White armor

Chapter 388: Commonly referred to as getting angry

"What is burning mouth syndrome?" Feng Zixuan asked subconsciously.

Director Geng was also stunned. She had never heard of this disease.

"Burning mouth syndrome is not difficult to diagnose, it's just uncommon. I'm afraid even Director Zhou of the Department of Stomatology didn't expect it. But Director Geng's case is more typical and can be used to teach students." Luo Hao joked.

"What exactly is burning mouth syndrome?" Director Geng asked.

Different fields have different worlds. Director Geng is not familiar with oral diseases, let alone the relatively rare burning mouth syndrome.

“It is a disease characterized by a pronounced burning pain on the tongue, buccal mucosa, lips, or palate that can last for days, weeks, or months. In addition to the pain, people with burning mouth syndrome often experience loss of taste, taste perversion, or taste disturbance.”

"!!!"

Director Geng’s expression said it all.

"Yes, I was wondering why everything I eat has no taste recently. It turns out that I have a loss of taste!" Director Geng's pale face turned red. "I thought it was menopausal syndrome."

"No, Director Geng, this is just a minor problem. Did you check your trace elements during last year's physical examination?"

"No, that inspection is not included in the general inspection. It has to be an additional item. I didn't do it because I thought it was troublesome to apply for it."

"I'll go to the hospital to check your iron levels later. We're considering burning mouth syndrome caused by iron deficiency."

"???"

"Burning mouth syndrome is a common disease in dental clinics, with a prevalence of about 4%. Burning mouth syndrome rarely occurs in people under 30 years old. The disease is more common in perimenopausal or postmenopausal women, and the prevalence rate in women is 3-7 times that in men."

"But it's not that Director Zhou doesn't care. It's that your burning mouth syndrome is quite special and is caused by iron deficiency."

"The cause of this disease is complex, and currently it is believed that the possible inducing factors include local, systemic, mental and neurological factors.

The traditional view is that spiritual factors occupy a prominent position.

Local factors include residual roots and crowns, fungal infections, etc.; systemic factors include menopausal syndrome, diabetes, iatrogenic dysbacteriosis, vitamin deficiency, etc. ”

“Burning mouth syndrome is not generally diagnosed, it is just called getting angry.”

"..."

"..."

"..."

Everyone was stunned.

No one has heard of burning mouth syndrome in dentistry, but this diagnosis is still considered formal. However, Luo Hao calls the burning mouth syndrome "getting angry".

That's right to say...

But then again, there is a word "burning" in burning mouth syndrome, so it doesn't seem wrong to say that it is a case of getting angry.

Western medicine, traditional Chinese medicine and colloquialisms are perfectly integrated at this moment.

"It's okay. Go home and take some iron supplements. It will be fine in two weeks. Cases like your chapped mouth and chronic atrophic glossitis will heal quickly."

Director Geng subconsciously wanted to stand up, but the next second she saw Director Feng was still there, so she sat back down.

"If you're in a hurry, go get checked right away and send me a copy of the results so I can take a look. No kidding, I'm more curious about whether Xiao Luo's diagnosis is correct." Feng Zixuan said with a smile.

"Then I'll go back to the hospital." Director Geng said quickly.

This matter has been bothering her for a long time. Once she heard that it could be cured, all the new and old grudges and all the troubles accumulated over countless days came to her mind.

Director Geng left with her bag. She didn't leave directly, but went to the front desk.

The cashier at the front desk looked at Ma Zhuang and asked silently from a distance.

"Director Geng, we are all family, you must give me this meal." Ma Zhuang quickly stood up and explained to Director Geng, "Professor Luo is my great benefactor, please give me a chance. As for the matter between you and Professor Luo, we will deal with it next time, next time."

Great benefactor?
Feng Zixuan glanced at Luo Hao.

Luo Hao smiled and did not refute.

It was probably arranged by Boss Lou. Ma Zhuang couldn’t express it, so he could only use the word “benefactor” in a very gangster way.

Forget it, let’s not bother with this guy. He even dares to inject hyaluronic acid.

This was not an ordinary payment. The front desk took away the QR code and Director Geng had no choice but to thank them and leave.

"Xiao Luo, how did you make the diagnosis?" Feng Zixuan asked with interest.

"Union is very common." Luo Hao answered frankly.

