Chapter 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 didnt emphasize that the patient was in surgery, so she didnt 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 dont smoke, you dont drink, and youre so young. Why do you have such a good life and rest? Its the fun of life, do you want to go to nightclubs when youre old? Su Yun nagged.

For someone like him who smoked and drank, Yang Lixin was the evil opposite of him.

I didnt ask the patients medical history well. If sister Yue were there, shed 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 didnt buy it, Lin Yuan still called out first out of habit.

If that was the case, perhaps boss Zheng would be gentler.

Thats a good question. Weve 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 a.s.s! How was it clear that he didnt smoke, didnt 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 its only a little, theres 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 Yuans 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 its difficult to diagnose. All of them are caused by having an egg hole.

Conflicting brain terrors. So, this is what youve been suspecting all along. Su Yun chuckled.So you let w.a.n.g Lin ask for his medical history?

Hmm, as long as theres a migraine, theres a high probability that its spear brain obstruction. To do a transesophageal ultrasound Its still quite difficult. We might even need to do a foaming test.

Boss Zheng, please wait a moment. Lin Yuan immediately stopped boss Zhengs 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 communitys inclination to treat ovaloids once conflicting brain terrors were found.

You want to ask whats the relations.h.i.+p between migraines and opt.i.tudes? Zheng Ren asked.

Yup,

Theres no theoretical explanation in clinical medicine right now. Zheng Ren smiled and said,but there are a few speculations. First, its an unexplainable migraine. It might be that some tranquilizer from the vein system bypa.s.sed the pulmonary vessels 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 couldnt treat a headache and a foot injury, but he didnt expect to be taught another lesson today.

Are you going to do an ultrasound yourself? Su Yun asked.

Theres no need. Do you know anyone in the Neurology Department? Zheng Ren asked.

Chief resident has dealt with him before, but you know, I dont have much contact with the people from the Department of Internal Medicine. Su Yun said,do you need me to remind you?

Hmm, lets do a trans-esophageal ultrasound, or do a foaming experiment. In any case, well do whatever is more convenient. Well 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.

Lets see how much itll 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.

Ill ask them indirectly if theyve checked it out. Itll be awkward if were 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 dont miss this point. If the symptoms act up one after another, and the patient doesnt get through once, hell be in trouble in the future. Zheng Ren did not mind and said casually.

It wasnt a bad idea to just let this matter pa.s.s. 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, Ill knock her down with hemostatic forceps.

Lin Yuan didnt know that he had actually gotten boss Zheng s attention because of a slight headache.