Gou is practicing medicine in the clinic

Under normal circumstances, after humans reach adulthood, the bone calculus line closes and will stop increasing in height.

The patient came to the hospital because his hands and feet continued to grow, indicating that he was probably an adult.

In the hospital, you may encounter all kinds of strange cases.

Li Jingsheng followed Director Zhong Hu to his office.The area is not large, only about ten square meters.

There are many chief physicians in the Orthopedic Surgery Department, and even Professor Wu, who ranks at the bottom, has his own separate office.It's just that their offices are generally small, and only Director Hua and Chen Anchen's offices are larger.

This is the benefit of holding a department administrative title.

The status must be much higher than that of ordinary chief physicians.

Having an administrative title also means that you have certain powers.

"Here, this is the patient's information. As far as I know, the patient slowly developed joint pain in his limbs without any triggers. The pain was symmetrical. Then the pain lasted for more than four months, and he found that his previous clothes It's shorter. His family members also reported that he seems to have grown taller."

This kind of strange news is really rare.

As a doctor, you can encounter almost all kinds of weird cases.

Sometimes it may not even be an illness at all.

But some reasons that are ridiculous.

"Symmetric joint pain? Does the patient have fever?"

If a patient has a low-grade fever and joint pain, it is probably a terrible tumor that has come to visit.

"The temperature is normal."

Zhong Hu replied.

If the cause of this patient's illness was so easy to find, it would be impossible for Zhong Hu to ask Li Jingsheng for help.

The patient's body temperature is normal, the joints are symmetrically painful, and the limbs are also growing. What disease could it be?
The so-called symmetrical pain means that the left hand and right hand hurt together, and the pain level is about the same.

The same goes for painful areas.

There are many causes of joint pain in the limbs. The most common ones are rheumatic pain, rheumatoid arthritis, synovitis, osteoarthritis caused by degeneration of joints in the limbs, and cancer pain.

If you want to investigate one by one, you must identify the evidence based on clues.

This aspect is Li Jingsheng’s strength.

Especially after his multi-diagnostic medical skills have reached the level of Dacheng or above, he is even more comfortable in diagnosing such difficult cases.

"Any joint swelling?"

"Yes! But it's not serious. It feels like his joints are slightly swollen."

"Is your blood pressure normal?"

"The blood pressure is okay. The high pressure is about [-], and the low pressure is less than [-]. For his age, it is considered a very good blood pressure."

Zhong Hu replied.

The patient is now 56 years old and already belongs to the elderly category.

Although the definition of the elderly in modern humans has been greatly adjusted, only those over 65 years old are considered elderly.But the body of adult men begins to decline after the age of 35.

Adult women start to decline even earlier, as soon as they reach the age of 30.

Some women, who are already in their thirties, still insist on high-priced betrothal gifts and are picky and selective. They require the man to have a house, a car, a deposit, and to depend on her in all aspects.

Such a woman should be called a dream princess more appropriately.

The adult world is actually very cruel.

Theoretically speaking, when a woman is over 30 years old, her attractiveness in terms of appearance, figure, and appearance will continue to decline.

I sincerely recommend that women with high vision get married when they find the right one.

Don't scare men away by making a lot of high demands.

The ultimate outcome of selling at a price is likely to be from never making do with it to making do with it casually.

"There's nothing wrong with blood pressure. Let's go to the ward and see the patient first!"

Li Jingsheng's favorite thing about diagnosing and treating patients is to first check some basic examination results, and then chat with the patient to see the patient's actual condition.

To be honest, he has an advantage over most doctors in diagnosing and treating bone diseases.

Because he has mastered the bone-touching technique and has reached the level of proficiency.

He can tell what a patient's bones are like by just touching them.

He can now feel the patient's bone injuries, blood vessels, tendons, etc. He can also feel the patient's bone quality and position, and even feel some subtle changes.

For example, bone tumors, as long as they are slightly obvious, he can tell by touching them.

Following Director Zhong to the inpatient ward, the patient has been admitted to the hospital and is currently waiting for further examination to diagnose the cause of the disease.

A large proportion of patients admitted to the hospital have unknown causes or require further diagnosis.

At this time, the patient is admitted to the hospital and given some symptomatic or targeted treatment first, and then re-examined or further examined.The cause can be further clarified.

To give the simplest example, take the shortening of the cervix in pregnant women in obstetrics and gynecology.

A pregnant woman went to the hospital for a check-up and reported that she had been feeling a little pain in her pubic area recently.Then the doctor ordered an ultrasound examination to check the condition of the fetus in the abdomen.

After ultrasound examination, it was found that the pregnant woman had a shortened cervix.

Clinically, this is generally a sign of miscarriage.

As a doctor, I will definitely take it very seriously.

Because if a pregnant woman has a miscarriage after returning home, whose responsibility is it?

