This doctor is not short of money
Chapter 870 Young adults with distal upper limb muscular atrophy
The middle-aged doctor looked at Luo Qi who was about to go limp, and suddenly realized that what he said just now might have frightened this honest boy.
He quickly comforted him, "Why are you panicking, this hasn't happened yet.
And who is in front of you?
He is the best expert in the treatment of stroke in the country.
Dr. Du has already seen it for you in advance, so it will definitely not cause you any trouble. "
With the middle-aged doctor's comfort, Luo Qi finally stopped being as scared as before, and at the same time looked at Du Heng as if asking for help.
Du Heng was a little dumbfounded by the behavior of several people, "Everyone, I didn't say that Dr. Luo had a stroke, did I?"
The three people in front of them were stunned at the same time, "No?"
Du Heng also looked at them helplessly, "I didn't say yes."
Immediately, the middle-aged doctor and Luo Qi turned their attention to Dean Tian, because they remembered that the words that misunderstood them just now were heard from Dean Tian.
Dean Tian looked at Du Heng suspiciously, "Numbness in the hands is a precursor to stroke, is this sentence wrong?"
When Dean Tian asked this sentence, the middle-aged doctor and Luo Qi turned their attention back to Du Heng.
Du Heng said softly, "Under normal circumstances, this statement is not wrong.
But as I said before, traditional Chinese medicine focuses on syndrome differentiation, and a single symptom cannot completely determine a disease. "
Although they got the answer they were expecting, Luo Qi suddenly asked, "Du...Professor Du, my illness is not a stroke, but something else?"
At this time, Luo Qi no longer disliked Du Heng as before, but really thought that he was sick.
Du Heng looked at Luo Qi and pondered slightly, "It's hard to say for now, how about we do an inspection first?"
"Examination? What examination?" Luo Qi said in a panic, "I have done all the examinations that can be done before, such as blood test, urine test, CT, and MRI. I have done everything.
And didn't I just say this, Dr. Du, did you forget? "
Du Heng shook his head directly and said, "The inspections you have done are necessary, but they are not the most important to me.
Because I am a doctor of traditional Chinese medicine, if I want to diagnose your disease, what I must do is to observe, smell, ask and feel the four diagnostic methods. "
At this time, Dean Tian said, "I am familiar with the manager here, how about asking him to find a place?"
Du Heng glanced around, and his eyes suddenly stopped at one place, "Don't be so troublesome, Dean Tian, let's just sit in their reception area."
As Du Heng's voice fell, the other three also looked towards the reception area.
Seeing that there was no one in the reception area, and it was spacious with seats, they all thought it was good, so they walked over together.
After some inspections, Du Heng basically determined the problem in his mind.
But to be sure, you need to do some physical examination.
Thinking of this, Du Heng took out the piece of paper Luo Qi gave him from his pocket, "Come on, stretch out your fingers and pinch it."
Luo Qi obediently clamped the paper with his index and middle fingers.
And Du Heng reminded him again, "Strength, clamp it with your strongest strength."
With Du Heng's emphasis, Luo Qi gritted his teeth and tried his best.
When Luo Qi was exerting all his strength, Du Heng held the other end of the paper, and with just a light tug, he effortlessly pulled out the paper that he was trying to clamp with all his strength from between Luo Qi's fingers.
In this scene, the middle-aged doctor and Dean He Tian frowned directly.
Du Heng sighed softly, put down the paper in his hand, and picked up Luo Qi's palm.
And Luo Qi would be a little confused, just staring at Du Heng blankly.
Just when Luo Qi was in a daze, Du Heng used his thumb and index finger to gently pinch Luo Qi's palm.
But with just such a gentle pinch, Luo Qi's hand slightly pulled down, trying to get out of Du Heng's control.
Even Luo Qi himself gave a soft "ah".
"What do you feel?"
"It hurts." Luo Qi, who just woke up, was stunned again.
No, why does the position of the tiger's mouth hurt?
Fluster appeared in Luo Qi's eyes again, and his eyes drifted to Du Heng again.
