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Chapter 191 Family disease that can't be helped(1/2)

Perhaps due to Wen Jingshu's instructions, Xu Xian just had to do a coronary angiogram, and a large group of doctors came. It seemed that the director of the cardiology department rushed over.

Before doing coronary angiography, some preliminary examinations are usually done. Because contrast agent needs to be injected, you need to ask in advance whether you are allergic to iodine. In addition, people with severe cardiopulmonary, liver and kidney dysfunction cannot do coronary angiography.

However, fortunately, Xu Xian's body is still healthy and meets the requirements for angiography.

Later, Xu Xian took a blood lipid test and an electrocardiogram at the doctor's suggestion.

Coronary angiography is actually real-time, but Xu Xian cannot see it while lying down. After the examination, the doctor prints out the film. The results of the previous blood lipid test were also sent over immediately.

"There are no ST-T changes of myocardial ischemia in your electrocardiogram. However, very slight atherosclerosis does appear in the coronary angiogram, which has no medical reference value yet." The director of the cardiology department said: "You

My blood lipids are slightly high, but it’s not an exaggeration. Go back and pay attention to your diet and exercise more. High blood lipids will accelerate coronary artery stenosis.”

"Doctor, I have something to tell you." Xu Xian paused for a moment: "My dad has quite serious coronary heart disease, and my grandfather also has a bad heart, and he seems to be showing early symptoms of coronary heart disease. Do you want to ask?

, can coronary heart disease be hereditary?”

"Coronary heart disease does have a hereditary tendency, and it occurs more frequently in males! What about your mother? Does she have coronary heart disease?" asked the director of cardiology.

"Probably not." In fact, Huang Ying has not had a special coronary artery examination, but judging from her usual lively appearance, it seems that she has no such worries.

"That's not bad!" The director said happily: "If both parents have coronary heart disease, then the next generation, especially boys, will have a greater chance of inheriting coronary heart disease, and the disease may develop earlier than their parents. So look at it this way

The atherosclerosis of your coronary arteries is not just your fault."

"Doctor, my daily living habits are okay. I don't even understand why I have high blood lipids. My dad seems to have high blood lipids, but his usual diet is very light."

Hyperlipidemia is a very direct cause of coronary artery stenosis. However, both Xu Xian and Xu Jingyang suffer from hyperlipidemia, which is very inconsistent with their living habits.

Xu Jingyang has a very light taste, he is not greedy, and his work and rest habits are very healthy. Logically speaking, blood lipids should not be high. The same is true for Xu Xian. He even exercises a lot more than Xu Jingyang, but as a result, his blood lipids are still very high.

.

The director waved his hand: "Although hyperlipidemia is directly related to living habits, it is not all. Some families have genetic mutations in lipid metabolism, which leads to symptoms of primary hyperlipidemia."

"Doctor, are you saying that this is my home?" Xu Xian's heart froze, and the more he thought about it, the more he thought it was. The reason why his symptoms were very mild while Xu Jingyang's were very serious. A very important reason is that he started the business in the Xu family.

During a period of time, in order to socialize and handle company affairs, Xu Jingyang not only failed to pay attention to his physical health, but also developed many bad living habits. During that period, Xu Jingyang still suffered from more and more frequent chest pains.

Director: "I'm not sure about this. However, your blood lipid index is not particularly high, and the impact on coronary artery stenosis is not great. Generally speaking, if coronary artery sclerosis occurs, we recommend treating high blood lipids

Take medicine. However, your coronary atherosclerosis can basically be ignored and you don’t need to take medicine. In addition, if it is really hyperlipidemia caused by genetic factors, there is no permanent solution. If you start taking medicine

, you may have to be prepared to take medication for a long time.”

"Like antihypertensive drugs?" Xu Xian's mind was a little confused for a moment.

Once he starts taking medicine to deal with high blood pressure, he must take it for a long time or even for life. He definitely doesn’t want to spend the rest of his life just like a medicine bottle.

"If it is really caused by genetic factors, is there really no good solution?" Xu Xian refused to give up.

"Sorry! Hyperlipidemia caused by genetic factors involves gene mutations in lipid metabolism. There is currently no good solution. However, you don't have to be discouraged. Your condition is actually very mild. You are still young and have strong metabolism.

, at least for a long period of time, your coronary atherosclerosis should not be a substantial problem. Even if you get older and your metabolic capacity declines, some medical intervention should be able to achieve good results. At least

It has no impact on normal life at all."

