Chapter 2495

Buying autumn vegetables is the only vigorous exercise that Zheng Ren can remember. Director Kong's lover can do at this age.

Old people are willing to store autumn vegetables, which seems to be directly related to the lack of affluence of living materials decades ago.

If we don't store enough autumn vegetables in autumn, the whole family will have nothing to eat in winter. Not to mention the dishes that can be eaten casually now, not even potatoes and cabbage. How miserable it is.

Zheng Ren looked at director Kong's lover with hope, but he got a disappointing answer.

Director Kong's lover shook his head and tried to show a smile, "Xiao Zheng, it's no time to store autumn vegetables."

"Yes, there is a supermarket downstairs. You can buy whatever you want." Director Kong said, "a few years ago, it was a waste to store a little more, but in the end, it was better to buy it in the supermarket."

Zheng Ren frowns and ponders. It's not that a large number of activities suddenly lead to rhabdomyolysis. What can induce rhabdomyolysis?

"Boss, what are you thinking?" Su Yun whispered behind Zheng Ren.

Zheng Ren shook his head slowly, indicating that he had not been diagnosed yet.

The etiology of striated muscle is very complex. Foreign researchers have pointed out that there are more than 190 etiologies of this disease and more than 40 genetic related etiologies. But the most common is excessive exercise. What should I do?

Director Kong's lover diagnosed rhabdomyolysis with acute renal failure. The treatment needs to go to the hospital to avoid inducing factors, and then treat acute renal failure.

Anyway, go to the hospital for dialysis first. Finding the cause is not the most important. Symptomatic treatment is imminent.

"Do you have any other abnormalities besides sore limbs recently?" Zheng Ren then asked, wondering what reason to toss director Kong's lover to 912.

"I have a cough and don't want to eat." Director Kong's lover whispered.

“……”

Zheng Ren obviously had no alternative to this statement. He pushed against it and guided director Kong's lover in the direction of his needs. Why is it so difficult?

Speaking of food, Zheng Ren began to doubt whether some food induced allergic reaction caused rhabdomyolysis.

"Sister in law, have you eaten anything you usually eat less recently?"

"The fruit and grapefruit juice are there." Su Yun said later.

Grapefruit... Zheng renleng looked at the system panel of director Kong's lover and realized it.

"Sister-in-law, it's really fine for you to eat. You have to squeeze some grapefruit." Su Yun continued with a smile.

"Oh, don't mention it." Director Kong said, "I don't know who said the theory of human acid-base balance. It said that acidic constitution is easy to get cancer and get sick. I advised her many times, but she wouldn't listen to a word."

"It has been proved in medicine." Director Kong's lover explained, "eating alkaline food is good for your health."

"The rumor has long been refuted, and you don't believe it. It's been a long time since I ate meat. My greedy eyes are blue every day." Director Kong sighed and said.

"Sister in law, you..." Zheng Ren went to the other side of the bed, picked up the cup, put it under his nose and smelled it.

This action is a little strange. It seems inappropriate to move things around in director Kong's house or in his bedroom.

"What do you want to ask?" Su Yun asked in surprise.

"Sister in law, do you have hyperlipidemia?"

"Yes, I'm embarrassed to say hello to people when I go out without high blood pressure and hyperlipidemia." Director Kong said.

"What medicine do you take?" Zheng Ren asked in a deep voice.

"Lipitor." Director Kong said, "is there a problem?"

"Er... I think Lipitor caused rhabdomyolysis." Zheng Renchang sighed and said, "director, call 120 and send it to nephrology department for dialysis."

Director Kong and his lover were stunned. Director Kong whispered, "boss Zheng, Lipitor has been eating for many years."

"Grapefruit, do you eat it every year?" Zheng Ren asked with a cup.

They shook their heads.

"Pomelo contains coumarin compounds. This active substance is the inhibitor of the main drug decomposition enzyme in the human body. It rapidly increases the concentration of statins in the blood in a short time, doubling the amount of drugs entering the blood, and inhibiting the decomposition and metabolism of drugs in the body."

"It used to be all right to eat, but now it's all right."

Zheng Ren saw that director Kong was still stunned. He put the cup aside, picked up his mobile phone, made a call, and asked, "sister-in-law, how much urination these days? Are your lower limbs swollen?"

Director Kong immediately began to check his lover's feet.

There is edema, not very heavy. Press hard to see a depression.

Really kidney failure? Director Kong was stunned.

"Boss, how did you think of it?" Su Yun asked incomprehensibly when he saw that director Kong's wife's feet were swollen.

Zheng Ren smiled bitterly. Can it be said that it was pushed backwards according to the system panel?

"120? I'm here..." he glanced at director Kong and handed over his mobile phone.

"You reminded me." Zheng Ren threw the pot to Su Yun, "grapefruit juice, plus muscle pain, I remember the problems mentioned in the Lipitor manual."

"Diffuse myalgia, muscle tenderness or weakness during treatment, especially the sentence accompanied by general discomfort or fever?" Su Yun asked.

"Well, there's a problem eating grapefruit with Lipitor."

"You just said, that's not a thing. How do you know?" Su Yun doesn't understand his boss's ideas very well, but he has nothing to say, as long as he can solve the problem.

After seeing director Kong call 120, Zheng Ren answered the phone and said, "sister-in-law, don't worry, small problem."

"Xiao Zheng, what's the matter with me?" Director Kong's lover was a little confused when he called 120 first aid.

Seeing that there was still time and director Kong's lover was worried, Zheng Renjian patiently explained.

"Simply put, grapefruit contains a substance called coumarins, which can inhibit the enzyme of a metabolic drug in the liver, affect the statins metabolized by this enzyme, and hinder drug metabolism."

"Not rigorous." Su Yun said, "it doesn't affect the metabolism of all statins."

"Simvastatin, lovastatin and atorvastatin are metabolized by this enzyme. Other statins such as fluvastatin, pravastatin, pivastatin and rosuvastatin are not metabolized by this enzyme, so they are not affected by grapefruit." Zheng Ren glanced at Su Yun and added.

"No, one of my friends also eats grapefruit and Lipitor like me." Director Kong's love and humanity.