Chapter 2374

The female manager was surprised when she received the cautious reply from her boss. However, although he didn't understand, he returned to the emergency department and said coldly, "wait a minute, manager Hui will come to see you in person."

"Manager, I won't do it." The patient said carefully, "I just explained to the doctor. Thank you for your care. I can't give you any more trouble."

Many jobs were dismissed without working for too long, which has something to do with her always feeling uncomfortable in the precordial area.

Who wants to keep such a thunder around? In case of work, a heart attack and people disappear directly, where can I reason about it.

The patient doesn't dare to ask too much. She is only a "temporary worker". It's a great love to take her to see a doctor, which she understands.

With a glimmer of hope, I hope I can see what the disease is in 912. But this time even 64 row coronary CT was done, and there was still no result.

She is also very helpless. Maybe this is life? Life is hard. My husband died early and dragged a child to grow up. The body is suck, but it keeps falling ill.

At the thought of this, the patient is distressed.

She lowered her head and whispered. The voice is very low. It seems that the patient is afraid that the voice is too loud and annoys who.

"We discussed it. There are some special circumstances." Zheng Ren smiled and said to the female manager, "isotope examination takes a long time and costs a lot. For the time being, it is a second option. I contacted director Zhang Lin of the Department of circulatory medicine. I should be able to have results if I go to do a treadmill test."

The female manager was stunned. She didn't expect enough feedback for her kindness. It was a poor temporary worker and expatriate who had to think carefully about eating a meal of meat. What could he do for himself.

I just hope I don't make trouble for myself.

She frowned slightly, and her originally indifferent expression relaxed a little.

"Well, not all patients with coronary heart disease have blocked coronary arteries." Zheng Ren said seriously, "although the treadmill test is a little simple, it is 80% possible to find out the performance."

"..." the female manager looked at Zheng Ren's smile and felt inexplicable.

"Come inside and I'll explain it to you." Zheng Ren smiled and let her into Cui Lao's consulting room.

Cui Lao hasn't been to work recently, but the clinic is very clean. Zhou Litao cleans it every day.

Zheng Ren sat on the chair and began to draw a heart pattern, on which he drew three coronary arteries.

"This is the heart. The blood supply to the heart is completed by the coronary artery. Many of the coronary heart diseases we usually say are caused by coronary artery stenosis and incomplete blood supply to the myocardium." Zheng Ren explained slowly.

The manager and the patient carefully looked at the picture on A4 paper and listened to the simple, honest and low voice.

"If we use the river analogy, the coronary artery is the main artery, and then some microvessels nourish the myocardium. On the image just now, the patient's own coronary artery is no problem, but the symptoms are obvious, especially the precordial pain after work and fatigue. I still suspect that the microvessels of the branches are blocked."

"The dysfunction of coronary microvessels causes myocardial ischemia, which is also called cardiac X syndrome clinically. Some patients have changes in ECG, and some have no changes in ECG."

"Heart X syndrome is high in women, especially after menopause."

"We said we should do isotope detection before because the accuracy is a little higher. Or we can use adenosine and dipyridamole to judge whether the coronary flow reserve is less than 2 after intravenous injection."

"But many times we need acetylcholine for provocation test and coronary injection. It's not as simple and direct as exercise treadmill test."

Zheng Ren began to talk about possible problems.

Neither the patient nor her manager expected that there were so many statements about a coronary heart disease. No one had ever heard of heart X syndrome before.

The little doctor looks very professional.

Zheng Ren explained it again and asked the manager to take the patient to Director Zhang Lin for diagnosis.

"Dr. Zheng, I'll wait for our manager Hui to come." The female manager understood what Zheng Ren said, but she was skeptical.

At least I haven't heard of such things before. Is the little doctor fooling himself?

……

Manager Hui came in a hurry. He made countless calls on the road and touched the details of boss Zheng as quickly as possible.

When I don't know, I still have some grievances. But when he got outside the 912 emergency department, he didn't think so.

Boss Zheng, a great God! No matter who you ask, the answer you get is that boss Zheng will do whatever he says. There is so much nonsense.

And people close to him also told him that President Yan's operation for myocardial infarction a while ago was done by boss Zheng. People won't blackmail you for money.

This kind of character, even if it can't close the relationship, can't offend. Maybe I got lucky and made friends with boss Zheng.

Manager Hui stood outside the emergency department, sorted out his suit, and then walked in.

"Manager Hui, here you are." The female manager who took the patient to see a doctor finally waited until manager Hui came and hurriedly said hello.

"Where's boss Zheng?"

"Ah? Boss Zheng?" The female manager didn't understand what her manager was talking about for a moment.

"Dr. Zheng renzheng! It's boss Zheng. Where are you?" Manager Hui explained angrily.

"Uh... In the office."

Manager Hui came to Cui Lao's office door, knocked on the open door and said respectfully, "boss Zheng, I'm Huimin from our labor company."

"Manager Hui, please sit down." Zheng Ren said hello.

How young! Manager Hui looked at Zheng Ren up and down and sighed in his heart. Do you have academic status at a young age? Although he didn't believe it, he still maintained respect.

"Manager Hui, let me tell you..."

"Boss Zheng, no need." Manager Hui smiled and said, "I'm not engaged in medical treatment. I may not understand you after you told me."

"Er..." Zheng Ren frowned at him. Is this leaving the hospital? It would be a pity not to do a plate test.

If not, leave the patient's phone number and let her check herself in two days. In an instant, Zheng Ren had an overall plan.

"You just say what kind of examination to do. The best one can make a clear diagnosis!" Manager Hui patted his chest and said, "our company has always been people-oriented. For employees, even if they are only hired externally, we should give enough humanistic care."

"...." Zheng Renhe and Su Yun looked at manager Hui with some confusion.

How could it be like what President Yan said at the meeting.

"You give me a diagnosis and do it directly. I certainly agree."