"But, I am a pilot! It may not have any impact on ordinary people, but it may not affect me." Xu Xian said irritably: "Just yesterday, I had symptoms of chest tightness and palpitations when the plane was descending rapidly. I

I don’t know if it will get worse in the future or if it will affect my work.”

"Symptoms have appeared? How long have they lasted?" The director was surprised, but he reasoned that the degree of atherosclerosis like Xu Xian's was not enough to cause symptoms.

"It's only a few minutes, and it's not very obvious." Xu Xian said: "Actually, if my father didn't have coronary heart disease, and I have some special understanding of chest tightness and chest pain, I might not even notice it."

"That's it! That's okay! If it's more serious, you need to pay more attention. I suggest that you have a coronary artery examination every six months. If you have frequent or severe chest pain, chest tightness and palpitations, you must go as soon as possible.

Hospital." The doctor ordered.

Nowadays, many people have hyperlipidemia, but they do not need to take medicine whenever they have hyperlipidemia. If the blood lipids can be brought back to normal through dietary adjustments or changes in lifestyle habits, doctors do not recommend taking medicine. Because taking medicine

If it is stable, if there is no change in diet and living habits, and the root cause is not removed, it is easy to rebound after stopping the drug. Such an unstable indicator will be detrimental to the patient.

However, if Xu Xian's coronary atherosclerosis becomes more serious, drug intervention will be necessary. Of course, given Xu Xian's family history, it is very likely that their family has extremely deficient lipid metabolism, so they often suffer from atherosclerosis.

Hardening develops faster.

If Xu Xian cannot suppress the progression of the disease through changes in diet or lifestyle habits, then once he starts taking medicine, it may be long-term.

As for hyperlipidemia at the genetic level, at least until now, there is no effective way to deal with it. Judging from Xu Xian's current situation, the probability that Xu Xian will develop severe coronary heart disease is not high, but soon, people who take medicine for a long time will

The possibility is relatively high.

"Then can I still work as a pilot in my current situation?"

In comparison, this problem is more urgent. Judging from the doctor's words, from the perspective of ordinary people's daily life, his problems can be basically ignored. However, due to the particularity of his work, Xu Xian needs to start from a

From the perspective of a civil aviation pilot, determine whether your situation will affect your flight.

Xu Xian didn't believe that a heart problem would have any impact on flying. Otherwise, there would be no need for an electrocardiogram during annual routine physical examinations.

When asked about this somewhat professional question, the director was a little unsure: "I don't quite understand your civil aviation physical examination standards! But I also know a few doctors from the Civil Aviation Administration of China. They seem to have something about coronary heart disease.

An example of a qualified license. It does not seem to mean that as long as you have coronary heart disease, you are not allowed to fly. As long as the coronary artery stenosis is not very serious, you can get a qualified license. Even if your condition is stable after treatment with drugs, bypasses, and stents.

It seems that pilots can also fly. I know a pilot who has installed a bracket, and he still seems to be flying. However, these are just what I heard, and you still have to ask your company about how to operate it."

The medical examination standards for civil aviation pilots are relatively special, which touches on the director's knowledge blind spot. For areas in which he is uncomfortable, he can give Xu Xian some information he knows. If he wants him to draw any professional conclusions, he is

Don't dare.

"Well, that's not necessarily a dead end." Xu Xian was afraid of his own situation, so he went on a physiological grounding, but Xu Xian couldn't accept it.

However, he didn’t quite understand what the doctor said about the issue of charter qualification. He would find time to ask the company’s aviation doctor in the future, and there should be more professional answers there.

"Then I'll trouble you today!" Xu Xian saw that things were almost done and was about to leave.

The director immediately stopped Xu Xian: "The coronary angiogram you performed has some small wounds on the thigh. After returning home, do not touch the water or do strenuous exercise for the next two days."

Coronary angiography is a minimally invasive interventional procedure in which a catheter is sent to the coronary arteries on the surface of the heart through peripheral arteries and a contrast agent is injected to display the shape of the coronary arteries.

Generally, the choice of peripheral artery is the radial artery on the right side, which is the blood vessel in the right wrist. However, Xu Xian considered that the pilot's hands were somewhat sensitive, and even minimally invasive wounds made him feel grudged, so he finally withdrew.

The second choice was the femoral artery at the base of the thigh.

In addition, the position of the thigh is relatively hidden, making it easy to cover up. Xu Xian doesn't want his family and friends to know about his affairs for the time being.

