Chapter 388 is collectively called getting angry
"What is burning mouth syndrome?" Feng Zixuan asked subconsciously.
Director Geng was also stunned for a moment. She had never heard of this disease.
"Burning mouth syndrome is not difficult to diagnose, but it is rare. I am afraid Director Zhou of the Department of Stomatology would not have thought of it. But Director Geng is more typical and can teach students." Luo Hao made a joke. .
“What exactly is burning mouth syndrome?” Director Geng asked.
Across the world, Director Geng was not familiar with dental diseases, let alone burning mouth syndrome, which is relatively rare.
"It is a disease characterized by obvious burning pain in the tongue, buccal mucosa, lip or palate mucosa, which can last for days, weeks or months. In addition to painful symptoms, patients with burning mouth syndrome Hypogeusia, taste perversion or dysgeusia often occur. ”
“!!!”
Director Geng’s face said it all.
"Yes, I just said that everything I eat has no taste lately. It turns out to be a loss of taste?!" A blush appeared on Director Geng's pale face, "I thought it was menopausal syndrome. ”
"No, Director Geng, this is just a minor problem. Did you check for trace elements in your physical examination last year?"
"No, that test is not included in the general examination. It has to be added. I thought it would be troublesome to apply, so I didn't check it."< br>
“Go to the hospital for an iron check soon. I think you may have burning mouth syndrome caused by iron deficiency.”
“???”
“Burning mouth syndrome is Burning mouth syndrome is a common disease in dental clinics. Its prevalence is about 4% in people under the age of 30. It is more common in perimenopausal or postmenopausal women, and the prevalence in women is 3 times that in men. -7 times.”
"But, it's not that Director Zhou doesn't care. It's because your burning mouth syndrome is special and caused by iron deficiency."
"The cause of this disease is complex. It is currently believed that the possible triggering factors include local, systemic, There are many aspects such as mental and neurological factors.
The traditional view is that mental factors play a prominent role.
Local factors include residual roots and crowns, fungal infections, etc.; systemic factors include menopausal syndrome and diabetes. , iatrogenic flora imbalance, vitamin deficiency, etc. ”
“Burning mouth syndrome is generally not diagnosed, and is collectively referred to as internal heat.”
"..."
"..."
"..."
Everyone was stunned.
Everyone has never heard of burning mouth syndrome in the dental department, but this diagnosis is considered formal, but Luo Hao refers to burning mouth syndrome as excessive heat.
This makes sense...
But having said that, there is a word "burning" in burning mouth syndrome, so it doesn't seem wrong to say that it means getting angry.
Western medicine, Chinese medicine, and common sayings are perfectly blended together at this moment.
"It's okay. Just go back and take some iron supplements. It will be fine in 2 weeks. Your rotten corners of the mouth and chronic atrophic glossitis will be cured soon."
Director Geng subconsciously wanted to stand up , but the next second she saw Director Feng was still there, she sat back again.
"If you are anxious, go and get checked immediately. A copy of the results will be sent to me and I will take a look at it. No kidding, I am more curious about whether Ronaldinho'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, old grudges and all kinds of troubles accumulated over countless days came to her mind.
Director Geng left with her bag. She did not 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 our own people. You must give this meal to me." Ma Zhuang quickly stood up and explained to Director Geng, "Professor Luo is my great benefactor. Please give me a chance. As for the relationship between you and Professor Luo, It’s about that, next time, next time.”
A great benefactor?
Feng Zixuan glanced at Luo Hao.
Luo Hao smiled and did not refute.
It was probably Boss Lou's arrangement. Ma Zhuang couldn't express it, so he could only use the word "benefactor" who was full of charlatanism.
Forget it, don’t argue with this guy, he even dares to use hyaluronic acid.
This is not an ordinary payment. The front desk put the QR code away, and Director Geng had no choice but to say thank you and leave.
"Ronald, how did you diagnose?" Feng Zixuan asked with interest.
"Concord is very common." Luo Hao replied calmly.
