Chapter 1919 We Are Doctors, We Must Talk About Science

"What happened later?" Director Pan asked.

"In the few days after taking the medicine, it is said that the sore throat became more and more severe. Not to mention eating, I couldn't even drink water."

"Fever?" Zheng Ren asked.

"No fever, that's why it's so strange. I first heard the symptoms, and it felt like pharyngitis or tonsil inflammation. But I asked his classmates in detail, and they all said that he didn't have a fever. That's why I... oh .”

Daoist Wang sighed.

"You continue."

"Now he has a severe sore throat, and the attacks are very frequent, about once every 5-10 minutes, and each time lasts about 5 minutes. The symptoms are obviously aggravated when eating and drinking water."

so often? And not continuously, but intermittently.

Zheng Ren listened carefully to Taoist Wang's medical history, and began to think about the diseases related to the pharynx.

"It is said that sometimes even loud stimulation and inadvertent activities will induce a period of severe sore throat. The same attack occurs when falling asleep at night, and the frequency has not weakened at all. The child has not eaten or drank water for 5-6 days now, and his body is afraid. It's almost unbearable."

Taoist Wang said, his eye circles were a little red.

But he restrained himself, cupped his hands, and said, "Old Director Pan, Boss Zheng, that's all I know, so I'll trouble Boss Zheng."

"Where is your son hospitalized now?" Zheng Ren asked.

Taoist Wang mentioned the name of a hospital in a third-tier city around the imperial capital.

"The hospital is not big, and it's closer to the school. It's convenient for the students to take care of it. I didn't think the child would be so heavy at first. I thought it would be better to wait a few days. But the more I waited, the heavier it became. I had no choice but to call me."

Zheng Ren asked a few more questions. The young man is only 20 years old this year. He has been in good health before and has never had surgery or trauma. There is no positive disease in the family history, and everything is normal.

It's just a pharyngitis, will it be so serious?

"Have you done a laryngoscopy? Is there any foreign body or tumor in the upper part of the airway or esophagus?" Zheng Ren asked.

"It is said that laryngoscopy was performed after admission, and no problems were found."

"Is there a list?"

"Yes." Taoist Wang immediately took out his mobile phone, walked to Zheng Ren, found the picture, and handed it to Zheng Ren.

Su Yun stood up and came to Zheng Ren's side, poking his head around and watching.

There are two laryngoscope images on the film. Although the location selection is not standard, it is enough for diagnosis.

No foreign bodies were seen in the pharynx or vocal cords, not even inflammatory edema.

Zheng Ren continued to look through, and found that all the laboratory tests were normal except for serum ions, and there was no problem at all.

Serum ions are abnormal because the patient has not eaten for a long time.

Five or six days without grinding teeth, there will generally be some electrolyte imbalance.

"Do you have a recent photo of the child? It's best to send a current one. I'll see if there's anything abnormal about the body surface." Zheng Ren said.

Taoist Wang immediately contacted his son, and a few minutes later, four or five photos were sent.

The photos sent here are very complete, and there is basically nothing missing.

Taoist Wang's son had no bruising, redness or swelling on the surface of his skin, nor did he see any obvious lumps. Zheng Ren's doubts were dispelled by a few photos.

At this time, Zheng Ren would slander the big pig's hoof, why can't he see the system panel?

If there is a system panel for viewing pictures, it will be much more convenient to consult remotely by yourself.

Zheng Ren began to think about the illness related to the pharynx.

"Xiao Wang, what are you going to do if this person is going to burn incense in your Taoist temple?" Director Pan asked.

"Traditional Chinese medicine is called Meihe Qi. It is believed that this disease is caused by emotional damage, leading to stagnation of liver qi, stagnation of liver qi or stagnation of qi and blood stasis. The treatment methods of traditional Chinese medicine are generally: soothing the liver and regulating qi, eliminating phlegm and dispelling stagnation." Daoist Wang said with a sad face.

"So, your son broke up with his girlfriend?" Su Yun laughed.

"Ahem..." Daoist Wang was also speechless.

"It doesn't feel like it." Zheng Ren said: "The innervation of the pharynx is extremely rich. The sensory and motor nerves mainly come from the pharyngeal plexus of the posterior pharyngeal wall, including branches of the vagus nerve, glossopharyngeal nerve, accessory nerve, and parasympathetic nerve."

"Do you suspect it's a neurological problem?" Su Yun asked.

"According to what Brother Wang said, it hurts when you open your mouth to speak, it must have stimulated your nerves." Zheng Ren pondered, holding Xie Yiren's hand with one hand, and picked up the chopsticks with the other hand, subconsciously touching the bone plate beating.

"In addition, there are the second branch of the trigeminal nerve and the glossopharyngeal nerve that are directly distributed in the pharynx. Therefore, the pharynx is extremely sensitive, and a small problem will be obvious."

"It's as if I didn't say anything." Su Yun dismissed it.

"Diseases in many organs of the whole body can also cause abnormal sensation in the pharynx through the reflex and conduction of the nerves."

"For example?"

"Not to mention anything else, just talking about thoracic esophageal diseases, esophageal spasm, diverticulum, achalasia, early malignant tumors, traumatic esophagitis, reflux esophagitis, cardia spasm, diaphragmatic hiatus, etc. Unwell."

"It's too rare!" Su Yun said.

"Indeed, these are rare and unlikely." Zheng Ren said, "There is a way to easily rule out many situations."

Daoist Wang's eyes lit up.

"Brother Wang, tell the doctor over there to spray 1% lidocaine into the throat to see if it can relieve the severe sore throat." Zheng Ren said while thinking.

Daoist Wang was a little embarrassed, but he didn't dare to disturb Zheng Ren's thinking, so he picked up his phone and walked out.

"Zheng Ren, is it sick?" Director Pan asked in a low voice when Taoist Wang walked out.

"Director, we are doctors and we want to talk about science." Zheng Ren's thoughts were interrupted, but instead of being angry or numb as if Su Yun interrupted him, he smiled and explained to Director Pan.

"Well, what you said is right." Director Pan said: "You think about yours, don't worry."

"Let's eat first, eat first." Zheng Ren greeted when he saw that no one touched his chopsticks and the food was getting cold.

"Mr. Zheng, it's very interesting to be in the imperial capital!" Chu Yan said with a smile: "I have lived a fulfilling life."

"It's not interesting, I'm as tired as a dog every day." Zheng Ren said casually.

"Don't listen to him, he doesn't even wear lead clothes now, and just sits in the operating room every day watching Fu Guier and Lao Liu undergo surgery." Su Yun exposed Zheng Ren's fake tricks, "If you are free, just go there if you have nothing to do. ER run."

"That's great. There are more people in the big cities, so you can see more things. It's nonsense to talk about escaping from Beijing, Shanghai and Guangzhou." Chu Yanzhi picked up the chopsticks, and looked at Director Pan with flickering eyes, "Director, move your chopsticks first Ah yes."

Director Pan smiled and picked up the chopsticks.

Zheng Ren quickly turned the big fat fish head around, and waited for Mr. Pan to take a bite of the meat from the fish head before everyone started eating.

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Note: Xia Huaniang has published a new book, "Run for Your Life, Author". Xia Huaniang's brain hole is quite good, as in the last book Immortality, and the beginning of this book is also quite good.