2300 To treat a headache, you need to treat the heart
After returning to the Department of interventional services, Lin Yuan reported everything he knew to boss Zheng. It had acted up once in the past, but he had recovered after taking the medicine to treat his facial paralysis, and there were no sequelae. She even reported to boss Zheng about migraines that she thought were not important.
The longer he spoke, the more symptoms he would have, and it would make him seem more serious.
She didn’t emphasize that the patient was in surgery, so she didn’t get first-hand information. Lin Yuan knew very well that it was useless to emphasize more on a person like boss Zheng.
“Su Yun, what do you think?” Zheng Ren asked.
“You don’t smoke, you don’t drink, and you’re so young. Why do you have such a good life and rest? It’s the fun of life, do you want to go to nightclubs when you’re old?” Su Yun nagged.
For someone like him who smoked and drank, Yang Lixin was the “evil” opposite of him.
“I didn’t ask the patient’s medical history well. If sister Yue were there, she’d definitely know more details.” Lin Yuan took the opportunity to self-reflect and admit his mistake before boss Zheng got angry.
This method was very useful at home. Every time he meowed, no matter what happened, he would let it go. Although boss Zheng didn’t buy it, Lin Yuan still called out first out of habit.
If that was the case, perhaps boss Zheng would be gentler.
“That’s a good question. We’ve basically figured out her condition.” Zheng Ren smiled faintly.
“Uh …”
This sentence was even more unacceptable to Lin Yuan than being scolded.
The condition is clear? Clear my ass! How was it clear that he didn’t smoke, didn’t drink, and often stayed up late? Or something else.
“Oh? You suspect that the egg is still open?” Su Yun asked,”is it because of the side headache, the suspected cerebral infarction, and the cerebral infarction?”
“If it’s only a little, there’s no way to diagnose it. If we combine the two points, the possibility of the egg hole not being closed is very high. ” Zheng Ren said.
The diagnosis criteria and clinical symptoms of unopened egg holes flashed in Lin Yuan’s mind.
The book clearly stated that there were no symptoms of unopened egg holes in the Xuanji region, and it was difficult to hear any noise. The electrocardiograms and chest X-rays were normal. Therefore, it was not easy to discover and was not valued by people.
Lin Yuan even thought of the information from many years ago, which said that on average, one in four to five people would have an egg opening.
Because most patients did not have any symptoms, it was very likely that they would not discover the disease for their entire life.
For a long time, people had thought that closed oval holes generally did not cause divergence between the two rooms and had no impact on the lifeblood of the heart, so they thought it was “irrelevant.”
Was this how boss Zheng diagnosed her?
Su Yun glanced at Zheng Ren and said with a frown,””Boss, did you start suspecting this since you were young?”
“Something like that. There must be a reason, right?” Zheng Ren said,”the probability of having a migraine is very high due to having an unopened egg hole. Quite a number of patients have migraines, but it’s difficult to diagnose. All of them are caused by having an egg hole.”
“Conflicting brain terrors. So, this is what you’ve been suspecting all along.” Su Yun chuckled.”So you let Wang Lin ask for his medical history?”
“Hmm, as long as there’s a migraine, there’s a high probability that it’s spear brain obstruction. To do a transesophageal ultrasound … It’s still quite difficult. We might even need to do a foaming test.”
“Boss Zheng, please wait a moment.” Lin Yuan immediately stopped boss Zheng’s words. If he were to continue, he would even know how to treat her. The discussion of a case had already come to an end.
And he had no clue at all.
Lin Yuan knew about the conflicting brain matter. In general, cerebral infarction was caused by an arterial thrombosis. However, some people did not have a plug in their artery system, but the plug in their vein system could be used to create an embolism in the blood vessels in the brain through the unopened egg hole.
This was also a theoretical basis for the current medical community’s inclination to treat ovaloids once conflicting brain terrors were found.
“You want to ask what’s the relationship between migraines and optitudes?” Zheng Ren asked.
“Yup,”
“There’s no theoretical explanation in clinical medicine right now. ” Zheng Ren smiled and said,”but there are a few speculations. First, it’s an unexplainable migraine. It might be that some tranquilizer from the vein system bypassed the pulmonary vessel’s disinfection and filtering function through this unopened oval hole and went directly to the cerebral circulation system. After combining with some receptors in certain nerves, it would cause migraines.”
“Second, under conditions such as deep breathing, coughing, and exercise, the Oval hole that is not completely closed will open, and tiny blood clots in the vein system will enter the brain through the Oval hole, which will aggravate the spread of cortex expansion inhibition. This is also the initial phenomenon of migraines.”
Lin Yuan sighed in his heart. It seemed that he had not memorized his diagnosis well enough.
“When you encounter an unknown cerebral infarction, the most recent theory is to check the heart.” Zheng Ren continued,”the unopened egg holes are also a trigger.”
A cerebral infarction that required an ultrasound scan and was related to a migraine … Lin Yuan sighed deeply again.
It was said that one couldn’t treat a headache and a foot injury, but he didn’t expect to be taught another lesson today.
“Are you going to do an ultrasound yourself?” Su Yun asked.
“There’s no need. ” “Do you know anyone in the Neurology Department?” Zheng Ren asked.
“Chief resident has dealt with him before, but you know, I don’t have much contact with the people from the Department of Internal Medicine.” Su Yun said,”do you need me to remind you?”
“Hmm, let’s do a trans-esophageal ultrasound, or do a foaming experiment. In any case, we’ll do whatever is more convenient. We’ll check the situation of the unopened egg holes. If there is, there is a high probability that the disease will act up again in the future. We can just find an interventional surgeon from the cardiology department and block the disease. “
“Let’s see how much it’ll delay things if we get involved. This used to be a matter of the heart.” Su Yun glanced at her boss and directed all her resentment at him.
“Right now, the Department of Cardiovascular Surgery mainly performs interventional cardiac surgeries. Who do you think is to blame for this?” Zheng Ren said.
“I’ll ask them indirectly if they’ve checked it out. It’ll be awkward if we’re just talking here while the Neurology Department has already finished their surgeries and gone for a checkup. ” Su Yun changed the topic and changed it.
“Alright, as long as you don’t miss this point. If the symptoms act up one after another, and the patient doesn’t get through once, he’ll be in trouble in the future. ” Zheng Ren did not mind and said casually.
It wasn’t a bad idea to just let this matter pass. Su Yun was the one who reminded the patient about the possibility of being neglected. It did not raise any suspicion. Lin Yuan did a good job.
‘Hmm, Fu Gui’ er will be leaving in a few days. I have to teach her how to operate. If she makes any mistakes, I’ll knock her down with hemostatic forceps. ‘
Lin Yuan didn’t know that he had actually gotten boss Zheng ‘s’ attention ‘because of a slight headache.