Doctor of Healing

Because what Lin Jiu said was very formal, and the cases he brought up were from people with names and surnames, it didn't look like a lie, so Lu Gang immediately believed it.

"Dr. Chen Pengsheng is the editor-in-chief of the "International Heart Rhythmology" magazine. The article is published in the magazine. If Director Lu is interested, he can find it."

"There are many diseases characterized by 'orthostatic intolerance', in addition to orthostatic tachycardia syndrome, there are also vasovagal syncope, orthostatic hypotension, etc."

"How many impact factors does the International Journal of Cardiac Rhythmology have?" Xu Leyu suddenly asked.

"Around 5, a small magazine." Lin Jiu said.

"..."

"..."

Both Xu Leyu and Lu Gang were left speechless by Lin Jiuze's Versailles.

Are SCI journals with an impact factor of 5 or more considered small journals? !

"According to a 2019 review in the American Journal of Cardiology, postural tachycardia syndrome is the most common form of "orthostatic intolerance" among young adults, mostly in women aged 15-50.

Typical symptoms include dizziness, fainting, problems thinking, memory, and concentration, palpitations, shaking, and sweating, feeling weak and tired, tired, headache, poor sleep, chest pain, nausea, and shortness of breath. "

"It's the 'laziness' you just mentioned, Director Lu."

Lin Jiu didn't know why he changed from his previous gentleness, and he didn't forget to mock Lu Gang while talking.

Lu Gang didn't seem to hear, he was thinking.

"There are figures showing that 500 in 1 people in the UK has some degree of postural tachycardia syndrome. It's 1 in [-] in the US or more common. The correct diagnosis depends on the level of local doctors."

"The level of medical care in the United States is very high, so one person in a hundred will be diagnosed."

Today's Lin Jiuze is different from usual, showing his sharpness, as if Lu Gang has possessed a body, and every word is full of thorns.

"Do you really have this disease?!" Zhao Zhe said to himself.

"The disease has a long history, with records dating back to 1871. Initially, it was called 'fidgety heart' or 'soldier's heart.' Later, in 1944, it was formally named postural tachycardia syndrome."

"But why? I'm allergic to gravity. I feel uncomfortable when I stand up. This..." Zhao Zhe didn't care about Lin Jiuze's sarcasm at all. He asked if he didn't understand, "Dr. Thousands of them, so far I have not found any patients with similar conditions."

"Patients' illnesses range from mild to severe." Lin Jiu smiled slightly, "Many patients feel uncomfortable after waking up, but they don't realize that there is something wrong with their body at all, and they will be fine after a little exercise."

"What about the pathogenic mechanism?" Lu Gang asked.

"The NHS Interpretation of the Disease states that the disease is the result of a combination of mechanisms.

In the supine position, about 1/4 of the body's blood is concentrated in the chest.

If you quickly change to an upright position, gravity will cause the blood to shift downward, and about 500-1000mL of blood will flow to the abdomen, pelvis and lower limbs after a few seconds of standing upright.

This transient change may lead to a decrease in venous return to the heart, a decrease in stroke volume, and a reflexive increase in sympathetic nerve activity.

The autonomic nervous system kicks in and compensates by slightly increasing the heart rate to maintain normal blood flow.

For normal people, the above-mentioned process is unconscious, and the body usually handles it within 1 minute.

But in patients with orthostatic tachycardia syndrome, this response is not properly triggered.The heart even "races" to compensate for changes in blood flow.

Clinically encountered orthostatic tachycardia syndrome patients are..."

Lin Jiu began to talk about the problem of postural tachycardia syndrome. He walked to the blackboard naturally and began to write on the blackboard with a marker, as if he was giving a lecture.

Zhao Zhe took a few glances, only to see the marker pen walking around "by himself", as if haunted.

What a surprise!

Zhao Zhe was also helpless.

However, what Lin Jiu said may be a bit difficult, and it is purely theoretical, but "gravity allergy" is too strange, and Zhao Zhe, Xu Leyu, and Lu Gang listened with great interest.

