Gou is practicing medicine in the clinic
Chapter 381 Heart disease, the final outcome of cardiomyopathy
Chapter 381 Heart disease, the final outcome of cardiomyopathy
There is no way, most men's rooms are messy.
Li Jingsheng is too busy every day. Apart from taking the garbage out and throwing it away in time, he really has no time to tidy up the room.
Although he has a girlfriend now, Ou Qinglan never dares to enter his room.
She is a very traditional-minded girl who insists on leaving her first time to the person she can spend her whole life with.
As her relationship with Li Jingsheng deepened, she became even more afraid to enter Li Jingsheng's room.
A man's mouth is a liar, so her concerns are justified.
Therefore, Li Jingsheng's room was left untied.
"It's messy enough!"
After looking at Li Jingsheng's room, the female staff member frowned with a look of disgust.
"Well... I'm usually very busy with work, and I didn't have time to sort it out, which made you laugh!"
Li Jingsheng was also a little embarrassed.
He is a master at diagnosing, treating, and making money.
But no one is perfect, no matter how glamorous, there is an ugly side.
Behind closed doors, there are so many chickens everywhere.
She looked around in other rooms with a cold face.
No evidence was found that she wanted to catch.
Maybe she felt a little embarrassed on her face and worried that Li Jingsheng would scold her. After the examination, she walked quickly downstairs with a cold face and said nothing.
"Hey, hey, don't go!"
Li Jingsheng realized that she was leaving, locked the door and quickly chased after her.
She was very fast and had already reached the first floor.
Gathered together with two other staff members.
"Don't go, don't go, girl, you are sick, really!"
Li Jingsheng's words made the other two male staff members lower their heads.
After receiving a real-name report from someone and coming to investigate the Sunshine Clinic, it was not a good idea.
Because according to the rules, you must say hello to the second hospital.
In fact, if he said hello, the investigation of Sunshine Hospital would probably be aborted.
If they don't go through this formality, now that self-media has developed, and if it is exposed online, they will have to be accused of dereliction of duty.
That's why we sent three people over to investigate.
Those old guys will definitely not take this kind of job.
Except for the man who led the team, the other two were newcomers with little work experience.
Everyone is very motivated and wants to perform well and get promoted through meritorious service.
Now that the investigation has been completed, no clear evidence of violations by Sunshine Clinic has been found.
The best way is to say a few words of apology and leave quickly.
"You're the one who's sick! It's routine for our clinic to investigate you. Now that you're insulting me, you're insulting and attacking the staff. We can hold you legally responsible."
She blushed even more with anger and gasped.
"I'm not scolding you, really! I mean you are really sick."
Li Jingsheng's serious look almost drove her crazy.
"Believe it or not, I'm going to record your behavior right now?"
Her pink face was full of evil.
The other two male staff members also felt that Li Jingsheng was a little excessive.
Swearing once is enough, but if you have to scold again in a serious manner, how can people not be angry?
"Come, come inside and I'll listen to your heart and lung sounds. Your face is so red, it's probably a heart problem. The sooner this situation is dealt with, the better." Li Jingsheng said to her seriously.
"Is what you said true?"
After hearing this, she asked dubiously.
Could this doctor want to take the opportunity to take revenge and act like a hooligan?
Just looking at Li Jingsheng's serious face, he didn't look like he was lying.
In addition, during the previous investigation, the patients all said good things about Li Jingsheng, which also made her believe him.
"Don't worry, my clinic provides free examinations to patients and there is no charge."
If Li Jingsheng hadn't seen that she was a young girl, he would have dragged her inside.
"Liu Ying, you can't go wrong if you go in and check. I also heard that Sunshine Clinic has a very good reputation." The older male staff member finally spoke.
She saw Li Jingsheng waving to her and immediately followed him in.
I also want to experience it myself and see how Sunshine Clinic diagnoses patients.
After following her in, Li Jingsheng took her directly to the examination bed in the back room.
"Just lie flat on it. Siying, guide her to put the stethoscope probe."
"Ok."
Han Siying really admired her master.
I don’t know how I deceived this female staff member who came to the examination clinic.
Now he is lying on the examination bed obediently, waiting for the examination.
Li Jingsheng listened to the heart and lung sounds very carefully.
