Chapter 2460: 2374 No matter what examination, just do it (Alliance Leader Senri_akane extra 1)

2374 No matter what examination, just do it (Alliance Leader Senri_akane extra 1)

The female manager received the supervisor's cautious reply, feeling surprised inside. Although she didn't understand, she still returned to the Emergency Department, saying with a cold face: "Wait a moment, Manager Hui will come to see you personally."

"Manager, I'm not doing this anymore." The patient said carefully: "I just explained to the doctor, thank you for your care, I can't keep bothering you."

Many jobs ended with her being fired after not lasting long, which is also related to her constant feeling of discomfort in the chest area.

Who would want to leave such a time bomb lying around? If while working a heart attack strikes and the person dies on the spot, where would you go to reason about it?

The patient also didn't dare to ask for much, being merely a "temporary worker"; having her see a doctor is already a great favor, which she understands.

Holding onto a sliver of hope, she wanted to go to 912 to find out exactly what illness she had. But this time even a 64-slice coronary CT was done, yet still there was no result.

She also felt helpless; perhaps this is fate? A life of hardship, her husband died early, she dragged herself raising a child. Yet her body just wouldn't cooperate, constantly falling ill.

Just thinking about this, the patient felt distressed.

She lowered her head and spoke softly. Her voice was very low, as if the patient feared that speaking too loudly would annoy someone.

"We've discussed it, and the situation is somewhat special." Zheng Ren smiled and said to the female manager: "The isotope examination takes a bit long and is costly, so for now it's the second option. I've contacted Director Zhang of the Cardiology Department; doing an exercise treadmill test should give us a result."

The female manager stared for a moment; she also didn't expect her kindness to be adequately rewarded. That was a poor temporary worker and outsourced staff member who had to carefully consider even eating a meal of meat—what benefit could she expect?

Just hoping not to cause trouble would already be good enough.

She furrowed her brows slightly, her originally somewhat cold expression easing a little.

"That's right—not all patients with coronary heart disease have blocked coronary arteries." Zheng Ren said seriously: "Although the exercise treadmill test is somewhat rudimentary, it can clarify the situation with an 80% probability."

"..." The female manager looked at Zheng Ren's smile, feeling an inexplicable emotion.

"Please come inside, let me explain." Zheng Ren smiled and ushered her into Cui Lao's clinic.

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

Zheng Ren sat in a chair, began drawing a heart diagram, and then drew three coronary arteries on it.

"This is the heart; the heart's blood supply comes from the coronary arteries. When we usually talk about coronary heart disease, many cases are due to narrowing of the coronary arteries causing insufficient blood supply to the heart muscle." Zheng Ren explained slowly.

The manager and the patient earnestly looked at the diagram on the A4 paper, listening to his honest, low voice.

"If we use a river as a metaphor, the coronary arteries are the main channel, and the vessels that nourish the heart muscle are some microvessels. On the recent images, the patient's own coronary arteries are fine, but the symptoms are obvious—especially chest‑area pain after work or exertion—so I still suspect that the branching microvessels are blocked."

"Dysfunction of the small vessels of the coronary arteries causing myocardial ischemia is clinically termed Heart X Syndrome. Some patients show ECG changes, some do not."

"Heart X Syndrome occurs more frequently in women, especially postmenopausal women."

"We previously said we wanted to do an isotope examination because it's slightly more accurate. Or we could use adenosine and dipyridamole; after intravenous injection, if the coronary blood flow reserve is less than 2, that serves as the threshold for diagnosing microvascular dysfunction."

"But often we need acetylcholine for a provocation test, which requires coronary artery injection; the exercise treadmill test is simpler and more direct."

Zheng Ren began to elaborate at length on the possible problems that could arise.

The patient and her manager never imagined that coronary heart disease could have so many explanations—Heart X Syndrome, something they had never heard of before.

This young doctor actually seemed quite professional.

After Zheng Ren finished explaining, he had the manager take the patient to see Director Zhang for confirmation.

"Doctor Zheng, I'll wait for our Manager Hui to come." The female manager understood what Zheng Ren said, but she remained half‑believing, half‑doubting.

At the very least, I've never heard of such things before—is this young doctor just fooling me?

…

Manager Hui rushed over, making countless phone calls along the way, quickly getting the lowdown on this Boss Zheng.

At first she felt a bit wronged, but by the time he arrived outside the EmergencyDepartment, she no longer thought that way.

Boss Zheng, a veritable deity! No matter who you ask, the answer is always that Boss Zheng says to do something and just does it—no endless talk.

Moreover, people close to him told him that Director Yan's recent heart‑attack surgery was performed by Boss Zheng, and they wouldn't cheat you out of money.

Such a person, even if you can't get close, must absolutely not be offended. Perhaps you could turn misfortune into fortune by making friends with Boss Zheng.

Manager Hui stood outside the Emergency Department, straightened her suit, then walked in.

"Manager Hui, you've arrived." The female manager who had brought the patient to see a doctor finally saw Manager Hui arrive and hurriedly greeted her.

"Where is Boss Zheng?"

"Huh? Boss Zheng?" The female manager momentarily didn't understand what her manager was saying.

"Zheng Ren, Doctor Zheng! He's Boss Zheng—where is he?" Manager Hui snapped back.

"Uh… in the office."

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

"Manager Hui, please have a seat." Zheng Ren greeted her.

Really young, huh? After sizing up Zheng Ren, Manager Hui thought to herself: "He's so young and already has academic standing?" Though she didn't believe it, she still maintained respect.

"Manager Hui, let me explain……"

"Boss Zheng, no need." Manager Hui smiled and said: "I'm not in the medical field, so even if you explain it to me I might not understand."

"Uh…" Zheng Ren frowned at him, wondering if he was about to leave the hospital— not even doing a treadmill test would be a pity.

If not, he would leave the patient's phone number and have her come back in a couple of days for the check‑up. In that moment, Zheng Ren already had a full plan.

"Just tell me what test to do—the best one that can give a definite diagnosis!" Manager Hui thumped her chest and said: "Our company has always been people‑first; for employees, even outsourced ones, we must provide sufficient humanistic care."

"..." Zheng Ren and Su Yun looked at Manager Hui, somewhat puzzled.

All this talk—how it sounds like something Director Yan would say at a meeting.

"Give me a diagnostic method, just do it, and I will surely agree."