2071 Mirror image pain
“He said he finished two minutes ago, and the patient is on his way back.” Zhou Litao said,”I’ll urge the other side to hurry up and upload the film. Boss Zheng, please help me take a look.”
Zheng Ren took the patient’s information from Zhou Litao’s hands and looked through it bit by bit.
Just like what Zhou Litao had just said, the patient’s physical signs and the self-reflection of pain contradicted each other. The X-ray and B-scan also contradicted each other.
Su Yun furrowed his brows. From the looks of it, he wasn’t sure why such a situation would occur.
The patient’s condition was a little strange.
If the physical signs and self-reflection contradicted each other, it was still common in clinical practice. But could there be any mistakes in an objective examination?
Most young doctors were superstitious about objective examinations, but sometimes, there were contradictions between objective examinations.
“Let’s take a look at the CT scan. ” Zheng Ren quickly read through the patient’s examination report, then strode towards Zhou Litao’s on-call room.
This place had become boss Zheng’s office in the emergency department.
The computer was on. Zhou Litao found the patient’s CT scan and moved away.
The Ct image supported the judgment of the B-scan. He could see that the patient had water in his right kidney and a stone shadow was stuck at the ureter.
Zheng Ren was also puzzled. He inserted the X-ray vertical plain film into the MRI scanner and began to compare the difference between the X-ray image and the CT image.
“That’s strange. The X-ray images look very standard. ” Su Yun’s brows furrowed even more.
They were all very standard, but they were contradictory. Such situations were not common in clinical medicine.
Zheng Ren didn’t say anything. He held his chin and kept looking left and right, reconstructing his mind.
“I’m going to see the patient. ” After nearly 10 minutes of silence, Zheng Ren finally spoke in a deep voice.
Zhou Litao handed over two sets of white clothes for Zheng Ren and Su Yun to put on before walking out of the duty room.
The patient had returned after the examination. The painkiller had worn off, and he was in even more pain.
He didn’t go to the hospital bed. Instead, he curled up on the Gurney and grabbed his lover’s hand tightly. He looked particularly pitiful.
The pain in the urinary system … No matter what kind of pain it was, it would be fatal. Zheng Ren came to the patient’s side and asked softly,”where do you feel pain?”
The patient’s family was very impatient, but in the face of the doctor’s inquiry, they could only repeat the same words over and over again.
“The left side of my stomach hurts.” Even though the patient’s family was still quite cooperative, they were starting to get impatient.
“Doctor, this face hurts.” The patient said as he held the left side of his stomach. His wife’s hand was on her waist, trying to raise the temperature as much as possible. Perhaps this would alleviate his pain.
As expected, there was pain on the left side. Zheng Ren then turned the patient’s body to the side normally for a physical examination. However, the patient was like a bird startled by the mere twang of a bow. He said in a panic,””Doctor, please don’t hit my waist. I’ll die if you hit me once.”
“…” Zheng Ren looked at his expression. It didn’t seem like he was pretending. He was speechless.
She was afraid of the pain.
“Alright,” he said. Zheng Ren looked at his system panel and nodded lightly.
The diagnosis on the system panel was the same as the CT scan and B-scan. The symptoms were the opposite of the patient’s own symptoms. He had stones in the right urinary tract and water in the right kidney.
Zheng Ren dug out a lot of related information. He pondered as he looked at the system panel.
“Doctor, what’s the illness?” The patient curled up on the bed and asked pitifully.
At this moment, he looked so helpless. His face was pale, and cold sweat was dripping from his forehead and temples.
Even his clothes had been pierced through. He was truly pitiful.
This was still considered good. Many burly men lay on the Gurney and screamed like pigs being slaughtered. Zheng Ren had seen this scene countless times in the first hospital of Haicheng City.
“I’m fine, I’m fine. ” Zheng Ren smiled and consoled the patient.”It’s just a small problem. Let’s study it and try to make it less painful.”
His smile seemed to have some unknown power, and the patient felt that the pain was a little lighter.
However, the patient’s family members were very annoyed. They glared at the “useless” doctors as they left.
Back in the guardroom, Zheng Ren said in a deep voice,”take him in.”
“…” President Yu was speechless. He didn’t expect boss Zheng to give such an explanation.
He knew that boss Zheng didn’t need to say anything about it.
“Boss Zheng, what illness are you considering?” Vice President Yu asked cautiously.
“Water accumulating on the right kidney and stone in the right ureter. Hurry up and break the stone. If the water in the kidney continues to get serious, I think you might not be able to keep your kidney. ” Zheng Ren said.
“What about the left side? The patient can tell us about the pain on her left side. ” Su Yun asked.
“I’m considering the mirror image pain. ” Zheng Ren said.
Mirror image pain?
This term rarely appeared in clinical medicine.
Zhou Litao was dumbfounded. Vice President Yu had some experience, but he wasn’t sure if he was right or wrong.”Boss Zheng, is it the kind of mirror pain that causes pain on the left side due to stones in the right side?”
“Yes.” Zheng Ren was still looking at the X-ray and nodded.
“Usually, the mirror image’s pain is on both sides.” Su Yun raised a different opinion.
“A physical examination. General manager Zhou’s physical examination showed that he had pain in both sides. The patient admitted that he had pain on the left side. I don’t think this is important.” Zheng Ren said.
“Zheng … Brother Yun, what is mirror image pain?” Zhou Litao hadn’t encountered it before, so he was at a loss.
“When one side of the body is injured, they will feel pain on the other side of the body in the same position. This research began on a large scale after World War II, but until now, there has been no conclusion.” Su Yun said,”the strangest situation is that if one side of the nerve is damaged, the corresponding nerve on the other side of the body will also be damaged.”
“……”
Is this science? And he was just joking? If not for Brother Yun and boss Zheng’s words, Zhou Litao would have stepped forward to scold them.
If one side of the nerves was damaged, the other side would also be damaged. This was simply too idealistic and unbelievable.
“In fact, it was concentrated research after World War II. Similar research began as early as after the United States Civil War.” Zheng Ren rested his chin on his hand and continued to read the scans. He said,””A neurologist from Massachusetts General Hospital, Dr. Okland, did some research on this. She was also the one who named the mirror pain.”
“Boss, mirror image pain is more common in cases of rabies, and it’s very rare in the urinary system, right?” Su Yun was also very confused.
“Very few, but there are.”
Zhou Litao looked at Su Yun pitifully, as if he had kidney stones. He waited for Brother Yun to explain to him.
“It’s more common for them to have blisters. The logical explanation is that the virus has entered the spinal cord and spread to the other side of the body. ” Su Yun said,”but those who are injured in the war will also feel pain on the other side because one of their limbs is missing.”
Zhou Litao suddenly remembered that he had indeed encountered similar patients in the emergency department, but his healthy limbs were not injured, so he had not noticed it before. He just thought that it was a kind of hysteria.
He didn’t expect that there was really a saying of mirror image pain.
……
……
[Note: it was written wrong in the single chapter. When I read the chapter’s explanation in my spare time at work, I was shocked and thought that I didn’t notice it even though there was so much difference.] As it turned out, just like the words “first in Asia,” the old man did not know how to count. Here, they apologized and bowed. I’ve officially paid off the monthly votes and can now pay the Alliance master back~~~
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