Practicing Medical Skills in a Small Clinic

Chapter 848: The Heart is the Body’s Most Protected Organ—Looks Like Another Windfall

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Chapter 848 -398: The Heart is the Body’s Most Protected Organ—Looks Like Another Windfall

“Is there a third diseased organ? Just the heart and lungs are already enough to trouble me.”

Lian Tao felt overwhelmed upon hearing there was a third pathological site.

Li Jingsheng always seemed to make divine predictions.

Almost every time they came true.

“If we can truly identify a third diseased site, I don’t think it’s a bad thing. Some symptoms and conditions seem complex, but it’s really because we haven’t found the true source of the disease.”

These difficult-to-diagnose cases almost all share a common feature.

The examination results clearly show multiple abnormalities, yet diagnosing the cause is shrouded in mystery. The most terrifying situation is when the diseased site is identified and treated accordingly, with medications and treatment plans all seeming correct.

But the condition only worsens.

In such cases, newbie doctors are bound to doubt whether the textbooks are wrong.

Even veteran doctors might question their existence.

However, most experienced doctors, when faced with such problems, will quickly seek a consultation or make arrangements for the patient to be transferred to another hospital for treatment.

Lian Tao sent him the patient’s arterial angiogram.

After reviewing it, he hadn’t discovered any new diagnostic clues.

He pondered that the patient’s long-term oxygen deficiency and increased blood viscosity would surely increase the workload on the left ventricle.

It’s like a person who should only work eight hours a day, transporting two tons of goods, now burdened with additional tasks every day for over seven years.

How can the left ventricle bear this pressure?

Apart from one area of stenosis in the pulmonary artery, no other issues were found.

Furthermore, the narrowed section wasn’t originally narrow but had narrowed due to long-term pulmonary artery hypertension causing plaque buildup and continuous vascular hardening.

In other words, the pulmonary artery was originally healthy.

The condition worsened due to long-term stress.

So, is the patient’s heart disease also due to a long-term overload?

Li Jingsheng directly removed himself from the entangled mess between heart and lungs.

It has now been determined that the lungs were not the first organs to become diseased.

That leaves only the heart.

Actually, if both pulmonary veins and arteries have high pressure, the patient’s left and right ventricles are problematic, indicating the heart might not be the first organ to become diseased.

The heart and lungs are the two most critical organs for sustaining life.

The ultimate ICU life-saving tool, extracorporeal membrane oxygenation, substitutes the function of the heart and lungs to achieve extracorporeal circulation.

Compared to the lungs, the heart is more vital within the body and receives more protection.

Colds causing pneumonia and lung disease are common.

But it’s rare to hear of colds leading to heart disease, unless it’s an acute myocarditis-like disease.

Even if myocarditis occurs, it’s because the heart has defects allowing viruses to invade.

A normal heart is heavily protected, akin to a nation’s capital. Enemies can’t easily infiltrate.

Based on Li Jingsheng’s cardiothoric diagnostic experience, he boldly guesses that before this patient’s heart disease developed, another organ or tissue had already been affected, ultimately causing heart issues.

Many organs can cause heart problems, but for this particular case, only two or three organs fit.

The liver and kidneys are primary suspects.

Simply because, in clinical practice, these two organs most easily lead to heart problems.

They are the prime “suspects.”

Li Jingsheng reviewed the patient’s urine routine check, finding no abnormal data to prove kidney disease.

Yet, the patient’s systemic edema seems to support the hypothesis of kidney disease.

This case is really challenging.

It’s fraught with confusion and doubts everywhere.

“Dr. Li, can you see me now? I have to go to work later!”

The patient was getting a bit impatient.

Seeing Li Jingsheng still holding his phone and frowning in thought after finishing a call, no one knew when he’d finish contemplating.

“Sorry for the wait. I’ll see you right now.”

Li Jingsheng had to set aside the difficult case temporarily.

It’s good to be the chief physician, with more time available to ponder and diagnose difficult cases.

He’s currently not in that position.

Perhaps when the clinic grows further, he can fully engage solely in dealing with difficult and surgical cases.

…

He kept busy until a little past twelve-thirty, seeing thirty-seven patients. Two couldn’t be resolved and were referred to major hospitals.

Another had a wrist dislocation, which he adjusted with one hand.

Having two healthy hands normally seems fine. But now his left hand is injured, unable to exert much force, making daily life and work inconvenient.

After experiencing this, he empathized with patients’ distress, with a deepened compassion for them.

While having lunch in the office, Xiaogao approached.

“Boss, we need to restock our medication inventory! The restock list has been sent to your work email.”

“Alright, I’ll check it later. Usually you submit the restock list in the evening, right? Why submit it at noon today?”

Li Jingsheng asked curiously.

Submitting the restock list after work allows for more accurate inventory calculation.

Since more medications will surely be sold in the afternoon.

Now, Sunshine Clinic is a big and successful operation, with robust online and offline medication sales. Sometimes, even needing Best Medicine to specifically dispatch a car for supply.

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