Chapter 2588: 2594.2495 Pomelo Juice (Alliance Assertion Lin Min Extra Chapter 5)

2594.2495 Pomelo Juice (Alliance Assertion Lin Min Extra Chapter 5)

Buying autumn vegetables, this is the only vigorous exercise Zheng Ren can think of that someone of Director Kong's lover's age can do.

Elderly people are willing to store autumn vegetables, which seems directly linked to the scarcity of living supplies decades ago.

If they don't store enough autumn vegetables in autumn, then in winter the whole family will have nothing good to eat. Not to mention the vegetables that are easily available now; even potatoes and cabbage would be lacking—how miserable it would be.

Zheng Ren looked hopefully at Director Kong's lover, but received an answer that disappointed him.

Director Kong's lover shook her head, forcing a smile, and said, 'Xiao Zheng, what era is this? No one stores autumn vegetables anymore.'

'Yeah, the supermarket is right downstairs; you can buy whatever you want to eat.' Director Kong said, 'In recent years we still stored a little, but if we stored too much it was wasteful; in the end it's still better to just buy from the supermarket.'

Zheng Ren frowned in thought; it wasn't sudden massive activity causing rhabdomyolysis, so what else could trigger rhabdomyolysis?

'Boss, what are you thinking about?' Su Yun asked softly from behind Zheng Ren.

Zheng Ren slowly shook his head, indicating that he had not yet made a diagnosis.

The causes of rhabdomyolysis are extremely complex; foreign researchers have identified over 190 causes for this disease, over 40 of which are hereditary. However, the most common cause is overexertion, so what should we do?

Director Kong's lover was diagnosed with rhabdomyolysis accompanied by acute kidney failure; treatment requires going to the hospital, avoiding triggering factors, and then treating the acute kidney failure.

Regardless, we should first go to the hospital for dialysis; finding the cause isn't the main priority, and symptomatic treatment is urgent.

'Besides limb soreness, do you have any other abnormalities lately?' Zheng Ren asked afterward, pondering what reason to use to take her to 912.

'I have a slight cough and don't want to eat anything,' Director Kong's lover said softly.

……

Zheng Ren obviously found this statement helpless; pushing back, guiding Director Kong's lover to say what he needed was so difficult.

When talking about food, Zheng Ren began to suspect whether a certain food had triggered an allergic reaction leading to rhabdomyolysis.

'Sister‑in‑law, what have you eaten recently that you don't usually eat?'

'Fruit, the pomelo juice is sitting over there,' Su Yun said from behind.

'Pomelo…' Zheng Ren froze for a moment, then quickly re‑examined Director Kong's lover's system panel, and suddenly realized.

'Sister‑in‑law, you're really meticulous with your eating—you even juice the pomelo,' Su Yun continued with a laugh.

'Ah, never mind.' Director Kong said, 'I don't know who told her about the body's acid‑alkali balance theory, claiming that an acidic physique easily gets cancer and falls ill. I've advised her many times, but she won't listen to a word.'

'It's been proven medically,' Director Kong's lover argued, 'eating alkaline foods is good for the body.'

'It's been debunked long ago; you wouldn't believe it even if I told you. How long has it been since you ate meat? You drool so much your eyes turn blue.' Director Kong sighed.

'Sister‑in‑law…' Zheng Ren walked to the other side of the bed, picked up the cup, and held it under his nose to smell.

This action was somewhat strange; no matter how, being in Director Kong's home, even in the bedroom, moving things around randomly seemed improper.

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

'Sister‑in‑law, do you have high blood lipids?'

'Yeah, at this age, not having high blood pressure or high blood lipids makes one embarrassed to greet people when going out.' Director Kong said.

'What medicine are you taking?' Zheng Ren asked in a low voice.

'Atorvastatin,' Director Kong said, 'any problem?'

'Uh… I'm considering that the atorvastatin caused the rhabdomyolysis.' Zheng Ren let out a breath and said, 'Director, call 120 and send her to nephrology for dialysis.'

Director Kong and his lover were stunned; Director Kong whispered, 'Zheng Lao Ban, I've been taking atorvastatin for many years.'

'Do you eat pomelo every year?' Zheng Ren asked, holding the cup.

Both shook their heads.

'Pomelo contains a class of compounds called furanocoumarins; this active substance is an inhibitor of the body's primary drug‑metabolizing enzyme, rapidly raising the blood concentration of statin drugs in a short time, doubling the amount of drug entering the bloodstream and inhibiting the drug's breakdown and metabolism in the body.'

'It used to be fine to eat, but now it's a problem.'

Seeing Director Kong still dazed, Zheng Ren put the cup aside, picked up his phone, and while dialing asked, 'Sister‑in‑law, how much have you been urinating these days? Do you have swelling in both lower limbs?'

Director Kong immediately began checking his lover's feet.

There was edema, not severe; pressing hard revealed a pit.

'Really kidney failure?' Director Kong stared in shock.

'Boss, how did you think of that?' Seeing Director Kong's lover's feet swollen, Su Yun asked, not understanding.

Zheng Ren gave a wry smile, wondering if he could still say it was deduced by reversing the system panel.

'120? I'm here…' he said, glancing at Director Kong and handing over the phone.

'During treatment, diffuse muscle pain, tenderness, or weakness, especially accompanied by general malaise or fever?' Su Yun asked.

'Mm, eating pomelo together with atorvastatin is problematic.'

'You just said that, it's not a problem—how did you know?' Su Yun didn't quite grasp his boss's train of thought, but he had nothing to say; as long as the problem could be solved, that was fine.

Seeing Director Kong finish the 120 emergency call, Zheng Ren took the phone and said, 'Sister‑in‑law, don't worry, it's a minor issue.'

'Little Zheng, what's happening to me?' Upon hearing the 120 emergency call, Director Kong's lover felt a bit dazed.

Zheng Ren saw there was still time, and Director Kong's lover was very worried, so he patiently explained.

'Simply put, pomelo contains a substance called furanocoumarin that inhibits a liver enzyme that metabolizes drugs, thereby affecting statin drugs metabolized by that enzyme and hindering their metabolism.'

'Not rigorous,' Su Yun said, 'it doesn't affect the metabolism of all statin drugs, does it?'

'Simvastatin, lovastatin, and atorvastatin are metabolized via this enzyme, whereas others like fluvastatin, pravastatin, pitavastatin, and rosuvastatin are not metabolized by this enzyme and thus are not affected by pomelo.' Zheng Ren glanced at Su Yun and added.

'No way, a friend of mine also eats pomelo and takes atorvastatin just like me.' Director Kong's lover said.

No way, I have a friend who also eats pomelo, just like me, also takes Lipitor." said Director Kong's lover.