novel for you Chapter 1059 Lawrence's Condition Changes
Chapter 1059 Lawrence's Condition Changes
At the celebration party after the closing ceremony, He Yonghua held the crystal trophy of the "International Medical Innovation Award" in his hand. The cup wall reflected the surrounding flashing lights and enthusiastic faces.
Borg raised a bottle of champagne and excitedly put his arm around Chen Yang's shoulders. "Chen, this is just the beginning! I bet it won't be long before the name of Kyoto International Medical Center will be known to every top hospital in the world!"
Professor Muller also came over, his eyes full of anticipation. "Our Berlin Heart Center is ready and willing to conduct joint research with you at any time—let's start with the mechanism of acupuncture regulating the autonomic nervous system. How about that?"
Chen Yang smiled and nodded. Just as he was about to respond, the phone in his pocket suddenly vibrated.
The name "Li Xiaowen" was jumping on the screen. In the past two days in New York, Li Xiaowen served as Chen Yang's assistant and translator.
"Sorry, I have to take a call." Chen Yang gestured and walked to the corner of the cocktail party to answer the phone.
"Director Chen!"
Li Xiaowen's voice was filled with obvious anxiety: "Mr. Lawrence's medical team just contacted me and said that Mr. Lawrence suddenly developed severe chest tightness and shortness of breath tonight, and his blood oxygen saturation dropped to 85%. They used diuretics and vasodilators, but the effect was not ideal. Now they are preparing to put him on a non-invasive ventilator!
"They asked if you could...could you provide some remote guidance?"
Chen Yang's heart sank suddenly.
Lawrence's condition is complicated to begin with. His heart function EF value is only 28%. Coupled with the underlying liver and spleen disorders, a chain reaction could be triggered if not handled with care.
On the eve of the summit, Chen Yang met Lawrence and treated him. In fact, Lawrence's illness was related to Chen Yang.
Moreover, the fact that Kyoto International Medical Center won the award this time was more or less due to Lawrence, otherwise the organizer would not easily give such an award to the Chinese medical team.
"Do you have the latest medical reports? What's your BNP (brain natriuretic peptide, an important indicator for assessing heart function) level? What are your liver enzymes and electrolytes like? Have you observed your tongue coating and pulse?"
Chen Yang asked: "Where are you? I'll tell them myself."
Li Xiaowen was stunned for a moment, then quickly replied, "They sent a preliminary report. BNP rose from 1800pg/mL yesterday to 2500pg/mL. Liver enzymes were slightly elevated, and blood potassium was low at 3.3mmol/L. As for the tongue coating and pulse condition... they didn't mention it. I'm asking them to supplement it now!"
As she spoke, Li Xiaowen had already walked over to Chen Yang with her cell phone in hand.
After arriving next to Chen Yang, Li Xiaowen made a video call at Chen Yang's instruction.
It has to be said that Lawrence really values Chen Yang and is very disciplined. Before Kyoto International Medical Center confirmed to accept him, Lawrence tried his best not to embarrass Chen Yang, and this time he used the excuse of asking for advice.
"Dr. Chen."
A middle-aged doctor appeared on the phone. He was Lawrence's health doctor.
"Mr. Lawrence, are you feeling cold or sweating? What's the temperature of your hands and feet? Do you have bloating or nausea?" Chen Yang asked directly.
"Mr. Lawrence's hands and feet were cold, he didn't sweat, and he reported significant abdominal distension. He felt chest tightness after drinking a little water and was in very poor spirits."
"Is there a Chinese medicine doctor over there?" Chen Yang asked again.
"Mr. Lawrence specially invited a Chinese medicine doctor from Chinatown. Of course, he can't be compared with you, Dr. Chen." The other party said politely.
"Take a clear photo of the tongue coating and send it to my email, and send the latest information about Mr. Lawrence to my email." Chen Yang said again.
After hanging up the phone, He Yonghua came over and asked quickly, "What happened?"
