The more inspection items he watched, the tighter Zhou Can's brows wrinkled.

X-rays in this patient showed no significant cardiac enlargement and no pulmonary edema on chest x-ray. Color Doppler echocardiography assesses that the heart is within normal size, that the valve function is normal, and that the left ventricular ejection fraction is below normal.

After carefully reading all the examinations of the patients one by one, he realized that the cause of this 17-year-old young man was far more complex than he imagined.

In general, heart failure has at least one lesion in the heart.

However, the patient's heart is normal regardless of the size or myocardium, or the tricuspid valve, mitral valve, etc. It can be said that the patient's heart is normal except for the ejection fraction that does not meet the standard.

Of course, because of the lack of ejection ability, the heart rate has been much higher than normal.

This is not a disease, but belongs to the compensatory mechanism of the heart.

What causes the ejection fraction in the ventricles to be lower than normal?

It is impossible for a living person to open someone's chest cavity when he is fine. The results of various examinations can only be used to make a comprehensive evaluation based on the doctor's diagnostic experience and medical knowledge.

At this level, the results of the assessment are not much different from those of the open thoracostomy.

Unless there are subtle lesions that are difficult to detect with some instruments.

For example, tumors with a diameter of less than 1 cm are difficult to detect by means of imaging, ultrasound, etc. MRI is a major advance in human examination medicine, and tumors smaller than 1 cm are still likely to be detected.

However, if the tumor is too small in diameter or relatively insidious, it will not be able to do anything.

In short, at Zhou Can's level, through the results of reading films, various biochemical examinations and auxiliary examinations, he is fully capable of achieving the consistency of the evaluation results with the results of thoracotomy.

The invention and application of various examination instruments is also to be able to directly diagnose the real cause without harming the patient.

Otherwise, in order to find out a small cause, the patient needs to be prescribed five or six, or even seven or eight dollars.

After opening the abdominal cavity and reading it, I found that it was not the problem here, and I suspected that it might be a lesion of an organ in the chest cavity, and I had to open the chest again...... That's unimaginable.

Zhou Can watched the patient's various examinations and assessed that the patient's heart had no obvious lesions.

However, it is worth noting that if the patient's heart rate is too high for a long time, it can have serious consequences. For example, the heart becomes larger, myocardial ischemia and necrosis, and so on. So it's very harmful.

This young man has long-term heart failure, but with the help of medication, coupled with his very young age, his body is energetic enough, and he has a strong ability to tolerate it.

No noticeable changes have been noticed in his heart yet.

However, there are already signs of heart enlargement, but this expansion is still within reasonable limits.

As for myocardial ischemia and necrosis, it has not yet appeared.

Zhou Can frowned and pondered, what is the cause of the patient?

Now he finally understood why so many top extra-mental experts in the imperial capital were helpless.

Because the cause of this young man's illness is really difficult to find out.

Given the poor ejection capacity of the heart, a heart transplant is not the best option, but it is worth trying.

It's like repairing electrical products, the engineer can't find which component is broken after checking for a long time, or it may be a problem with the circuit integration board, in short, the electrical appliance can't work normally now. Based on experience and common sense, it can be determined that the problem lies in the motherboard.

What if I can't find what the problem is?

Replacing the motherboard is the easiest way to save trouble.

The experts in the imperial capital were really out of options, so they proposed to give the young man a heart transplant.

"The cause of your illness is very complex, and I will be hospitalized here for two days for observation, and I will do my best with the other doctors in the hospital to find the cause. But there's no way to pack a ticket. If you have any other symptoms that you have neglected or new symptoms during your stay in the hospital, or if you remember some important information about the course of your illness, you can always tell the doctor and nurse in charge of the bed. ”

Zhou Can couldn't find out the cause of the patient for the time being, so he could only arrange it like this.

There are more patients who cannot find the cause clinically.

Sometimes, doctors cure the disease, and they still don't know what the cause is.

"Okay, thank you! Please take care of it! ”

The patient expressed his gratitude to Zhou Can.

Zhou Can and Director Xueyan walked a few meters away, and heard the patient's family say in a very disdainful tone, "I know that none of these so-called Internet celebrities are reliable, they are all hype." At such a young age, how high can the level be? ”

"I feel that this Dr. Zhou is very real. At least he helped me diagnose it seriously just now, and if he comes, he will be safe, and wait patiently for two days to see the situation! ”

What the patient said to his family made Zhou Can feel more comfortable to listen to.

……

The time of the day passed in the blink of an eye.

