"What's the disease?" Wang Dong's mother was stunned.
Really sick? Or something...a disease I don’t remember.
No way, Wang Dong just complained of pain every day and felt uncomfortable all over his body. But I didn't see anything wrong with him. He didn't even have a cold or fever. He should eat and drink.
impossible!
impossible…
"Boss, is Fabry disease a disease caused by a congenital deficiency of a-galactosidase A in the patient's body?" Su Yun realized something after listening to Zheng Ren's words. He carefully looked at the hair on Xiao Wangdong's ears. Keratoma, thinking hard.
This disease is very rare. If Su Yun hadn't been knowledgeable and knowledgeable, and read all the books and magazines, few people would know about it.
However, Su Yun only read books to brag at the wine table, and he never expected that he would encounter such a patient one day.
"Well, there is angiokeratoma on the ear. This is a mid-term manifestation. I guess if you do a physical examination, you can see whorl-like corneal opacity in the eyes." Zheng Ren looked at Wang Dong's mother and asked patiently: " Can I take a look at Wang Dong's eyes?"
Seeing Zheng Ren's serious face, Wang Dong's mother believed him even though there were some yellowing bruises on his face and looked funny.
Just look at the eyes. It’s broad daylight and the world is bright. What’s there to be afraid of
She nodded, put her hands on Wang Dong's shoulders, and could use her strength at any time to hold the child in her arms.
Zheng Ren smiled and said: "Little brother, don't be nervous, I will just roll your eyelids."
Su Yun was also curious. He recalled that the typical feature of Fabry disease is swirling corneal opacity in the eyes.
With just one look, you can probably confirm the diagnosis.
When he came in, he saw Zheng Ren reaching out and gently opening Wang Dong's eyelids, and then put them down for just a moment.
Before Wang Dong could react, or before Wang Dong's mother could think wildly, the physical examination was over.
Of course, for a detailed examination, the patient's lower abdomen, thighs, etc. should also be examined. There, there will be red or purple-black angiokeratoma. However, when angiokeratoma appeared on the ears, these areas became much less important.
"It really looks like the eye of the storm." Su Yun saw it clearly and sighed with emotion.
The vortex-shaped corneal turbidity in the eye, if observed carefully, will be found to be like the eye of a storm, existing in the patient's cornea.
This is a very typical feature and is different from ordinary corneal diseases.
"Is something wrong?" Wang Dong's mother asked dubiously.
"It should be Fabry disease. Su Yun, do you have a pen and paper?" Zheng Ren asked.
Su Yun opened his arms to indicate that he had nothing on him.
"Mr. Zheng, I brought them here." Chang Yue took out a small pad and a pen from his bag and handed them to Zheng Ren.
Zheng Ren thought for a while and wrote the diagnosis on the note pad: Fabry disease. It is recommended to check the a-galactosidase test. If there is a positive result, enzyme replacement therapy is given.
After writing a line of words, Zheng Ren wrote the words "Interventional Department" at the bottom. Zheng Ren tore off the page and handed it to Wang Dong's mother.
"I've written down the diagnosis, what tests should be done, and the treatment. You put this away and go to the emergency room... or to the rheumatology and immunology department." Zheng Ren smiled, turned and left.
He handed the note pad and pen to Chang Yue and left.
Xie Yiren looked at Zheng Ren with sparkling eyes. In her opinion, Zheng Ren was really handsome at this time.
"Boss, you diagnosed the child just because of the angiokeratoma on his ear?" Su Yun still didn't understand and asked.
"Fabray disease was often misdiagnosed in the early stages as rheumatism, arthritis, growing pains or psychogenic pain, and was even considered to be the patient's malingering. I heard Wang Dong's mother mean that she has had the disease many times. No problem was found." Zheng Ren said as he walked: "So let's think about possible places."
"Angiokeratoma on the ear is a very typical feature, but it cannot give a diagnosis. In the end, it was confirmed after looking at the cornea."
Zheng Ren didn't think anything and said it casually.
"Then you were so sure as you said before." Su Yun was still confused.
"I'm not sure. Wang Dong's mother can't be allowed to see it either." Zheng Ren said casually.
"..." Su Yun was speechless, "Then what if the diagnosis is wrong?"
"Just look at the cornea, it's wrong, do you care? Wrong, I'm just an ordinary passerby. By the way, I'm the 912 doctor." Zheng Ren looked at Su Yun seriously.
"Uh..." This was the first time Su Yun heard such nonsense from Zheng Ren.
Zheng Ren is usually honest, honest, and precise in everything he says and does, but I have never seen him so slick.
But Su Yun then thought about it. The background of the situation just now was the crowd making trouble in the emergency department of pediatrics. It was a mess. Zheng Ren really didn't have any good solution.
If it were me, things might be a little simpler.
Is there a human trafficker as handsome as himself? When you look like this, you are so shocked that you can't help but earn more than a human trafficker.
Well, this is a world where appearances matter, and the boss is forced to do this by an ordinary person who has no other choice.
Thinking of this, Su Yun felt relieved.
"I remembered that Fabry disease is caused by the inability of trihexosylceramide to be metabolized and accumulates in lysosomes, causing various clinical symptoms. It is inherited from the X chromosome, and the disease is more severe in men than in women." Su Yun thought for a long time. , finally found traces of Fabry disease in his memory, and asked, "Boss, is the treatment for this disease good?"
"I don't know, I've never seen it." Zheng Ren said, "Look at the introduction in the magazine. Enzyme replacement therapy should not be very expensive."
"That's too tragic, for such a young child." Chang Yue was overflowing with sympathy.
"Just think of it as diabetes. Injecting insulin every day won't affect anything. And it's better than diabetics. At least you don't have to control your diet." Zheng Ren explained from a different perspective.
As soon as he said there was no need to control his diet, Xie Yi nodded repeatedly.
In her opinion, if you can't eat a lot, that kind of world will be really miserable.
When I turned the corner of the emergency department, I couldn't see the noisy crowd in the emergency department of pediatrics. I immediately felt like I was back in a normal world, much quieter.
"These people are really brave enough to cause trouble in 912." Su Yun complained.
"It's normal. When you were away a few days ago, some family members of patients came directly to the inpatient department and asked if there were any empty beds here. Why weren't they admitted to the hospital?" Chang Yue said, "The nurse told him that it was for Beds reserved for military personnel.”
"Then the patient's family started to quarrel?"
"It's not too much of a fuss. Anyway, he cursed a lot." Chang Yue said, "I didn't want to listen, so I just left."