“???”
"That's right. Have you ever heard of some urban legends? Hospitals in provincial capitals can't even cure oral ulcers. Go to Xiehe and prescribe medicine for a few cents and it will be cured." Luo Hao asked.
"I've heard of it!" Ma Zhuang happened to come back and heard Luo Hao's words. He said with interest, "I have a neighbor who has always suffered from oral ulcers. He has been suffering from it for more than a year. Very good. Later, when I went to Xiehe, an old miracle doctor took a look and prescribed 80 cents of medicine. "Haha," Luo Hao smiled, "I saw you in Xiehe." More so. Ordinary burning mouth syndrome can be cured locally, but burning mouth syndrome caused by iron deficiency is difficult to treat symptomatically. You can only treat the headache and the pain. ”
“In fact. The treatment is not difficult. What Boss Ma is talking about should be more than 20 years old. Now my Xiehe family doesn’t even have 8 cents of iron supplements.”
“You are from 912, so you have some idea. ." Chen Yong reminded.
Speaking of Xiehe Tong 912, Luo Hao felt in a trance.
"Ronald, please tell me carefully." Feng Zixuan changed his posture and asked seriously.
“The pathophysiology of burning mouth syndrome is unclear, and some are idiopathic causes. Burning mouth syndrome can occur in patients without underlying oral lesions or in patients with oral infections. Estrogen Reduced levels can lead to atrophy of the oral mucosa
Such patients are often infected by 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 easily misdiagnosed. "
"This disease..."
"Your aunt Xiehe and the sweeper can diagnose it. "Chen Yong interrupted.
"Xiehe's sweeping lady can really diagnose! "Zhuang Yan immediately jumped out and told Chen Yong her personal experience.
This was not the first time that Chen Yong heard Zhuang Yan talk about her experience, so he was a little distressed.
Now Zhuang Yan does not look like the dean's daughter at all. Instead, she is becoming more and more like Luo Hao's little bitch.
"Then how do you know it's iron deficiency?" Chen Yong changed the topic, but received a disdainful look from Luo Hao.
Finger nails.
Chen Yong sighed, he was a little impatient and left Luo Hao with too many loopholes.
"In addition to the fingernails that can tell that Director Geng has iron deficiency anemia, the patient also has obvious dysphagia, which can be seen when she ate steak just now.
If the dysphagia disappears after iron supplementation treatment, This suggests Plummer-Vinson syndrome, also known as iron deficiency dysphagia. "
"Of course, this is a retrospection. Normally, there are nail problems plus dysphagia, rotten mouth corners, and atrophic syndrome. Glossitis, with so many clinical symptoms together, it is difficult not to give a diagnosis.”
Luo Hao said it easily and naturally.
Others smiled bitterly, and Wang Jiani looked at Luo Hao with bright eyes.
Ma Zhuang didn't understand a word of it. In his world, there were only two words to describe it: miracle doctor.
"Tch, that doesn't prove it. You said it too reluctantly." Chen Yong really couldn't bear to see Luo Hao acting like dog food in front of him.
I can only throw out a lot of dog food myself! How can other carbon-based organisms deserve to be sprinkled with dog food in front of me!
But looking at Da Nizi’s expression, the light in her eyes was no longer concealed.
“Plummer-Vinson syndrome is named in honor of the two doctors 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 ever heard of esophageal webbing? It’s common in my family’s Xiehe family.”
“…”
Gan!
Your family’s Xiehe, your family’s Xiehe, you are a 912 civilian, okay!
Chen Yong felt dissatisfied, but joking should be gentle and serious. Ever since the incident of calling a 120 car to avoid the bill, Chen Yong has kept this in mind.
It is okay to provoke Luo Hao, but it is just a joke. If the joke is taken seriously, it will be meaningless.
Mainly, Chen Yong thinks Luo Hao is right, he just doesn't want to say "you are great".
“It really does!” Meng Liangren picked up his phone, and a series of search terms appeared on the phone screen.