Du Heng didn't give any explanation on this, but said again, "You raise your arms up now, just raise them horizontally."
Luo Qi did it again.
At this moment, Du Heng turned his head to Dean Tian and the middle-aged doctor and said, "Do you see anything unusual?"
Dean Tian frowned and thought for a while, then said a little uncertainly, "When Dr. Luo put his hands on his knees just now, his fingers didn't tremble, but now that his arms are raised like this, his fingers tremble. trembling."
But the eyes of the middle-aged doctor next to him kept moving back and forth between Luo Qi's hands.
After looking at it for a while, he said, "Dr. Du, why do I think Ronaldinho's hands are a bit too thin? This is not normal."
Du Heng hummed lightly, "When I was in the room just now, Dr. Luo also told me about a situation, that is, there is an air conditioner in the room, and when the temperature is relatively low, the weakness and numbness of his hands, It will be more obvious."
"Brain stroke?"
Just after Du Heng finished speaking, the middle-aged doctor said a noun, but soon he became confused again, shook his head and said, "This is wrong, if it is a cerebral infarction, it is impossible for the hands to be so thin."
Dean Tian didn't want to guess anymore, looked at Du Heng and asked directly, "Dr. Du, just tell me, what's going on?"
"Blood stagnation." Du Heng said his diagnosis without any inkling.
"The blood stasis stops inside?" The three people in front of them all looked at Du Heng in puzzlement.
Du Heng explained in a slow voice, "Blood stasis internal stop refers to stagnation of qi for a long time, blood flow is not smooth, leading to internal stasis to form obstruction, and pain will occur.
The most common one is abdominal pain. "
Du Heng took a deep breath and continued, "But Dr. Luo's blood stasis is at the cervical spine.
Everyone knows that this position is the vital gate that runs through the whole body.
If it is blocked here, there may be problems throughout the body, which will also affect the nerves, blood supply, and muscles. "
Such an explanation may be easy to understand for ordinary people.But for three highly educated and high-level modern medical practitioners, it is difficult to understand.
Especially when it comes to qi and blood, they will subconsciously bring it into their own knowledge structure to understand.
But this instead hinders their understanding.
Du Heng looked at the confused eyes of the three people, and then said again, "Have you ever heard of a disease in the Department of Neurology, Hirayama Disease?"
"Hirayama disease?" The three of them shook their heads together. They had never heard of such a term in the cardiovascular department.
Du Heng took a deep breath and said, "I didn't know about this disease before, but when I was looking up information, I suddenly saw a disease that was very similar to the sequelae of stroke, so I took a second look, and only then did I know about this disease. "
The three people in front of them didn't speak, they were all quietly waiting for Du Heng to continue talking.
And Du Heng didn't make a fool of himself, and said directly, "Hirayama disease, also called distal upper extremity muscular atrophy in youth, mostly occurs in young people, and is a benign, self-limiting motor neuron disease.
Because the disease was first discovered by Dr. Hirayama in Japan, the name Hirayama disease came into being. "
Self-limiting disease refers to a disease that can stop automatically after the disease occurs and develops to a certain extent, and then gradually recovers by itself.
And it was just this term that made the three people in front of them breathe a sigh of relief.
Especially Luo Qi, the client, had a feeling that his soul was out of his body. He felt that the sky above his head lit up again.
But Du Heng said, "The biggest feature of Hirayama disease is the weakness of the distal upper limb muscles, which eventually leads to muscle atrophy.
Although the disease will stop when it develops to a certain extent, it will stop after muscle atrophy.
It is impossible to restore atrophied muscles without addressing the underlying problem.
In addition, if the muscles atrophy for a long time, the nerves and capillary network will be damaged, and it will be even more difficult to recover. "
As soon as these words came out, Luo Qi, who had just breathed a sigh of relief, lost his mind again.
But at this time, he was not frightened, but Du Heng's panting back and forth made him feel a little unbearable.
He felt like he was about to collapse.