"Lawrence's condition has relapsed."
Chen Yang briefly explained the situation, quickly walked to the temporary rest area of the cocktail party, and opened his laptop.
Lawrence has sent an email, and Chen Yang opened it.
"BNP soared so quickly, is it because the acute heart failure has worsened? But the diuretic they used is torsemide, so it shouldn't be ineffective..." He Yonghua said as he watched.
“It’s not just heart failure.”
Chen Yang pointed to the words "mildly elevated liver enzymes" and "low blood potassium" on the report.
"My previous treatment for Lawrence focused on soothing the liver and strengthening the spleen, using Chaihu Shugan San combined with Sijunzi Tang with modifications, aiming to improve his poor appetite and insomnia. However, his current problem is the beginnings of 'yang deficiency and water retention.'"
He Yonghua was stunned for a moment: "Yang deficiency and water retention? But he didn't have any obvious symptoms of being afraid of cold before."
After following Chen Yang for so long, He Yonghua can probably understand some Chinese medicine terms.
"Long-term heart failure has damaged the heart's yang, and the diuretics have damaged the body fluids. The spleen's yang is unable to transport and transform, and water and dampness are retained inside the body, which in turn stagnates the heart and lungs."
Chen Yang explained, "Look, he has low blood oxygen and chest tightness, which is due to dampness blocking the lungs. Low blood potassium and high liver enzymes are due to spleen yang deficiency and dysfunctional transportation and transformation. Simply using Western medicine diuretics will only further deplete yang energy and aggravate dampness. That's why the effect is not good."
"Sure enough."
Chen Yang read it carefully, picked up a pen and wrote the prescription on the paper.
Chen Yang stopped taking Chaihu Shugan San and used Shenfu Tang combined with Wuling San instead:
红参 15g（另煎）、附子 10g（先煎）、白术 15g、茯苓 30g、猪苓 15g、泽泻 20g、桂枝 10g、生姜三片、大枣五枚。水煎服，少量多次温服，一次 100mL，每两小时一次。”
He looked up at He Yonghua and explained, "Shenfu Decoction warms the Yang and revives adverse conditions, specifically targeting the decline of Heart Yang. Wuling Powder promotes diuresis and dissipates dampness, promoting Yang and transforming Qi—it can both promote diuresis and reduce swelling while warming and promoting Yang Qi, without damaging the body's vital energy like Western diuretics."
"Also, have them use moxibustion on the Guanyuan, Qihai, and Zusanli acupoints for 15 minutes each to warm the spleen and kidney yang energy and assist the efficacy of the medicine."
After writing the plan, Chen Yang asked Li Xiaowen to send the prescription and moxibustion plan to Pierce, Lawrence's medical director.
He also gave detailed instructions on how to use the medicine: "The aconite root must be decocted for 40 minutes to ensure it is non-toxic; red ginseng must be decocted separately and then added to the medicinal liquid to preserve its efficacy. When using moxibustion, pay attention to the temperature to avoid burning the skin."
At this moment, Borg and others also gathered around to ask questions.
"Director Chen, do you need to go there in person?" He Yonghua asked Chen Yang in a low voice in Chinese.
"No need." Chen Yang shook his head.
Lawrence did not ask anyone to invite Chen Yang over, so Chen Yang naturally would not take the initiative to go over. Whether they were willing to use this treatment plan was up to Lawrence and the entire medical team.
Moreover, although Lawrence's condition has changed, with the help of a top medical team, Lawrence's life will not be in danger this time.
Perhaps this is also a test of Chen Yang by Lawrence.
After giving the plan, Chen Yang continued to drink and chat with Borg and others.
About an hour later, Pierce called.
"Doctor Chen! It's a miracle! It's truly a miracle! After Mr. Lawrence took the first dose of medicine, just half an hour later, his chest tightness was relieved a lot, and his blood oxygen saturation rose to 92%! His hands and feet have also started to warm!"
Pierce's voice was filled with disbelief.