"I know, doctor! By the way, don't tell Chairman Jing... about me for the time being!"

Not only did Xu Xian not want his parents to know, he also didn't want some relatively close people to know, including Wen Jingshu. And this hospital belonged to Wen Jingshu, so he felt it was necessary to explain it to the hospital, otherwise they would not be able to protect everything.

I have to report it to Wen Jingshu.

The director was stunned for a moment, then assured: "Of course, it is our duty to keep the patient's condition confidential."

Seeing the director's assurance, Xu Xian didn't think twice about thanking the director and hurriedly left the director's office.

Xu Xian's original idea was to cover up this matter in advance. For this reason, he gave up the commonly used peripheral artery on his right wrist and chose the more hidden femoral artery. However, Xu Xian was still young after all. Before that, Wen Jingshu was particularly

She had told Xu Xian that she would report any trouble to her. These doctors dare not obey the specific instructions of the owner of the entire group. Just say a few nice words to scare Xu Xian. As for the report, what should be said

What to say.

As a result, as soon as Xu Xian left the office, the director betrayed Xu Xian and made a phone call directly.

"Chairman, I am the director of the cardiology department of Dianyun Branch. Xu Xian came to us just now for an examination, and the result was..."

...

Xu Xian returned home and found Xu Jingyang eating in a security uniform. Xu Xian glanced at the food on the table and was a little surprised.

"This dish is good! Are you so good at cooking?" Xu Xian filled a bowl of rice himself and sat down to eat.

Ever since Huang Ying went abroad for business, Xu Xian's food quality has plummeted, and he has to endure Xu Jingyang's unsatisfactory cooking skills every day. Sometimes, Xu Xian couldn't bear it anymore and even cooked it by himself, but found that it was not as good as his father. Later,

So I gave up.

But the food we ate today was quite good both in appearance and in taste. Could it be that Xu Jingyang’s cooking skills have exploded and he will have a good life in the future?

While Xu Xian was busy eating, he glanced at Xu Jingyang's security uniform: "How can you still be a security guard with your body? Why can't you run even two steps?"

Xu Jingyang's current state has almost said goodbye to running. It is outrageous that he can still work as a security guard with his physical fitness.

Xu Jingyang was not happy: "Then it's okay if I open the door and record the visitors. Can't it be fine if I don't do any physical work?"

"Does the boss agree with you to do this for a living?"

"I'm so happy! Yesterday, I came here specifically to tell me that I won't have to work the night shift anymore, and my monthly holidays will be increased. Our company is still very humane!" Xu Jingyang sighed.

The security guards in the community here are on duty 24 hours a day, so the security guards have to take turns to work the night shift. However, it is very bad for a person's health to reverse day and night for a long time, let alone people like Xu Jingyang who are not in good health.

.

As a result, the boss of the property company was really considerate. Not only did he visit Xu Jingyang in person, he also announced in public that Xu Jingyang did not need to work the night shift and that his regular vacation days would be increased in the future. If there was any emergency, he could just report it to the team leader at any time.

Finish work.

In short, Xu Jingyang is worshiped as a Bodhisattva.

"Have you ever taken a bullet for the owner of a property company before? Or is there something wrong with his mind?"

Xu Jingyang had some friendship with the owner of the property management company in the past, so the job of community security guard was given to Xu Jingyang because of their previous friendship.

However, the relationship between Xu Jingyang and the property company boss is not very deep, so the boss's current behavior seems very suspicious.

"If you can't speak, just eat well and no one will treat you as a mute!" Xu Jingyang was almost done eating and threw the bowls and chopsticks on the table: "It's your turn to wash the dishes today!"

"Okay, I know!" Xu Xian said vaguely, with food still in his mouth. Xu Xian, who hadn't eaten such delicious food for a long time, turned into a rice cook, and ate like a breeze.

"You haven't told me why your craftsmanship is so good? If you have any tricks, please teach me!"

Xu Jingyang is obsessed with his security job and refuses to resign. If Xu Jingyang happens to be on duty, Xu Xian will have to cook by himself. But his cooking skills are really unflattering. If Xu Jingyang has any quick fix,

He doesn't mind learning from it secretly.

"I have a knack for farting! What kind of skills do you know about me? I can even fry eggs and fried rice until they're burnt. Do you really think I did it? Do you have any brains?" Xu Jingyang grabbed Xu Xian and taunted him.
To be continued...
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