But this time the absence was only for a moment, and then Luo Qi asked, "Doctor Du, how did I get this disease?"
Du Heng frowned this time, "It stands to reason that the blood stasis internal stop is either affected by emotions, for example, it is caused by your emotional depression and poor liver qi.
Or it is caused by internal and external injuries to the body, which are not treated in time. "
While talking, Du Heng looked at Luo Qi again, "But during the inspection just now, I didn't find any injuries on your body, and during the time I talked with you, I didn't find that you have any emotional problems. .
Therefore, the comprehensive judgment should be that there is a problem with the growth of your own organs. "
"Deformed?" Luo Qi was stunned again, "It shouldn't be, I have done so many checks, if there is any problem, it will definitely be found out."
Du Heng shook his head, "I really can't find out this.
As I just said, according to my judgment, your problem lies in the cervical spine.
According to the examination of Hirayama disease, this position cannot be detected by the general MRI examination method. To check whether this position is diseased, a special posture is required to find out. "
After a pause, Du Heng continued, "There is one more point to explain, your condition should not be deformed, if it is deformed, your problem should have appeared very early, and it will not wait until you go to college.
And if there have been problems since childhood, the condition will not be as easy as it is now.
Do you still remember the question I asked you before? I asked you that your neck is slightly skewed. You said it was a habit developed since childhood.
So I think this may have something to do with your bad sitting posture and habits. "
Dean Tian watched the two ask and answer, but still couldn't get to the point, so he took the initiative to help Luo Qi and asked, "Doctor Du, can you treat this situation?"
This question made Luo Qi wake up suddenly.
That's right, what I should be most concerned about now is whether my disease can be cured, why didn't I think of it.
After thinking about it for a while, Du Heng said, "Treatment can be cured, internal stagnation of blood stasis is not a big problem.
But Dr. Luo's current fundamental problem is not this, but the need to find out the exact location of the disease.
If the location of the lesion is relatively high, then drinking medicine and some massage and massage can solve this problem.
If it is in the middle of the cervical spine, it is also possible to engage in traction.
But if the deformation occurs in the lower end, or more inner, it is best treated by surgery. "
He quickly comforted him, "Why are you panicking, this hasn't happened yet.
And who is in front of you?
He is the best expert in the treatment of stroke in the country.
Dr. Du has already seen it for you in advance, so it will definitely not cause you any trouble. "
With the middle-aged doctor's comfort, Luo Qi finally stopped being as scared as before, and at the same time looked at Du Heng as if asking for help.
Du Heng was a little dumbfounded by the behavior of several people, "Everyone, I didn't say that Dr. Luo had a stroke, did I?"
The three people in front of them were stunned at the same time, "No?"
Du Heng also looked at them helplessly, "I didn't say yes."
Immediately, the middle-aged doctor and Luo Qi turned their attention to Dean Tian, because they remembered that the words that misunderstood them just now were heard from Dean Tian.
Dean Tian looked at Du Heng suspiciously, "Numbness in the hands is a precursor to stroke, is this sentence wrong?"
When Dean Tian asked this sentence, the middle-aged doctor and Luo Qi turned their attention back to Du Heng.
Du Heng said softly, "Under normal circumstances, this statement is not wrong.
But as I said before, traditional Chinese medicine focuses on syndrome differentiation, and a single symptom cannot completely determine a disease. "
Although they got the answer they were expecting, Luo Qi suddenly asked, "Du...Professor Du, my illness is not a stroke, but something else?"
At this time, Luo Qi no longer disliked Du Heng as before, but really thought that he was sick.
Du Heng looked at Luo Qi and pondered slightly, "It's hard to say for now, how about we do an inspection first?"
"Examination? What examination?" Luo Qi said in a panic, "I have done all the examinations that can be done before, such as blood test, urine test, CT, and MRI. I have done everything.
And didn't I just say this, Dr. Du, did you forget? "
Du Heng shook his head directly and said, "The inspections you have done are necessary, but they are not the most important to me.