As long as Zhou Can has time, he will try to find the cause of the 17-year-old boy.

There was no new information coming back from the Department of Cardiothoracic Surgery.

This shows that the patient is still the same as before, and there are no other useful clues.

After getting off work, Zhou Can frowned even when he ate.

People who traveled thousands of miles from the imperial capital rushed over to seek medical treatment, and they must be worthy of this trust.

What is the cause of heart failure in that young man surnamed Lan?

The experts in the imperial capital even checked the patient's electrocardiogram signal, and the result was normal.

To be honest, the cause of heart failure cannot be identified, and even if the heart is replaced, it may not work.

If you change a new heart, it is still possible for it to have heart failure again.

For example, uremia can cause blindness in the eyes, and even if the technology is against the sky, it is useless to replace the entire vitreous. Because the cause is not in the eyes at all, but because the function of the kidneys is lost, and the toxins cannot be excreted.

"Do you still have to think about 'national events' when you eat?"

Su Qianqian asked him with a smile next to him.

"Hehe, isn't it like I encountered a difficult case and failed to find out the cause! That's what I do, so naturally I'm responsible for the patients. That young man was only seventeen years old, and he was a very hard-working person, and he couldn't bear to watch a future pillar of the country die like this. Do you say that there is a certain basis for the jealousy of talents? ”

Zhou Can really found that many idioms come from reality.

And it will be repeated.

"How?"

Su Qianqian tilted his head and asked.

"You see, you had kidney disease at that time, and you almost couldn't be cured. Now this young man is also very good, but he also has a strange disease that is difficult to cure. In clinical practice, I often meet some very sensible and intelligent children, young people, who have incurable diseases. It feels like God is jealous of them and deliberately sends disaster down. ”

Zhou Can never believed in the way of heaven or fate before.

I have seen more in the clinic, and my understanding of fate seems to be a little deeper.

"Didn't Mencius say in ancient times that when the heavens descend on the people, they must first suffer their minds and work their muscles and bones! If a person wants to achieve something, he must endure more suffering and hardship than ordinary people! You go ahead and think about the cause of that patient, I won't bother you. ”

She likes to be quietly by Zhou Can's side.

Zhou Can also enjoys having her company.

"What are you doing staring at someone's legs? A lot of people are watching! ”

Su Qianqian said a little shyly.

Although the two have been together for several years, she has always been shy as a girl in public. Maybe she is a traditional woman in her bones.

Zhou Can didn't react, he didn't even eat, he just stared at her legs without blinking.

Seeing this scene, Su Qianqian realized that he might be thinking about a problem.

After a long time, Zhou Can's eyes instantly brightened.

Shining as bright as the stars.

"I know what's wrong!"

Zhou Can said excitedly.

"Hey, work is work, you can't delay eating! The body is the capital of the revolution, and only when your body is well can you treat others. ”

She grabbed Zhou Can and didn't let him go.

"Okay, okay, I'll listen to Madame, and I'll go back after eating."

Zhou Can is really happy to be managed by her.

"Hehe, you know the poor mouth! You haven't married me yet! ”

The title of Mrs. makes her very useful.

What women sometimes care about is actually a man's heart.

There has never been an alliance with Zhou Can, there are two fierce collision hearts, and there are ordinary days. She gave Zhou Can the best years and lived with him, what is the picture?

Don't you just want a name? Isn't it that Zhou Can can attach importance to her, take her to heart, and love her all the time?

"You're in a hurry, aren't you? When I'm done with this while, I'll accompany you back to your hometown, and we'll set a date for the wedding. When the time comes, the beautiful eight-lift sedan chair will marry you through the door and make you my wife. ”

Zhou Can made a promise to her.

"Good!"

She was obviously very satisfied with this reply, and looked at Zhou Can with affection, her eyes were full of smiles, and the happiness on her face was about to overflow.

Zhou Can never makes promises easily, but as long as he has promised something, he has never broken his promise.

This kind of golden credit made her never doubt Zhou Can's words.

Including Qiao Yu and others under Zhou Can, and even senior doctors such as Dr. Xu and Director Xueyan also have great trust in Zhou Can. It is never easy for a person to build credit, and if you want to destroy your credit, you only need to break your trust once.

An adult with credit must be respected.

……

After eating and checking the inpatient ward of the emergency department, Zhou Can hurried to the cardiothoracic surgery department.

When I arrived at the cardiothoracic surgery, I went straight to the bed where the young man was.

"Doctor Zhou, you're here!"

