the digestive tract.”

"Okay, Doctor Lu, I'll listen to you!" Li Wenqian nodded hastily.

Now Lu Chen's words, to her, that is the imperial decree!

……

Go back to the doctor's office.

Junior sister Su Rui still couldn't believe it. This patient had been treated in other top three hospitals in Kyoto for a long time, but no doctor had ever suspected a digestive tract problem.

After staying in Senior Brother Lu Chen's hospital bed for two days, he was diagnosed immediately!

Is this the charm of Senior Brother Lu Chen?
Lu Chen sneaked a look at Junior Sister Su Rui at the side, and found that she had been staring at the pathology report of the gastroscope, thinking: "After solving such a patient, why didn't Junior Sister give me gratitude? This is unscientific!"

So Lu Chen cleared his throat and said with a smile, "Junior Sister, if you don't understand anything, you can ask me directly."

This kind of gratitude is worth nothing!

Su Rui came back to her senses, and said in a daze, "Brother, I, I just want to know the specific cause of gastroesophageal reflux that causes heart discomfort..."

Lu Chen smiled and asked, "What are the common symptoms of gastroesophageal reflux?"

Su Rui said: "The common manifestations of gastroesophageal reflux are heartburn and reflux. Others include pharyngitis, chronic cough, asthma, etc..."

Su Rui is a top student at Kyoto University, and she can memorize such basic questions fluently.

"Actually, you still missed a little bit." Lu Chen added, "In a few cases, arrhythmia may be induced, because the esophagus and the heart are close together, and when the esophagus is stimulated, it is easy to touch the heart, thus Cause arrhythmia, such as atrial fibrillation, or paroxysmal supraventricular tachycardia. These arrhythmias will cause palpitations, chest tightness, and a feeling of dying."

This is also why Lu Chen did not deny the existence of "heart disease" when communicating with Li Wenqian.

"Then why didn't the patient find any abnormalities in the 24-hour electrocardiogram?"

Su Rui thought for a while and continued to ask.

"There are a few reasons." Lu Chen is very pleased that this kind of student at the top level is able to ask key questions, "One is that they didn't have an attack in just 24 hours, so they didn't catch it, which needs to be repeated many times Do a 24-hour dynamic electrocardiogram."

"The other is that the patient may not have obvious arrhythmia at all. It may be just the autonomic nerve dysfunction and discomfort caused by reflux stimulation of the heart, not necessarily the result of significant arrhythmia."

Su Rui listened and recorded.

Lu Chen's system panel finally popped up a prompt.

"Congratulations, the thank you from Su Rui is worth +1!"

It's really not easy to get the gratitude value from my junior sister!
At this time, Su Rui suddenly said: "Brother, the patient's discomfort for such a long time is not a heart problem at all, but a digestive tract problem. It's a pity that after seeing so many doctors, they didn't find this out."

Lu Chen paused, and said in a deep voice: "If you have been in other hospitals, you know that this is not uncommon. Because the level of doctors is uneven, and the outpatient doctors are too busy, there is not much time for them to slowly think about the patient's situation. Situation, like an assembly line, next, next..."

"But, brother, I saw the hospitals that this patient has been to, and they are all top three hospitals in Kyoto." Su Rui said, "These hospitals are also very famous!"

Lu Chen shook his head slightly, and sighed, "It's not uncommon for such a thing to happen in some top three hospitals that are extremely pursuing papers."

He himself is now facing the choice between clinical and scientific research.

If he is an ordinary person, he must choose a focus from it.

……

(End of this chapter)