Because I am a doctor of traditional Chinese medicine, if I want to diagnose your disease, what I must do is to observe, smell, ask and feel the four diagnostic methods. "
At this time, Dean Tian said, "I am familiar with the manager here, how about asking him to find a place?"
Du Heng glanced around, and his eyes suddenly stopped at one place, "Don't be so troublesome, Dean Tian, let's just sit in their reception area."
As Du Heng's voice fell, the other three also looked towards the reception area.
Seeing that there was no one in the reception area, and it was spacious with seats, they all thought it was good, so they walked over together.
After some inspections, Du Heng basically determined the problem in his mind.
But to be sure, you need to do some physical examination.
Thinking of this, Du Heng took out the piece of paper Luo Qi gave him from his pocket, "Come on, stretch out your fingers and pinch it."
Luo Qi obediently clamped the paper with his index and middle fingers.
And Du Heng reminded him again, "Strength, clamp it with your strongest strength."
With Du Heng's emphasis, Luo Qi gritted his teeth and tried his best.
When Luo Qi was exerting all his strength, Du Heng held the other end of the paper, and with just a light tug, he effortlessly pulled out the paper that he was trying to clamp with all his strength from between Luo Qi's fingers.
In this scene, the middle-aged doctor and Dean He Tian frowned directly.
Du Heng sighed softly, put down the paper in his hand, and picked up Luo Qi's palm.
And Luo Qi would be a little confused, just staring at Du Heng blankly.
Just when Luo Qi was in a daze, Du Heng used his thumb and index finger to gently pinch Luo Qi's palm.
But with just such a gentle pinch, Luo Qi's hand slightly pulled down, trying to get out of Du Heng's control.
Even Luo Qi himself gave a soft "ah".
"What do you feel?"
"It hurts." Luo Qi, who just woke up, was stunned again.
No, why does the position of the tiger's mouth hurt?
Fluster appeared in Luo Qi's eyes again, and his eyes drifted to Du Heng again.
Du Heng didn't give any explanation on this, but said again, "You raise your arms up now, just raise them horizontally."
Luo Qi did it again.
At this moment, Du Heng turned his head to Dean Tian and the middle-aged doctor and said, "Do you see anything unusual?"
Dean Tian frowned and thought for a while, then said a little uncertainly, "When Dr. Luo put his hands on his knees just now, his fingers didn't tremble, but now that his arms are raised like this, his fingers tremble. trembling."
But the eyes of the middle-aged doctor next to him kept moving back and forth between Luo Qi's hands.
After looking at it for a while, he said, "Dr. Du, why do I think Ronaldinho's hands are a bit too thin? This is not normal."
Du Heng hummed lightly, "When I was in the room just now, Dr. Luo also told me about a situation, that is, there is an air conditioner in the room, and when the temperature is relatively low, the weakness and numbness of his hands, It will be more obvious."
"Brain stroke?"
Just after Du Heng finished speaking, the middle-aged doctor said a noun, but soon he became confused again, shook his head and said, "This is wrong, if it is a cerebral infarction, it is impossible for the hands to be so thin."
Dean Tian didn't want to guess anymore, looked at Du Heng and asked directly, "Dr. Du, just tell me, what's going on?"
"Blood stagnation." Du Heng said his diagnosis without any inkling.
"The blood stasis stops inside?" The three people in front of them all looked at Du Heng in puzzlement.
Du Heng explained in a slow voice, "Blood stasis internal stop refers to stagnation of qi for a long time, blood flow is not smooth, leading to internal stasis to form obstruction, and pain will occur.
The most common one is abdominal pain. "
Du Heng took a deep breath and continued, "But Dr. Luo's blood stasis is at the cervical spine.
Everyone knows that this position is the vital gate that runs through the whole body.
If it is blocked here, there may be problems throughout the body, which will also affect the nerves, blood supply, and muscles. "
Such an explanation may be easy to understand for ordinary people.But for three highly educated and high-level modern medical practitioners, it is difficult to understand.
Especially when it comes to qi and blood, they will subconsciously bring it into their own knowledge structure to understand.
