Chapter 815 - 381: Cardiac Pathology—The Final Outcome of Dilated Cardiomyopathy

Chapter 815: Chapter 381: Cardiac Pathology—The Final Outcome of Dilated Cardiomyopathy

No choice, men’s rooms are mostly quite cluttered.

Li Jingsheng is really too busy every day, except for taking out the trash on time, he really doesn’t have the time to tidy up the room properly.

Even though he has a girlfriend now, Ou Qinglan never dares to enter his room.

She’s a very traditional girl, insisting on saving the first time for someone she can spend her life with.

As her relationship with Li Jingsheng deepens, she’s even less inclined to enter his room.

Men are smooth talkers and liars; her concerns are justified.

So, Li Jingsheng’s room remains untouched.

"It’s messy enough!"

After seeing Li Jingsheng’s room, a female staff member frowned with a look of disdain.

"Well... Usually, I’m quite busy with work, didn’t have time to tidy up, sorry for the mess!"

Li Jingsheng also felt a bit embarrassed.

Diagnosing and treating illness, making money, he’s skilled at both.

But no one is perfect; everyone has a less flattering side.

Behind closed doors, there’s often chaos.

She kept a cool face and inspected the other rooms.

Didn’t find the evidence she wanted to catch.

Possibly feeling a bit ashamed, and worried Li Jingsheng might lash out, after finishing the inspection she silently hurried downstairs.

"Hey, hey, don’t go!"

Li Jingsheng realized she was about to leave, locked the door and quickly chased after her.

She was quite fast; by then she was already on the ground floor.

Joined the other two staff members.

"Don’t go, don’t go, Miss, you are sick, really!"

Li Jingsheng’s words made the other two male staff members lower their heads.

Receiving a registered complaint and coming to investigate Sunshine Clinic was awkward.

According to protocol, there should be a notice given to the Second Hospital.

In fact, giving notice might cause the investigation of Sunshine Hospital to be aborted.

Skipping this procedure, now with the prevalence of social media, if exposed online they could be accused of dereliction of duty.

Thus, three people were directly sent to investigate.

Those veteran workers surely wouldn’t take such work.

Other than the leading male, the other two were newcomers without much work experience.

Full of enthusiasm, eager to perform well, to make a mark and get promoted.

Now the investigation was over, without finding any clear evidence of Sunshine Clinic’s violations.

The best approach is to say a few apologetic words and leave quickly.

"You’re the one who’s sick! We’re just conducting a routine investigation of your clinic. You’re insulting me now, this is verbal abuse against staff. We can pursue legal responsibility."

She got angrier, her face turning redder, breathing heavily.

"I wasn’t insulting you, really! What I’m saying is you really have a health issue."

Li Jingsheng’s serious demeanor almost drove her mad.

"Do you believe I’ll record your actions now?"

Her face was stern.

The other two male staff members also felt Li Jingsheng was being excessive.

Once should be enough, yet he seriously repeated it; how could she not be upset?

"Come, let me listen to your heart and lungs inside. Your face is so red, there might be a heart problem. It’s best to deal with this sooner." Li Jingsheng said to her seriously.

"Are you telling the truth?"

She asked, half skeptical.

Could this doctor be taking the opportunity for revenge or misconduct?

Yet seeing Li Jingsheng’s serious expression, he didn’t seem to be lying.

Plus, during the investigation, those patients spoke well of Li Jingsheng, which made her believe him a bit.

"Don’t worry, my clinic provides free consultations for patients, not charging fees."

Had Li Jingsheng not seen she’s a young girl, he would have immediately pulled her inside.

"Liu Ying, it’s not wrong to get checked inside. I’ve also heard Sunshine Clinic has a very good reputation." The older male staff member finally spoke.

She saw Li Jingsheng waving her over and followed him inside.

Wanting to experience firsthand how Sunshine Clinic treats patients.

After going in, Li Jingsheng directly took her to the examination bed.

"Just lie flat on it. Siying, guide her on placing the stethoscope probe."

"Sure."

Han Siying indeed admired her mentor.

Not knowing how he managed to persuade the female staff member investigating the clinic.

Now she’s obediently lying on the examination bed waiting for the check-up.

Li Jingsheng listened carefully to her heart and lungs.

The lung sounds were okay, but the heart sounds had a clear murmur.

"Move down a bit; the murmur seems to be coming from the mitral valve area." Li Jingsheng frowned, instructing the patient to move the stethoscope probe down.

This time, he listened clearly and determined the murmur was from the heart valve.

It should be the mitral valve without a doubt.

"The heart sound is a bit muffled, indicating your heart may have edema or hypertrophy and enlargement. It seems both conditions might exist. The mitral valve may not be closing properly, causing a murmur. I suggest you get further checked at a big hospital to clarify the cause. Your heart likely has a quite serious issue."

After the check-up, Li Jingsheng signaled she could button up.

Her face was still red, but now even her ears seemed a bit red.

Her gaze was a bit shy.

Young girls are easily embarrassed.

It’s just a normal check-up.

"I didn’t feel any discomfort! Can you really determine a heart issue just by listening like this? And even pinpoint the specific area?"

"How long have your cheeks been red?"

"It’s been at least seven or eight years!"

She was still somewhat skeptical about Li Jingsheng’s diagnosis.

"That means your heart has been diseased for a long time. Have you never gone to the hospital for a check-up?"

