I Can See Health

Remember [new] in one second! Just when Lu Chen was worrying about his SCI thesis, the patient he was managing, Li Wenqian, 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 stand the "symphony" that was going on in the ward at night, so she finally returned home after taking the medicine Lu Chen prescribed for her.

As luck would have it, in the middle of the night, her heart discomfort broke out again.

The extremely uncomfortable feeling of dying!

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

She planned to wait until her symptoms got better before going to the hospital.

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

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

She thought it was an accident, because she had experienced this before, and the "near-death feeling" would slowly disappear.

However, on the second day...

At night, Li Wenqian was lying on the hospital bed, feeling that "dying feeling" in her heart that she hadn't had an attack all day!

Li Wenqian began to have doubts.

"Did the stomach medicine work?"

During this period, except today, she had heart palpitations and a sense of near-death every day.

The third day, early morning.

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

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

However, in the morning, the symptoms of heart palpitations appeared again. 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 his rounds as usual.

Li Wenqian immediately told her about this strange phenomenon.

"After taking the stomach medicine, the feeling of death in the heart no longer occurred?" Lu Chen was also quite surprised.

Could it be that stomach trouble really caused heart discomfort?

"I deliberately only took stomach medicine instead of the medicine I always prepared before." Li Wenqian said, "I found that the symptoms of my heart have not happened at all!"

"Then let's suspend the electrophysiological examination first." Lu Chen said solemnly, "I'll arrange a gastroscopy for you first."

At this time, Li Wenqian trusted Lu Chen unconditionally.

A simple stomach medicine actually cured the "dying feeling" in my heart that had been bothering me for a long time!

Li Wenqian was a little afraid of the discomfort of gastroscopy, so she finally had a painless gastroscopy.

This investigation revealed the problem: cardiac disease.

Pathological biopsy showed: chronic inflammation with acute active inflammation.

Some people may not know what cardia is.

The cardia is a checkpoint for the esophagus to enter the stomach. If the cardia is relaxed, the food from the esophagus will enter the stomach. If the cardia is clamped, the food will not fall out, and the gastric acid in the stomach will not be able to reflux into the esophagus.

The cardia gate is the pass, ensuring smooth exit but certainly not allowing entry.

In this way, the path from the esophagus to the stomach can only go along the way, not in the opposite direction.

But normal people will occasionally have acid reflux, which is a sign that the cardiac valve is not closed tightly. Under certain pathological conditions, the cardia relaxes and gastric acid easily refluxes into the esophagus, causing esophagitis.

This is gastroesophageal reflux disease.

…

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

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

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

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

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

During her medical treatment for more than half a year, she was almost always in the cardiology clinic, and she never thought it was a digestive tract problem.

"Actually, we can't rule out your heart problem for the time being." Lu Chen didn't say it to death. Some people have heart and stomach problems at the same time. "But you don't need to check your heart for the time being. You can take stomach medicine for a while. The symptoms have not reoccurred." "

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

Now, what Lu Chen said was an imperial edict to her!

…

Back to the doctor's office.

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

I stayed at Senior Brother Lu Chen's hospital bed for two days and was diagnosed right away!

Is this the charm of Senior Brother Lu Chen?

Lu Chen secretly looked at Junior Sister Su Rui on the side and found that she had been staring at the gastroscopy pathology report sheet and thought to herself: "Why didn't Junior Sister give me a thank you for solving such a patient? This is unscientific!"

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

This kind of gratitude is not earned in vain!

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

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

Su Rui said: "The common symptoms 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 basic questions like this.

"Actually, you missed something." Lu Chen added, "In a few cases, arrhythmia may be induced, because the esophagus and the heart are closely together, and when the esophagus is stimulated, it will easily touch the heart, thus Cause arrhythmia, such as atrial fibrillation or paroxysmal supraventricular tachycardia. These arrhythmias can cause palpitations, chest tightness, and a sense of impending death.”

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

"Then why did the patient's 24-hour electrocardiogram show no abnormalities?"

Su Rui thought for a while and continued to ask.

"There are several reasons." Lu Chen was very pleased that such a top-level student could ask key questions. "One is that there was no seizure in those 24 hours, so it was not caught. This required repeated attempts many times. Do a 24-hour dynamic electrocardiogram.”

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

Su Rui listened and recorded.

A prompt finally popped up on Lu Chen's system panel. UU Reading www.uukaｎshu.netｔ

"Congratulations, I received a +1 thank you from Su Rui!"

It’s really not easy to get gratitude points from junior sister!

At this time, Su Rui suddenly said: "Brother, the patient has been suffering for such a long time. It is not a heart problem at all, but a digestive tract problem. It is a pity that so many doctors have not discovered this."

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

"But, senior brother, I saw that the hospitals this patient has been to are all major tertiary 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 this kind of thing to happen in some top-level hospitals that are extremely pursuing papers."

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

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

…