My Medical Skills Give Me Experience Points

Chapter 1381 548: The Heart's Cunning Mechanism—You Should Check Your Liver

Zhou Can asked.

The patient is currently seventeen years old, almost eighteen. If the illness started at twelve, it's been five or six years now.

The progression of the disease has been very long.

"It's hard to say. I just feel a heavy congestion in my chest, like there's a big stone pressing on my heart, making my mood very heavy. Then, as soon as I exercise a bit more, I feel out of breath and my face turns red. In severe cases, my hands and feet even tremble uncontrollably."

The patient's response was very clear, well-organized, and accurate.

This provided Zhou Can with a good reference for further diagnosis.

"I really admire you. To be able to work so hard towards a goal around twelve years old is impressive. Did you see a doctor when you first felt unwell?"

He sincerely admired this young man.

"I didn't see a doctor. It was the key period for the transition to middle school, and I wanted to rely on my own efforts to get into the advanced class, without letting my family pull any strings for me. Moreover, I thought I could recover gradually if I could relax a bit after the exams. After the exams, I got into the advanced class I wanted, and after taking a break for a while, my health improved somewhat. But later, as the academic workload increased, those symptoms became noticeable again."

It's heartbreaking for this child who fights so hard.

So ambitious at such a young age.

Zhou Can felt a bit of shame; at twelve or thirteen, he was in his most mischievous and rebellious stage.

He still remembers that when he was in middle school, he wanted to flirt with pretty female classmates.

For a period, he was like the Demon Lord of Mayhem on campus.

His homeroom teacher met with his parents many times for talks.

Some kids seem born with leadership qualities. They understand how to strive for what they want and plan their lives reasonably.

"You know, back then I also wanted to improve my health through exercise, but as soon as I worked out a bit more, my body felt uncomfortable. Once, the school had us run a thousand meters, and I fainted after just four hundred meters. From then on, during gym class, the teachers avoided letting me do too many physical activities."

Almost every child goes through the thousand-meter run in PE class; girls run eight hundred meters.

Children with health issues or who lack regular physical activity easily faint during this.

But most faint after finishing a thousand meters or eight hundred meters.

This young man fainted after just four hundred meters, indicating poor physical condition.

"Did you go to the hospital for a check-up then?"

"Yes! My parents immediately took me for a check-up when they heard I fainted during gym class. Initially, the doctors thought I had congenital heart disease, but after checking thoroughly, they found no issues. They advised me to strengthen exercise gradually. For a time, I felt much better by exercising for more than two hours daily. My parents and older family members often bought supplements for me, but they didn't seem to have much effect."

"Later, around the second year of middle school, the study load was heavy. I represented my class in various competitions like math Olympiad and painting. To bring honor to my class and school, I had to gradually reduce exercise time. In the third year, wanting to get into a prestigious high school, I got busier, with less than half an hour a day to exercise. Then, health issues reappeared slowly. After getting into a prestigious high school, my study load was still heavy. I should have been in the second year of high school this year, but due to serious health problems, I had to take time off to treat my illness."

After hearing the young man's story, Zhou Can was deeply impressed.

If his illness could be cured, many years later, this young man might become a pillar of the country.

"You had examinations at several major hospitals that all ruled out congenital heart disease?"

Zhou Can asked.

"Yes, they all said my heart showed no congenital defects but diagnosed heart failure. Initially, it was left-sided heart failure, later developed to right-sided failure, leading to complete heart failure. Experts at the Imperial Renhe Hospital suggested considering a heart transplant or an artificial heart. My parents thought the risks were too high and opposed the plan. A top cardiac expert from Renhe Hospital, who's friends with my father, suggested that I try Tuya Hospital, and specifically mentioned your name."

These words made Zhou Can feel a bit proud.

He didn't expect his reputation to be known even by top cardiac experts at the Imperial Renhe Hospital.

It was just a live surgery broadcast, indeed a high-risk surgery, but it probably was not a big deal for top experts there.

Nonetheless, being recognized by such distinguished figures made Zhou Can quite pleased.

"I'm just a regular surgeon at Tuya Hospital."

Despite modesty, the investigation must continue.

After checking the patient's heartbeat and pulse, he specifically listened to the sound in the pericardial region. Skilled cardiac or chest surgeons can diagnose many diseases by auscultating heart sounds.

For example, aortic valve insufficiency often produces a murmur.

Moreover, pulse and heart rate seem related but have different clinical diagnostic significance.

Irregular or abnormal heart rates can reveal some clues through auscultation.

Pulse helps understand the heart's working state, especially the pump strength, vividly reflected in the pulse.

For instance, this patient's pulse was thin and fast.

Heart failure essentially means decreased cardiac function; it compensates through a mechanism.

It mainly manifests as a reduction in the ability to eject blood with each contraction. To compensate, the heart rate increases, speeding up within a unit time, even if reduced blood is expelled per contraction.

However, with increased heartbeat frequency, sufficient blood output is maintained within a unit time, through this compensatory process.

This explains why heart failure patients may experience tachycardia.

The heart has certain elasticity.

When the ejected blood decreases, increasing frequency compensates.

"You're not thin, but lack muscle. Education is important, but health is equally crucial. It's essential to maintain a balance between the two. Otherwise, regardless of academic performance, if health fails, everything may be lost."

After examination, Zhou Can spoke to the patient.

"Sometimes, I have no choice! I must strive because everyone else is striving too. Perhaps I never liked exercise, and my weak body since birth, plus my mother's difficult labor, made me weaker than my peers."

The patient gave a bitter smile.

Adults can't understand the trials of youth; if he doesn't strive, how can he get into advanced classes or a prestigious high school?

"Did you bring examination records from other hospitals?"

"They're all here!"

The middle-aged man, who had been quietly accompanying him, finally spoke, handing over several large document bags to Zhou Can.

While accepting the bags, Zhou Can instinctively glanced at the man's hands.

His knuckle areas were covered with calluses, and his palms were also full of calluses.

A skilled person!

The man was definitely an expert in some form.

The middle-aged man's attitude towards Zhou Can was quite cold. Maybe, seeing Zhou Can so young, he doubted Zhou Can's abilities and didn't think much of him.

Zhou Can examined the man's hands and gave him a glance.

The man's face slightly fell, and he glared back at Zhou Can.

"I suggest you have a liver examination."

Zhou Can said softly.

The man's expression stiffened slightly, and he replied indifferently.

Judging by his attitude, he clearly didn't take Zhou Can's words seriously.

Zhou Can didn't persuade further but started examining the patient's records carefully.

Director Xue Yan stayed by his side all the time.