Lin Ge sat in the ward for more than 10 minutes. Zheng Ren had no other questions, so he dropped his share of the money and left.
"Boss, it doesn't seem like there is any serious problem." Su Yun looked at Zheng Ren and said.
Zheng Ren's eyes kept staring at the film, as if there were flowers on it.
Soon, Ringer came back.
He looked at Zheng Ren expectantly, but when he saw Zheng Ren's face was as dark as water, he felt a little helpless.
I guess Boss Zheng doesn’t have any new diagnostic opinions.
No new diagnosis is a good thing, Ringer comforted himself.
But he saw that Zheng Ren was still thinking, so he didn't interrupt and stood quietly waiting for Zheng Ren to speak.
Time passed by minute by minute, and the silence in the office was heart-stopping.
The boss of the medical department was there, and the doctor on duty in the special needs ward stayed with him for a while. He felt that the atmosphere was too depressing, so he found an excuse to leave the office.
After a few more minutes, Lin Ge looked at Zheng Ren and then at Su Yun, wondering what these two were thinking.
"Director Lin." Zheng Ren suddenly spoke, startling Lin Ge.
"ah… "
"Do you see any changes in Director Mao?" Zheng Ren asked.
This question was a bit vague, and Ringer didn't know how to answer it for a while. But after all, he is a veteran in handling medical disputes. He thought for a moment, wondering what Boss Zheng's thinking should be, and then replied: "Maomao is very lethargic."
"anything else?"
"There are small purpura on the limbs, some have healed, and some have not healed yet. Only the hands and feet can be seen, but not other parts."
"Um."
"What's more...his hair is messy, his eyes are dull, and his tone of voice is different from usual when he speaks." Lin Ge racked his brains to recall and outline the scene for Boss Zheng at that time.
Zheng Ren hugged his arms and watched the movie without saying a word.
"I got angry and said my teeth were broken."
"My arms and legs are weak and I can't walk."
"If you don't like to eat, eating is like taking medicine. You have to drink it with water."
Ringer pieced together the various symptoms of hair growth bit by bit, like squeezing out toothpaste.
"Wait a minute." Zheng Ren said, "Are your teeth broken?"
"..." Su Yun was speechless, and Ling Ge was also speechless.
"What's going on?" Zheng Ren asked.
"Can you pay attention to something important?" Su Yun said unhappily: "Boss, are you tired and confused just after flying back? On the one hand, it is hemophilus syndrome, on the other hand, the tooth is broken, and most importantly, it is caries... "
As he said this, Su Yun was suddenly startled, "Rapid dental caries?"
"Yeah!" Zheng Ren nodded fiercely, and the confusion gradually became clear, "Director Lin, can you tell me about Director Mao's dental caries, can you see it?"
"..." Lin Ge was still stunned.
Rampant dental caries, he didn't even know there was such a diagnosis.
"Director Lin, can you see Director Mao's dental caries?" Su Yun asked.
How is it related to dental caries
Lin Ge was stunned for a moment. Although he couldn't understand it, he immediately said: "I can see it."
Silence, a few seconds of silence made the atmosphere in the office a little awkward.
Lin Ge just remembered that these two people were probably waiting for him to describe it.
Why are you distracted? Lin Ge immediately concentrated on recalling and said: "I couldn't see very clearly. Maomao seemed to deliberately not open her mouth when she spoke, but I could see a cavity on her left side. Only the root of the tooth was left. It was so rotten... It was really murderous, but there was no such thing before. .”
"One of the teeth on the right side has turned black."
Ringer searched for every detail, but could only go so far.
He couldn't say any more.
It is very difficult to remember every detail of that time. It took Ringer many years of hard work in the medical office to do it. Another person may not be able to notice these things.
"With rampant dental caries and the need to use water to eat, we are considering Sjögren's syndrome!" Zheng Ren turned his right hand into a fist and hit his left hand.
"Well, this can explain why there is pulmonary hypertension. Let me go... You can get this disease. Director Mao's luck is really not very good." Su Yun said with a smile.
"Uh... Boss Zheng, Doctor Su, wait a moment." Lin Ge asked in surprise: "Sjögren's syndrome? What is that?"
"Sjogren's syndrome is a chronic inflammatory autoimmune disease that mainly involves exocrine glands, also known as autoimmune exocrine gland epithelial cell inflammation or autoimmune exocrine disease." Zheng Rendao.
“…”
"A few patients will be complicated by lung changes, such as dry cough, shortness of breath, and in severe cases, hemoptysis. In addition, patients with pulmonary hypertension will not recover well after recovery." Zheng Rendao.
"Well… "
"Rampant dental caries is one of the hallmarks of Sjogren's syndrome. Patients have multiple caries that are difficult to control and develop. The symptoms are as follows: the teeth gradually turn black, and then small pieces fall off, leaving only the residual roots." Zheng Ren's eyes gradually brightened, and his mouth Li quickly talked about the diagnostic basis.
"This... what if it's just dental caries?" Linge asked stammering.
"Easy to say." Su Yun smiled and said, "Director Lin, let me take a look."
"ah?"
"It can make people laugh, and it can also make people cry. If you have Sjögren's syndrome, the lacrimal glands have no secretion, which means there are no tears when you cry." Su Yundao said, "I will know after taking a look. "
After saying that, he turned around and left.
"Doctor Su, don't bother me." Lin Ge immediately chased him out.
Zheng Ren did not stop Su Yun.
When it comes to a clear diagnosis, although there is no good way to treat Sjögren's syndrome clinically, a clear diagnosis is helpful for further treatment.
In fact, the diagnosis of Sjogren's syndrome has its own standards, which are divided into oral symptoms, eye symptoms, eye signs, histological examination, parotid gland damage, autoantibody changes, etc.
But Director Mao would not let him go for a physical examination, so Su Yun's method was the simplest and most direct.
After Su Yun went out, Zheng Ren thought for a moment and followed him out.
Lin Ge followed Su Yun in the corridor to persuade him, but Su Yun joked with him with a playful smile.
"Director Lin, let him go." Zheng Ren said, "Su Yun, go there with the reason of visiting Director Mao."
"Do you still need to teach me?" Su Yun glanced at Zheng Ren and said disdainfully.
Ringo is a bit on the wax.
This is the trouble that I brought upon myself. You are so old, why do you still make Director Mao cry
"Director Lin, please don't go in. It's hard to tell. Let's take a look outside." Zheng Ren said.
Lin Ge had no choice but to follow Zheng Ren, wanting to say something, but he swallowed the words as soon as they reached his lips.
Zheng Ren was not in a hurry and walked slowly behind. He didn't joke with Ringer, he just thought about the diagnosis just now.
Multiple conditions and symptoms point to Sjögren's syndrome. Take a look outside and refer to the system panel.
Even without a system panel, rampant dental caries can be diagnosed with a high probability.
Soon, a burst of angry curses came from the ward.