I Can See Health

  Chapter 581: Getting Thanks from Junior Sister

   Just when Lu Chen was worried about his SCI papers, Li Wenqian, a patient he managed, also ran into trouble.

  Li Wenqian didn'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. In the evening, the "symphony" in the ward came and went, and she finally returned home with the medicine that Lu Chen prescribed to her.

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

   Extremely uncomfortable near-death feeling!

  Li Wenqian ate the Betaloc that she had been taking before, and the pantoprazole that Lu Chen gave her today.

   She is going to go to the hospital when her symptoms get better.

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

  Li Wenqian was just stunned for a while, but didn't take it to heart.

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

  But, on the second day......

   In the evening, Li Wenqian was lying on the hospital bed, and that kind of "sense of near-death" in his heart did not attack for a whole day!

  Li Wenqian began to have some doubts.

   "Did the stomach medicine work?"

   During this time, except today, she would have heart palpitations and a sense of near-death attack every day.

   The third day, early morning.

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

   Sure enough, there was no heart attack 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 palpitations disappeared again!

  …

   In the morning, Lu Chen rounds the room as usual.

  Li Wenqian immediately spoke out about her strange phenomenon.

   "After taking the stomach medicine, the feeling of impending death in the heart has not attacked?" Lu Chen was also quite surprised.

  Is it true that the heart is uncomfortable due to stomach problems?

   "I also deliberately only took stomach medicine, not the medicine I had prepared before." Li Wenqian said, "I found that the symptoms to my heart have never occurred!"

   "Then the electrophysiological examination should be suspended for now." Lu Chen said solemnly, "I'll arrange a gastroscope for you first."

   Li Wenqian trusts Lu Chen unconditionally at this time.

  Simple stomach medicine actually cured the "sense of near-death" in the heart that had troubled me for a long time!

  Li Wenqian was a little afraid of the discomfort of having a gastroscope, and finally had a painless gastroscopy.

   This investigation, as expected, found the problem: Cardia lesions.

   The pathological biopsy tip was: 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 will not fall down, and the gastric acid in the stomach cannot reflux into the esophagus.

   Cardia is the gate, to ensure that you can go out smoothly, and definitely not let in.

   In this way, the road from the esophagus to the stomach can only be followed, not the other way around.

   But normal people occasionally have acid reflux, which is a sign that the cardia is not tightly closed. In some pathological conditions, the cardia is relaxed, and gastric acid is easily refluxed into the esophagus, which can cause esophagitis.

   This is gastroesophageal reflux disease.

  …

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

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

   "Congratulations, received +1 thanks from Li Wenqian!"

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

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

   During her 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 the digestive tract.

"Actually, you can't rule out the problem of your heart 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 the heart for the time being, take the stomach medicine for a while, and the symptoms will not recur. Only then can the diagnosis be made, this feeling of impending death of the heart originates from the digestive tract."

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

   Now Lu Chen's words, for her, that is the imperial edict!

  …

   Back to the doctor's office.

  Sister Su Rui is still a little unbelievable. This patient has been treated in other top three hospitals in Kyoto for a long time, but the doctor has never suspected a digestive tract problem.

   Came to Brother Lu Chen's hospital bed for two days, and was diagnosed at once!

   Is this the charm of Brother Lu Chen?

  Lu Chen secretly looked at Junior Sister Su Rui, who was on the side, and found that she had been staring at the gastroscope pathology report. He thought to himself, "Why didn't Junior Sister give me thanks for solving such a patient? This is unscientific!"

   So Lu Chen cleared his throat and smiled: "Junior sister, if you don't understand anything, you can ask me directly."

   This kind of gratitude is worth nothing if you don’t earn it!

  Su Rui came back to her senses, stunned and said: "Senior brother, I, I just want to know the specific cause of the heart discomfort caused by gastroesophageal reflux..."

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

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

  Su Rui is a top student at Kyoto University, she can recite such basic questions by heart.

"Actually, you missed a bit." Lu Chen added, "In a few cases, arrhythmia may also be induced, because the esophagus and the heart are close to each other, and when the esophagus is stimulated, it is easy to touch the heart, thus Causes arrhythmias, such as atrial fibrillation, or paroxysmal supraventricular tachycardia. These arrhythmias can have palpitations, chest tightness, and a sense of impending death.”

   This is also when Lu Chen communicated with Li Wenqian, he did not deny the existence of "heart disease".

   "Then why did the patient find no abnormality in the 24-hour electrocardiogram?"

  Su Rui thought for a while and continued to ask.

"There are several reasons." Lu Chen is very pleased that this kind of student at the top level is able to ask key questions, "One is that it happened that there was no attack for 24 hours, so it was not caught, which requires repeated repetitions. Do a 24-hour Holter."

   "The other is that the patient may have no obvious arrhythmia at all, and it may be just the autonomic dysfunction caused by the reflux stimulated the heart, not necessarily the result of a significant arrhythmia."

  Su Rui listened and recorded.

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

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

   It's really not easy to get the gratitude value from the junior sister!

   At this time, Su Rui suddenly said, "Senior brother, the patient's discomfort for so long is not a heart problem at all, but a digestive tract problem. It's a pity that so many doctors have not found this."

Lu Chen paused and said solemnly: "If you have been in other hospitals, you know that this is actually not uncommon. Because doctors are of uneven levels, and outpatient doctors are too busy, they don't have a lot of time to think about patients slowly. The situation, like an assembly line, next, next..."

   "But, Senior Brother, the hospitals I saw this patient went to were all the 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 some tertiary hospitals that are desperately pursuing papers to have this kind of thing happen."

   He himself is now faced with the choice of clinical and scientific research.

   If he was an ordinary person, he would have to choose the focus.

  …

   (end of this chapter)