"Boss Zheng, why can't I feel any special aura about you?" Master Yan is focused on this matter, "As an ancient saying goes, strange people have strange images. I made a mistake today."
"Boss, are you sure? Let me touch it and see." Su Yun was curious and walked over and said.
"Here, there are nodules on the scalp and a nodular-like swelling of the temporal artery, which are very typical signs." Zheng Ren touched a certain location with his fingers and asked Su Yun to take a look.
Master Yan was stunned.
I have traveled around the world for decades. No matter where I go, as long as I reveal my identity, everyone will be treated with courtesy.
But why did he become a patient today? Is it still a rare disease, the kind that a doctor calls others to see after seeing it
Su Yun touched the spot where Zheng Ren had just touched with his finger and said, "It is true. The pulse of the temporal artery is weak and there is a nodular swelling. Consider temporal arteritis and visual impairment caused by insufficient blood supply. Huh? That's not right. How do you feel about the temporal artery? Are there any deformities?"
"It's not a deformity, it should be a small thrombus formed after stenosis." Zheng Ren said, "It's been a long time. I don't know if the thrombus can be removed."
"Is it the same as Sister Lin?" Su Yun asked.
"Absolutely." Zheng Ren said: "But Sister Lin's treatment was timely and the blood vessels were opened relatively quickly, so the impact was almost zero. Although the old man's case is not completely blocked, it cannot be operated on."
"I can't do surgery." Su Yun was a little disappointed.
In his opinion, the surgery was clean and tidy. However, with internal medicine, the recovery is much slower and the effect cannot be immediate.
Zheng Ren also knew what he was thinking, but the condition was here, and it couldn't be cured by just asking for surgery.
How to treat it ultimately depends on the patient's condition.
You said a word, I said a word, and the two of them have already talked about the operation.
"Boss Zheng, wait a moment." Song Ying smiled bitterly and said, "What kind of disease is it?"
"Giant cell arteritis, the cause of this disease is unknown, and the biggest risk factor for developing giant cell arteritis is advanced age. It never occurs before the age of 50, and the incidence of giant cell arteritis increases steadily after the age of 50." Zheng Rendao .
"The older you get, the more likely you are to get this disease?"
"Generally speaking, this is the case. I don't know how to prevent it. But don't worry, just go to the hospital if you have a problem. As long as a better tertiary A hospital can diagnose it." Zheng Ren said with a smile.
"..." Master Yan sat on the chair and said nothing.
"Headache is the main manifestation of temporal arteritis caused by giant cells invading the temporal artery." Zheng Ren continued: "It is usually tension pain in one or both sides of the temporal, forehead or occipital area, or superficial burning. Pain, or paroxysmal tearing-like pain.
The skin at the painful area is red, swollen, tender, and sometimes scalp nodules or nodular swollen superficial temporal arteries can be touched. "
Having said this, Zheng Ren paused and asked, "Master Yan? Are we going to the hospital together?"
Going to the hospital now
Song Ying smiled bitterly and looked at Zheng Ren.
He is really just a doctor who doesn't want to do anything more than treating illnesses.
The person being examined is a well-known earth master.
If you don't know about people like Earth Master, you may never know about them in your lifetime. But those who know are basically rich and powerful people. They regarded the Earth Master as their honored guest, giving guidance on Yin and Yang and Feng Shui.
But in the eyes of Boss Zheng, he is nothing, just a patient.
This is disrespectful to Master Yan.
However, looking at Master Yan's attitude towards Boss Zheng, any worries he had before have long since disappeared.
But is it really appropriate for Boss Zheng to treat Master Yan as a patient
"Go to the hospital? Master Yan?" Zheng Ren said softly, feeling like he was talking to a master chef in a restaurant.
"Can it be cured?" Master Yan thought for a while and asked softly.
"I can't guarantee it, but you can give it a try." Zheng Ren said.
Master Yan didn't think too much, stood up directly and said: "Then go and have a look."
"Master..." the young man said suddenly.
"how?"
"If you want to have an operation, do you need to tell your senior brother?"
"I'm not an old fool, what can I say to him? And didn't Boss Zheng say there is no need for surgery?" Although Master Yan is thin and dry, he has a certain air of grace in his movements.
He stretched out his hand, lightly hit the young man's head, and said, "I'm impatient in doing things. I don't listen carefully to what Boss Zheng says."
The young man stopped talking, and silence followed him.
"It's all done." Master Yan handed over his hands and said to Zheng Ren.
"It's a small matter. Let's do a vascular Doppler first. We'll talk about it after the surgery is done." Zheng Ren said politely.
The dinner that was originally prepared was simply omitted.
After driving back to 912, Su Yun first contacted the hospital chief on duty in the B-ultrasound room.
Vascular ultrasound is not performed at night. If you want to do an examination right away, you need to say hello first.
But Zheng Ren can do it by himself, it's just a matter of turning on the machine, it's not a big deal. Anyway, there is no need to queue up and no people are occupied, these are all small things.
Master Yan took things easy and did not stubbornly refuse Zheng Ren's request.
I don't know whether he wanted to continue to observe and find out the reason why he recognized the wrong person, or because of the content of the letter sent by Song Moyi.
Transcranial Doppler showed that the flow velocity of the bilateral ophthalmic artery and the right superficial temporal artery was significantly slowed down, and the preliminary diagnosis was temporal arteritis.
"Old sir, are you going to go home for treatment, or stay in the imperial capital?" Zheng Ren asked politely.
"I've finished reading it, but I just missed it." Master Yan said with a smile: "Go back, and I would like to trouble you to write a treatment for me."
"I thought you didn't believe in Western medicine."
"I believe you, it has nothing to do with Chinese medicine or Western medicine." Master Yan said with a smile as he followed Zheng Ren out of the color Doppler room.
His pace is steady, and it doesn't look like he is 84 years old at all. The most important thing is that he can't see what impact his eyes have on him.
This old man is quite a strange person, Zheng Ren thought to himself.
"Su Yun, remember it for me," Zheng Ren said.
"Oh, wait a minute." Su Yun went to borrow a pen and paper and made a peace gesture. Zheng Ren began to say: "Dexamethasone 10 mg intravenously infused once a day, use B vitamins, and pay attention to blood sugar control."
Su Yun wrote this and handed the A4 paper in his hand to the boy next to Master Yan.
"Is it finished?" the young man asked in surprise.
"Yeah, what else do you want to use?" Su Yundao said.
"Isn't it just oral vitamins and hormones?" the young man said disdainfully.
It seems that he also knows something about medical treatment.
"It's not a serious illness. These treatments are enough." Su Yun patted the A4 paper into the boy's hand and said, "Go back and treat it as written here, and report the condition on time."
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