"Blind?" Zheng Ren frowned.
"Yes. There are medical records. At first, my brother took it seriously. He thought it was just a patient coming to see a doctor, so he asked you a question. I didn't expect that it turned out to be like this." Song Ying felt that it was a bit tricky.
"As long as you have the medical records." Zheng Ren asked with a smile: "Take a look. If you can, just take a look. If you can't, forget it. It's okay if you're a coward."
Su Yun glanced at Zheng Ren with disdain.
Song Ying also admired Zheng Ren's peaceful attitude. He took out the medical record from the bag beside him and handed it to Zheng Ren with both hands.
The medical records were in English, and a logo appeared in front of me—Johns Hopkins Hospital.
"Hey, what did they say about the physical examination done at Hopkins?" Su Yun glanced at it and asked.
Zheng Ren turned to the end, glanced at the conclusion, and said: "Diabetic eye disease."
Retinopathy is the most common severe diabetic eye disease, often causing vision loss or blindness.
According to statistics, 50% of people with diabetes who have had diabetes for about 10 years will develop diabetic eye disease, and after 15 years or so, the figure will climb to 80%.
The more severe the condition of diabetes and the older you are, the higher the chance of developing the disease.
Diabetic eye disease is a consequence of diabetic microangiopathy. Diabetes causes damage to the retinal capillary wall, and the blood is in a hypercoagulable state, which can easily cause blood clots, blood stasis, and even blood vessel rupture.
Diabetic retinopathy has become one of the four leading causes of blindness after age-related retinal degeneration.
"How much is your blood sugar?" Su Yun asked anxiously.
Zheng Ren was not anxious at all. He looked through the test sheets bit by bit and started from the beginning.
The physical examination report states that Master Yan is 84 years old.
The laboratory indicators, except for blood sugar at 9.8mmol/L, are almost the standards for a healthy person.
Even healthier than many people in their thirties and forties.
Reports on blood lipids, blood pressure, and various imaging studies all indicate this.
Zheng Ren flipped through it bit by bit, and there was a fundusoscopy report at the back.
Master Yan’s right eye has no light perception, the abduction of the right eye is limited, and the remaining movement is flexible in all directions.
The pupil diameter of the right eye was 4 mm, and the direct light reaction disappeared, but the indirect light reaction existed; the pupil diameter of the left eye was 3 mm, and both direct and indirect light reactions existed.
The visual acuity of the left eye is 10cm and can be counted on the fingers. The fundus was clear, slightly light in color, the ratio of arteries and veins was 1:2, and no bleeding points were found.
There are also corresponding changes in the tiny blood vessels.
It's diabetic eye disease, there seems to be no doubt about it.
"What?" Su Yun said after reading all the reports: "Isn't this diabetic eye disease? We are going to do vitrectomy surgery. We are not engaged in ophthalmology."
"The body is well maintained." Zheng Ren focused on other aspects, "I am already 84, and it is normal to have some problems. Diabetic eye disease should not be a big problem when diagnosed, and you may not be able to see any problems."
"Are you ready to go?" Song Ying asked.
"Let's go and have a look. I'm here to see a doctor. Besides, I've already agreed to let him go temporarily. I'm afraid it will be difficult for you." Zheng Ren said with a smile.
"Thank you, Boss Zheng." Song Ying originally prepared for the worst, but unexpectedly Zheng Ren didn't take it to heart at all.
"Boss, do you want to call Lao Fan?" Su Yun asked.
"Why do you call Lao Fan to see a doctor?" Zheng Ren said: "Even if we can't understand, we are not general practitioners, so there is no shame in it."
"Boss, I'm moved by your simplicity." Su Yun sprayed directly.
Zheng Ren smiled and ignored him, but asked Song Ying, "Do you know the patient's medical history?"
"I know a little bit." Song Ying said: "It is said that 2 months ago, Kai Tianyan looked at Master Song's past and future, and was punished by heaven, and his eyes could no longer see.
He went to Johns Hopkins for treatment and was diagnosed with diabetic eye disease. He was given treatments such as controlling blood sugar, improving microcirculation, and anticoagulation, but the effect was not good. "
As he spoke, he paused.
"It may be that Master Yan is not cooperating."
"What medicine should I take to control blood sugar?" Zheng Ren asked.
"The Chinese herbal medicine he collected himself has been under control for decades, and the effect is pretty good."
"Is it true that Chinese medicine can be used to control blood sugar?" Su Yun was surprised, and then smiled: "It's less than 10. If it has been controlled for many years, the effect will be really good."
Usually, many patients take oral Chinese medicine to control blood sugar, but most of them are not effective, so they finally switch to subcutaneous injection of insulin.
Those who can control blood sugar well must cooperate with exercise to improve the internal environment of the body.
There is a joke about a person who has high blood sugar and runs every day. Later, my blood sugar dropped, but I got lung cancer.
This is a complaint about the smog in the imperial capital, but there is some truth to it.
"Look at the patient. The ophthalmoscope shows that it is indeed a vascular disease, but there are no pictures of the fundus. Hopkins' work is not very meticulous." Zheng Ren rarely complained.
"It's like showing you the picture and you can understand it," Su Yundao said.
"Although I'm not an ophthalmologist, we do interventional surgery and are quite sensitive to blood vessels." Zheng Rendao.
"I'm a cardiothoracic surgeon." Su Yun said coldly.
This guy never forgets that he is a big-hearted person. Zheng Ren smiled and continued to look through the cases from the beginning.
Song Ying looked at Zheng Ren who was concentrating and sighed.
The famous Master Yan, who co-authored the book, is just a patient in Boss Zheng's eyes.
When it comes to the field master, many people flock to it, but Boss Zheng is not interested.
But when it came to being a patient, Boss Zheng started to care.
This man's success, especially his technical success, was definitely not an accident.
Soon, the car drove to a small manor near Xiangshan and stopped at the door.
"The place is nice." Su Yun commented.
The houses here are more than nice. Song Ying smiled and led Zheng Ren and Su Yun into the courtyard.
There are several furnishings in the yard, which are well arranged and make people feel relaxed and happy.
Although Zheng Ren couldn't understand it, he thought it was very good. It was elegant but did not give people a simple feeling.
Chu Huainan stood in the courtyard to greet Zheng Ren.
We haven't seen him for a while. Chu Huainan seems to be in a good mood. He is still so thin but looks good and his face is rosy.
"Boss Zheng, here we come." Chu Huainan stretched out his hand.
The two shook hands, Zheng Ren just smiled and said nothing.
"What happened this time was because I was careless. Don't blame Boss Zheng." Chu Huainan said frankly.
"It's okay, I'm just seeing a patient, don't be so polite." Zheng Ren said with a smile.
"Please come inside." Chu Huainan let Zheng Ren into the room.
The living room is large, with a few chairs placed inside, making it look a little empty.
An old man was sitting in the guest seat, holding a plated and translucent purple clay pot in his hand, and was drinking tea leisurely.
"Master Yan, Boss Zheng is here." Chu Huainan introduced.
Master Yan raised his head, and Zheng Ren saw that his eyes were dull and dull. He was indeed blind. The system panel glowed slightly red, and several diagnoses appeared in front of me.
After taking a look at the diagnosis, Zheng Ren was startled.
Not diabetic eye disease