"I did, there was no problem. I even had a physical when I joined the company."

Her doubt about Li Jingsheng’s diagnosis was not without reason.

If there really was a disease, how could it have dragged on until now?

It would have been caught during the physical exam.

"Early stages of heart disease are quite hidden, and routine checks are unlikely to uncover the issue. Trust me, go to the hospital for a cardiac check-up, and don’t delay any further. If treated and intervened promptly, there’s still hope for recovery. If it drags on too long and develops into dilated cardiomyopathy, that’s when heart failure occurs. The ultimate treatment options are only two: artificial heart or heart transplant."

The cost of an artificial heart is above a million; the average person simply cannot afford it.

Heart transplants are even more difficult, though the cost is considerably lower, waiting for a donor heart is exceedingly rare.

The best approach is active intervention, don’t let it progress to that stage."

Li Jingsheng sometimes genuinely worries about his patients.

They don’t understand the dangers of the disease, naively believing everything is fine now so they don’t need to worry about it.

In reality, when severe symptoms actually appear, it’s already too late.

"Is my condition really that serious? Are you sure you’re not trying to scare me?" her expression shifted.

She seemed to be already somewhat panic-stricken.

This sort of issue would cause fear for anyone facing it.

Especially considering she’s so young, her capacity to bear the psychological impact is very limited.

"Do you often cough now? Feel breathless after just a little exercise? Constantly feel weak?" Li Jingsheng stared at her and asked.

"I do seem to have these symptoms, especially recently, I often feel a sense of panic and shortness of breath."

Thinking carefully, she trusted Li Jingsheng a bit more.

All these symptoms appeared.

And quite frequently.

"I’m just saying if, hypothetically, your mitral valve is really failing to close fully, then it suggests your heart enlargement is fairly severe. You see, our heart is akin to a house, and the two valves are like doors. Their size is originally matched to the house."

Only when the house expands and the doors remain the same will issues with closure arise.

From your heart sounds, they were very dull, which leads me to suspect that besides ventricular hypertrophy, it might also be accompanied by edema. This type of heart-related disease can be extremely tricky."

Li Jingsheng could only explain it to her in relatively simple terms.

Her condition is likely to be more complex.

Very possibly it is heart disease. Also commonly known as rheumatic heart disease.

Many doctors are aware that Tetralogy of Fallot is difficult to handle, yet they don’t know some diseases are even more troublesome to resolve.

Some patients show valve insufficiency, and after examination, doctors tell them valve repair surgery is needed.

But that doctor only finds valve insufficiency, without identifying the underlying reason for such closure failure.

In such conditions, when surgery is carried out,

The surgery is very successful.

Both the doctor and patient are thrilled.

But after a period, the patient’s heart condition worsens again.

Upon checking, it’s found that the previously repaired valve is once more failing to close completely.

The doctor was a bit puzzled.

How did this happen?

The surgery was clearly successful! Post-repair, valve closure was very tight, and the surgical effect was excellent.

Why then, after a while, does it fail to close again?

This time, they brought in more experienced experts for consultation.

Ultimately, it was found that the patient’s ventricles had enlarged.

Meaning the patient’s heart continually expanded, the house gets bigger but the door size remains unchanged, which is the real cause of valve failure to close.

Such heart enlargement diseases are typically driven by various factors.

Once initiated, they’re difficult to halt.

Even if valve repair surgery is repeated, over time closure issues will resurface. Fundamentally resolving it might only entail replacing the heart.

Therefore, don’t assume the heart is very rugged, post-issue, like issues with cirrhosis, renal failure, and pneumoconiosis, they’re all unsolvable.

Only replacing it with a new one can solve the problem.

Among human body parts, the most crucial ones are the liver, lungs, heart, and kidneys.

Regarding organs like the pancreas, stomach, intestines, should problems arise, removing them won’t impact a patient’s survival. It just reduces their quality of life.

For instance, a stomach removal means the patient can essentially only consume liquid food.

Problems such as reflux may occur.

This way of considering it, every body organ is extremely precious; any issue may trigger a series of serious consequences.

Issues with the most important liver, lungs, heart, kidneys allow no chance for error.

Instantly costing the person’s life.

Other secondary organs, if problems arise, removing them allows the patient to survive.

"Dr. Li, thank you! Today’s visit to your clinic was part of our procedural task, please don’t mind. I’ll be leaving now."

The female staff member, after listening to Li Jingsheng’s analysis was convinced up to eighty or ninety percent.

She just now realized she had met a benefactor.

Li Jingsheng not only didn’t hold it against her, but he also diagnosed her condition.

And very likely saved her life.

If her heart indeed turns into cardiomyopathy, like Li Jingsheng said, necessitating a transplant, she’d have no way to afford it.

"I understand. It’s just that you might still be young; in the future, try not to let emotions affect your tasks. Make time to go to a major hospital for a cardiac check-up; book an expert appointment, don’t hesitate over the few dozen bucks."

For regular minor illnesses, a regular doctor appointment suffices.

No need to queue.

For complex conditions like hers, the best approach is to book an expert appointment.

The registration fee may seem higher than a regular appointment fee, yet experts generally have significant achievements in their specialty’s field.

They can identify the illness and propose reasonable treatment plans.

Her regular physical didn’t reveal heart disease; that implies the doctor was merely going through the motions.