I Can See Health

   Chapter 686 The diagnosis that has not changed in ten years (first update)

   "Uncle Fan Ming, why are you here?"

   Lu Chen wondered.

   What surprised him the most was Lu Fanming's health.

   actually rose to 76(-)!

   This level of health is not much different from normal people.

   "Xiaochen, I'm here to find your dad." Lu Fanming patted Lu Chen's shoulder.

  Lu Chen was stunned for a moment, and immediately said, "Uncle, come in quickly."

   "Xiaochen, who is here?" In the room, Lu Wenguo said loudly.

   "Dad, Uncle Fan Ming is here." Lu Chen replied.

   Then, Lu Wenguo came out and said in surprise: "Fan Ming, didn't I let you go home and rest? Why are you running around?"

   "Oh, brother, I'm almost healed." Lu Fanming was afraid to pat his chest, "I don't feel at all, and the examination yesterday was normal."

   "Anyway, your situation yesterday was still very dangerous." Lu Wenguo frowned, "You should quit smoking and drinking in the future!"

   "Hey, let's not talk about this, let's talk about other things." Lu Fanming quickly put aside the topic and pulled Lu Wenguo to sit on the sofa.

  …

  Lu Fanming is 40 years old this year, married without children, divorced again, and now lives alone.

   "Brother, I was going to tell you something yesterday, but I didn't have time." Lu Fanming sat down and was about to smoke, but when he saw Lu Wenguo's eyes, he silently retracted his hand.

  Lu Wenguo has a relatively high prestige among his brothers and sisters.

   "Tell me."

   "I have a friend's daughter who wants to come to your hospital. She just graduated from the medical school. Do you think she can..." Lu Fanming smiled.

  Pingyang Central Hospital, although it is only a county-level city hospital, it is also a third-class hospital. If you want to enter after graduation from a general health school, it still costs some money.

   "Your friend?" Lu Wenguo frowned, "You have been in the coastal city for the past few years, but I never heard that you have a friend in Pingyang!"

   "Hey, well, this is a former friend." Lu Fanming replied, not bothering much about this issue.

   "I can tell you about this." Lu Wenguo said indifferently, "Tomorrow the hospital is going to expand, and it should recruit a lot of new nurses."

   "Okay, then thank you big brother."

   "You will eat alone when you go back, why don't you stay with me at night?" Lu Wenguo said politely.

   "This... maybe not so good?"

That being said, Lu Chen really didn't see any embarrassment in Lu Fanming.

   "It's just an extra pair of chopsticks. If you go back to your dad, he probably doesn't like seeing you very much."

   "Hey, okay, then I'll leave you here with a shy face."

  Lu Wenguo and Lu Fanming chatted vigorously in the living room.

   Luo Meizhen was preparing meals in the kitchen, while Lu Chen went in to help.

  …

   "Oh, I don't need your help, let's go out and watch TV." Luo Meizhen didn't want Lu Chen to get in the way here.

   "Mom, I'll help you wash the vegetables." Lu Chen quickly said, "Nothing else, I can still do this."

   "Xiaochen, tell me." Luo Meizhen suddenly whispered, "Did you find a girlfriend in the hospital?"

   "What?" Lu Chen was taken aback, "Mom, why did you ask this all of a sudden, I said it before, I didn't look for it!"

   "Aren't you shy not to tell us?" Luo Meizhen asked, "Look at your doctorate degree, you will be twenty-seven or eighty-years-old. At the age of others, children are starting to play soy sauce!"

  Lu Chen: "..."

   Sure enough, when I get older, I start to urge myself to have a girlfriend.

   In the past, my mother was the most opposed to campus romance.

   "Look at your cousin Lu Hao. Although he said that he is not very reliable, others are really good. He has changed three girlfriends in two years." Luo Meizhen praised.

  Lu Chen didn't want to hear his mother's nagging. After washing the dishes, he hurried out of the kitchen.

  …

   In the living room.

  Lu Wenguo is chatting with Lu Fanming.

   Seeing Lu Chen coming out, Lu Fanming quickly waved to him, "Xiaochen, I didn't know you were a doctor of cardiology, come and show me my coronary heart disease."

  To be honest, Lu Chen was really interested in Lu Fanming's condition.

   If he really suffers from angina or myocardial infarction, his health will definitely not increase.

  Lu Chen stepped forward, sat beside Lu Fanming, and immediately asked, "Uncle, when were you diagnosed with coronary heart disease?"

   "Oh, it's been more than ten years since I was diagnosed with coronary heart disease." Lu Fanming shook his head slightly, "I've been hospitalized more than twenty times in the past ten years."

  Lu Chen was a little strange, so he asked, "What test did you do to diagnose coronary heart disease?"

   "What coronary CT, coronary angiography, I have done a dozen times." Lu Fanming said, "It is said that the blood vessel is narrowed by 50%, but it has not reached the level of stent placement, so no stent is placed."

  The simplest standard for stent placement, the vascular stenosis needs to exceed 75%.

   "Oh." Lu Chen nodded slightly.

   It seems that the diagnosis of coronary heart disease is clear.

"But I have taken medicine for coronary heart disease, and the symptoms of chest pain have not been significantly relieved." Lu Fanming said helplessly, "There are more than a dozen kinds of traditional Chinese medicine, and I have been taking them, but the effect is not good! The chest pain is still there. Occasional attacks."

   "Uncle, what medicines did you take?"

   "I have pictures in my phone, show me." Lu Fanming took out his phone, quickly found the picture in his favorites, and handed it to Lu Chen.

Lu Chen took it over and took a look. In addition to statins, aspirin, nitrates, metoprolol tablets and other conventional drugs for coronary heart disease, he also prescribed diltiazem for coronary spasm and small vessel disease (microcirculation). nicorandil.

   "Uncle, you really have all these medicines!"

  Lu Chen glanced at the photo and handed the phone back.

   "Yeah, there are many types of medicines, and I insist on taking them every day, but there is no effect. When this chest pain should be attacked, it still attacks."

   Hearing this, Lu Chen lowered his head and pondered.

   It seems that Uncle Fan Ming's chest pain may have other reasons!

   "Uncle, tell me the specific process of the disease."

   "From the first time?"

   "Well, that's the best way to go."

   Actually, Lu Fanming didn't think Lu Chen could solve any problems.

   After all, I have been sick for more than ten years, and I have gone to many large hospitals, but I have not been able to resolve it.

   However, seeing that Lu Chen was so enthusiastic, he still organized the language and slowly began to speak.

  …

  Lu Fanming first got sick ten years ago.

   At that time, he was just starting a business, and he was under great pressure. After an unpleasant argument with someone, he drank a lot of alcohol.

   In the early morning of the next day, I suddenly experienced severe chest tightness and chest pain while driving. I felt breathless, palpitations, sweating, and frequent death. I immediately went to the emergency department of the local hospital and was admitted to the cardiology department.

   In the following ten years, he went to the hospital emergency room more than 20 times with the same symptoms.

After   , he went to the provincial capital and Kyoto University Hospital for diagnosis. He had multiple coronary CT scans and angiography multiple times. At most, only 50% of the blood vessels were narrowed, and no cardiac stent was placed.

  Each emergency check-up ECG and serum troponin were normal.

   The diagnosis and treatment procedures for each emergency room and hospital stay are similar, and the diagnosis remains the same for ten years - coronary heart disease, unstable angina pectoris.

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   (end of this chapter)