"Boss Zheng, the results are out."
More than ten minutes later, when Zheng Ren was still folding his arms and watching the CT films from last year, Zhou Litao came in and said.
"Pulmonary function showed severe decreases in FEV, FEV/FVC, PEF, MMEF, V75, V50, and V25. The patient had severe obstructive ventilatory dysfunction, severe impairment of airflow in large and small airways, little reversibility of airway obstruction, and bronchodilation test Yin." Zhou Litao said.
"Why is it so heavy?" Su Yun frowned.
Originally, he had doubted whether Sister Qiao's lover deliberately used illness to avoid it, but the symptoms could be faked, and the possibility of objectively testing the disguise was not high.
"I'll ask Sister Qiao." Zheng Ren stood up and said immediately after hearing the test results reported by Zhou Litao.
"Do you suspect there is another problem?" Su Yun asked, "Uh... cricoid cartilage?"
"It may be caused by cricoid cartilage." Zheng Ren nodded.
With more than a year of tacit understanding, and the fact that although Su Yun was not cheating, he had a cheating brain, solid basic knowledge and clinical experience, he could instantly guess what his boss was thinking.
Arriving outside the emergency room, Sister Qiao looked at the ground silently. Zhuang Yongzhi and the head nurse in the operating room sat silently beside her. They probably didn't know how to persuade her. In the end, everyone remained silent, using company as comfort.
Several people have the same thoughts. When encountering such a thing, they can't say anything or persuade it. They just treat it as if it doesn't exist. As long as there is nothing wrong with Sister Qiao, everything else is easy to talk about.
"Sister Qiao." Zheng Ren walked up to Qiao Liyan and said in a deep voice.
"Boss Zheng, please excuse me." Sister Qiao said softly without raising her head.
"Does your lover have any minor problems?" Zheng Ren asked, and then he hesitated. It is taboo to ask questions about medical history in a guided manner. For example, the doctor has made a certain judgment in his mind, and then starts to simulate the symptoms according to the condition and ask the patient's family members.
But then Zheng Ren figured out, did he have big pig's hooves? System diagnosis with future technology should have nothing to do with inductive consultation.
Qiao Liyan didn't understand Zheng Ren's words. She raised her head and looked at Zheng Ren blankly, wondering what he meant.
"What I mean is, does your lover usually have pain in his ears, or... pain or swelling in the joints of his hands and feet?"
"He has been diagnosed with gout before, and his right thumb is often swollen and painful." Sister Qiao replied, "Ears... Occasionally I hear him say that his ears hurt, and I rub them gently every time, which relieves them in about 20 minutes. Frequency, About once a month.”
Speaking of this, Sister Qiao's eyes suddenly lit up.
Those were tears, Zheng Ren knew.
Every bit of life was shattered like this, and when I think of the originally heartwarming scene, it becomes a bit ridiculous.
He couldn't bear to see Sister Qiao's emotional changes, and said quickly, "I'll do a fiberoptic bronchoscope on your lover. Now I have some clues. Let's make sure. Su Yun, please tell Sister Qiao about the possible problems. After all, you are doing it now." It’s still dangerous.”
After speaking, Zheng Ren hurried into the emergency room, leaving Su Yun outside to communicate with Sister Qiao.
Zhou Litao had already prepared the fiber bronchoscope. He followed Zheng Ren and asked in a low voice, "Boss Zheng, what disease do you suspect?"
"There is no past history, but sudden asthma. I saw the film from last year and found that the trachea and bronchi were thickened. In addition, Sister Qiao said that the patient's right thumb was swollen and the ear hurt. I suspected relapsing polychondritis."
Relapsing polychondritis is a rare disease that affects multiple systems throughout the body. It has progressive inflammatory and destructive lesions with repeated attacks and remissions, involving cartilage and other connective tissues throughout the body, including the ears, nose, eyes, joints, respiratory tract, and heart. Vascular system etc.
The clinical manifestations are chondritis of the ears, nose, and respiratory tract, accompanied by symptoms of involvement of the eyes, ear vestibule, and other organs.
Zhou Litao originally thought that the patient had asthma caused by cold weather and emotional excitement, but he did not expect that Boss Zheng would give such a diagnosis.
"This disease is not common. I have only seen two cases, and they were encountered during my internship." Zhou Litao said, "There was a patient who suffered from frequent dizziness. At first, he had various diagnoses, but the effects after treatment were average. Finally, I caught up with a patient An old expert came and diagnosed relapsing polychondritis. We didn't believe it at the time, but later the test results came back and proved that they were right."
Dizziness and asthma are two symptoms that cannot be dealt with, but they come from the same disease. Zheng Ren nodded, chatting with Zhou Litao about relapsing polychondritis, while waiting for the results of Su Yun's exchange.
Even for family members of patients in this hospital, the procedures must be completed. I don’t know how many times this kind of thing has happened, so the more you come to this hospital, the more careful you are, but don’t do bad things with good intentions.
The patient's wheezing has been relieved under the action of the drug, and the blood oxygen saturation remains at about 95%. However, he is lying on the flat car with his eyes tightly closed. Only the weak movement of the eyeballs can be observed through the eyelids. arrive.
Zheng Ren shook his head slightly, this matter is really hard to say. Now that I think about it, it’s hard to understand. Forget it, the couple will settle the matter later.
As for myself, I still have to do what a doctor does, diagnose his disease clearly, and then treat him accordingly.
Occupation requires that too much emotion should not be mixed with it. Zheng Ren checked the equipment of the fiberoptic bronchoscope while calculating the images he might see after going in.
He didn't go into the system operating room to take a look first. It was just an inspection. There was no need to waste training time. Although he is relatively well-off now, the "big consumer" of Xiao Shitou is still waiting for him.
To say that lung transplantation is not difficult is a joke. Organ transplantation is a big job, and the small stone itself is in ordinary condition, which makes the operation more difficult.
In addition, the lungs are still 3D printed, and there are countless things to do before and after the operation, and the surgical training time accumulated in my hands may not be enough.
A few minutes later, Su Yun walked in and said, "Boss, let's do it. Sister Qiao is signing. She agrees to emergency inspection to check the situation in the trachea."
"Have you made everything clear?" Zheng Ren asked.
"Yes, let's make it clear. I will confess to death. Sister Qiao agrees."
When Su Yun was talking, Zheng Ren saw that the patient's eyelids were shaking much more frequently. He seemed a little scared, but the power of closing his eyes was great. He must have suppressed fear in his heart and was still escaping from reality.
"Hey, wake up, don't pretend to be asleep, we need to check up!" Su Yun's attitude was extremely impatient. He patted Sister Qiao's lover's arm and said loudly.
Su Yun's attitude was obviously a little irritable, and Zheng Ren sighed helplessly.