"You must have it. Eat, eat, and if you want to learn, go home and read by yourself."
"Ronald, I support Chen Yong's point of view." Feng Zixuan said with a smile, "Full 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 asymptomatic initially and may later develop symptoms of iron deficiency anemia. It is generally treated as Dysphagia will only occur when the diameter of the esophageal lumen at the level of the esophageal web is less than 12mm. "
"Generally speaking, what we usually call menopausal syndrome is a variety of clinical symptoms caused by changes in estrogen, including. The Plummer-Vinson syndrome I just talked about ”
"For a woman of Director Geng's age, the things to consider are..."
Luo Hao began to count the possibilities on his fingers.
Others are looking for medical treatment, while Luo Hao is looking for reasons after getting the answers. He is much more professional than Meng Liangren, with so many reasons and evidence that it is impossible to refute.
Gradually, Feng Zixuan also fell silent.
Although Director Geng's test results have not come back yet, he is already convinced that Luo Hao is right.
After the meal, Meng Liangren took Zhuang Yan back to continue working, while Feng Zixuan drove home.
As soon as he got home, he received a call from Director Geng.
"Director Feng! I am really anemic."
"Iron deficiency anemia?"
"Yes, yes, it is iron deficiency anemia, indeed! Professor Xiao Luo is right!”
"Director Shen calls people Uncle Junior. When did you see Director Shen be so honest and well-behaved? If you were going to say anything else at that time, I had to stop you." Director Feng smiled slightly and said firmly.
“Yes, yes, I will prescribe ferrous fumarate oral liquid and go back to drink.”
“Please pay attention to the dosage, and you will send me the results on WeChat when you are cured.”
"Okay, okay."
On the phone, Director Geng's voice was trembling, and she was obviously extremely excited.
Unexpectedly, a disease that had been treated poorly in the local area and was cured by going to Union Medical College would actually appear in front of him, and he didn't believe it when he saw it with his own eyes.
Feng Zixuan sat on the sofa and recounted everything that happened during the meal today.
Feng Zixuan still cannot accept the consultation methods of the two textbooks.
But Luo Hao did this and got an answer that should be correct.
Awesome.
Feng Zixuan thought so, but sighed deeply.
The directors with rich clinical experience are not as good as the aunts sweeping the floors of Xiehe. Isn’t this a joke?
Ronaldinho is really a textbook, even if it is the other way around.
One textbook is not enough, he has two textbooks. Feng Zixuan thought about what Luo Hao said and smiled helplessly.
I knew that Xiehe was strong, but I didn’t know that Xiehe was so strong!
Zhuang Yan took the patient to Xiehe University. After returning, she would tell this joke whenever there was a relevant situation.
But it’s no wonder. Even if I were to take the patient to Xiehe, and the sweeper glanced at me and directly told me that rheumatism and immunity was on the seventh floor, I would still have to kneel down.
The patient was unusual, but Director Shen, who had the best diagnosis in the First Hospital of the Medical University, spent several weeks treating more and more serious patients. well.
Feng Zixuan thought about it, yearning for it.
If I were thirty years younger, I would have taken the Xiehe test for everything in the college entrance examination and had a look at the most beautiful scenery in the medical industry.
Unfortunately, missing it is a lifetime.
......
A few days later, Feng Zixuan was woken up by the sound of a phone call early in the morning.
Feng Zixuan's heart faltered. What he feared most was the phone call. The fact that the phone call can reach me means that the situation is out of control.
"Director Feng, someone lit a fire in the hospital lobby to pray to God."
"What?!"
Feng Zixuan felt that he was violent and hallucinating. He must have heard wrongly.
I haven’t seen anyone making such a scene in a hospital in many years. I heard about it last time, under the Temple of Heaven operating room.
But who the hell is so brave to set fire to the hospital!
When he thought of a fire in the hospital... Feng Zixuan's head buzzed.
"What's going on?" Feng Zixuan asked immediately as he thought about lightning.