"The article "New Advances in the Treatment of Postural Tachycardia Syndrome" has a similar description-exercise can activate the skeletal muscle pump, increase blood pressure, and have a good therapeutic effect on severe patients.

3 times a week, 20-30 minutes of aerobic exercise + lower limb and abdominal resistance training, semi-recumbent position such as swimming, rowing and other sports are recommended.

For teenagers, standing against the wall for 30 minutes a day, once in the morning and once in the evening, is also effective.If symptoms of syncope occur during training, such as dizziness, amaurosis, pale complexion, nausea and vomiting, sweating, etc., you should immediately take a supine or sitting position, or raise your thighs to relieve symptoms. "

"After a period of exercise, the symptoms eased."

"It's better to just whip the belt." Zhao Zhe whispered.

The marker pen in Lin Jiuze's hand hit Zhao Zhe with a "swipe", and Ji Xiang reached out to catch it.

"Doctor Lin, don't make trouble."

"..." Lin Jiu was in a daze for a moment, and finally sighed.

This is not Massachusetts, and what I am facing is not students from Harvard Medical School, and such a monster as Ji Xiang.

Facing Jixiang, Lin Jiu knew he was at a disadvantage.

"Probably so. Pumping a belt can also solve the problem, forcing the child to get up and move, and it is used to fight the disease. But there are still certain risks. I suggest a system and a theory..."

Lin Jiu began to speak at length again.

He spoke as if the dean was giving a report, and I could say a few simple sentences in one sentence, and then he could talk for an hour or two in the end.

His talkativeness is completely different from Zhao Zhe's talkativeness.

Lu was a little reluctant at first, but after Lin Jiu talked, he had already started to take notes.

After half an hour.

Lin Jiu covered the marker pen.

"That's all for today."

Zhao Zhe looked at the blackboard quietly, seeing a lot of things written on it, as if he was back in school.

Lin Jiuze glanced at Ji Xiang, Ji Xiang nodded slightly, and Lin Jiuze felt relieved.

He was really worried that Ji Xiang would express his objections.

Lin Jiuze's research on postural tachycardia syndrome has been very thorough. After all, he is in Massachusetts General Hospital, and he has carried out relevant theoretical research for many years.

Facing a hospital at the level of the Second Affiliated Hospital, he was almost a dimensionality reduction blow.

But in the face of Jixiang, the target of dimensionality reduction strikes is reversed.

Lin Jiu was always apprehensive, for fear that Ji Xiang would smile, and then stand up and talk about some cutting-edge knowledge, directly overturning all the theories he had mastered.

After Lu Gang finished recording, he suddenly slapped his thigh, "Oh my god, I forgot, I have to go to the patient right away! I'm still waiting for my consultation there!"

Chapter 713 With a beautiful wife in the family, Hua Tuo is difficult to treat

"I'll go take a look with you." Ji Xiang also stood up.

Lu Gang didn't feel anything, but Lin Jiuze frowned.

Jixiang's cognition in his heart is not like this. Why does Dr. Jixiang look different today, which is a bit weird.

What's wrong with it, Lin Jiuze couldn't tell.

If in the past, the patient's diagnosis was clear, Ji Xiang would definitely not follow.But today Jixiang is very "gossip" and insists on taking a look.

Whether to see the patient or the master, Lin Jiu can't say.

Lin Jiuze also walked out, Zhao Zhedong looked around, and finally followed Lin Jiuze to watch the fun together.

"Director Lu, what does that master do?" Ji Xiang asked.

"I don't know. I've heard a lot of things about her." Lu Gang said, "Her mother is from the Northeast of our country... cough cough cough, don't talk nonsense, anyway, she went to the imperial capital later and was regarded by many people as her mother. Your honored guest."

"But there may be too much karma accumulated. Her mother died not long after she went to the emperor."

"Oh? What's your name? I have time to ask." Ji Xiang said.

Lu Gang turned his head to look at Ji Xiang, seeing that he didn't seem to be talking casually, he raised his hand to fix his lock of hair, and sighed.