The lung sounds were okay, but the heart sounds had obvious murmurs.
"Move it down a little. The murmur seems to be coming from the mitral valve area." Li Jingsheng frowned and directed the patient to move the auscultation probe down.
This time, he heard it clearly and could conclude that it was the murmur coming from the heart valve.
It must be the mitral valve.
"The heart sound is slightly dull, which means your heart has edema or hypertrophy. It sounds like both conditions exist. The mitral valve area may be insufficient and there is a murmur. I suggest you go to a large hospital as soon as possible. Further examination is required to determine the cause. There is probably a more serious problem with your heart."
After Li Jingsheng finished checking, he motioned for her to button the buttons.
Her face was still red, but this time even her ears seemed a little red.
His eyes were a bit afraid to look at people.
Young girls are easily shy.
Just doing a normal check.
"I don't feel uncomfortable at all! Can you really determine that there is something wrong with my heart just by listening like this? And you can also know the specific location of the disease?"
"How long have you had red cheeks?"
"It's been at least seven or eight years!" She still had some doubts about Li Jingsheng's diagnosis.
"That means your heart has been affected for a long time. Have you never been to the hospital for a checkup?"
"I checked, and there's nothing wrong with it. I even had a physical examination when I joined the company."
There was a reason why she questioned Li Jingsheng's diagnosis.
If you were really sick, how could you delay it until now?
It was already detected during the physical examination.
"Rheumatic heart disease is relatively hidden in the early stages, and it is difficult to detect the problem with routine examinations. You can't be wrong about what I said, go to the hospital to check your heart, and don't delay it any longer. If you treat and intervene in time now, there should be hope for recovery. If you delay If the time is too long, heart disease will develop and heart failure will occur. There are only two ultimate treatment options, either artificial heart replacement or heart transplantation.
The cost of an artificial heart is more than one million, which is simply unaffordable for ordinary people.
Heart transplantation is more difficult. Although the cost is much lower, it is difficult to find a heart donor.
The best way is to actively intervene and not let it get to that point. "
Li Jingsheng is sometimes really anxious for his patients.
They don't know the dangers of the disease, and naively think that there is nothing wrong now, so they don't need to worry about it.
In fact, by the time serious symptoms actually appear, it is already too late.
"My illness is so serious! Are you sure you are not trying to scare me?" Her expression changed.
His expression looked a little panicked.
This kind of thing would make anyone panic.
What's more, she is still so young and her mental endurance is very limited.
"Do you cough often now? And then you feel out of breath after a little exercise? Do you always feel weak?" Li Jingsheng stared at her and asked.
"I do seem to have these symptoms. Especially recently, I always feel flustered and short of breath."
She thought about it carefully and believed Li Jingsheng a little more.
These symptoms are present.
And it's relatively frequent.
"I'm just saying that if, ha, if your current mitral valve is really insufficient, then it means that your heart enlargement is quite serious. Because our heart is like a house, and the two valves are the doors. Their sizes are originally It matches the house.
Insufficient closure only occurs when the house becomes larger and the door remains the same.
I heard your heart sounds just now and they were very dull. I suspect that in addition to ventricular hypertrophy, it may also be accompanied by edema.This kind of cardiogenic disease is very difficult. "
Li Jingsheng could only talk to her briefly.
Her illness will only become more complicated.
It's most likely rheumatic heart disease.It is also commonly known as rheumatic heart disease.
Many doctors only know that tetralogy of Fallot is difficult to treat, but they do not know that some diseases are even more troublesome to solve.
Some patients develop valve insufficiency, and after the doctor examines them, they say they need valve repair surgery.
But that doctor only found valvular insufficiency, but did not find the real cause of valvular regurgitation.
In this case, surgery was performed on the patient.
The operation was very successful.
Doctors and patients are happy.
However, after a period of time, the patient's heart deteriorated again.
After an investigation, it was found that the valve that had been repaired actually failed to close completely again.
The doctor was a little confused.
How did this happen?
The operation was obviously a success!After the repair, the valve closed tightly and the surgical effect was very good.
Why did it fail to close completely after a while?
This time, experts with more experience were invited to consult together.
It was eventually discovered that the patient's ventricles were enlarged.
It means that the patient's heart continues to expand and the house continues to expand, but the size of the door remains unchanged. This is the cause of valve insufficiency.