“After giving birth, a mother in the township below found a hedgehog on her back. It wasn’t...that, so the security guards didn’t dare to take care of it for fear of getting into trouble, so they called us. "
"Have you seen it?"
"Director Feng, I took a look, it is indeed a hedgehog, and there are thorns."
Feng Zixuan felt his scalp numb.
What the fuck!
As a medical director, you have to deal with this kind of thing.
"Okay, I get it, call the police, pay attention to fire prevention, be sure to pay attention!"
"Okay."
Feng Zixuan glanced at the time, 4:12 in the morning.
Damn it.
Fire prevention is a big deal. If the inpatient department is really set on fire, the First Hospital of the Medical University will have to do it from beginning to end tomorrow.
They are all full-time employees.
Thinking of this, Feng Zixuan immediately stood up, changed clothes and went out.
After getting in the car, Feng Zixuan was completely refreshed. He did not start the car immediately, but frowned in thought.
I guess it’s the old rural style, and it’s not easy for anyone to use.
Although everyone said it sounded nice, they were all scared in their hearts.
You can not believe it, but you can’t disrespect it.
What should we do next? ! A figure immediately appeared in Feng Zixuan's mind - Chen Yong.
He hesitated, but instead of calling Chen Yong, he 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 and asked very clearly, "What's the big deal? Director Feng, why are you so polite."
Feng Zixuan told the story again.
“Oh, I understand, let’s go.”
Feng Zixuan hesitated, hesitated, and hesitated again, but 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 was still reliable. He knew what to do about this matter without mentioning it himself, and Feng Zixuan felt comforted.
That's right. A person like Luo Hao, who is so exquisite, doesn't need to be verbose at all.
"Ronaldinho, Ronaldinho!" Feng Zixuan waved.
"What the hell? It's a mess. You just know how to make things messy when you don't understand anything." Chen Yong frowned with disdain on his face.
"Director Feng." Luo Hao waved, turned around and said to Chen Yong, "Are you at a higher level than them?"
"It's not a matter of level, they I don’t understand anything,” Chen Yong said.
"What should we do?" Luo Hao looked at Chen Yong expectantly.
"Call the police! What if the hospital is really set on fire? There are so many patients lying in the ICU!"
"..." Luo Hao was speechless.
Feng Zixuan happened to run over and felt helpless after hearing Chen Yong's words.
Call the police. If it helps, do I need you? !
But the inside seemed to be closed, and Feng Zixuan’s heart dropped.
Ask someone to watch, don't let any hidden fire happen, and finally clear up the inpatient department.
Faced with such a strange and chaotic existence, Feng Zixuan didn't want to provoke him, so he just turned a blind eye and let it go.
The people inside were leaving one after another, and among them was a little old man with a goatee.
His complexion was sallow, and he could tell at a glance that he was unhealthy and his body was very weak.
After walking out of the hospital gate, a young man came up and pushed Luo Hao because he thought he was in the way.
Luo Hao stepped away and looked up and down.
"Who is so awesome? Your family runs the hospital." Chen Yong asked coldly, looking at the goatee.
"I want you to care. What are you looking at? Are you tired of living?"
"Third boy, shut up." Goatee used the light at the door to see Chen clearly. Brave looks.
Although I am wearing a mask, the more I look like this, the more obvious it is.
"You...are you the legendary Chen family brother?" Goatee asked tremblingly.
"Eh? Do you know me?"
Goatee trembled, and then bowed very formally as if it was a sage's moment.
Chen Yong looked disdainful, "That's it. If you light a fire in the hospital, aren't you afraid of setting the hospital on fire? Dozens or hundreds of lives, where are your family's ancestral graves buried? With such great luck, you are not afraid of being struck by lightning."
Goat Beard's face turned increasingly yellow, and he was scolded by Chen Yong like his third grandson.
Some young people were dissatisfied, but were restrained by the wise people around them.
"Brother Chen, I am doing the same..."
"Death seeking!" Chen Yong didn't like them at all, so he just shouted back.
The goatee was sweating profusely, and the beard was trembling.
