Chapter 1838 Rampant Dental Caries

Linge sat in the ward for more than 10 minutes. Zheng Ren didn't have anything else to ask, so he dropped his money and left.

"Boss, it doesn't look like there's any serious problem." Su Yun looked at Zheng Ren and said.

Zheng Ren's eyes kept staring at the film, as if there were flowers on it.

Soon, Ringer came back.

He looked at Zheng Ren expectantly, but seeing Zheng Ren's face sinking like water, he felt a little helpless.

It is estimated that Boss Zheng has no new diagnostic opinions.

It's a good thing that there is no new diagnosis, Ringer comforted himself.

But he saw that Zheng Ren was still deep in thought, so he didn't bother, and stood quietly waiting for Zheng Ren to speak.

Time passed by every minute and every second, and the silence in the office made one's heart palpitate.

The boss of the medical department was there, and the doctor on duty in the special needs ward stayed with him for a while. He felt that the atmosphere was too depressing, so he found a reason to leave the office.

A few minutes later, Linge looked at Zheng Ren and then at Su Yun, not knowing what the two of them were thinking.

"Director Lin." Zheng Ren spoke suddenly, startling Linge.

"what……"

"Do you see any changes in Director Mao?" Zheng Ren asked.

This sentence was a bit floating, and Linge didn't know how to answer for a while. But after all, he is a veteran in handling medical disputes. He pondered for a while, wondering what Boss Zheng should be thinking, and then replied: "Maomao is very listless."

"anything else?"

"There are small purpura on the limbs, some have healed, and some have not. Only the hands and feet can be seen, but no other parts can be seen."

"Um."

"Besides...the hair is messed up, the eyes are not focused, and the tone of voice is different from usual when speaking." Ringer racked his brains to recall, and sketched the picture for Boss Zheng at that time.

Zheng Ren folded his arms and looked at the film without saying a word.

"When I got angry, I said that my teeth were broken."

"I have no strength in my hands and feet, and I can't walk."

"I don't like to eat. Meals are like taking medicine. They have to be sent down with water."

Linger pieced together the various symptoms of Chief Mao like squeezing toothpaste.

"Wait." Zheng Ren said, "Are your teeth broken?"

"..." Su Yun was speechless, and Linge was also speechless.

"What's going on?" Zheng Ren asked.

"Can you pay attention to something important?" Su Yun said unhappily: "Boss, are you tired and confused just after flying back? One side is hemophagocytosis syndrome, the other side is broken teeth, what's more, it's caries..."

As he spoke, Su Yun was taken aback for a moment, "Rampant dental caries?"

"En!" Zheng Ren nodded fiercely, and the doubt gradually became clear, "Director Lin, tell me about Director Mao's dental caries, can you see it?"

"..." Linge was still in a daze.

Rampant dental caries, he didn't even know there was such a diagnosis.

"Director Lin, can you see the decayed teeth of Director Mao?" Su Yun asked.

How is it related to dental caries?

Linge was stunned for a moment, although he couldn't figure it out, he immediately said, "I can see it."

Silence, a few seconds of silence made the atmosphere in the office a little awkward.

It was only when Ringer remembered that these two were probably waiting for his description.

Why did you lose your mind? Linge immediately focused on recalling, and said: "I can't see very clearly. When Mao Mao spoke, she seemed to deliberately not open her mouth, but I could see a carious tooth on her left side, and only the root of the tooth was left. It was rotten... the real murderer, but before No."

"There is a tooth surface on the right side that is already black."

Ringer searched for every detail, but that's all he could say.

He couldn't say any more.

It is very difficult to remember every detail at that time, that is to say, Ringer can barely do it after working hard in the medical office for many years, and another person may not be able to notice these things.

"Rampant dental caries, plus the need to send food down with water, consider Sjögren's syndrome!" Zheng Ren punched with his right hand and hit his left hand.

"Well, this can explain why there is pulmonary hypertension. If I go to... I can get this kind of disease. Director Mao's fortune is really not very good." Su Yun said with a smile.

"Uh...Boss Zheng, Doctor Su, wait a minute." Ringer asked in surprise, "Sjögren's syndrome? What is that?"

"Sjögren's syndrome is a chronic inflammatory autoimmune disease mainly involving exocrine glands, also known as autoimmune exocrine gland epithelial cell inflammation or autoimmune exocrine disease." Zheng Ren said.

"..."

"A small number of patients will have lung changes, dry cough, shortness of breath, and severe hemoptysis. In addition, patients with pulmonary hypertension will not recover well after recovery." Zheng Ren said.

"Uh……"

"Rampant dental caries is one of the hallmarks of Sjögren's syndrome. Patients have multiple caries that are difficult to control and develop. The symptoms are that the teeth gradually turn black, and then small pieces fall off, leaving only residual roots." Zheng Ren's eyes gradually brightened, his mouth Li quickly talked about the diagnosis basis.

"This... What if it's just dental caries?" Ringer asked stammeringly.

"It's easy to say." Su Yun said with a smile: "Director Lin, I'll take a look."

"what?"

"You can make people laugh, and you can also make them cry. If you have Sjögren's syndrome, there is no secretion from the lacrimal gland, that is to say, there are no tears when you cry." Su Yun said, "I'll know after a quick look. "

After speaking, he turned and left.

"Doctor Su, don't tell me." Linge immediately chased him out.

Zheng Ren didn't stop Su Yun.

When it comes to a clear diagnosis, although there is no good way to treat Sjogren's syndrome clinically, it is also helpful for further treatment after a clear diagnosis.

In fact, the diagnosis of Sjögren's syndrome has its own criteria, which are divided into oral symptoms, eye symptoms, eye signs, histological examination, parotid gland damage, changes in autoantibodies, and so on.

But Director Mao would not let him go for a medical checkup, so Su Yun's method was the simplest and most direct.

After Su Yun went out, Zheng Ren thought about it, and followed him out.

Linge followed Su Yun in the corridor to persuade him, but Su Yun joked with him with a playful smile.

"Director Lin, let him go." Zheng Ren said, "Su Yun, use the reason to visit Director Mao."

"You still need to teach me?" Su Yun glanced at Zheng Ren and said disdainfully.

Ringer was a little waxy.

This is the trouble I brought on myself, how old I am, why do I have to make Director Mao cry?

"Director Lin, don't go in, it's hard to say, let's take a look outside." Zheng Ren said.

Linge had no choice but to follow Zheng Ren, wanting to say something, but swallowed the words again.

Zheng Ren was not in a hurry, and walked slowly behind. He didn't joke with Ringer either, he just pondered over the diagnosis just now.

Multiple illnesses and symptoms point to Sjögren's syndrome. Take a look outside later and refer to the system panel.

Even without a system panel, rampant dental caries can be diagnosed with a high probability.

Soon, a burst of cursing came from the ward.