But this pregnant woman is already multiparous and has already given birth to a child.And her cervix is ​​24mm.Clinically, as long as it is no less than 25 mm, it is considered normal.

A better one can reach about 30 mm.

In this case, no matter how experienced the doctor is, there is no way to immediately diagnose whether the pregnant woman has a shortened cervix.

Because of ultrasonic examination, there are sometimes some errors.

Although today's instruments are becoming more and more advanced and the accuracy of inspections is getting higher and higher, there are still some errors.

Regardless of the size of the tumor, the examination of the bleeding site, or the examination of blood clots, there may be errors.

There may sometimes be deviations in the bleeding site and even in angiography.

The No. [-] Hospital where Li Jingsheng worked before had such an accident.

The patient was suspected of having thoracic hemorrhage.

I did an angiogram and found a bleeding point, which was not a big problem.

The doctor is going to take conservative treatment and use drugs to control the bleeding first to see if it can stop the bleeding.

As a result, the patient suddenly convulsed and suffered a cardiac arrest two hours later. After struggling to save him, he still could not be saved.The final autopsy results revealed that the patient had abdominal aortic dissection.

The patient died of dissection rupture and massive bleeding.

For this matter, not only the doctors in the imaging department were punished, but also the attending doctor was punished.

Sometimes doctors ask patients for further examination or hospitalization, which is actually out of responsibility for the patient.But patients don’t understand medicine, so they mistakenly think that the doctor wants to make more money?
In the end, you may not cooperate with some required inspections.

The patient treated by Director Zhong Hu has obvious symptoms, so the patients are generally willing to cooperate.

Because after hospitalization, doctors will prescribe medication and perform some symptomatic treatments to alleviate the patient's pain.

From the patient's point of view, it is less painful and they think that the treatment is effective.

I am waiting to be discharged from the hospital with joy in my heart.

In fact, the doctor may not have detected the problem at this time, but only provided symptomatic and supportive treatment.

"Huang Keming, how do you feel now?"

Zhong Hu came to the hospital bed and asked about the patient's condition.

"Director Zhong, thank you. I feel much better now and the pain is not that bad."

The patient's mental state appears to be relatively good.

But when he opened his mouth, full of black teeth, Li Jingsheng immediately understood that this patient was a long-time smoker.

"Well, it's a good thing that the pain has been relieved. After we take you in, we will find a way to find out the cause of your illness and try to get you to recover and be discharged from the hospital as soon as possible. This is an osteopathic specialist and manual osteopathic specialist in our orthopedic surgery department. , Dr. Li. Because the cause of your disease is very rare and complicated, I specially invited Dr. Li to come for consultation."

Zhong Hu introduced Li Jingsheng's identity in a grand manner.

"Hello, Dr. Li! I'm sorry to trouble you."

Family members and patients all greeted Li Jingsheng with respectful smiles.

"Treating patients is what we should do. How long have you been having pain?"

Although Li Jingsheng saw from the information that the patient had been in pain for more than four months, he still asked again out of habit.

Not wordy, but further confirmation.

"I've been hurting for almost half a year! As I get older, it's inevitable to have pain here and there. I didn't care about it at the time. The pain was unbearable, so I smoked. But recently, the pain has been too much, and my body is still Grow taller. I can no longer wear the clothes I used to wear. My wife asked someone and she said it was possible to grow again and rejuvenate. She said I would become young again.

You are all experts. I would like to ask, is there really such a thing as rejuvenation? "

The patient asked expectantly.

The family members also looked at the two doctors, expecting to get a positive answer.

Li Jingsheng almost laughed after hearing this.

Where did you hear these superstitious legends?

Once human aging is initiated, how can it be possible to rejuvenate?
This is so unscientific.

As people age, body functions will continue to degrade, metabolism will slow down, and cell replacement will also slow down.

This is why the skin of the elderly has a lot of wrinkles and age spots.

"I have heard of rejuvenation in myths and legends, but not in reality yet. Let me check the condition of your limbs and joints first!"

Li Jingsheng was finally able to hold his nerve.

After a few serious explanations to the patient and family members, he directly examined the patient's bones.

At this time, the patient developed a cough that was severe.

The sound sounded a bit like a broken gong.

Li Jingsheng also has very high attainments in the diagnosis of intracranial diseases.

One can tell there is a problem with the patient's lungs.

Old smokers are most likely to develop some lung diseases.

If the lungs of smokers who have been smoking for more than ten years are cut off, they will be found to be completely black.

In some people, their lungs become as hard as rocks.

The normal operation of lung function requires the alveoli to open and contract.When the lungs become hardened, respiratory function will be severely affected.

Breathing will become particularly difficult at this time.

For example, when infected with the new coronavirus, many patients' lungs turned into stone lungs at the beginning.Even putting on a ventilator is useless. (End of chapter)