Diseases like this, where the heart keeps getting bigger, are generally caused by various reasons.
Once started, it's hard to stop.
Even if valve repair surgery is performed again, insufficiency will occur after a while.To fundamentally solve the problem, the only way is to replace the heart.
Therefore, don’t think that the heart is very durable. When it develops problems, like liver cirrhosis, kidney failure, and pneumoconiosis, there is no solution.
Only replacing it with a new one can solve the problem.
The most important parts of the human body are the liver, lungs, heart, and kidneys.
As for the pancreas, stomach, intestines and other organs, if something goes wrong, removing them will not affect the patient's survival.It’s just that the quality of life will get worse.
For example, if your stomach is cut out, you can basically only eat liquid food from now on.
There are also problems such as reflux.
If you think about it this way, every organ in the body is very precious, and any problem will lead to a series of serious consequences.
If there is a problem with the most important liver, lungs, heart, and kidneys, there will be no chance for trial and error.
It will directly cause people to lose their lives.
When something went wrong with other secondary organs, they were cut off, but the patient could still survive.
"Dr. Li, thank you! I came to your clinic today to investigate. We are also following the procedures. Please don't be offended. I'm leaving first."
After listening to Li Jingsheng's analysis, the female staff member was eighty-nine percent convinced.
Only now do I realize that I have met a noble person.
Not only did Li Jingsheng not argue with her, but he also diagnosed her.
And probably saved her life.
If her heart really became cardiodilated as Li Jingsheng said, and she could only have a heart replacement, she would not be able to afford it.
"Understood. It's just that you may still be young, so it's best not to be emotional when doing things. Remember to take the time to go to a big hospital to check your heart quickly, and get a specialist number. Don't be reluctant to spend dozens of dollars."
For ordinary minor illnesses, just register with an ordinary doctor.
No need to wait in line yet.
For a complex disease like hers, the best way is to call a specialist.
The registration fee seems to be much higher than that of ordinary registration, but experts generally have very high achievements in this field of disease.
They can detect the disease and provide reasonable treatment plans.
When she underwent a general physical examination, no heart disease was found, which meant that the doctor who examined her was just going through the motions.
(End of this chapter)
There is no way, most men's rooms are messy.
Li Jingsheng is too busy every day. Apart from taking the garbage out and throwing it away in time, he really has no time to tidy up the room.
Although he has a girlfriend now, Ou Qinglan never dares to enter his room.
She is a very traditional-minded girl who insists on leaving her first time to the person she can spend her whole life with.
As her relationship with Li Jingsheng deepened, she became even more afraid to enter Li Jingsheng's room.
A man's mouth is a liar, so her concerns are justified.
Therefore, Li Jingsheng's room was left untied.
"It's messy enough!"
After looking at Li Jingsheng's room, the female staff member frowned with a look of disgust.
"Well... I'm usually very busy with work, and I didn't have time to sort it out, which made you laugh!"
Li Jingsheng was also a little embarrassed.
He is a master at diagnosing, treating, and making money.
But no one is perfect, no matter how glamorous, there is an ugly side.
Behind closed doors, there are so many chickens everywhere.
She looked around in other rooms with a cold face.
No evidence was found that she wanted to catch.
Maybe she felt a little embarrassed on her face and worried that Li Jingsheng would scold her. After the examination, she walked quickly downstairs with a cold face and said nothing.
"Hey, hey, don't go!"
Li Jingsheng realized that she was leaving, locked the door and quickly chased after her.
She was very fast and had already reached the first floor.
Gathered together with two other staff members.
"Don't go, don't go, girl, you are sick, really!"
Li Jingsheng's words made the other two male staff members lower their heads.
After receiving a real-name report from someone and coming to investigate the Sunshine Clinic, it was not a good idea.
Because according to the rules, you must say hello to the second hospital.
In fact, if he said hello, the investigation of Sunshine Hospital would probably be aborted.
If they don't go through this formality, now that self-media has developed, and if it is exposed online, they will have to be accused of dereliction of duty.
That's why we sent three people over to investigate.
Those old guys will definitely not take this kind of job.
Except for the man who led the team, the other two were newcomers with little work experience.
Everyone is very motivated and wants to perform well and get promoted through meritorious service.
