Chapter 2461: with translation of title

"It's best to do a coronary angiography, which requires hospitalization, the invasive kind." Zheng Ren frowned and said.

It's not intentional to cause trouble; this is indeed the best way to solve the problem.

"Okay." Manager Hui didn't hesitate at all and agreed directly.

This…… Zheng Ren and Su Yun exchanged a glance, too weird, right?

Could it be that he was preparing to gather evidence afterward and then cause trouble? Zheng Ren's mind immediately came up with such a thought.

Perhaps he was also recording.

Thinking of this, Zheng Ren put on his habitual fake smile and said gently: "The cost might be higher, but this is the best way to solve the problem. As for……"

"Zheng Lao Ban, rest assured, go ahead with the examination." Manager Hui said righteously: "Shall we handle the admission procedures now? When will the examination be done?"

This time, Zheng Ren truly encountered a situation he had never encountered before.

He looked at Manager Hui in surprise, carefully reviewing what had just been said. There should be no problem; even if it were recorded, it would be fine. Moreover, if a coronary angiography is performed, the patient's Heart X Syndrome can be definitively diagnosed.

If it can be diagnosed, what's the fuss?

Although that's what was said, we still need to be careful and cautious.

Zheng Ren was like a stuck machine, giving instructions in fits and starts. Meanwhile, Manager Hui was very proactive, taking the female manager behind him and quickly completing the patient's admission procedures.

According to Zheng Ren's request, admitted as an emergency case, the diagnosis was Heart X Syndrome, with a question mark added afterward.

Emergency admission, emergency examination, emergency Shou Bing—everything proceeded in an orderly manner.

"Manager Hui, what we're doing……" the female manager asked doubtfully.

She had thought about it all the way, but still couldn't figure out why Manager Hui was so proactive. However, there had been no chance to ask along the way; this time, after the patient was sent into the Operating Room, she finally had a moment to clear up her doubts.

"Do you know who that person just was?" Manager Hui also let out a sigh, looking at the words on the Operating Room Door, speaking with an uneasy mind.

"A doctor from the Intervention Department."

"You, who in 912 can be offended and who cannot be offended—you don't know either." Manager Hui said coldly: "That person was parachuted into 912 half a year ago."

As soon as the words "parachuted" were mentioned, the female manager understood the gravity.

In a place like 912, not to mention graduate students, even Doctors, even the hospital's own Doctors, can't stay. Overseas-returnee Doctors still depend on fate.

Those who can be parachuted in are all big shots!

"Director Yan used a bunch of Inpatient Chiefs to exchange for this Zheng Lao Ban."

"Exchange?"

"Yeah, that bunch of Inpatient Chiefs has now been assigned to Hai Cheng. Isn't that like supporting the frontier? You say, can such people be offended?"

Actually, Manager Hui also didn't understand the cause and effect, but since others said so, he didn't need to know why; it was enough to know that Zheng Lao Ban is awesome and mighty.

"He is, a lifetime professor in the United States…… just like our academician." Manager Hui continued.

"So young……"

"Don't bully the young for being poor; besides, Zheng Lao Ban isn't poor. Don't look down on people with dog eyes; you did well today and even reported it." Manager Hui said: "This Zheng Lao Ban must not be offended; a few days ago he went to Di Du Women and Children's Hospital to rescue the platform, after stepping down he didn't even go to the dinner invited by that hospital director. You tell me, how great an ability is that!"

"……"

"Just wait honestly." Manager Hui said softly.

However, he was not relaxed at all, staring intently at the door of the circulatory Interventional surgery Room.

After 30 Minute, the Operating Room Door opened. Zheng Ren appeared at the doorway wearing an Isolation Gown, a hat and mask.

"Manager Hui?" Zheng Ren called out.

Manager Hui had already been standing beside Zheng Ren like a rabbit, smiling apologetically: "Zheng Lao Ban, was the Shou Bing smooth?"

"Yeah, in a bit I'll help push the patient back, and I'll give you a rundown of the Shou Bing procedure."

After another 20 minutes, Zheng Ren changed his clothes, sat in Director Zhang's office of the Circulation Department, and explained the Shou Bing's images to the patient's family.

The time was still a bit short, the disc wasn't burned, but that's not urgent.

"Here, looking at the coronary angiography, there's no problem." Zheng Ren held a ballpoint pen and lightly pointed at the screen.

"Mm-hmm, no problem, no problem." Manager Hui echoed, basically saying whatever Zheng Ren said.

"The problem is here." Zheng Ren continued: "At first glance, the patient's heart blood supply seems fine, but Manager Hui, pay attention to the heart's beat."

"Oh oh, pay attention to the heart's beat."

"The black is the image of the contrast agent entering the coronary arteries with the blood flow; you see how many beats the heart makes before the blood reaches the final capillaries." Zheng Ren said.

"1, 2, 3……" Manager Hui counted obediently.

"Eight beats." Finally he gave Zheng Ren an accurate answer.

"Yeah, that's the problem." Zheng Ren said: "Normally, a person's coronary blood flow reaches all capillary branches within 1.5 seconds; simply put, that's two cardiac cycles…… that is, the time for the heart to beat twice."

This time, Manager Hui understood.

Two beats and eight beats differ by four times.

"The major blood vessels we can see only bear about 5% of the heart's blood flow, while 95% is borne by the invisible microvessels." Zheng Ren felt his explanation wasn't detailed enough, thought a bit, and said: "The coronary arteries are like a highway; if it's jammed, traffic is directly paralyzed. But if the highway isn't jammed, exiting it doesn't get you straight home."

Manager Hui kept nodding.

"To get home, you still have to go through the big streets and small alleys, i. e., capillary oxygen supply." Zheng Ren continued: "Because blood cannot be effectively delivered to the site in a timely manner, the nutrients the myocardium needs cannot be obtained promptly; this is the same result as caused by vascular narrowing or spasm, and is also a type of myocardial ischemia."

"Uh, the previous exams were useless." Manager Hui felt that Zheng Lao Ban's explanation of the Shou Bing was easy to understand, and he gradually got into it.

"Can't say it's useless either; severe Heart X Syndrome like the patient's is not common." Zheng Ren said: "To confirm this, we will next use injectable Nikolor to improve the condition of the capillaries."

Speaking, Zheng Ren opened the image and continued playback.

"Nikolor is applicable to all types of angina, including exertional angina and spasmodic angina, and can significantly Reduction the risk of cardiovascular events." Zheng Ren said: "This is the situation after intravenous push of Nikolor."

"The patient's capillary spasm condition has greatly eased; look how fast the black contrast agent goes in." Zheng Ren pointed at the screen.

Indeed, it works instantly; the contrast agent almost "whooshes" into all the blood vessels supplying the myocardium.

On the screen, like tangled tree roots, countless branches regain vitality, providing nutrients to the patient's heart.

"The diagnosis is clear; it's Heart X Syndrome, the patient is not faking illness." Zheng Ren finally smiled and said: "Sometimes, what you can't see is the most dangerous. Many people who show no issues on tests suddenly die—this is that situation."