My Medical Skills Give Me Experience Points Chapter 1381 548: The Heart's Cunning Mechanism—You Should Check Your Liver

Zhou Can inquired.

The patient, presently seventeen and nearing eighteen, has endured this illness for five to six years, having first shown symptoms around the age of twelve. The disease's progression spanned a considerable duration.

"It's difficult to describe precisely. I feel an intense pressure in my chest, as if a massive stone is crushing my heart, leaving me deeply melancholic. Furthermore, any slight physical exertion leaves me breathless, causing my face to flush. In the most severe episodes, my hands and feet experience uncontrollable tremors."

The patient's explanations were notably clear, structured, and precise, offering Zhou Can valuable insights for his diagnosis.

"I truly admire your dedication. To pursue a goal with such intensity at merely twelve years old is remarkable. Did you seek medical attention when these symptoms first manifested?"

Zhou Can felt genuine admiration for the young man.

"I did not consult a doctor then. It was a critical period for transitioning into middle school, and my sole focus was to excel through my own efforts and secure a spot in the advanced class, refusing any preferential treatment. I also believed that with some rest after the examinations, my condition would naturally improve. Following the exams, I successfully entered the advanced class I desired. After a brief period of recuperation, my health did show some improvement. However, as the academic demands escalated, the symptoms gradually resurfaced."

It was profoundly moving to witness such a child's unwavering resolve.

Such ambition at such a tender age was truly impressive.

Zhou Can felt a twinge of shame; at twelve or thirteen, he himself was immersed in his most playful and defiant phase.

He vividly recalled his middle school years, his mind preoccupied with charming his female classmates.

For a time, he was indeed the notorious terror of the school campus.

His homeroom teacher had convened with his parents on numerous occasions for discussions.

Some individuals seem innately endowed with leadership qualities, possessing the wisdom to strive for their desires and meticulously plan their lives.

"You see, I also attempted to bolster my health through physical activity back then, but any strenuous exercise would invariably lead to discomfort. Once, during a mandatory thousand-meter run for the school, I collapsed merely four hundred meters in. From that point onward, physical education teachers made a conscious effort to exempt me from strenuous activities during class."

Nearly every student endures the thousand-meter run as part of their physical education curriculum; girls typically run eight hundred meters.

Children experiencing health complications or lacking consistent physical activity are prone to fainting during such exercises.

However, the majority succumb after completing the full distance, not before.

This young man's collapse after only four hundred meters was a stark indicator of his severely compromised physical state.

"Did you undergo a medical examination at a hospital following that incident?"

"Indeed! My parents promptly arranged for a thorough check-up upon learning of my collapse during gym class. Initially, the physicians suspected congenital heart disease, but extensive testing revealed no such abnormalities. They recommended a gradual regimen of increased physical activity. For a period, I experienced significant improvement by engaging in exercise for over two hours daily. My parents and other relatives frequently procured various supplements for me, yet their efficacy appeared minimal."

"Subsequently, around my second year of middle school, the academic pressures intensified. I represented my class in numerous competitions, including the Math Olympiad and painting contests. In my endeavor to bring honor to my class and school, I was compelled to progressively reduce my exercise duration. During my third year, driven by the aspiration to gain admission into a prestigious high school, my schedule became even more demanding, leaving me with less than half an hour daily for exercise. It was then that my health issues began to subtly re-emerge. Upon entering the esteemed high school, the academic workload remained substantial. I should have been in my second year of high school this year, but owing to severe health deterioration, I've had to take a leave of absence for medical treatment."

Upon absorbing the young man's narrative, Zhou Can found himself deeply moved.

Should his condition be successfully treated, this young man possessed the potential to become a significant national asset in the future.

"You underwent examinations at multiple leading hospitals, all of which excluded the possibility of congenital heart disease?"

Zhou Can posed the question.