"???"

"It's like this. Have you heard of some urban legends that hospitals in provincial capitals can't even cure oral ulcers, but you can go to Union Hospital and get a few cents of medicine to cure them?" Luo Hao asked.

"I've heard of it!" Ma Zhuang just came back and heard Luo Hao's words. He said with great interest, "I have a neighbor who had a mouth ulcer that never healed for more than a year. He suffered a lot. Later, he went to Union Hospital, where an old doctor took a look and prescribed him a 80-cent medicine. He got better after taking it."

"Haha." Luo Hao smiled. "We see more of them in Union Hospital. Common cases of burning mouth syndrome can be cured locally, but burning mouth syndrome caused by iron deficiency is difficult to treat symptomatically. We can only treat the symptoms."

"In fact, the treatment is not difficult. What Mr. Ma said should be a matter of money over 8 years. Now my Union Hospital doesn't even have cents of iron supplements."

"You are from 912, so you should know what's going on," Chen Yong reminded.

Speaking of Union Medical College Hospital 912, Luo Hao felt dazed.

"Xiao Luo, tell me in detail." Feng Zixuan changed his posture and asked seriously.

"The pathophysiology of burning mouth syndrome is unclear, and some of the causes are idiopathic. Burning mouth syndrome can occur in patients without underlying oral lesions or in patients with oral infections. Decreased estrogen levels can lead to atrophy of the oral mucosa.

Such patients often have infections with pathogens such as Candida, Enterobacter, Helicobacter pylori, and Klebsiella.

In addition, diabetic peripheral neuropathy, eating certain foods, such as peanuts, sorbic acid, chestnuts and cinnamon, and nutritional deficiency anemia may also be related to the onset of burning mouth syndrome.

Among them, iron deficiency anemia, folic acid or vitamin B12 deficiency anemia are common and reversible causes of burning mouth syndrome. "

“Vitamin deficiency is the most misdiagnosed thing.”

“This disease…”

"The cleaning lady at your Union Hospital can make a diagnosis." Chen Yong interrupted.

"The cleaning lady at Union Hospital can really diagnose!" Zhuang Yan immediately jumped out and told Chen Yong about her own personal experience.

This was not the first time Chen Yong had listened to Zhuang Yan talk about her experience, so he felt a little distressed.

Now Zhuang Yan no longer has the dean's daughter's dean's attitude, but is becoming more and more like Luo Hao's lackey.

"Then how do you know it's iron deficiency?" Chen Yong changed the subject, but was met with Luo Hao's disdainful gaze.

Fingernails.

Chen Yong sighed. He was a little impatient and left too many loopholes for Luo Hao.

"In addition to the fact that Director Geng has iron deficiency anemia as can be determined from her fingernails, the patient also has obvious difficulty swallowing, which was seen when she was eating steak just now.

If dysphagia disappears after iron supplementation, it suggests Plummer-Vinson syndrome, also known as iron deficiency dysphagia.”

"Of course, this is a reverse deduction. Normally, nail problems plus dysphagia, sore mouth corners, atrophic glossitis, so many clinical symptoms together, it is difficult not to make a diagnosis."

Luo Hao spoke easily and naturally.

The others all smiled bitterly, but Wang Jiani looked at Luo Hao with bright eyes.

Ma Zhuang didn't understand a word he said. In his world, the only way to describe him was with the word "miracle doctor".

"Tsk, that doesn't prove anything. You're stretching it." Chen Yong really couldn't bear to see Luo Hao showing off his affection in front of him.

I can only throw a lot of dog food to myself! How can other carbon-based creatures be worthy of spreading dog food in front of me!
But looking at the girl's expression, the light in her eyes was no longer concealed.

“Plummer-Vinson syndrome is named in honor of the two physicians at the Mayo Clinic who discovered the triad of dysphagia, iron deficiency anemia, and esophageal webs—Henry Stanley Plummer and Porter Paisley Vinson.”

Luo Hao smiled slightly.

"Have you heard of esophageal webs? They are common in my home."

"..."

Gan!
Your Union Medical College, your Union Medical College, you are a civilian employee of 912, okay!

Chen Yong was indignant, but he knew when to joke and knew when to take it seriously. Ever since he called an ambulance and ran away, Chen Yong has kept this in mind.