Now that the investigation has been completed, no clear evidence of violations by Sunshine Clinic has been found.
The best way is to say a few words of apology and leave quickly.
"You're the one who's sick! It's routine for our clinic to investigate you. Now that you're insulting me, you're insulting and attacking the staff. We can hold you legally responsible."
She blushed even more with anger and gasped.
"I'm not scolding you, really! I mean you are really sick."
Li Jingsheng's serious look almost drove her crazy.
"Believe it or not, I'm going to record your behavior right now?"
Her pink face was full of evil.
The other two male staff members also felt that Li Jingsheng was a little excessive.
Swearing once is enough, but if you have to scold again in a serious manner, how can people not be angry?
"Come, come inside and I'll listen to your heart and lung sounds. Your face is so red, it's probably a heart problem. The sooner this situation is dealt with, the better." Li Jingsheng said to her seriously.
"Is what you said true?"
After hearing this, she asked dubiously.
Could this doctor want to take the opportunity to take revenge and act like a hooligan?
Just looking at Li Jingsheng's serious face, he didn't look like he was lying.
In addition, during the previous investigation, the patients all said good things about Li Jingsheng, which also made her believe him.
"Don't worry, my clinic provides free examinations to patients and there is no charge."
If Li Jingsheng hadn't seen that she was a young girl, he would have dragged her inside.
"Liu Ying, you can't go wrong if you go in and check. I also heard that Sunshine Clinic has a very good reputation." The older male staff member finally spoke.
She saw Li Jingsheng waving to her and immediately followed him in.
I also want to experience it myself and see how Sunshine Clinic diagnoses patients.
After following her in, Li Jingsheng took her directly to the examination bed in the back room.
"Just lie flat on it. Siying, guide her to put the stethoscope probe."
"Ok."
Han Siying really admired her master.
I don’t know how I deceived this female staff member who came to the examination clinic.
Now he is lying on the examination bed obediently, waiting for the examination.
Li Jingsheng listened to the heart and lung sounds very carefully.
The lung sounds were okay, but the heart sounds had obvious murmurs.
"Move it down a little. The murmur seems to be coming from the mitral valve area." Li Jingsheng frowned and directed the patient to move the auscultation probe down.
This time, he heard it clearly and could conclude that it was the murmur coming from the heart valve.
It must be the mitral valve.
"The heart sound is slightly dull, which means your heart has edema or hypertrophy. It sounds like both conditions exist. The mitral valve area may be insufficient and there is a murmur. I suggest you go to a large hospital as soon as possible. Further examination is required to determine the cause. There is probably a more serious problem with your heart."
After Li Jingsheng finished checking, he motioned for her to button the buttons.
Her face was still red, but this time even her ears seemed a little red.
His eyes were a bit afraid to look at people.
Young girls are easily shy.
Just doing a normal check.
"I don't feel uncomfortable at all! Can you really determine that there is something wrong with my heart just by listening like this? And you can also know the specific location of the disease?"
"How long have you had red cheeks?"
"It's been at least seven or eight years!" She still had some doubts about Li Jingsheng's diagnosis.
"That means your heart has been affected for a long time. Have you never been to the hospital for a checkup?"
"I checked, and there's nothing wrong with it. I even had a physical examination when I joined the company."
There was a reason why she questioned Li Jingsheng's diagnosis.
If you were really sick, how could you delay it until now?
It was already detected during the physical examination.
"Rheumatic heart disease is relatively hidden in the early stages, and it is difficult to detect the problem with routine examinations. You can't be wrong about what I said, go to the hospital to check your heart, and don't delay it any longer. If you treat and intervene in time now, there should be hope for recovery. If you delay If the time is too long, heart disease will develop and heart failure will occur. There are only two ultimate treatment options, either artificial heart replacement or heart transplantation.
The cost of an artificial heart is more than one million, which is simply unaffordable for ordinary people.
Heart transplantation is more difficult. Although the cost is much lower, it is difficult to find a heart donor.
The best way is to actively intervene and not let it get to that point. "
Li Jingsheng is sometimes really anxious for his patients.
They don't know the dangers of the disease, and naively think that there is nothing wrong now, so they don't need to worry about it.
In fact, by the time serious symptoms actually appear, it is already too late.