But this instead hinders their understanding.
Du Heng looked at the confused eyes of the three people, and then said again, "Have you ever heard of a disease in the Department of Neurology, Hirayama Disease?"
"Hirayama disease?" The three of them shook their heads together. They had never heard of such a term in the cardiovascular department.
Du Heng took a deep breath and said, "I didn't know about this disease before, but when I was looking up information, I suddenly saw a disease that was very similar to the sequelae of stroke, so I took a second look, and only then did I know about this disease. "
The three people in front of them didn't speak, they were all quietly waiting for Du Heng to continue talking.
And Du Heng didn't make a fool of himself, and said directly, "Hirayama disease, also called distal upper extremity muscular atrophy in youth, mostly occurs in young people, and is a benign, self-limiting motor neuron disease.
Because the disease was first discovered by Dr. Hirayama in Japan, the name Hirayama disease came into being. "
Self-limiting disease refers to a disease that can stop automatically after the disease occurs and develops to a certain extent, and then gradually recovers by itself.
And it was just this term that made the three people in front of them breathe a sigh of relief.
Especially Luo Qi, the client, had a feeling that his soul was out of his body. He felt that the sky above his head lit up again.
But Du Heng said, "The biggest feature of Hirayama disease is the weakness of the distal upper limb muscles, which eventually leads to muscle atrophy.
Although the disease will stop when it develops to a certain extent, it will stop after muscle atrophy.
It is impossible to restore atrophied muscles without addressing the underlying problem.
In addition, if the muscles atrophy for a long time, the nerves and capillary network will be damaged, and it will be even more difficult to recover. "
As soon as these words came out, Luo Qi, who had just breathed a sigh of relief, lost his mind again.
But at this time, he was not frightened, but Du Heng's panting back and forth made him feel a little unbearable.
He felt like he was about to collapse.
But this time the absence was only for a moment, and then Luo Qi asked, "Doctor Du, how did I get this disease?"
Du Heng frowned this time, "It stands to reason that the blood stasis internal stop is either affected by emotions, for example, it is caused by your emotional depression and poor liver qi.
Or it is caused by internal and external injuries to the body, which are not treated in time. "
While talking, Du Heng looked at Luo Qi again, "But during the inspection just now, I didn't find any injuries on your body, and during the time I talked with you, I didn't find that you have any emotional problems. .
Therefore, the comprehensive judgment should be that there is a problem with the growth of your own organs. "
"Deformed?" Luo Qi was stunned again, "It shouldn't be, I have done so many checks, if there is any problem, it will definitely be found out."
Du Heng shook his head, "I really can't find out this.
As I just said, according to my judgment, your problem lies in the cervical spine.
According to the examination of Hirayama disease, this position cannot be detected by the general MRI examination method. To check whether this position is diseased, a special posture is required to find out. "
After a pause, Du Heng continued, "There is one more point to explain, your condition should not be deformed, if it is deformed, your problem should have appeared very early, and it will not wait until you go to college.
And if there have been problems since childhood, the condition will not be as easy as it is now.
Do you still remember the question I asked you before? I asked you that your neck is slightly skewed. You said it was a habit developed since childhood.
So I think this may have something to do with your bad sitting posture and habits. "
Dean Tian watched the two ask and answer, but still couldn't get to the point, so he took the initiative to help Luo Qi and asked, "Doctor Du, can you treat this situation?"
This question made Luo Qi wake up suddenly.
That's right, what I should be most concerned about now is whether my disease can be cured, why didn't I think of it.
After thinking about it for a while, Du Heng said, "Treatment can be cured, internal stagnation of blood stasis is not a big problem.
But Dr. Luo's current fundamental problem is not this, but the need to find out the exact location of the disease.
If the location of the lesion is relatively high, then drinking medicine and some massage and massage can solve this problem.
If it is in the middle of the cervical spine, it is also possible to engage in traction.
But if the deformation occurs in the lower end, or more inner, it is best treated by surgery. "
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