“What, you don’t accept it?” Chen Yong took off his mask and squinted at a young man who was eager to try.
"Children are ignorant. Brother Chen, don't worry." Goatee bowed and apologized.
Feng Zixuan was dumbfounded. This was so different from what he imagined.
Chen Yong’s status in the world is so high? !
A strange goatee actually knew the existence of Chen Yong and gave him high respect.
The kind of people Feng Zixuan knows are more arrogant and arrogant than the others, and it is extremely difficult to speak.
"He is not sensible and you are not sensible either. He has spent all his years on a dog." Chen Yong scolded, with written all over his handsome face - I am not happy.
Goatee lowered his head, not knowing what to say.
"You!" The young man's blood surged, but when he saw the goatee lowering his head, he could only make fists with both hands and lower his head.
"Chen Yong, ask him to go with you." Luo Hao whispered.
"???" Chen Yong was slightly startled and immediately understood what Luo Hao meant.
“Seeing how respectful you are to me, I’ll give you a chance to accumulate merit.”
"!!!" Goatee looked up, looked at Chen Yong in astonishment, and immediately became ecstatic.
"You stay." Goatee told the people around him, and then came to Chen Yong's side, "Brother Chen, thank you, thank you."
"If there is a fire in the hospital, this will happen. If it's lit, your ancestral graves will be struck by lightning. Did you see the thunder a while ago?"
Goat Beard nodded in a daze as he remembered the lightning and thunder that day.
“You don’t understand anything, so you are so brave. When you go to see the child later, and what Professor Luo says, you go up and ask the child’s parents to take him for treatment.”
"Huh?!" Goatee didn't expect this kind of merit.
"Why am I squatting in the hospital? A bunch of idiots. Now that the world is at peace, there are countless merits in the hospital." Chen Yong said contemptuously.
The goatee suddenly opened up, his eyes were sharp, and the beard was blown by the wind, fluttering.
"Little Luo, this?" Feng Zixuan heard this and looked at Luo Hao helplessly.
"It's a trivial matter. Director Feng, you haven't seen any children with the disease, right?"
"Well, it said there was a hedgehog on the back. Could it be a birthmark?"
"I think it's a congenital malformation." Although Luo Hao hadn't seen the child yet, he already had a guess in his mind.
Luo Hao has changed his way of speaking and started to be simple and clear to Feng Zixuan, but Feng Zixuan is still a little dissatisfied.
“Ronald, for such a typical physical sign, there must be similar records in Xiehe’s medical records, and there are quite a few.”
“That’s true, but there are several external diseases. The symptoms are the same, and the diagnosis cannot be made simply by describing a hedgehog on the back.”
"What else?"
With that said, Feng Zixuan and Luo Hao walked inside. Chen Yong, wearing a goatee, kept talking to him.
"For example, mysterious tumors."
"???"
Mysterious tumors... Feng Zixuan really began to wonder if his previous clinical work was in vain.
Whether it can be cured or not is one thing, but it’s likely that you haven’t even heard of the name. Blurred tumor, this diagnosis sounds a bit unorthodox and strange at first sight.
But Professor Luo Haolo opened his mouth and the content made him confused.
Feng Zixuan decided not to speak and will wait and see what the situation is.
When we arrived at the ward, the neonatal doctor was talking anxiously to a young man.
"Director Feng!" The doctor seemed to have seen his savior, and almost burst into tears. He felt aggrieved.
The former ruthless Jin Yiwei commander has now become a big leg that can be hugged and a big supporter that can be relied on.
"Where is the child? Take a look."
The doctor took Feng Zixuan and Luo Hao to the ward.
The child was born prematurely and was still in the incubator. Luo Hao was a little angry. The fewer people entering the newborn ward, the better. Both he and Feng Zixuan had to change clothes before entering, or at least put on sterile clothes to show off.
But they are good.
The doctor put on gloves and took off the child's clothes.
A hedgehog appeared brightly on the child’s back!
(End of this chapter)