"My illness is so serious! Are you sure you are not trying to scare me?" Her expression changed.
His expression looked a little panicked.
This kind of thing would make anyone panic.
What's more, she is still so young and her mental endurance is very limited.
"Do you cough often now? And then you feel out of breath after a little exercise? Do you always feel weak?" Li Jingsheng stared at her and asked.
"I do seem to have these symptoms. Especially recently, I always feel flustered and short of breath."
She thought about it carefully and believed Li Jingsheng a little more.
These symptoms are present.
And it's relatively frequent.
"I'm just saying that if, ha, if your current mitral valve is really insufficient, then it means that your heart enlargement is quite serious. Because our heart is like a house, and the two valves are the doors. Their sizes are originally It matches the house.
Insufficient closure only occurs when the house becomes larger and the door remains the same.
I heard your heart sounds just now and they were very dull. I suspect that in addition to ventricular hypertrophy, it may also be accompanied by edema.This kind of cardiogenic disease is very difficult. "
Li Jingsheng could only talk to her briefly.
Her illness will only become more complicated.
It's most likely rheumatic heart disease.It is also commonly known as rheumatic heart disease.
Many doctors only know that tetralogy of Fallot is difficult to treat, but they do not know that some diseases are even more troublesome to solve.
Some patients develop valve insufficiency, and after the doctor examines them, they say they need valve repair surgery.
But that doctor only found valvular insufficiency, but did not find the real cause of valvular regurgitation.
In this case, surgery was performed on the patient.
The operation was very successful.
Doctors and patients are happy.
However, after a period of time, the patient's heart deteriorated again.
After an investigation, it was found that the valve that had been repaired actually failed to close completely again.
The doctor was a little confused.
How did this happen?
The operation was obviously a success!After the repair, the valve closed tightly and the surgical effect was very good.
Why did it fail to close completely after a while?
This time, experts with more experience were invited to consult together.
It was eventually discovered that the patient's ventricles were enlarged.
It means that the patient's heart continues to expand and the house continues to expand, but the size of the door remains unchanged. This is the cause of valve insufficiency.
Diseases like this, where the heart keeps getting bigger, are generally caused by various reasons.
Once started, it's hard to stop.
Even if valve repair surgery is performed again, insufficiency will occur after a while.To fundamentally solve the problem, the only way is to replace the heart.
Therefore, don’t think that the heart is very durable. When it develops problems, like liver cirrhosis, kidney failure, and pneumoconiosis, there is no solution.
Only replacing it with a new one can solve the problem.
The most important parts of the human body are the liver, lungs, heart, and kidneys.
As for the pancreas, stomach, intestines and other organs, if something goes wrong, removing them will not affect the patient's survival.It’s just that the quality of life will get worse.
For example, if your stomach is cut out, you can basically only eat liquid food from now on.
There are also problems such as reflux.
If you think about it this way, every organ in the body is very precious, and any problem will lead to a series of serious consequences.
If there is a problem with the most important liver, lungs, heart, and kidneys, there will be no chance for trial and error.
It will directly cause people to lose their lives.
When something went wrong with other secondary organs, they were cut off, but the patient could still survive.
"Dr. Li, thank you! I came to your clinic today to investigate. We are also following the procedures. Please don't be offended. I'm leaving first."
After listening to Li Jingsheng's analysis, the female staff member was eighty-nine percent convinced.
Only now do I realize that I have met a noble person.
Not only did Li Jingsheng not argue with her, but he also diagnosed her.
And probably saved her life.
If her heart really became cardiodilated as Li Jingsheng said, and she could only have a heart replacement, she would not be able to afford it.
"Understood. It's just that you may still be young, so it's best not to be emotional when doing things. Remember to take the time to go to a big hospital to check your heart quickly, and get a specialist number. Don't be reluctant to spend dozens of dollars."
For ordinary minor illnesses, just register with an ordinary doctor.
No need to wait in line yet.
For a complex disease like hers, the best way is to call a specialist.
The registration fee seems to be much higher than that of ordinary registration, but experts generally have very high achievements in this field of disease.
They can detect the disease and provide reasonable treatment plans.
When she underwent a general physical examination, no heart disease was found, which meant that the doctor who examined her was just going through the motions.
(End of this chapter)
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