Chapter 2945 Dog Licking

"Mr. Zhou, the patient is getting rheumatism immunity," Zheng Ren said.

"Why didn't I see the cricoid cartilage...it seems to be dissolved?" Zhou Litao asked in surprise.

"Relapsing polychondritis is a rare disease, and its etiology and pathogenesis are still unclear. It has been reported that it is an autoimmune disease, and it also has a certain genetic tendency. The specific pathogenesis is still under further study."

Zheng Ren explained, "The manifestations of this disease in the lungs are mainly seen when the disease is accompanied by inflammation of the tracheal cartilage. Pathological examination shows the dissolution of the tracheal cartilage, swelling of the tracheal mucosa, and granulation hyperplasia. "

"But..." Zhou Litao paused for a moment, he still had doubts, but how could he express his doubts about Boss Zheng, he just swallowed it back.

"Oh, I guess it's slowly dissolving, and the body is gradually getting used to it. The trachea itself will convulse when encountering an accident and secreting a large amount of hormones. Today just happened to catch up, so it exploded immediately." Zheng Ren said, "This explanation is a bit of a coincidence , so insist on taking a look with a bronchoscope."

Zhou Litao thought it was logical, so he nodded immediately, "Boss Zheng, what else do you need to investigate after admission?"

"It's good to be sent to the hospital. Our hospital has a strong rheumatoid immunity, so just write the diagnosis clearly on the hospitalization form. Relapsing polychondritis, don't write it wrong. By the way, the diagnosis of this disease is included in the ICD code."

"Yes, I know, Boss Zheng." Zhou Litao smiled, and immediately went to issue a hospital bill.

Su Yun hesitated for a moment, but he still didn't stay. Instead, he and Zheng Ren went to the operating room to change clothes.

I seem to be... wrong again. Zheng Ren started self-examination on the road. He didn't seem to have auscultation just now, and suggested Zhou Litao to have a bronchoscopy for a long time. This point is very imprecise, and today when I was in the branch office, it was urgent, and I bought a blade in the system space for emergency rescue.

Don't let Su Yun see any flaws, Zheng Ren is a little anxious.

"Boss, what are you talking about!" Su Yun complained on the road, his mood was obviously not right.

"Oh, you don't need auscultation to know." Zheng Ren said.

The things the two said were obviously different, Su Yun frowned and asked, "What kind of hysteria are you having?"

"Ah? Didn't you say that I made the diagnosis without auscultation?" Zheng Ren was also taken aback.

But he immediately realized that he was thinking that he didn't seem to have auscultation just now, so he made a judgment based on the diagnosis of the big pig's hoof. And what Su Yun was talking about was Qiao Liyan's lover and date, who unexpectedly got a date with such a mess of nonsense about his own girl.

"Don't be depressed, it's okay." Zheng Ren said with a smile, "This kind of thing is just a matter of probability. If it happens to happen, no one can do anything about it."

"I don't think Sister Qiao is talking, so I'm a little worried." Su Yun sighed, and said, "Except for you asking about her condition, she doesn't say a word. If she even fights, she's fine. It's big."

"Oh, what can I do?" Zheng Ren sighed.

But this kind of thing is obviously not something that he can or should solve, so he can only sigh.

"Boss, what did you mean by what you just said?" Su Yun also knew that he could only sigh at most, so he changed the subject directly.

"There is a problem with the cricoid cartilage of the trachea. Cough, sputum, wheezing, tearing, and dyspnea usually occur. It is progressive and aggravated. It is often misdiagnosed as chronic bronchitis." Zheng Rendao, "It can also be combined with pneumonia, repeated respiratory infections and wheezing. , which induces a severe cough characterized by sudden, deep, metallic dry coughs or coughs, often mistaken for asthma."

"When I heard the patient's asthmatic voice, the first thing I felt was that there was a problem with the cricoid cartilage, so..."

"I'll go!" Su Yun quit this time.

As a rising star in the cardiothoracic surgery department of the Imperial Capital, it doesn't matter if he loses to Zheng Ren in other fields, it's all a "side job" after all. But as far as his heart is concerned, he is determined not to give in half a step.

Deep metallic sound-like dry cough or paroxysmal cough... Can this be judged and used as a basis for diagnosis?

After working in the chest department for a long time, when Su Yun heard someone coughing, he would subconsciously judge whether there was phlegm, whether the phlegm was in the upper respiratory tract or the lower respiratory tract, and he could even hear some details such as whether the bronchospasm was mild or severe.

But what Zheng Ren said hurt his self-esteem too much.

"Uh..." Zheng Ren also realized this, and immediately explained, "The main reason is that I met a patient with relapsing polychondritis, so I have an impression."

"You are a doctor in Haicheng, how can you encounter so many rare diseases?" Su Yun didn't believe it, and questioned directly, "This disease is in Haicheng, and it is 100% diagnosed and treated according to bronchitis combined with asthma. Tell me, at that time Who made the diagnosis?"

"..." Zheng Ren was speechless. It is possible to deny in every possible way, but doing so would be too boring. It would be better to lie flat without saying a word.

"Also, why are you carrying the blade with you?" Su Yun asked.

"Feel, I have been touching the blade with my hand in my pocket, feeling the texture and toughness of the metal, I think it will help the operation." Zheng Ren said nonsense in a serious manner, completely forgetting about the aseptic packaging, "Anyway, I'm fine at ordinary times. Idle hands are also idle. Why don't you use it to feel it?"

Su Yun still had countless questions, but at this time Zheng Ren's cell phone rang.

【They said write a love song soon...】

Zheng Ren took out his cell phone and shook it, indicating that he had a call. He glanced at the call from Yi Ren, and immediately a sweet smile appeared on his face.

"Boss, your dog-licking smile is really proficient." Su Yun immediately sprayed.

Zheng Ren smiled slightly, not caring about Su Yun's provocation.

"Yi Ren, what's wrong?"

"oh?"

"oh."

"oh!"

"I'll be right there."

Three oh, three different tones, the contemptuous smile on Su Yun's face became heavier.

Seeing that Zheng Ren hung up the phone, he immediately asked, "What happened?"

"One of Yi Ren's classmates is in trouble, please consult me." Zheng Ren said.

"What trouble can the nurse have? If you follow the doctor's advice, it's all the doctor's fault. Did the IV drip go wrong? I'll go. Could it be the wrong blood transfusion?"

The two things Su Yun mentioned are mistakes that nurses make occasionally. Mistakes are a little more common, and similar incidents occur several times a year. But the second matter was too serious, and Su Yun also secretly warned Zheng Ren not to agree to something he shouldn't.

"I know, Yiren is waiting for me in the underground garage, would you like to take a look?"

"Go and have a look, there isn't even a patient."

"Is Shi Huairu okay? Doesn't he need to tutor the child?" Zheng Ren asked.

"..." Su Yun had black lines all over his head.