2945 The same condition, but different symptoms.
“Boss Zheng, the results are out.”
Ten minutes later, while Zheng Ren was still reading last year’s CT scan results, Zhou Litao came in and said,”
“Lung function shows a severe decline in FEV, FEV/FFC, PEF, MMEF, V75, V50, and V25. The patient has severe obstructed respiratory function, and the airflow of the large and small airway is severely damaged. The resilience of the airway obstruction is small, and the bronchilodization test is negative.” Zhou Litao said.
“Why is it so heavy?” Su Yun frowned.
At first, he had suspected that sister Qiao’s lover was deliberately using her illness as an excuse to hide. However, the symptoms could be faked, but objectively speaking, the possibility of it being faked was not high.
“I’ll go ask sister Qiao. ” Zheng Ren immediately stood up and said after hearing Zhou Litao’s report of the test results.
“You suspect there’s another problem?” Su Yun asked,”uh … Cricoid cartilage?”
“It might be caused by the cricoid cartilage.” Zheng Ren nodded.
After more than a year of tacit understanding, coupled with Su Yun’s brain, solid basic knowledge, and clinical experience, she instantly guessed what her boss was thinking.
Outside the resuscitation room, sister Qiao looked at the ground silently. Zhuang Yongzhi and the head nurse of the operating room sat beside her in silence. They probably didn’t know how to persuade her. In the end, everyone remained silent, using company as a comfort.
The few of them had the same thoughts. They couldn’t say anything when they encountered this kind of thing, and they couldn’t persuade him either. They just treated it as if it didn’t exist. As long as sister Qiao was fine, everything else was fine.
“Sister Qiao.” Zheng Ren walked up to Qiao Liyan and said in a deep voice.
“Boss Zheng, I’ll have to trouble you.” Sister Qiao didn’t look up but said softly.
“Does your wife usually have any small problems?” Zheng Ren asked, then hesitated. It was a taboo to ask about the patient’s medical history. For example, if the doctor had a certain judgment in his heart, he would then start to simulate the symptoms according to the patient’s condition and ask the patient’s family.
However, Zheng Ren soon figured it out. Since he had the big pig trotter and the system diagnosis of future technology, it should have nothing to do with guided consultation.
Qiao Liyan did not understand what Zheng Ren was saying. She raised her head and looked at him blankly, not understanding what he meant.
“I mean, does your wife always have pain in her ears, or … Pain in the joints of her hands and feet, or swelling?”
“He was diagnosed with gout before. His right thumb is often swollen and in obvious pain.” Sister Qiao replied,”my ears … I occasionally hear him say that his ears hurt, but I rub them gently every time. They can be relieved in about 20 minutes. The frequency is about once a month. “
At the mention of this, sister Qiao’s eyes suddenly lit up.
Zheng Ren knew that those were tears.
Every little thing in his life was shattered just like that. When he thought about it, the originally warm scene became a little ridiculous.
He couldn’t bear to see sister Qiao’s emotional changes and hurriedly said,”I’ll do a fimbrabotomy for your wife to take a look. There’s some progress now, so I’ll confirm it.” Su Yun, tell sister Qiao about the possible problems. After all, it’s still dangerous to do it now. “
Zheng Ren then rushed into the emergency room, leaving Su Yun outside to talk to Sister Qiao.
Zhou Litao had already prepared a firbotomy tube. He followed behind Zheng Ren and asked in a low voice,”boss Zheng, what illness do you suspect?”
“He doesn’t have a past history. He has sudden asthma. When I saw last year’s X-ray, I found that his windpipe and trachea had thickened. In addition, sister Qiao said that the patient’s right thumb was swollen and his ear hurt. I suspect that it’s recurring polychosis. “
Relaxant polycartilamia was a rare disease that involved multiple systems of the whole body. It was an progressive inflammatory destructive lesion that had repeated relaxings and relief. It involved cartilage and other connective tissues of the whole body, including ears, nose, eyes, joints, respiratory tract, and cardiovascular system.
The clinical manifestation was chaldonsis of the ear, nose, and respiratory tract, accompanied by symptoms of organ interference such as the eye and the vestibule of the ear.
Zhou Litao originally thought that the patient had asthma due to the cold weather and emotional agitation, but he did not expect boss Zheng to give such a diagnosis.
“This illness is not common. I’ve only seen two cases, and they were during my internship.” Zhou Litao said,”there’s a patient who often feels dizzy. At the beginning, there were various diagnoses, but the effect after treatment was average. In the end, an old specialist arrived and diagnosed him with relapsing polychalasis. We didn’t believe it at the time, but the results of the test proved that he was right. “
Dizziness and asthma were two completely different symptoms, but they came from the same disease. Zheng Ren nodded and chatted with Zhou Li Tao about his condition while waiting for the results of Su Yun’s conversation.
Even the family members of the patients in the hospital had to go through the proper procedures. This kind of thing had happened countless times, so the more he was in the hospital, the more careful he had to be. He had to be careful not to do bad things with good intentions.
The patient’s growling had been alleviated by the drug, and his blood oxygen saturation level was maintained at about 95%. He was lying on the Gurney with his eyes tightly closed, and only the slight movement of his eyeballs could be observed through his eyelids.
Zheng Ren shook his head slightly. This was really hard to say. Now that he thought about it, it was hard to understand. Forget it, let’s talk about the matter between the couple later.
As for himself, he still had to be a doctor. He had to diagnose his illness clearly and then treat it.
It was a professional requirement to not be overly emotional. Zheng Ren checked the firbotomy device while calculating the images that he might see after entering.
He did not enter the operating room to take a look. It was just an examination, and there was no need to waste his training time. Although he was quite well-off now, the ‘big spender’, little stone, was still waiting for him.
It would be a joke to say that a lung transplant was not difficult. Any operation that involved organ transplantation was a major operation. Moreover, little stone’s condition was ordinary, which made the surgery more difficult.
In addition, the lungs were 3d printed. There were countless things to do before and after the operation, and the surgery training time he had saved might not even be enough.
A few minutes later, Su Yun walked in and said,”boss, let’s do it. Sister Qiao is signing. She agreed to go to the emergency department to check the condition of the trachea.”
“Are you clear?” Zheng Ren asked.
“Yes, I’ve made it clear. Sister Qiao will agree to that. “
When Su Yun was speaking, Zheng Ren saw that the patient’s eyelids were twitching a lot more. He seemed to be a little afraid, but he had a lot of strength to close his eyes. He was probably trying to contain his fear and escape from reality.
“Hey, wake up. Don’t pretend to be asleep. We need to do the examination!” Su Yun’s attitude was extremely impatient. He patted the arm of sister Qiao’s lover and said loudly.
Su Yun’s attitude was clearly a little irascible. Zheng Ren sighed helplessly.