I Can See Health

   Chapter 925 Minions in Cardiology

   Kyoto First Hospital.

   Under the leadership of Amor, the research on the "tricuspid valve repair system" is developing rapidly.

   Therefore, the simulated surgery at Kyoto First Hospital was a success very quickly.

   But there are many problems exposed, the most obvious being valve regurgitation.

  This issue cannot be resolved for the time being.

   "However, after our simulated surgery is successful, the research and development progress should surpass that of the Fifth Academy of Magic Capital, right?" Yao Jie murmured in her heart.

  Modu Fifth Hospital has not released any news about "tricuspid valve repair" for the time being.

   The Kyoto First Hospital is relatively more high-profile!

  When the simulated surgery was successful, they were promoted in major media across the country.

   However, the current successful simulation is surgery, which has not been applied to clinical patients.

  The Fifth Hospital of the Magic City and the First Hospital of Kyoto, whoever can perform the first operation in the clinic can create the first in China!

   However, Kyoto has overlooked one thing.

  Kyoto is also a foreign country for Mayo's Amor.

Non-my family, its heart must be different!

  Mayo, they can't share all the technology completely!

   Simulated surgery can be done, but once it involves real clinical patients, there are many variables!

  …

  The Fifth Academy of the Magic Capital.

   Director's Office of Cardiology Department.

   "Simulated surgery, clinical surgery requires the right patient and timing." Lu Chen looked at Jin Miao with an eager face, "This kind of thing can't be rushed."

   "But, I think the progress of the Kyoto First Hospital seems to be very fast." Jin Miao whispered, "I'm afraid..."

   "Afraid of losing?" Lu Chen smiled.

   "Hmmmm." Jin Miao nodded, "We spent so much energy, I'm afraid it's all wasted."

  Lu Chen smiled, "How can it be wasted?"

   “We developed this system to treat patients.”

   "Failure in the scientific research competition with the Kyoto First Hospital is nothing more than losing the title of the first operation in China, but the system we developed can still be used on patients."

  Jin Miao nodded reluctantly: "That's what I said, but it still doesn't work."

   Everyone wants to get the first place!

   Second, who knows?

   "Don't worry, I have arranged people from various departments to help with publicity." Lu Chen said, "As long as there are patients who are interested in surgery, we can arrange them as soon as possible."

   "Yeah, I know Director." Jin Miao nodded, preparing to leave and return to the ward.

   At this moment, Gu Xinyue knocked on the door and came in.

   He stood at the door with a stack of documents in his hand.

   "You also came to ask about the surgery?" Lu Chen asked with a smile.

  Jin Miao also blinked, staring at Gu Xinyue curiously.

   Unexpectedly, Gu Xinyue shook her head.

   "No, Jin Miao is in charge of the operation. I came here today because there is a very strange patient."

  Gu Xinyue said, and handed Lu Chen a medical record.

   Jin Miao shrugged helplessly after hearing this, "What kind of patient? Is it more important than surgery?"

   "A Minion." Gu Xinyue glanced at Jin Miao, then looked at Lu Chen, "Director, you are our last hope, you must give some advice!"

   "Minions?" Lu Chen picked up the medical records.

   Hearing Gu Xinyue say this, he suddenly became interested.

   Minions are actually yellowish skin and sclera.

   Usually patients from the Department of Gastroenterology or Infection, why did they suddenly come to the Department of Cardiology?

   With this doubt, Lu Chen turned over the medical records.

  …

  Patient, male, 63 years old.

   Four years ago, I started to suffer from chest tightness when I was agitated. There was no chest pain, radiating pain, and sweating. Each time it lasted about 2-3 seconds to relieve itself.

   The patient was admitted to another hospital and underwent coronary angiography.

   Coronary angiography report showed that there was no significant stenosis in the left main trunk, 30% stenosis in the proximal and middle segments of the left anterior descending artery, myocardial bridge in the middle segment, 50% stenosis in the opening of the first diagonal branch, and about 30% stenosis in the opening of the middle branch.

   "What medicine is the patient taking now?" Lu Chen asked, "What is the purpose of his visit to our hospital this time?"

  Gu Xinyue thought about it and said, "The patient takes aspirin and rosuvastatin orally on weekdays."

   "Started 1 month ago, the above symptoms recurred, which lasted 2-7 minutes and resolved spontaneously. The rest of the onset characteristics were the same as before. The patient came to our hospital for review of coronary angiography and further treatment."

  Lu Chen nodded, "Is he here to review coronary angiography?"

   "Well." Gu Xinyue said, "The problem now is that the patient's skin is too yellow, and it needs to be evaluated whether an imaging can be done?"

   Hearing Gu Xinyue's words, Lu Chen continued to look down.

   The patient's past history, with a history of hypertension for 4 years, with a blood pressure of up to 160/100mmHg.

   Oral administration of irbesartan and hydrochlorothiazide tablets on weekdays, blood pressure controlled at 130-140/80-90mmHg.

   The most important thing is that the physical examination is "yellow"!

  Xiao Huangren, Lu Chen wanted to see how far his Huang was in the Fifth Academy of the Magic Capital.

   Patient's admission examination: blood pressure 147/101mmHg. Yellowing of skin and mucous membranes, yellowing of sclera. The jugular vein was not distended. Cardiopulmonary abdominal examination was negative.

   "Director, here is another picture. I took a picture of the patient's arm and cheek." Gu Xinyue took out her phone and opened the photo album.

  Lu Chen nodded and looked over.

   The patient's skin has a strong contrast with the snow-white flawless skin.

   worthy of being the "Minions"!

   "Is there any family history?" Lu Chen continued.

  Gu Xinyue nodded immediately, "Really!"

  Patients discovered yellowing of the skin, mucous membranes and sclera when they were teenagers.

   The patient has 5 younger brothers and 1 younger sister. Except for the 1 younger brother, the others have yellow staining of skin, mucous membranes and sclera.

   And it was found that the age of Huang Ran was similar to that of the patient. Because he did not have any symptoms on weekdays, he did not seek medical treatment for many years.

   "This patient did not seek medical attention until 4 years ago after coronary angiography in a foreign hospital."

  Gu Xinyue went on to explain: "The patient reported that he had visited the gastroenterology department of two hospitals successively and had done many examinations."

   "However, the patient only remembered that the bilirubin was high in the test, and the other specific conditions were not remembered, and the examination report could not be found. In short, the diagnosis was not clear."

  Lu Chen nodded and began to analyze all the patient's medical history.

   "Is the patient married to a close relative?" Lu Chen asked, "Is there any special contact history?"

  Gu Xinyue shook his head, "The patient's parents are not consanguineous."

   The patient himself and his younger brother and younger sister have no history of special drug use or exposure to special substances.

   "The eating habits are the same as those of the people in the same village, and there is nothing special. No one in the same village was found to have yellow skin, mucous membranes and sclera."

   The patient's medical history is many, even messy.

   requires doctors to extract the most useful information in a short time.

  Lu Chen’s first consideration should be a family hereditary disease.

   Although his parents did not have jaundice, it is entirely possible if recessive inheritance.

   Of course, the cause of the first gene mutation of oneself also needs to be considered.

   But with so many people in the immediate family getting sick, this possibility can be ruled out.

   Can this patient undergo coronary intervention?

   This is what Lu Chen thought about next.

   (end of this chapter)