Chapter 2072： old

"In the end, Dr. Oakland did not make any progress." Zheng Rendao.

"No, I remember she experimented with the mice, cut off the nerves on one side, and the other side was necrotic after a few weeks." Su Yun retorted.

"I think this is a special event and there is no universal significance." Zheng Rendao, "Clinically, doctors in Canada have done a large-scale sample survey of kidney stones and found that mirror pain is present.

But in terms of probability, I have observed in the first hospital in Haicheng, the so-called 0.48% incidence seems to be a bit high. ”

"Oh?" Su Yun didn't think that his boss had begun to study the mirror pain in Haicheng.

“The data for Canada is 3 cases of mirror pain in more than 600 patients,” said Zheng Rendao. “The data I observed were more than 400 patients with urinary stones. None of them were mirror pain. Clinically, this patient was my case. The first case."

This is the case with clinical research. Whether it is 600 or 400, it is a small sample, and deviation is normal.

However, from the observation of Zheng Renzheng boss, mirror pain is a very rare disease in China.

"That income home? Then?" There is always some confusion.

"Admission, gravel. If your director does not recognize the mirror pain, you can check a vein pyelography." Zheng Ren's finger points to the X-ray standing flat on the reader, saying: "This should be the body. Some kind of stress change. If the stone is broken and excluded from the body, no more pain, it should be better here."

"Zheng boss, can you tell me more about it?" There is no good way for Yu, and he and the director can't say this when they report their medical history.

"Well... then you report to the director." Zheng Ren looked at the film and said: "The right kidney collecting tube causes increased pressure due to hydronephrosis, followed by the extension of the lamina propria, smooth muscle spasm, contraction, trying to put The stone moves to the location."

"Increased lactic acid production stimulates the mucosa and activates chemoreceptors. After the afferent nerve reaches the spinal cord, it is connected to the spinal cord at the T11-L1 level and then transmitted to the central nervous system, producing the illusion of contralateral pain."

"..." is always silent and speechless.

If I say this to the director, I am afraid that I will be hospitalized for another year.

However, although Zheng Boss gave a diagnosis, he could not say a particularly convincing point of view. He could only nod.

"As for the left ureter in the vicinity of the waist 2-3 vertebral body, the venous pyelography can be ruled out. Whether it is mirror pain, then the right urinary calculi will be treated." Zheng Ren said, put The film is taken down, put into a bag, and handed over to the total.

The next two hospitalizations began to get busy.

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

However, after two years of clinical experience, and the patient's pain, and a relatively reasonable but more illusory explanation, he also reluctantly accepted.

The pain of kidney stones, it is really painful, there is a feeling of the end of the world. Even if there is a knife in front of the sea, if you say it is not good, you should take a look.

Su Yun took advantage of this time and booked breakfast.

Zhou Litao was busy, and breakfast had just been sent.

"Zheng Boss, Yun Geer, the patient was sent to hospital." Zhou Litao reported on the closing work.

"Well, gravel can be. If it can't be broken, there is a way to solve the urology." Su Yun said while eating a steamed buns.

"I was also the first to encounter the mirror pain of the urinary system." Zhou Litao is still very interested in this. "In patients with orthopedic amputation, there are several cases of contralateral pain, but I think it is a snoring."

"It is not a snoring disease, but the scientific principle has not yet been found." Zheng Ren smiled. "There is no clear statement about the diagnosis and treatment of many diseases in the existing science."

"I think the central nervous system remodeling can be used to solve this problem." Su Yundao, "Unfortunately, I don't do research in this area, there is no clue."

"No need to do, meet a similar patient, I know that there is such a possibility, it is enough to not misdiagnose." Zheng Ren is very accurate in his position, always a clinician.

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

While eating breakfast, the three men chatted a few speculations about mirror pain.

Zhou Litao has some emotions. It is no wonder that Zheng Boss is now alive and well. When people are in the emergency department of Haicheng, they have some understanding of this kind of partial door.

It’s really a time when there’s no pie in the sky.

For Zheng’s guess, Zhou Litao is wrong from the beginning.

Zheng Ren was the patient who had this mirror pain this morning before he began to reflect and recall the similar patients he had encountered in his medical career.

Therefore, the thinking of hanging is different from other people. Zhou Litao thinks about Zheng boss with the thinking of normal people, and can only go further and further on the wrong road.

Boss Zheng has never used... rarely push forward, and every time he knows the answer, he pushes it back. The reverse push is very worry-free, but it is also based on Zheng Ren's powerful memory.

"Right, how did Cui Lao have not been working recently?" Zheng Ren said after dinner, and asked.

Zhou Litao sighed and said: "Cui Lao was sick last time. It has been more than half a month since then. It has been a little bit bad repeatedly. Come to the hospital for investigation, there is no big problem."

Zheng Ren took a moment and knew that Cui was old, and some things were not solved by manpower.

"Where is Cui's home? I have time to check it out." Zheng Rendao.

"I am a rest day tomorrow, I am going to take a look at Cui's home." Zhou Litao said, "Zheng boss, if you have time, let's go together?"

"Yes, tomorrow... afternoon." Zheng Rendao, "There are more things in the morning."

Speaking of Cui Lao's illness, the atmosphere in the duty room was slightly suppressed.

But after all, it’s almost eighty people, and some minor problems are normal.

Not to mention the 80-year-old Cui Lao, Zheng Ren saw the doctor's system panel in every doctor's office, with a little red color.

This is the law of nature. Zheng Ren wants to go once. First, I miss Cui Lao. The second is to take a look at the system panel, Cui Laobei has other problems for misdiagnosis.

Although the latter is unlikely, Zheng Ren still feels that it is more appropriate to take a look.

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

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

Plain but fascinating.

......

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Note: When writing the mirror pain, I found out that there was an amputation patient in the emergency department from the front door. I always said that the amputation position and the contralateral pain. I have been saying behind the back that people are sick... some shy. Mirroring pain is really the first time I know.

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