"In the end, Dr. Auckland did not make any progress," said Zheng Ren.

"No, I remember she did an experiment on the mouse, cutting 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 does not have universal significance," Zheng Ren said. "Clinically, Canadian doctors conducted a large-scale sample survey on kidney stones and found that mirror pain exists.

But in terms of probability, I have observed it in Haicheng First Hospital, and the so-called incidence rate of 0.48% seems to be a bit high."

"Oh?" Su Yun didn't expect that his boss had already started studying mirror pain in the broken land of Haicheng.

"The Canadian data is that there are 3 mirror pain in more than 600 patients," Zheng Ren said. "The data I observed is more than 400 patients with urinary stones, and none of them have mirror pain. Clinically, this patient is the first case I have encountered."

This is how clinical research is. Whether it is 600 or 400 cases, it is considered a small sample, so it is normal for deviations to occur.

But from the observation of Zheng Ren and Zheng’s boss, mirror pain should be considered a rare disease in the country.

"Then get into the hospital? Then what?" Mr. Yu was a little confused.

"Admission to the hospital, gravel. If your director does not agree with mirror pain, you can check for an intravenous pyelography." Zheng Ren pointed to the X-ray vertical flat film inserted on the film viewing device, saying: "This should be some kind of stress change in the body. When the stones are broken and removed from the body, the pain will no longer be caused, it should be improved here."

"Boss Zheng, can you say more details?" Mr. Yu had no good idea. He couldn't say that when he reported his medical history with the director.

"Well... Then you just report to the director." Zheng Ren looked at the film and said: "The pressure increased due to hydronephrosis of the right kidney, and then the extension of the nerve endings of the lamina propria, smooth muscle spasms, contractions, and attempts to move the stones."

"The production of lactic acid increases, stimulating 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, creating the illusion of contralateral pain."

"..." Mr. Yu was silent and speechless.

If I said this to the director, I would probably be the hospitalized director for another year.

But seeing that although Boss Zheng gave a diagnosis, he could not express a particularly convincing point, so he could only nod.

"As for the image of the left ureter near the 2-3 vertebrae, an intravenous pyelography examination can be eliminated. Regardless of whether it is mirror pain or not, the right urinary stones must be treated." After Zheng Ren said that, he took the film off, put it in a bag, and handed it to Mr. Yu.

The next two hospitalized people began to get busy.

It is a relatively huge project to persuade patients who have firmly refused admission to hospitalized patients.

But after all, the two of them have rich clinical experience and the patient's severe pain, he reluctantly accepted it with a relatively reasonable but fantastic explanation.

The pain of kidney stones is really painful, it feels like a doomsday. Even if there is a sea of ​​swords and fire in front of you, you have to break through it if you can't say it's right.

Su Yun took this time to order breakfast.

Zhou Litao finished his work and had just delivered breakfast.

"Boss Zheng, Brother Yun, the patient has been sent to the hospital." Zhou Litao reported on the final work.

"Well, just gravel is fine. If it can't be broken, there are ways to solve it in the urology department." Su Yun said while eating buns.

"It is the first time I have encountered mirror pain in the urinary tract." Zhou Litao is still very interested in this. "There are several cases of contralateral pain in patients with orthopedic amputation, but I think it is hysteria."

"It's not hysteria, but the scientific principles have not been found yet." Zheng Ren smiled, "The existing science has no clear statement on the diagnosis and treatment of many diseases."

"I think this problem can be solved by central nervous system remodeling." Su Yun said, "It's a pity that I don't do research on this aspect, so I have no clue yet."

"There is no need to do it. When you meet a similar patient, you know that there is such a possibility in your heart, and it's enough not to misdiagnose it." Zheng Ren is very accurate in his positioning and is always a clinician.

Before, when Dr. Charles persuaded him to do theoretical research, Zheng Ren had already thought it very clearly the moment he decided to give up.

While having breakfast, the three of them chatted about speculations of mirroring pain.

Zhou Litao sighed a little, no wonder Boss Zheng is now making great progress. When he was an emergency department in Haicheng, he had some understanding of such non-spoken things.

There is no time for pies to fall from the sky.

Zhou Litao was wrong about Boss Zheng’s speculation from time to time.

Zheng Ren only began to reflect on the patient with mirror pain this morning, recalling similar patients he met in his career as a doctor.

Therefore, the thinking of being stubborn is different from that of other people. Zhou Litao uses normal thinking to think of Boss Zheng, and can only go further and further on the wrong path.

Boss Zheng never needs to...he rarely does the right push, and he always does the right push after knowing the answer. The right push is worry-free, but this is also based on Zheng Ren's strong memory.

"By the way, why has Mr. Cui been not at work recently?" Zheng Ren asked casually after dinner.

Zhou Litao sighed and said, "Old Cui was sick last time, and it has been more than half a month now. He has been getting better and worse, and has been repeatedly repeated. There is no big problem when he comes to the hospital for examination."

Zheng Ren was stunned for a moment and knew that Mr. Cui was old and some things could not be solved by human resources.

"Where is Cui's hometown? I'll go and see if I have time." Zheng Ren said.

"I'm going to have a rest day tomorrow, and I'm going to go to Cui's hometown to take a look." Zhou Litao said, "Boss Zheng, if you have time, let's go together?"

"Okay, tomorrow...it's afternoon." Zheng Ren said, "There are more things to do in the morning."

Speaking of Mr. Cui’s illness, the atmosphere in the duty room was a little depressing.

But after all, he is almost eighty, so some minor problems are normal.

Not to mention Mr. Cui who is almost eighty years old, Zheng Ren saw the doctor's system panel in every doctor's office, and it was somewhat red.

This is a natural law. Zheng Ren wants to go there once, one is because he misses Mr. Cui a little. The other is to take a look at the system panel. Mr. Cui has other problems and is misdiagnosed.

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

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

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

Plain, yet colorful.

...

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Chapter completed!