It’s okay to provoke Luo Hao, but that’s just a joke. If you take it seriously, it will be meaningless.

Mainly, Chen Yong felt that what Luo Hao said was right, he just simply didn't want to say "you're awesome".

"It's true!" Meng Liangren picked up his mobile phone, and a series of search terms appeared on the screen.

"Of course there is. Let's eat. If you want to learn, go home and read a book."

"Xiao Luo, I support Chen Yong's point of view." Feng Zixuan said with a smile, "Sufficient but..."

"Because of Director Geng's age, women of her age are most likely to commit crimes."

"Oh?"

"Plummer-Vinson syndrome is more common in middle-aged women. Most patients are initially asymptomatic, but symptoms of iron deficiency anemia may develop later. Dysphagia generally occurs only when the esophageal lumen diameter at the level of the esophageal web is <12 mm."

"Generally speaking, the menopausal syndrome we usually refer to is the various clinical symptoms caused by changes in estrogen, including the Plummer-Vinson syndrome just mentioned."

"For a woman of Director Geng's age, there are a few things to consider..."

Luo Hao began to count the possibilities on his fingers.

Others are treating patients, but Luo Hao is looking for excuses after getting the answers. He is much more professional than Meng Liangren, and his reasons and evidences are so many that they are irrefutable.

Gradually, Feng Zixuan also fell silent.

Although Director Geng's test results have not come back yet, he is already sure in his heart that Luo Hao is right.

After the meal, Meng Liangren took Zhuang Yan back to work, and Feng Zixuan drove home.

As soon as he got home, he received a call from Director Geng.

"Director Feng! I really am anemic."

“Iron deficiency anemia?”

"Yes, yes, it's iron deficiency anemia, it is! Professor Xiao Luo is right!"

"Director Shen calls people "Junior Master". When have you ever seen Director Shen so honest and well-behaved? You wanted to say something at that time, but I stopped you." Director Feng smiled slightly and said firmly.

"Yes, yes, yes. I'll prescribe ferrous fumarate oral solution for you to drink right away."

"Pay attention to the dosage. When you recover, let me know the result on WeChat."

"Good good."

Director Geng's voice trembled on the phone, and it was obvious that she was extremely excited.

I didn't expect that the disease that could not be cured locally could be cured by going to Union Hospital. It would actually appear before my eyes, and I didn't believe it even when I saw it with my own eyes.

Feng Zixuan sat on the sofa and reviewed everything that happened during dinner today.

Feng Zixuan still cannot accept the diagnosis methods in the two textbooks.

But Luo Hao did just that and got an answer that should be correct.

Awesome.

Feng Zixuan thought so in his heart, but sighed deeply.

The directors with rich clinical experience in our hospital are not as good as the cleaning lady at Peking Union Medical College. Is this a joke?

Ronaldinho is really a textbook example, even in reverse.

One textbook is not enough, he has two textbooks. Feng Zixuan thought about what Luo Hao said and smiled bitterly with some helplessness.

I knew that Union Medical College was strong, but I didn’t know it was this strong!
Zhuang Yan took the patient to visit Union Hospital, and after returning, she would tell this joke whenever there was a relevant situation.

But this is no wonder. Even if I were to take the patient to Union Hospital, and the cleaning lady took a glance and told me directly that the rheumatology and immunology department was on the 7th floor, I would still have to kneel down.

That patient was not an ordinary one, but Director Shen, who was the best at diagnosing patients at the First Hospital of Medical University, kept complaining for several weeks, saying that he would treat patients with more serious conditions.

As Feng Zixuan thought about it, he began to feel longing.

If I were thirty years younger, I would definitely choose Peking Union Medical College when taking the college entrance examination to see the most beautiful scenery in the medical industry.

Unfortunately, if you miss it, you will miss it for a lifetime.

……

A few days later, Feng Zixuan was awakened by the phone ringing.

Feng Zixuan's heart fluttered, what he feared most was a phone call. If the phone call reached him, it meant that the situation was out of control.

"Director Feng, someone is lighting a fire in the hospital lobby to summon the gods."

"What?!"

Feng Zixuan felt that he was too excited and had hallucinations. He must have heard it wrong.

I haven't seen such a thing happen in a hospital in many years. I heard about it last time. It happened below the operating room at the Temple of Heaven.

