Chapter 796 Eye of the Storm
"What's wrong?" Wang Dong's mother was stunned.
Really sick? Or something... I don't remember the disease.
No way, Wang Dong complained of pain every day, and his whole body felt uncomfortable. 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's disease the kind of disease caused by the congenital deficiency of α-galactosidase A in the patient's body?" Su Yun realized something after hearing what Zheng Ren said. He looked carefully at the little Wang Dong's ear. Keratinoma, thinking hard.
This disease is very rare. If it weren't for Su Yun's knowledge and knowledge, he would glance at all books and magazines, and few people would know about it.
However, Su Yun reads books for the sake of boasting at the wine table, and he never thought that he would encounter such a patient one day.
"Well, there is an angiokeratoma on the ear. This is a mid-term manifestation. I guess if you have a physical examination, you can see the swirl-shaped cornea around the eyes." Zheng Ren looked at Wang Dong's mother and asked patiently: " May I take a look into Wang Dong's eyes?"
Seeing Zheng Ren's serious face, although there were some yellow bruises on his face, it looked funny, but Wang Dong's mother still believed him.
It's just a glance at the eyes, in broad daylight, the world is bright, what is there to be afraid of?
She nodded, and pressed her hands on Wang Dong's shoulders, holding the child in her arms with all her strength at any time.
Zheng Ren smiled and said, "Little brother, don't be nervous, I'll just roll your eyelids."
Su Yun was also curious. He recalled that the typical feature of Fabry's disease was cloudy corneal swirl.
A glance can confirm the diagnosis 80% of the time.
Leaning in, seeing Zheng Ren stretch out his hand, gently lifted Wang Dong's eyelids, and put them down in a split second.
Before Wang Dong could react, and before Wang Dong's mother was thinking wildly, the physical examination was over.
Of course, if you want to check in detail, you should also check the patient's lower abdomen, thighs, etc. There, there will be red or purple-black angiokeratomas. However, angiokeratoma appeared on the ears, and these places became much less important.
"It really looks like the eye of the wind." Su Yun saw it clearly and sighed with emotion.
The vortex-shaped cornea of the eye is cloudy. If you observe carefully and microscopically, you will find that it exists in the cornea of the patient like the eye of a storm.
This is a very typical feature, and it is not the same as ordinary corneal diseases.
"Is there something wrong?" Wang Dong's mother asked dubiously.
"It should be Fabry's disease. Su Yun, do you have a pen and paper?" Zheng Ren asked.
Su Yun opened his arms, indicating that he didn't have anything on him.
"President Zheng, I brought it here." Chang Yue took out a small pad and a pen from her bag, and handed them to Zheng Ren.
Zheng Ren thought for a while, and wrote down on the pad—diagnosis: Fabry's disease. It is recommended to check the alpha-galactosidase assay. If there is a positive return, enzyme replacement therapy is given.
After writing a line, Zheng Ren wrote the words "Intervention Section, Zheng Ren" at the bottom, tore off the page, and handed it to Wang Dong's mother.
"I wrote down the diagnosis, what tests to do, and the treatment. You put this away and go to the emergency room... or go to the rheumatology and immunology department." Zheng Ren smiled, turned and left.
Hand over the pad and pen to Chang Yue, and they leave.
Xie Yiren looked at Zheng Ren with twinkling lights in his eyes. In her opinion, Zheng Ren is really handsome at this moment.
"Boss, you were diagnosed because of the angiokeratoma on that child's ear?" Su Yun still didn't understand, and asked.
"Fabry's disease is often misdiagnosed as rheumatism, arthritis, growing pains or psychogenic pain in the early stage, and it is even considered to be a fake disease. What I heard from Wang Dong's mother means that it has occurred many times. No problem was found." Zheng Ren said as he walked, "So let's think about possible places."
"The angiokeratoma on the ear is a very typical feature, but it cannot be diagnosed. In the end, the cornea was checked to make sure."
Zheng Ren didn't feel anything, so he said it casually.
"Then you are so sure about what you said before." Su Yun was still puzzled.
"I'm not sure, Wang Dong's mother can't let me see." Zheng Ren said casually.
"..." Su Yun was speechless, "What if the diagnosis is wrong?"
"Just take a look at the cornea, if it's wrong, it's wrong, do you care? It's wrong, I'm just an ordinary passer-by. By the way, I'm the doctor of 912." Zheng Ren looked at Su Yun with a serious face.
"Uh..." This was the first time Su Yun heard such nonsense words from Zheng Ren.
Usually Zheng Ren is honest and honest, he speaks and does things with a strict eye, and he has never seen him so slippery.
But Su Yun thought about it again, the situation just now, the background was the crowds in the emergency department of pediatrics, it was messy, Zheng Ren really couldn't do anything about it.
If it was me, things might be a little easier.
Is there a trafficker as handsome as yourself? If you grow up like this, you will cry ghosts and gods, what can you do to earn more than human traffickers?
Well, this is a world that depends on faces. The boss did this because he was forced by an ordinary person who had no choice.
Thinking of this, Su Yun felt relieved.
"I remembered that Fabry's disease is that trihexosylceramide cannot be metabolized, so it accumulates in lysosomes, leading to various clinical symptoms. X chromosome inheritance, males are more seriously ill than females." Su Yun thought for a long time , finally found traces of Fabry's disease in his memory, and asked, "Boss, is the treatment effect of this disease good?"
"I don't know either, I haven't seen it before." Zheng Ren said: "I read the introduction in the magazine, giving enzyme replacement therapy, the treatment cost should not be very expensive."
"That's too miserable, such a small child." Chang Yue was filled with sympathy.
"It's fine if you understand it as diabetes. Daily insulin injections won't affect anything. And it's better than diabetics. At least you don't need to control your diet." Zheng Ren explained from another angle.
When he said that he didn't need to control his diet, the Xie Yiren nodded repeatedly.
In her opinion, if you can't eat a lot, that kind of world is really miserable.
Turning the corner of the emergency department, I couldn't see the troubled crowd at the pediatric department of the emergency department, and suddenly felt that I was back in the normal world, much quieter.
"This group of people are really brave enough to make trouble on 912." Su Yun complained.
"It's normal. When you were away a few days ago, some family members of the patients directly touched the inpatient department and said that there are still vacant beds here, why they are not allowed to be hospitalized." Chang Yue said, "The nurse told him that it was for the inpatient department. A bed reserved for the military."
"Then the family members of the patients started to make trouble?"
"It's not too much trouble, anyway, I cussed a lot." Chang Yue said, "I didn't bother to listen, so I left."