"Yes, all declared my heart structurally sound in terms of congenital defects but nevertheless diagnosed heart failure. Initially, it manifested as left-sided heart failure, which subsequently progressed to affect the right side, culminating in complete heart failure. Specialists at the Imperial Renhe Hospital proposed considering either a heart transplant or an artificial heart. My parents deemed the inherent risks too substantial and consequently opposed the procedure. A highly regarded cardiac expert from Renhe Hospital, who happens to be acquainted with my father, suggested seeking treatment at Tuya Hospital, specifically mentioning your name."

These revelations instilled a sense of pride in Zhou Can.

He hadn't anticipated his reputation reaching the ears of elite cardiac specialists at the prestigious Imperial Renhe Hospital.

Although it was a live surgery broadcast and undoubtedly a complex procedure, it was likely viewed as routine by the top experts there.

Nevertheless, receiving acknowledgment from such esteemed professionals brought Zhou Can considerable satisfaction.

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

Despite his humble words, the investigation was far from over.

After meticulously checking the patient's heartbeat and pulse, he specifically focused on listening to the sounds within the pericardial region. It is a known fact that skilled cardiac or chest surgeons can diagnose a multitude of ailments simply by auscultating heart sounds.

For instance, a murmur can often indicate aortic valve insufficiency.

Furthermore, while pulse and heart rate may seem related, they possess distinct clinical diagnostic significance.

Irregular or abnormal heart rates can indeed provide crucial clues when listened to carefully.

The pulse, in particular, offers insight into the heart's operational status, with its pumping strength vividly reflected in the pulse itself.

This specific patient, for example, presented with a pulse that was both thin and rapid.

Essentially, heart failure signifies a decline in cardiac function, which the body attempts to compensate for through a specific mechanism.

This compensation primarily involves a reduced capacity to eject blood with each contraction. To counteract this, the heart rate accelerates, beating more frequently within a given time frame, even though less blood is expelled per beat.

However, by increasing the frequency of heartbeats, adequate blood output is maintained over a unit of time through this compensatory process.

This is precisely why patients suffering from heart failure might experience tachycardia.

The heart possesses a certain degree of elasticity.

When the volume of ejected blood diminishes, a heightened frequency is employed as a compensatory measure.

"You're not exactly thin, but you do lack muscle mass. While education is undeniably important, maintaining good health is equally crucial. It's vital to strike a balance between the two pursuits. Otherwise, regardless of your academic achievements, if your health deteriorates, all may be lost."

Following his examination, Zhou Can addressed the patient.

"Sometimes, I feel I have no other option! I have to push myself because everyone else is pushing themselves too. Perhaps I never truly enjoyed exercise, and my naturally weak physique, compounded by my mother's difficult labor, has left me weaker than my peers."

The patient offered a rueful smile.

Adults often fail to grasp the intense pressures faced by the youth; if he doesn't strive, how can he possibly secure a place in advanced classes or gain admission to a prestigious high school?

"Did you happen to bring any examination records from other hospitals?"

"They are all right here!"

The middle-aged man, who had been silently accompanying him, finally chimed in, presenting several large document bags filled with records to Zhou Can.

As Zhou Can accepted the bags, his gaze instinctively fell upon the man's hands.

The knuckles were covered in calluses, and his palms were equally rough. This indicated a person who was skilled!

This man was undoubtedly an expert in some field.

The middle-aged man's demeanor towards Zhou Can was notably reserved, almost cold. Perhaps, perceiving Zhou Can's youth, he harbored doubts about the young doctor's capabilities and held him in low regard.

Zhou Cannoticing the state of the man's hands, offered a subtle glance in his direction.

The man's expression faltered slightly, and he retaliated with a glare aimed at Zhou Can.

"I would suggest you get a liver examination."

Zhou Can stated quietly.

The man's features momentarily stiffened, and he responded with indifference.

Judging by his dismissive attitude, it was evident he did not take Zhou Can's advice seriously.

Without further persuasion, Zhou Can shifted his focus and began to meticulously review the patient's medical records.

Director Xue Yan remained by his side throughout the entire process.