But who the hell is brave enough to set fire to a hospital!

When Feng Zixuan thought about the hospital fire...his head started buzzing.

"What's going on?" Feng Zixuan asked immediately with a flash of thought.

"A woman in a rural town found a hedgehog on her back after giving birth. It was... that's it, so the security guards didn't dare to intervene, fearing that they would get into trouble, so they called us."

"Did you see it?"

"Director Feng, I took a look and it is indeed a hedgehog, with thorns."

Feng Zixuan felt his scalp tingling.

What a fuck!
As the director of the medical department, I have to deal with such things.

"Okay, I got it. Call the police. Pay attention to fire prevention. Be sure to pay attention!"

"it is good."

Feng Zixuan glanced at the time, it was 4:12 in the morning.

Oh shit.

Fire prevention is a big deal. If the inpatient department really catches fire, the First Hospital of Medical University will have to be rebuilt from top to bottom tomorrow.

And they are all full-time jobs.

Thinking of this, Feng Zixuan immediately got up, changed his clothes and went out.

After getting in the car, Feng Zixuan was completely alert. He did not start the car immediately, but frowned and thought.

I guess it’s the old rural method, it won’t work for anyone.

Although everyone said nice things, they were all afraid in their hearts.

You can choose not to believe, but you cannot choose not to respect.

What should I do next? ! A figure immediately appeared in Feng Zixuan's mind - Chen Yong.

He hesitated for a moment, but did not call Chen Yong, but called Luo Hao.

"Professor Luo, I'm sorry to bother you." Feng Zixuan said politely.

Luo Hao on the phone didn't seem to be sleepy at all. He asked soberly, "What happened? Director Feng, why are you so polite?"

Feng Zixuan told the whole story.

"Oh, I see. I'll go right away."

Feng Zixuan hesitated, hesitated, and hesitated again, and did not say the last sentence.

Driving to the hospital, Feng Zixuan saw Luo Hao and Chen Yong getting out of the car.

Professor Luo is still reliable. He knew what to do about this matter without Feng Zixuan mentioning it. Feng Zixuan felt comforted.

It’s better not to say anything. For a person as smart as Luo Hao, there’s no need to be long-winded.

"Xiao Luo, Xiao Luo!" Feng Zixuan waved.

"What the hell is this? It's a mess. You don't understand anything but just make trouble." Chen Yong frowned with a look of disdain.

"Director Feng." Luo Hao waved his hand and turned to Chen Yong and said, "Is your rank higher than theirs?"

"It's not a matter of level. They don't understand anything." Chen Yong said.

"What should we do then?" Luo Hao looked at Chen Yong expectantly.

"Call the police! What if the hospital is really set on fire? There are so many patients in the ICU!"

"..." Luo Hao was speechless.

Feng Zixuan just happened to run over and felt helpless after hearing what Chen Yong said.

Call the police, if it helps, I still need you?!
But it seemed that the situation had already started to close, and Feng Zixuan's heart suddenly sank.

Ask someone to watch and make sure there is no hidden fire. Finally, just light up the inpatient department.

Faced with this kind of weird and supernatural existence, Feng Zixuan didn't want to provoke it, so he just turned a blind eye.

The people inside were walking out one after another, surrounded by a little old man with a goatee.

His face was sallow, and one could tell at a glance that he was unhealthy and very weak.

After walking out of the hospital gate, a young man thought Luo Hao was in the way and came up to push him.

Luo Hao dodged and looked him up and down.

"Who are you? You're so awesome. Is this hospital owned by your family?" Chen Yong asked coldly, looking at the man with goatee.

"What do you care? What are you looking at? Are you fucking tired of living?"

"Shut up, little bastard." The man with the goatee saw Chen Yong's appearance clearly with the light from the door.

Even though I was wearing a mask, it became more obvious.

"You...you are the legendary young master of the Chen family?" the man with goatee asked tremblingly.

"Huh? You know me?"

The goatee shuddered, and then he bowed formally, as if it were a sage's moment.

Chen Yong looked disdainful. "That's enough. You set fire to a hospital. Aren't you afraid of setting the hospital on fire? Dozens or even hundreds of lives have been lost. Where are your ancestors buried? You have such great fortune. Aren't you afraid of being struck by lightning?"

