Chapter 1544 I Believe You, It Has Nothing to Do with Chinese and Western Medicine (Leader Yun Piaoying, Plus 4)
"Boss Zheng, why can't I feel any special aura on you?" Master Yan was concerned about this matter. "Ancient language, strange people have strange images, I'm the one who missed the mark today."
"Boss, are you sure? I'll touch it." Su Yun was curious and came over and said.
"Well, there are nodules on the scalp, and the nodular swelling of the temporal artery is a typical sign." Zheng Ren touched a certain position with his fingers and greeted Su Yun.
Master Yan was stunned.
You have been in the arena for decades, no matter where you go, as long as you show your identity, who doesn't treat each other with courtesy?
But why did he become a patient today, or is it that rare disease that a doctor sees and invites others to see it?
Su Yun touched the position Zheng Ren had just touched with his finger, and said, "Indeed, the temporal artery pulse is weak, with nodular swelling. Consider temporal arteritis, the visual impairment caused by insufficient blood supply. Huh? No, how do you feel about the temporal artery? Are there deformities?"
"Deformity is not really, it should be a small thrombus formed after stenosis." Zheng Rendao, "It has been a long time, I don't know if the thrombus can be taken out."
"Is it the same as Sister Lin?" Su Yun asked.
"Almost." Zheng Ren said, "But when Sister Lin went to the doctor in time, the blood vessels were opened relatively quickly, and the impact was almost zero. Although the old gentleman's one is not completely blocked, there is no way to operate."
"I can't do surgery." Su Yun was a little disappointed.
In his opinion, the surgery came cleanly. And internal medicine, the recovery is much slower, can not be immediate.
Zheng Ren also knew what he was thinking, but the disease was here, and it was not something he could do by saying that he would do the surgery.
How to treat, ultimately depends on the patient's own condition.
Your words, my words, the two have already talked about the operation.
"Boss Zheng, wait a moment." Song Ying smiled bitterly and said, "What's the disease?"
"Giant cell arteritis, the etiology of this disease is unknown. The biggest risk factor for giant cell arteritis is advanced age. It never occurs before the age of 50, and the incidence of giant cell arteritis steadily increases 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, and I don't know how to prevent it. But don't worry, as long as there is a problem, you can go to the hospital. As long as there is a better tertiary hospital, it can be diagnosed." Zheng Ren said with a smile.
"..." Master Yan sat on the chair without saying a word.
"Headache is the main manifestation of giant cells invading the temporal artery, leading to temporal arteritis." Zheng Ren continued: "It is usually tension pain in one or both temporal, forehead or occipital regions, or superficial burning. Pain, or episodic tear-like pain.
The skin at the painful site is red and swollen, with tenderness, and sometimes scalp nodules or nodular swelling of the superficial temporal artery can be touched. "
Having said this, Zheng Ren paused and asked, "Master Yan? Go to the hospital together?"
Are you going to the hospital?
Song Ying smiled bitterly and looked at Zheng Ren.
He is really a doctor, and he doesn't want anything more than treating diseases.
The person being examined is a well-known geographer.
If a person like a geographer doesn't know it, he may never know it for the rest of his life. But what you know is that they are basically rich and wealthy people. They treat the geographer as a guest and give pointers on yin and yang and feng shui.
But in the eyes of Boss Zheng, it is nothing but a patient.
This is considered disrespectful to Master Yan.
However, looking at Master Yan's attitude towards Boss Zheng, all the worries that he had been worried about have long since vanished.
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 take a look."
"Master..." The boy suddenly said.
"how?"
"If you're going to have surgery, do you need to tell your senior brother?"
"I'm not old enough to ask him what to say. And didn't Boss Zheng say no surgery?" Although Mr. Yan was thin and dry, he had a graceful air when he raised his hands and feet.
He stretched out his hand, lightly hit the boy on the head, and said, "I'm irritable, and Boss Zheng doesn't listen carefully to what he says."
The young man stopped talking, and silently followed by his side.
"Everything is done." Master Yan handed over and said to Zheng Ren.
"Small things, do a vascular Doppler first, whether it can be operated or not, we will talk about it later." Zheng Ren said politely.
The dinner that had been prepared was simply omitted.
After driving back to 912, Su Yunxian contacted the inpatient manager on duty in the B ultrasound room.
Vascular ultrasonography is not performed at night. If you want to check immediately, you need to say hello first.
But Zheng Ren can do it by himself, just start the machine, it's not a big deal. Anyway, there is no need to line up and not occupy people, these are all trivial matters.
Master Yan followed suit and did not stubbornly refuse Zheng Ren's request.
I don't know if he wants to continue to observe and find out why he recognizes the wrong person. Is it because Boss Zheng is introverted and returned to the basics, or because of the content of the letter sent by Song Mohao, he made him misjudgment.
Transcranial Doppler showed that the bilateral ophthalmic arteries and right superficial temporal arteries were significantly slowed down, and the initial diagnosis was temporal arteritis.
"Old gentleman, 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've lost sight of it." Master Yan said with a smile: "Go back, and trouble you to write me a treatment."
"I thought you didn't believe in Western medicine."
"I believe you, it has nothing to do with traditional Chinese medicine or Western medicine." Master Yan said with a smile, and followed Zheng Ren out of the color Doppler room.
His pace is steady, and there's no telling that he's 84 years old. The most important thing is that if he can't see what his eyes can't see, what effect does it have on him.
This old man is also a strange person, Zheng Ren thought to himself.
"Su Yun, help me remember it." Zheng Ren said.
"Oh, wait a moment." Su Yun went to borrow a pen and paper, made a gesture, and Zheng Ren began to say: "Dexamethasone 10mg intravenously once a day, apply B vitamins, and pay attention to blood sugar control."
Su Yun wrote here, and handed the A4 paper in his hand to the teenager beside Master Yan.
"It's over?" the boy asked in surprise.
"Yeah, what else do you want to use?" Su Yun said.
"Isn't it just oral vitamins and hormones?" the teenager said disdainfully.
It seems that he also knows a little about medical care.
"It's not a serious illness, these treatments are enough." Su Yun took the A4 paper into the boy's hand and said, "Go back and follow the treatment written here and report the condition on time."
"..."