Chapter 846 - 397: Rheumatic Heart Disease and Pulmonary Heart Disease, Helping Others Has Its Limits (2)

Chapter 846: Chapter 397: Rheumatic Heart Disease and Pulmonary Heart Disease, Helping Others Has Its Limits (2)

Lian Tao was genuinely a bit afraid when he heard about pulmonary embolism.

Diuretics can quickly improve a patient’s edema, which is beneficial for the recovery of heart function.

There’s nothing wrong with the treatment approach.

However, considering that diuretics might lead to thrombosis and also reduce total blood volume, caution is necessary.

"Consider this a reminder! If diuretics have been used, you must continuously monitor the patient’s blood pressure. Also, the diuretics shouldn’t be too aggressive; they should be administered gradually."

Li Jingsheng hasn’t had the chance to upgrade his pharmacodynamics or pharmacokinetics yet, so he can’t give any opinions on medication.

He needs to work hard to accumulate life points to improve his doctor level and proficiency in implantation techniques.

He promised Lian Tao that he would try to advance his colonoscopy skills within a month to help Lian Tao’s ’girlfriend’ undergo colonoscopy.

At that time, it’s likely that colonoscopic surgery will also need to be completed together.

If polyps or suspicious tumors are found, they must definitely be removed.

Sometimes he couldn’t understand why, given Lian Tao’s excellent qualities, he chose a girl with a severe illness as his girlfriend.

Love is something that no one can explain.

He, too, has now fallen into the river of love with Ou Qinglan.

...

Li Jingsheng repeatedly pondered over this complex case in his mind.

The patient’s medical history noted a long-term cough and shortness of breath when breathing, along with prolonged heart failure. The patient’s cyanosis and even barrel chest were highly consistent with cor pulmonale.

Additionally, with the patient’s pulmonary hypertension basically ascertained, the likelihood of cor pulmonale increased further.

He asked Lian Tao to send him the results of some supplementary tests conducted on the patient later on.

Analyzing the patient’s chest X-ray, chest CT, and ECG results from various examinations, he believed that the patient not only had pulmonary hypertension but also likely had elevated pulmonary venous pressure.

If that’s true, the evidence for valvular heart disease in the patient increases sharply.

Because based on his clinical diagnostic experience, cor pulmonale typically involves isolated pulmonary hypertension without combined pulmonary and venous hypertension symptoms.

They say one thing cannot reveal a person, but it can make one see a person clearly.

Upon discovering the possibility that the patient might have both pulmonary and venous hypertension, Li Jingsheng reconsidered cor pulmonale.

Instead, he began to favor valvular heart disease.

However, there’s a situation where cor pulmonale can also lead to pulmonary venous hypertension, and that is when combined with left-sided heart failure.

This patient happened to have heart failure.

This also made the diagnosis for the doctor particularly challenging.

Lian Tao described the patient’s disease as being like the real and fake Monkey King, which was incredibly vivid.

"No, I can’t just oscillate between valvular heart disease and cor pulmonale. It’s necessary to change direction and think differently."

Li Jingsheng found himself in the same quagmire as Lian Tao and Professor Wang Weiwei.

He sensed that following these two conditions further would lead to a dead end.

Eventually, like Lian Tao, he would begin to question life.

In fact, ever since the name cor pulmonale appeared, doctors have constantly debated whether cor pulmonale is a whole-heart disease or a left-heart condition.

This case just happened to fall into this loop.

In reality, cor pulmonale can be a whole-heart condition or it might only involve left-heart alterations.

Once, a very famous cardiac surgeon conducted autopsies on multiple patients who died from cor pulmonale to settle this long-debated topic.

The results showed that among 40 deceased cor pulmonale patients, 17 exhibited biventricular enlargement, and the rest showed left ventricular enlargement.

Ultimately, the debate didn’t stop; instead, it intensified among doctors.

At related academic exchanges, it was truly lively.

Everyone cited authorities and brought out various clinical evidence, engaging in heated debates.

Li Jingsheng always felt that regardless of whether it’s cor pulmonale or valvular heart disease, the patient’s cardiac alterations might not purely derive from the lungs or heart. There might be a third factor.

It’s just that this third factor is currently well-hidden and hard to find.

At night, after sending Ou Qinglan back, Li Jingsheng sat on his bed, still pondering over this complex, foggy case.

Diagnosing such highly challenging cases is greatly beneficial for him as well.

It forces him to revisit various clinical knowledge while racking his brains to search for related clinical experience in his memory. This process combines theoretical knowledge with practice. The next morning, after waking up and washing up, he prepared to go downstairs for breakfast.

He found several unread messages on his phone.

Ou Qinglan had sent him two messages.

"I just had a nightmare; you were covered in blood, and no matter how I called you, there was no response. I was really scared."

This was sent past three in the morning.

At that time, Li Jingsheng was deep in sleep.

"My dear, I have never experienced falling in love with someone so deeply that it touches my soul. You’re like a part of my life, and I can’t imagine life without you. Marry me soon, please; I want to marry you, to be your wife, to have our little home, and be together day and night."

She sent this at around seven in the morning.

It seems she must have woken up.

She usually gets up quite late in the morning, enjoying sleeping in.

Getting up this early today probably means she has something on her mind.

A gentle smile appeared on Li Jingsheng’s lips. This silly girl is only now realizing the power of love.

And it’s true; even though Li Jingsheng is experienced, he’s also fallen in love deeply, unable to extricate himself.

Ou Qinglan’s place in his heart has already quietly reached an unprecedented height.