I can see the status bar

Chapter 656 Marker

To find out the cause of vascular stenosis, specialists can find a suitable method to deal with this patient.Different causes require different treatments.

At present, the patient only has some signs of myocardial insufficiency, but it has not reached the point of inducing ventricular fibrillation.He doesn't need immediate treatment to restore myocardial perfusion—at least not yet, under emergency care.As for his right circulation caused by compensation, according to the results of the angiography, the problem is not too big.

"We don't know when he will have another myocardial infarction." Dr. Cao Yanhua sighed, "Stents are generally not considered for three-vessel lesions. , the stent is not very useful and it is easy to relapse."

Three-vessel disease is a description of the degree of coronary artery disease in patients, and it is also one of the indications for deciding whether to use PCI or bypass surgery.In most patients with coronary heart disease, different areas of the coronary arteries are simultaneously narrowed.Generally speaking, patients with more than 50% stenosis can be identified as coronary heart disease.Most people will have more than 51% stenosis and begin to have different degrees of hyperplasia compensation.

Sun Li'en did not participate in the conversation between Cao Yanhua and Yuan Ping'an. He raised his eyebrows as he looked at the condition of the patient on the bed.

"Wang Ge, male, 25 years old. Elevated C-reactive protein (1933.21.29), decreased complement C3 (1834.49.28), proteinuria (1818.43.28), coronary arteritis (935.17.34), systemic lupus erythematosus [Inactive Period] (781.39.52)”

This... there is no need to make a diagnosis by yourself, right?Sun Li'en muttered in his heart, he wanted to see how far Yuan Ping'an had progressed.Although the probability of men suffering from SLE is not too high, basically every doctor will take this into consideration and improve relevant examinations under the result of coronary heart disease caused by unknown causes.

The only question is when Yuan Ping'an will start to suspect that this patient is an autoimmune disease.

Sun Lien blinked, and looked back at the state of "systemic lupus erythematosus". He has seen a lot of SLE, but this is the first time that the blue letters indicate the type of disease like this patient.

Could it be that the status bar can directly give the answer after seeing a certain number of the same disease?Sun Li'en was a little bit excited and looking forward to it.If you don't have to think hard about the prompts on the status bar in the future, it will save yourself a lot of problems.

But how many patients with systemic lupus erythematosus have I seen...?Sun Lien was a little confused. He also saw a lot of common diarrhea and colds.Why is there a blue prompt for SLE now?

"Let's complete the inspection first." After communicating with Cao Yanhua for a while, Yuan Pingan officially took over the patient. "Let him stay in the emergency room first, and check the five items of infectious diseases...I'll take a look at the blood routine."

When you already know the answer, it is very difficult to resist revealing the old truth.Sun Lien held back a little pain beside him.If it weren't for the fact that inactive SLE patients generally don't progress too quickly, and the coronary heart disease of the patients themselves is not serious, he would have said it directly.In order to divert his attention, Sun Lien decided to chat with Wang Ge, whose name was born to take advantage of others.

"How do you feel now?" Sun Li'en habitually took out a notebook and a pen from his pocket, and asked with a smile, "I heard from the doctor that you started to feel tired several years ago?"

Lying on the hospital bed, Wang Ge raised his eyelids to look at Sun Lien, and said helplessly, "Yes."

"Then why haven't you come to the hospital for an examination?" Sun Lien hooked a stool with his feet and sat down, then continued to ask in as gentle a tone as possible, "No time?"

"I don't want to come." Wang Ge sighed, "I'm afraid of the hospital."

This is a whole new reason.Sun Li'en looked at Wang Ge in surprise. This young man did not have the characteristic skin lesions of lupus erythematosus, and he also looked quite healthy.Shouldn't such healthy young people pay more attention when they find themselves unwell?
"I'm afraid of the hospital." Wang Ge seemed to be afraid that Sun Li'en would not understand what he meant, and he emphasized it again, "What if I come to the hospital and find out that I have a serious illness? I am not very old, what serious problem can I have?"

