1920 We are doctors, and we have to talk about science.
“What happened after that?” Old Department Director pan asked.
“In the few days after taking the medicine, it was said that her throat was getting more and more painful. I can’t even drink water, let alone eat. “
“Are you having a fever?” Zheng Ren asked.
“I don’t have a fever. That’s what’s strange. When I first heard the symptoms, I thought it was pharyngitis or tonsillosis. But I asked his classmates in detail, and they all said he didn’t have a fever. That’s why I … Sigh. “
Daoist Wang sighed.
“Please continue.”
“Right now, his sore throat is intense, and the episodes are especially frequent. They happen once every five to ten minutes, and each time lasts about five minutes. The symptoms worsened when she ate or drank. “
So frequently? And it wasn’t continuous, but intermittent.
Zheng Ren listened carefully to Daoist Wang’s medical history and began to think about the throat-related disease.
“It’s said that sometimes, even loud sounds and unintentional activities will cause a period of intense sore throat. He fell asleep at night, but the frequency did not decrease at all. The child has not eaten or drunk for five to six days. I’m afraid he won’t be able to take it. “
Daoist Wang’s eyes were red as he spoke.
However, he forced himself to hold back and cupped his hands.””Department Director pan, boss Zheng, that’s all I know. I’ll have to trouble you, boss Zheng.”
“Where is your son being hospitalized?” Zheng Ren asked.
Daoist Wang gave the name of a hospital in a third-class city around the imperial capital.
“The hospital isn’t big, and it’s close to the school. It’s easy for students to take care of them. The child didn’t expect it to be so heavy at first, and it would be fine after a few days of pondering. But the longer I waited, the more serious it got. I had no choice but to call. “
Zheng Ren asked a few more questions. The young man was only 20 years old this year and had been healthy before. He had never had any surgery or external injuries. There were no positive symptoms in his family history. Everything was normal.
It’s just pharyngitis, how could it be so serious?
“Have you done the laryngeal mirror? Is there any foreign matter or swelling in the upper part of the windpipe or esophagus?” Zheng Ren asked.
“It’s said that he had a laryngeal mirror used when he was admitted, and no problems were found. “
“Do you have a list?”
“There is.” Daoist Wang took out his phone and walked to Zheng Ren. He found the picture and handed it to Zheng Ren.
Su Yun stood up and walked to Zheng Ren’s side. She stuck her head in and looked around.
There were two images from the laryngeal mirror on the film. Although the location chosen was not very standard, it was enough for diagnosis.
There were no foreign objects in his throat or vocal cords. There wasn’t even any inflamed edema.
Zheng Ren continued to flip through the test results. Other than the blood plasma, everything else was normal. There was no problem at all.
The blood plasma was abnormal because the patient had not eaten for a long time.
If one didn’t have a tooth in five or six days, there would usually be some electrolyte disorder.
“Do you have any recent photos of the child? It’s best if you can send me a current one. I’ll see if there’s anything unusual on my body. ” Zheng Ren said.
Priest Wang immediately contacted his son. A few minutes later, he received four or five photos.
The location of the photos that were sent over was very complete, and there was basically nothing left out.
Daoist Wang’s son’s skin was not bruised, red, and swollen, nor was there any obvious bruise. Zheng Ren’s suspicions were dispelled by a few photos.
At this moment, Zheng Ren cursed in his heart. Why can’t I see the system panel?
If there was a system panel just by looking at pictures, it would be much more convenient for him to conduct remote consultation.
Zheng Ren started to think about the condition related to the throat.
“Little Wang, what are you going to do if this person comes to your Taoist temple to burn incense?” Old Department Director pan asked.
“Traditional Chinese Medicine calls it plum core Qi. They believe that this disease is caused by emotional injury, which leads to the stagnation of Qi in the liver, which is caused by qi stagnation or blood stasis. The general treatment method of Chinese medicine is to soothe the liver, regulate qi, and remove phlegm. ” Daoist Wang said with a bitter face.
“So, your son broke up with his girlfriend?” Su Yun laughed.
“Cough, cough …” Daoist Wang was also speechless.
“I don’t think so.” “The dominance of the laryngeal nerve is extremely rich,” Zheng Ren said.”The sensory and motor nerves mainly come from the pharyngeal Bush on the posterior wall of the throat. They contain branches of the vacuous nerve, the tonophobic nerve, the secondary nerve, and the parasympathetic nerve.”
“You suspect it’s a nerve problem?” Su Yun asked.
“According to brother Wang, it hurts when I open my mouth to speak. It must have stimulated my nerves.” Zheng Ren was deep in thought. He held Xie Yiren’s hand with one hand and picked up a pair of chopsticks with the other. He subconsciously tapped the plate of bones.
“In addition, there’s the second branch of the Trident nerve, the tonophoric nerve, and so on, which are directly distributed in the throat. That’s why the throat is extremely sensitive, and it’ll be obvious if there’s a small problem. “
“It’s the same as not saying anything. ” Su Yun was disdainful.
“Diseases of many organs in the body can also cause abnormal feelings in the throat through nerve reflex and transmission.”
“For example?”
“Let’s not talk about anything else. Let’s just talk about the problems related to the esophagus in the cardiothoracic Department. Esophageal spasm, sleep, cardiac Achilles, early malignant tumors, traumatic pharyngitis, countercurrent pharyngitis, cardiac spasm, and diaphragm rupture can all cause discomfort in the throat. “
“It’s too rare!” Su Yun said.
“Indeed. These are very rare. The possibility is not high.” Zheng Ren said,”there’s a way that can easily rule out many situations.”
Daoist Wang’s eyes lit up.
“Brother Wang, can you talk to the doctor over there? inject 1% lidocaine into the patient’s throat and see if it can alleviate the severe pain.” Zheng Ren said as he pondered.
Daoist Wang was in a difficult position, but he did not dare to disturb Zheng Ren’s thoughts. He picked up his phone and walked out.
“Zheng Ren, are you sick?” Old Department Associate Director pan asked in a low voice when he saw Daoist Wang walking out.
“Department Director, we’re doctors, we have to be scientific.” Zheng Ren’s train of thought was interrupted, but he did not get angry or become stupefied as if he had been interrupted by Su Yun. Instead, he smiled and explained to Department Director pan.
“Yes, you’re right.” “You can think about your own things, there’s no hurry,” Department Director pan said.
“Everyone, let’s eat first.” Zheng Ren saw that no one was eating and the dishes were getting cold, so he greeted them.
“President Zheng, it’s quite interesting in the capital!” “What a fulfilling life,” Chu Yan Zhi said with a smile.
“Nothing much, I’m as tired as a dog every day.” Zheng Ren said casually.
“Don’t listen to him. He doesn’t even wear lead clothes now. He just sits in the operation room every day and watches Fugui ‘er and old Liu perform surgery.” Su Yun saw through Zheng Ren’s fake act.”He’s so free. Why does he come to the emergency department when he has nothing to do?”
“That’s good. There are more people in the big city and more things to see. They all say escape from Beijing, Shanghai, and Guangzhou, but that’s nonsense. ” Chu Yanzhi picked up the chopsticks and suddenly looked at Department Director pan with sparkling eyes.”Department Director pan, why don’t you start eating first?”
Old Department Director pan chuckled and picked up his chopsticks.
Zheng Ren quickly turned the big fat fish head around, and everyone only started eating after old Department Director pan took a bite of the meat from the fish head.
……
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[Note: Xia Hua’s mother has just started a new book,”run for your life, the author.”] Xia Hua’s mother’s imagination was quite good. The last book,’immortality’, was like this, and the opening of this book was also quite good.