Chapter 2071 Old

"In the end, Dr. Oakland didn't make any progress." Zheng Ren said.

"No, I remember she experimented on mice, cut off one side of the nerve, and the other side died after a few weeks." Su Yun retorted.

"I think this is a special case, and there is no general significance." Zheng Ren said, "Clinically, doctors in Canada conducted a large-scale sample survey of kidney stones and found that mirror pain exists.

But in terms of probability, I observed it in Haicheng First Hospital, and the so-called 0.48% incidence seems a bit high. "

"Oh?" Su Yun didn't expect that his boss had already started researching mirror pain in that poor place in Haicheng.

"The Canadian data shows that there are 3 cases of mirror pain in more than 600 patients," said Zheng Rendao. "The data I observed are more than 400 patients with urinary stones, and none of them had mirror pain. Clinically, this patient is the one I encountered. first case to arrive."

This is the case with clinical research. Whether it is 600 cases or 400 cases, it is considered a small sample, and deviations are normal.

But from the observation of Boss Zheng Renzheng, mirror pain should be regarded as a very rare disease in China.

"Then admitted to the hospital? Then?" Mr. Yu was a little confused.

"Admit to the hospital, crushed stones. If your director doesn't agree with mirror pain, you can check for an intravenous pyelogram." Zheng Ren pointed at the X-ray upright plain film inserted in the film reader, and said: "This should be the body's Some kind of stress change. Once the stones are crushed and excreted, and the pain is no longer there, it should get better."

"Boss Zheng, can you explain in more detail?" Mr. Yu had no other way to do it, he couldn't say that when he and the director reported the medical history.

"Well...then you report to the director in this way." Zheng Ren looked at the film and said: "The pressure in the right renal collecting duct increased due to hydronephrosis, and then the nerve endings of the lamina propria appeared, and the smooth muscles spasmed and contracted, trying to move Stones move position."

"Lactate production increases, stimulates the mucosa and activates chemoreceptors. After reaching the spinal cord, the afferent nerves connect to the spinal cord at the T11-L1 level and subsequently pass to the central nervous system, creating the illusion of contralateral pain."

"..." Mr. Yu was silent and speechless.

If I told the director that way, I'm afraid I'll be the head of the hospital for another year.

But seeing that although Boss Zheng gave a diagnosis, he couldn't come up with a particularly convincing point of view, so he could only nod his head.

"As for the image of the left ureter near the lumbar 2-3 vertebrae, intravenous pyelography can be used to rule it out. Regardless of whether it is mirror pain or not, the right urinary calculi should be treated later." Zheng Ren finished speaking. The film was taken off, put into a bag, and handed over to Mr. Yu.

The next two inpatients began to get busy.

It is a relatively large project to persuade patients who were resolutely refused to be hospitalized before to be admitted for diagnosis and treatment.

But after all, the two have rich clinical experience, and the patient's pain was severe, so he had a relatively reasonable but fantasy explanation, which he reluctantly accepted.

The pain of kidney stones is really painful, and it feels like the end of the world. Even if there are mountains of swords and seas of fire ahead, if it's not good, you have to go through it.

Taking advantage of this time, Su Yun ordered breakfast.

After Zhou Litao finished his work, breakfast was just delivered.

"Boss Zheng, Brother Yun, the patient has been sent to the hospital." Zhou Litao reported on the finishing work.

"Well, gravel is fine. If it can't be broken, the urology department has plenty of solutions." Su Yun said while eating the steamed stuffed bun.

"It's also the first time I've encountered mirror pain in the urinary system." Zhou Litao was still very interested in it. "Patients with orthopedic amputations have encountered a few cases of contralateral pain, but I think it's hysteria."

"It's not hysteria, it's just that the scientific principle has not been found yet." Zheng Ren smiled, "There is no clear statement on the diagnosis and treatment of many diseases in existing science."

"I think the remodeling of the central nervous system can be used to solve this problem." Su Yundao, "Unfortunately, I don't do research in this area, so I don't have a clue for now."

"There is no need to do it. When encountering similar patients, I know there is such a possibility in my heart. It is enough not to misdiagnose." Zheng Ren's positioning of himself is very accurate, and he has always been a clinician.

Before Dr. Charles persuaded him to engage in theoretical research, Zheng Ren had already thought clearly the moment he decided to give up.

While eating breakfast, the three of them chatted a few words about mirror image pain speculation.

Zhou Litao was a little bit emotional, no wonder Boss Zheng is so prosperous now, he knew something about this kind of unorthodox things when he was the head of the emergency department in Haicheng.

It's really a time when there will be no pie in the sky.

Regarding Boss Zheng's speculation, Zhou Litao was wrong from the beginning.

It was only after Zheng Ren met the patient with mirror pain this morning that he began to reflect and recall the similar patients he had encountered in his medical career.

Therefore, the thinking of hanging up is different from that of other people. Zhou Litao thought about Boss Zheng with normal people's thinking, but he could only go further and further down the wrong road.

Boss Zheng never... seldom pushes forward, and always pushes backwards after knowing the answer. It is very worry-free to reverse, but it is also based on Zheng Ren's strong memory.

"By the way, why hasn't Mr. Cui been at work recently?" Zheng Ren asked casually after finishing his meal.

Zhou Litao sighed, and said, "It's been more than half a month since Mr. Cui got sick last time, and he's been getting better and worse, repeatedly. He came to the hospital for an investigation, and there was nothing serious."

Zheng Ren was taken aback for a moment, knowing that Mr. Cui was getting old, and some things could not be solved by manpower.

"Where is Cui's hometown? I'll take a look when I have time." Zheng Ren said.

"Tomorrow is my day off, and I am going to visit Cui's hometown." Zhou Litao said, "Boss Zheng, if you have time, let's go together?"

"Okay, tomorrow...in the afternoon." Zheng Ren said, "There are more things to do in the morning."

Speaking of Mr. Cui's illness, the atmosphere in the duty room was a little depressing.

But after all, he is almost eighty, and some minor problems are normal.

Not to mention Mr. Cui, who is almost 80, Zheng Ren sees the doctor's system panel in every doctor's office, which is more or less reddish.

This is the law of nature. Zheng Ren wanted to go there once, because he missed Elder Cui a little. The second is to use the system panel to take a look. Mr. Cui must have misdiagnosed other problems.

Although the possibility of the latter is unlikely, Zheng Ren still thinks it is more appropriate to take a look.

After breakfast, Zheng Ren and Su Yun left the emergency department and returned to the interventional department to prepare for the early shift.

Lin Yuan was still sitting in front of the computer, busy writing medical records. Chang Yue chatted with the patient's family members in the ward, and everything in the department looked the same as usual.

Plain, but colorful.

...

...

Note: When I wrote about mirror image pain, I only recalled that there was an amputation patient in the front emergency department when I searched for information. My guy kept saying behind his back that he was pretending to be sick... a little ashamed. Mirror pain, this is really the first time I know it.