When the young man saw Zhou Can, he immediately greeted him politely.

It can be seen that he is very happy about Zhou Can's arrival.

came here from the imperial capital to see a doctor, and he came for Zhou Can. Now that Zhou Can has him in his heart, it naturally makes him feel happy.

It's a two-way street.

"Lan Ke, I'll check your legs."

After saying hello, Zhou Can couldn't wait to check the patient.

The middle-aged man who was guarding the hospital bed was still indifferent, and watched Zhou Can do all this with a slightly contemptuous look.

It's obviously heart failure, what are you doing to check your legs?

Even he, a layman, knew that his legs had nothing to do with his heart.

"Hehehe...... Yes...... Hahaha...... Don't you mess with my legs? I'm afraid of itching! ”

The young man tried desperately to dodge.

Zhou Can was pinching and squeezing his legs, especially his calves.

"Doctor, I'll have to say a few words to you. We are here to heal, not to play with you, and not to be a guinea pig for you. The legs have nothing to do with the heart, what are you messing around with here? In addition to making people feel that your medical skills are so low that they are useless in curing diseases. ”

The middle-aged man pulled Zhou Can away and scolded Zhou Can twice.

I can feel that this person's power is very great.

Intuitively, Zhou Can asked himself if he was no match for this person.

The other party also seemed to look at him in surprise.

When Zhou Can was pulled apart just now, there was actually a small battle between the two.

"I didn't expect it to have some strength."

The man snorted.

In addition to a hint of surprise in his tone, there was more contempt from the depths of his bones.

Connoisseurs will know if there is one as soon as they make a move.

This man's force is indeed much stronger than Zhou Can.

After all, practicing sanda and fighting is just Zhou Can's hobby, and this man's calluses are obviously a professional.

Zhou Can's profession is a doctor.

"Brother Wei, don't be rude to Doctor Zhou!"

The patient shouted at the middle-aged man.

His words worked, and the middle-aged man immediately took two steps back and did not have physical contact with Zhou Can again.

"Doctor Zhou, please don't be surprised."

The patient apologized to Zhou Can.

"It's fine." Zhou Can waved his hand. "I may have found the cause of your illness."

Treating patients with heart failure is Zhou Can's job.

"Really?"

The patient's breathing became extremely rapid, his face was full of anticipation, and his eyes were fixed on Zhou Can.

"Medicine is a very serious matter, and we can't be sure yet. However, it can be verified by some experiments. If you agree, I can request an echocardiogram for you right now. ”

In order to find out the cause of the patient, the patient needs to cooperate.

"Agreed, agreed, please help me apply now! I dreamed of getting cured and going back to school as soon as possible. ”

The patient was obviously more anxious than Zhou Can, and more eager to find out the cause and cure the disease.

The most difficult thing to treat is not to find the cause.

You don't even know what caused it, and treating it is like shooting an arrow blindfolded. Whether you can shoot the rake heart or not depends on luck.

Of course, for the treatment of some special diseases, this drug has not yet been developed. Or the operation is too difficult, and it is not easy to cure the disease.

"Hmph, the heart attack was found on the leg, what a 'famous doctor'!"

Brother Wei sneered.

People are like this, the first impression is not good, and it is difficult to say something amiable later.

Brother Wei obviously has a great opinion about Zhou Can.

"Brother Wei, my parents asked you to come with me to take care of me, not to ask you to raise the bar with the doctor. If you still respect me, please be polite to Dr. Zhou, or I'll be angry. ”

The patient is much more sensible than this Brother Wei.

Offending a doctor in a hospital is obviously not a wise move.

From their conversation, it is not difficult to hear that the two are not related by blood, but by employment.

Families that can afford to hire bodyguards are basically not ordinary families.

Zhou Can had long discovered that this young man surnamed Lan had a luxury that ordinary children did not have. That extraordinary bearing, confidence and confidence when speaking, all show that he will not be an ordinary child.

However, since ancient times, the imperial capital has been the city of the Son of Heaven.

At the feet of the Son of Heaven, it is either eunuch or expensive.

This young man's family is a bit powerful, which is normal.

Not to mention anything else, the original residents of the imperial capital, as long as they have a house, will not be worth much.

If there is a little foundation in the family, and there are people among the elders who are officials, the descendants are more likely to be blessed.

"Okay, okay, I won't speak!"

Brother Wei's face was full of unconvinced.

But he didn't dare to disobey his employer. An expression that wants to see if Zhou Can can find out the disease.

(End of chapter)