The goatee's face turned increasingly yellow, and Chen Yong scolded him like a grandson.

Some young people refused to accept, but were held back by people around them who had good eyesight.

"Young man from the Chen family, this is also..."

"You're asking for death!" Chen Yong had no good feelings towards them at all and directly retorted back.

The goatee was sweating profusely and his beard was trembling.

"What, you don't agree?" Chen Yong took off his mask and looked sideways at a young man who was eager to try.

"Children are ignorant, please don't mind it, young man from the Chen family." The man with the goatee bowed and apologized.

Feng Zixuan was stunned. This was totally different from what he had imagined.

Chen Yong's status in the underworld is so high? !
A strange man with a goatee actually knew of Chen Yong's existence and gave him the highest respect.

Feng Zixuan knew that these people were more arrogant than each other and very difficult to talk to.

"He is ignorant and neither are you. You are living like a dog at your age." Chen Yong scolded, his handsome face full of expression - I'm unhappy.

The man with the goatee lowered his head, feeling embarrassed and not knowing what to say.

"You!" The young man's blood boiled, but when he saw the man with the goatee lowering his head, he could only clench his fists and lower his head.

"Chen Yong, ask him to go with you." Luo Hao said in a low voice.

“???” Chen Yong was slightly startled, then he understood what Luo Hao meant.

"Since you are so respectful to me, I will give you a chance to accumulate merit."

"!!!" The man with the goatee raised his head and looked at Chen Yong in surprise, then he became ecstatic.

"You stay." Goatbeard told the people around him, and then came to Chen Yong, "Brother Chen, thank you, thank you."

"The hospital was set on fire. If this were to catch fire, your ancestral graves would be struck by lightning. Did you see the thunder a while ago?"

Goatbeard recalled the continuous lightning and thunder that day and nodded in a trance.

"You don't know anything, but you're so bold. Go check on the child later. Follow whatever Professor Luo says and ask the child's parents to take him to treatment."

"Ah?!" Goatee didn't expect this kind of merit.

"Why am I staying in the hospital? What a bunch of idiots. The world is peaceful now, and the hospital has countless merits." Chen Yong said contemptuously.

The goat's beard suddenly became clear, his eyes were bright, and his beard fluttered in the wind.

"Xiao Luo, this?" Feng Zixuan heard it all and looked at Luo Hao helplessly.

"Oh, it's nothing. Director Feng, you haven't seen a sick child, have you?"

"Well, they say there's a hedgehog on his back. Is that a birthmark?"

"It's considered a congenital malformation." Although Luo Hao hasn't seen the child yet, he already has a guess in his mind.

Luo Hao has changed the way he speaks and has started to be simple and clear with Feng Zixuan, but Feng Zixuan is still a little dissatisfied.

"Xiao Luo, with such typical symptoms, there must be similar records in the medical records of Union Hospital, and there must be quite a few."

"That's true, but there are several diseases that have the same external manifestations. It's hard to diagnose them simply by describing a hedgehog growing on the back."

"What else?"

As they spoke, Feng Zixuan and Luo Hao walked in. Chen Yong, who had a goatee, kept saying something to him.

"For example, a myoma."

"???"

Mimic tumor... Feng Zixuan really began to doubt whether all his previous clinical work had been in vain.

Whether it can be cured is one thing, but it is not impossible that you have never heard of the name. The diagnosis of leukoma sounds a bit strange and unfamiliar.

But Professor Luo Haoluo started talking and the content made him confused.

Feng Zixuan decided not to say anything and wait and see what happens.

When I arrived at the ward, the neonatal doctor was talking to a young man in a panic.

"Director Feng!" The doctor seemed to have seen a savior. He almost burst into tears and felt aggrieved.

The once sinister commander of the Embroidered Uniform Guard has now become a strong leg to cling to and a powerful backer to rely on.

"Where's the patient? Take a look."

The doctor took Feng Zixuan and Luo Hao to the ward.

The patient was a premature baby and was still in an incubator. Luo Hao was a little angry. The fewer people entered the neonatal ward, the better. He and Feng Zixuan had to change clothes before entering, or at least put on sterile clothes to look good.

But they are good.

The doctor put on gloves and removed the child's clothes.

A hedgehog appeared clearly on the child's back!

(End of this chapter)