2946 Dog-licking
“General manager Zhou, the patient is here for Rheumatology immunity.” Zheng Ren said.
“Why don’t I see the cricoid cartilage … It seems to have dissolved?” Zhou Litao asked in surprise.
“As a rare disease, the cause and mechanism of relapsing polychysanthema are still unknown. It is reported to be an autologous-immune disease, but it also has a certain hereditary tendency. The specific mechanism of the disease is still under further research.”
Zheng Ren explained,”the symptoms of this disease in the lungs are mainly seen when the disease is accompanied by tracheal cartilage inflammation. Pathological examination shows that the tracheal cartilage has dissolved, the trachea mucous membrane is swollen, and granulation, etc. The windpipe cavity can become narrow and even blocked.”
“But …” Zhou Litao paused for a moment. He still had some doubts, but how could he voice his doubts about boss Zheng’s words? he swallowed them back.
“Oh, I guess it’s just slowly dissolving. The body is gradually getting used to it. In the event of an accident, the secretion of a large amount of hormones would cause the trachea to spasm. It just so happened to happen today, so it exploded directly. ” Zheng Ren said,”this explanation is a little coincidental, so they insisted on using a thin lens to take a look.”
Zhou Litao felt that it was logical and immediately nodded his head.”Boss Zheng, what else do we need to check after being admitted to the hospital?”
“It’s good that you’re admitted. Our hospital has a strong immunity to Rheumatology, so it’s fine as long as the diagnosis on the hospitalization form is written clearly. “Recurring hyperchondrolamia. Don’t write it wrong.” By the way, this disease diagnosis should be in the ABCD code, right?”
“Yes, I know, boss Zheng.” Zhou Litao smiled and immediately went to open the hospitalization form.
Su Yun hesitated for a moment, but she did not stay. Instead, she went to the operating room with Zheng Ren to change her clothes.
He seemed to be … Wrong again. On the way, Zheng Ren began to reflect on himself. He did not seem to have received a stethoscope just now. He had suggested that Zhou Litao do a tracheostomy tube. This was not a serious matter. Moreover, it was an emergency at the branch office today. He had even bought a blade in the system space for emergency rescue.
“Don’t let Su Yun see through anything.” Zheng Ren was a little anxious.
“Boss, what do you think this is about?” Su Yun grumbled along the way. His emotions were clearly not right.
“Oh, you don’t need to listen to it to know.” Zheng Ren said.
The two of them were obviously talking about different things. Su Yun frowned and asked,”what hysteria are you having?”
“Ah? Didn’t you say that I didn’t listen to you and made a diagnosis?” Zheng Ren was also stunned.
However, he immediately realized that he was thinking that he did not listen to the patient’s heartbeat just now and had made a judgment based on the diagnosis of the big pig’s trotter. Su Yun was talking about Qiao Liyan’s lover meeting someone, but it turned out to be her own lady. This kind of nonsense.
“Don’t be depressed, it’s fine, it’s fine. ” Zheng Ren smiled.”This is a matter of probability. No one can do anything about it.”
“I’m a little worried about sister Qiao, why isn’t she talking?” Su Yun sighed and said,”she didn’t say a word other than you asking about her condition.” It’s fine if they fight and make a fuss, but it’ll be a big deal if they don’t say anything. “
“Sigh, what can we do?” Zheng Ren sighed.
However, this was clearly not something he could or should resolve. He could only sigh.
“Boss, what did you mean by that?” Su Yun knew that she could only sigh at the most, so she changed the topic.
“There’s a problem with the tracheal cricoid cartilage. It usually causes coughing, phlegm, breathlessness, shrieking, and breathing difficulties. It will get progressively worse, and it’s often misdiagnosed as chronic bronchitis. ” Zheng Ren said,”it can also be combined with pneumonia, repeated respiratory tract infections, and breathlessness. The characteristics of the induced severe coughing are sudden, deep, dry coughs that sound like metal. It is often mistaken for asthma.”
“When I heard the sound of an asthma patient, my first thought was that there was something wrong with the cricoid cartilage, so …”
“I’ll go!” This time, Su Yun was not happy.
As the rising star of the cardiothoracic Department in the imperial capital, it did not matter if he lost to Zheng Ren in other fields. After all, those were all secondary professions. However, he was determined not to take a step back.
Dry coughs or intermittent coughs with a deep metallic sound … He could even judge them and even use them as a basis for diagnosis?
After working in the cardiothoracic Department for a long time, Su Yun would subconsciously judge whether there was phlegm when someone coughed. She could even tell if the location of the phlegm was in the upper or lower respiratory tract, and she could even tell if the person was having a bronchiasis or not.
However, what Zheng Ren said hurt his self-esteem.
“Er …” Zheng Ren also realized this and immediately explained,”it’s mainly because I’ve met a patient with recurring polychalosis, so I have an impression of him.”
“You’re a doctor from Haicheng. How did you encounter so many rare diseases?” Su Yun didn’t believe him and questioned him directly,”if this illness was in Haicheng, it would be 100% diagnosed and treated as bronchitis and asthma. Tell me, who was the one who diagnosed it at that time?”
“…” Zheng Ren was speechless. It was possible to deny everything, but it would be too meaningless. He might as well just lie down without saying a word.
“Also, why do you always carry a blade around?” Su Yun asked.
“The feel. Keep touching the blade in your pocket and feel the texture and toughness of the metal. I think it’ll be helpful for the surgery.” Zheng Ren was so serious that he had completely forgotten about the sterile packaging.”I have nothing to do anyway. My hands are free anyway, so I might as well use them to feel it.”
Su Yun still had countless questions. At this moment, Zheng Ren’s phone rang.
[They said to quickly write a love song …]
Zheng Ren took out his phone and waved it, indicating that he had a call. When he saw that it was Yiren calling, his face immediately filled with a sweet smile.
“Boss, you’re really familiar with that fawning smile of yours.” Su Yun immediately spat.
Zheng Ren smiled and did not care about Su Yun’s provocation.
“Yiren, what’s wrong?”
“Oh?”
“Oh.”
“Oh!”
“I’ll be there immediately. “
Three ‘Oh’ s, three different tones. The disdainful smile on Su Yun’s face became even wider.
Seeing that Zheng Ren had hung up the phone, he immediately asked,”what’s the matter?”
“One of Yiren’s classmates got into some trouble, so she came to me for some advice.” Zheng Ren said.
“What trouble can the nurse have? she just has to follow the doctor’s instructions. Was the drip connected to the wrong place? What the hell, could it be that the blood transfusion was wrong?”
The two things that Su Yun mentioned were mistakes that nurses would make occasionally. It was more common to get the wrong IV drip, and there would be a few similar incidents every year. As for the second matter, it was far too serious. Su Yun had also secretly warned Zheng Ren not to agree to anything that he should not have.
“I know. Yiren’s waiting for me underground. Do you want to go and take a look?”
“Let’s go and take a look. There’s not even a patient. “
“Shi huairu is fine? Don’t you need to tutor the child?” Zheng Ren asked.
“…” Su Yun was speechless.