Sun Lien's mind was suddenly filled with the urge to curse.

He managed to restrain his impulse, and then continued to ask with a pleasant face, "Then why did you come to the hospital this time when you felt a little uncomfortable?"

A doctor's job is to heal the sick.Helping patients to establish a correct view of health is also an important part of curing diseases and saving lives.

"My girlfriend forced me to come here." Wang Ge seemed a little impatient, "I've been lying here for an hour, isn't it almost? I still have things to do."

"No matter what you have to do, it's best to stop." Sun Li'en sighed, pointing to Wang Ge's tied legs and said, "Why are your legs tied so tightly...do you know the reason?"

Before Wang Ge answered, Sun Lien first gave the answer, "You just had a coronary angiography of the heart, and the results of the angiography showed that the stenosis of three blood vessels in your heart has reached 99%."

"Then what?" Wang Ge's face was still indifferent, "It's not blocked!"

Sun Li'en was almost choked by this sentence.He looked Wang Ge up and down, "Dude, don't you spend less time on forums?"

"Coronary arteries are the main channels that provide oxygen and nutrients to your heart." Sun Lien said to the national first-level pole-pumping athlete suspected of being from the NGA forum in front of him, "Now cover your mouth with your hands and pinch your nose to death. Then Inhale hard - the kind that sucks a little bit of air in. That's what it feels like to be 99% blocked. Your heart is not like you, you can lie still in bed. It still has to keep beating to keep you Alive. Try covering your mouth and nose while running and jumping? After a few seconds, you can't take it anymore."

Wang Ge seemed convinced—at least in part.He still wanted to raise the bar, "Then open up the narrow place."

"You have three-vessel disease, not one." Sun Lien took out the angiographic photos and showed Wang Ge, "This means that the price of using stents alone will be very expensive. Three stenosis, at least three stents are needed. One A homemade stent is about 2 to 20 yuan, and three stents plus CCU monitoring will cost you more than [-] to [-] yuan. Even so, there is no guarantee that you will not relapse in the future."

"You guys are stealing money! I want to call the police!" Wang Ge suddenly became agitated. He struggled twice, but found himself tightly tied to the bed.

"I advise you not to struggle, and don't get too excited." Sun Li'en raised his voice slightly, "If you suffer from sudden ventricular fibrillation because of struggling, then you have to get a stent right away - you must take out the ten or twenty thousand yuan .”

An unreasonable person will show his or her arrogance in as many places as possible.But only in front of money is very humble.Wang Ge stopped struggling immediately, but still glared at Sun Lien and said angrily, "Where is your leader? Tell him to come over, I want to complain to you!"

"The Complaints Section is on the second floor and the staff don't take complaints outside the office. If you want to make a complaint, just listen to me. This will save you a lot of money and you will have the opportunity to walk to the second floor yourself Complain." Sun Lien threw the notebook aside, and said sternly, "When you started to feel weak five years ago, did you feel uncomfortable in other parts of your body?"

"I..." Wang Ge was taken aback by Sun Lien's sudden change in attitude, and then replied honestly, "I feel a little dry."

"Are there any swollen joints, dry mouth, low fever?" Sun Li'en continued to ask, he really didn't want to procrastinate any longer.This kind of patient... It's better to get cured quickly and let him go away quickly.

"Yes." Wang Ge nodded, and then said in shock, "Are you spying on me?"

... Sun Li'en clenched his fist with all his strength, and then exhausted all his self-control so as not to let himself hit the opponent's face.He turned his head to Yuan Ping'an and said, "Dr. Yuan, did you hear that?"

Yuan Ping'an nodded, "I heard, I'll have someone check his rheumatism markers again."

"Also, let the patient's family members come over." Sun Lien turned his back to Wang Ge, but he didn't need to hide his disgust anymore, "I think it's better to communicate directly with the family members."

　The NGA mentioned here is just for fun, without any malice.Please don't take it seriously.

　　
　
(End of this chapter)