2072 Old
“In the end, professor Okland didn’t make any progress.” Zheng Ren said.
“That can’t be right. I remember that she did an experiment on white mice. She cut off one side of the nerve, and the other side also necrotized a few weeks later.” Su Yun retorted.
“I think this is a special case, and it doesn’t have a general meaning.” Zheng Ren said,”in clinical terms, Canada doctors did a large-scale sample investigation on kidney stones and found out that mirror pain does exist.
However, in terms of probability, I’ve observed it in the First People’s Hospital of Haicheng City. The so-called 0.48% occurrence rate seems a little high. “
“Oh?” Su Yun didn’t expect her boss to have already started researching mirror image pain in Haicheng.
“According to Canada data, three out of more than 600 patients suffered from mirror pain,” Zheng Ren said.”The data I observed showed that more than 400 patients with urinary gallstones did not suffer from mirror pain. This is the first patient I’ve ever seen in the field of clinical medicine. “
This was how clinical research worked. Whether it was 600 cases or 400 cases, they were all small samples, and it was normal for deviations to occur.
However, from boss Zheng’s observation, mirror pain was considered a rare disease in the country.
“Then, take him in? And then?” Vice President Yu was a little confused.
“Enter the hospital and break the stone. If your Department Director doesn’t approve of mirror image pain, you can check on an intravenous pyelonoscope. ” Zheng Ren’s finger pointed at the X-ray standing film inserted in the MRI scanner and said,”This should be some kind of stress change in the body. When the stones are broken and expelled from the body, it will no longer hurt, and it should be better. “
“Boss Zheng, can you be more specific?” President Yu didn’t have any good ideas. He couldn’t say that when he reported his medical history to the director.
“Um … Then you should report this to the director.” Zheng Ren looked at the X-ray and said,”the pressure in the right collection vessel increased due to water accumulation. Then, the nerve endings in the intrinsic layer extended. The smooth muscles spasmed and contracted. They tried to move the stone.”
“Increased production of lactic acid, stimulated mucous membrane, and activated chemical receptors. After the nerves reach the spinal cord, they connect with the spinal cord at the T11 L1 level and then transmit to the central nervous system, creating the illusion of heartrate pain. “
“…” President Yu was silent and speechless.
If he told the Department Director that, he might have to be a chief resident for another year.
However, seeing that boss Zheng couldn’t give a particularly convincing point of view even though he had given a diagnosis, he could only nod.
“As for the image of the left ureter near the lumbar spine, we can rule it out by doing a pellecotomy. Regardless of whether it’s a mirror image or not, you’ll still have to deal with the kidney stones in the right urinary tract. ” After Zheng Ren finished speaking, he took the X-ray film, put it in a bag, and handed it to President Yu.
Then, the two chief residents started to get busy.
It was a relatively huge project to convince patients who had previously firmly refused to be admitted to the hospital for diagnosis and treatment.
However, the two of them had rich clinical experience after all. In addition, the patient was in severe pain. With a relatively reasonable but more mysterious explanation, he reluctantly accepted it.
The pain from the kidney stone was real. It felt like the end of the world. Even if there was a mountain of daggers and a sea of flames ahead, they might still have to charge through it.
Su Yun made use of this time to order breakfast.
After Zhou Litao finished his work, breakfast had just arrived.
“Boss Zheng, Brother Yun, the patient has been sent to the hospital.” Zhou Litao reported the finishing touches.
“Yes, crushed stones will do. If it can’t be crushed, the Department of Urology has plenty of ways to solve it. ” Su Yun said as she ate her bun.
“This is also my first time experiencing mirror image pain in the urinary system.” Zhou Litao was still very interested in this.”Among orthopedic amputation patients, there are a few cases of lateral pain, but I think it’s hysteria.”
“It’s not hysteria. It’s just that we haven’t found the scientific principles behind it yet.” Zheng Ren laughed.”The current science has no clear diagnosis and treatment for many diseases.”
“I think we can use the central nervous system’s reshaping to solve this problem.” Su Yun said,”it’s a pity that I don’t do research in this area. I don’t have any leads for now.”
“There’s no need to do it. When we encounter similar patients, we know in our hearts that there’s such a possibility. It’s enough as long as we don’t misdiagnose them. ” Zheng Ren knew his position very well. He had always been a clinician.
Previously, professor Charles had advised him to do theoretical research. Zheng Ren had already made up his mind the moment he decided to give up.
As the three of them ate breakfast, they chatted about their guesses about the mirror image’s pain.
Zhou Litao was a little emotional. No wonder boss Zheng was doing so well now. When he was the chief resident of the emergency department in Haicheng, he already had some understanding of such unorthodox things.
There really was no free lunch in the world.
Regarding boss Zheng’s guess, Zhou Litao had been wrong from the beginning.
Zheng Ren only started to reflect and recall the similar patients he had encountered in his medical career after he met the mirror image patient this morning.
Hence, the way of thinking of a cheater was different from others. If Zhou Litao used a normal person’s way of thinking to think about boss Zheng, he could only go further and further down the wrong path.
Boss Zheng never used … He rarely did a forward deduction. He always did a backward deduction after knowing the answer. Reverse-engineering was very easy, but it was also built on the foundation of Zheng Ren’s powerful memory.
“Oh right, why hasn’t Cui Lao come to work recently?” Zheng Ren asked casually after he finished his meal.
“It’s been more than half a month since cui Lao was sick. He’s been getting better and worse repeatedly. ” I came to the hospital for a check-up, and there’s nothing serious. “
Zheng Ren was stunned for a moment. He knew that elder cui was old and there were some things that could not be solved by human strength.
“Where’s the cui family? I’ll go take a look when I have time. ” Zheng Ren said.
“Tomorrow is my rest day, so I’m going to visit cui’s old house,” Zhou Litao said,”boss Zheng, if you have time, let’s go together?”
“Sure, tomorrow … In the afternoon.” Zheng Ren said,”I had a lot of things to do this morning.”
At the mention of cui Lao’s illness, the atmosphere in the on-call room became a little tense.
But after all, he was almost 80 years old, so it was normal for him to have some small problems.
Even Zheng Ren would see a red dot on a doctor’s system panel in every doctor’s office, let alone cui Lao, who was almost 80.
This was the law of nature. Zheng Ren wanted to go there once because he missed cui Lao. The second was to use the system panel to check if cui Lao had any other problems and was misdiagnosed.
Although the latter was unlikely, Zheng Ren still felt that it was more appropriate to take a look.
After breakfast, Zheng Ren and Su Yun left the emergency department and returned to the Department of interventional services to prepare for the early shift.
Lin Yuan was still sitting in front of the computer, busy writing medical records. Chang Yue was chatting with the patient’s family in the ward. Everything in the Department seemed to be the same as usual.
It was plain, but it was rich and colorful.
……
……
[Note: when I wrote about the mirror image pain, I searched for information and recalled that there was a patient who had undergone an amputation in the front emergency department. The patient always said that the amputee’s position and the side of the patient suffered pain.] I’ve been saying that people are pretending to be sick … I’m a little ashamed. This was the first time he had heard of the mirror image’s pain.