"Xiaoji, don't touch such strange things."

"Well, I know. In fact, some things are not strange, but the current science has not yet understood." Ji Xiang said.

"But it is said that both mother and daughter look like foxes."

"Oh?! There really are such people!" Ji Xiang was surprised.

"I can't say more, I'd rather be wrong than offend these people." Lu Gang sighed, "By the way, before we started working in the operating room, we seemed to be looking for her."

"What?" Ji Xiang asked.

Lu Gang shook his head, didn't talk about it, but changed the subject, "There is a legend that the Second Affiliated Hospital was rebuilt 20 years ago, and the gate changed its location, directly facing the back gate."

"Later it was said that our old dean was always unhappy, so I asked her mother to take a look. Her mother said that the front door of our hospital is opposite to the back door, the Feng Shui is wrong, and the evil spirits in the hall are too heavy. In addition, the hospital itself has heavy evil spirits, which is harmful to the hospital. have a great impact.

Not only did it affect the fortune of the old dean, but even the patients treated in our hospital were implicated.

I thought about it, and it seemed that the medical accident was not burning during that time, and I don't know if it was the cause of the hall evil. "

"What happened later?" Ji Xiang listened with gusto.

"Later, the back door directly opposite was sealed, and there was no back door at all in our hospital. But after that, the old dean went smoothly, and the new dean was also good. Gradually, everyone believed it."

"And this thing." Ji Xiang said in a low voice.

"I asked, and I said that this kind of feng shui is called an arrow piercing the heart. As for whose heart it is piercing, I don't know."

"Ham, why am I telling you this? It's all feudal superstition."

"The dean seems to believe it very much." Ji Xiang joked.

Lu Gang's expression changed suddenly, and he remembered something. He leaned into Ji Xiang's ear and said, "It may be good or bad. The old dean is an academic, and he has been teaching the medical school, and he never tires of it."

"Later, he corrected it with an arrow through his heart, and he got married again."

"?!"

Ji Xiang scratched his head.

"One time when he was in class, his wife went to him for something. The students thought it was the old dean's daughter, who had just graduated from university. Who does he look like, Di Lieba, you know."

"Hehe, the old dean has worked hard." Ji Xiang said with a smile.

"That is, there is a beautiful wife in the family, and it is difficult for Hua Tuo to treat him." Lu Gang said, "The old dean retired before he was 70. It is hard to say that it has nothing to do with the beautiful wife. But, there is an old saying, this is called Die under the peony flower."

Lin Jiu was bored listening behind.

What is all this talking about, from Chuantangsha, an arrow piercing the heart, to having a beautiful wife, Hua Tuo, who is difficult to treat.

Jixiang seems to have recently become "unserious", and is no longer the simple, sunny boy he used to be.

It is said that the country is easy to change, but the nature is hard to change. The temper of normal people will only change after major events happen.

But Ji Xiang's temper became so abrupt, there was no sign at all.

Lin Jiu found it unacceptable.

When I came to the neurology ward, the corridor was full of people, including Director Bai.

"Director Bai, why are you here?" Lu Gang approached with a smile on his face.

Director Bai's face was extremely ugly, and he ignored Lu Gang.

Lu Gang seems to have a natural fear of Director Bai. Ji Xiang understands this, and he also uses the coercion of the superior doctor himself.

But Director Bai has always had a bad face, and I really don't know why.

Ji Xiang was curious and moved behind Director Bai.He didn't speak, just observed quietly.

Although there were many people standing outside the door, everyone kept quiet, as if they were in awe of the people in the ward.

It was quiet, and looked rather odd.

Even if there are family members of patients who don't know what they are doing, they subconsciously shut up.

There were faint voices in the ward, sometimes it was a man talking, sometimes it was a woman talking, as if they were in a meeting.

"Ugh."

Ji Xiang heard Chief Bai sigh.

"Xiao Ji, what are you doing here?" Director Bai asked.

"Come and see the excitement."

Director Bai glanced at Ji Xiang sideways, noncommittal.

At this time, Ji Xiang faintly realized that something was wrong.