Not every adult is quick to accept the reality that something could be wrong with their body. Sun Lien is not unseen in people who have become depressed because of doctors' inferences.

The diagnosis itself can have an impact on the patient's health. This is a simple fact. Before the official results came out, Sun Lien didn't want to stimulate the female white-collar worker in front of him.

Her dark circles looked really noticeable, and her hair looked a little thin. The collar of her white shirt was slightly blackened - her neck hurt so much that she couldn't move and it took three days to see a doctor, and she was probably too busy to do the laundry.

This kind of patient can not be frightened. At least not to be scared. What if people are frightened and turn around and run out of the hospital, delaying treatment?

Sun Lien carefully chose to improve the imaging data first, and then consider the order of other lesions. The CT scan is fast enough to rule out some other problems as quickly as possible. And it's not too expensive – it's outrageously friendly for office workers.

Nevertheless...... Wang Li was still frightened. She glanced at Sun Lien in disbelief, "I just have a pain in my neck, so I won't break a bone, right?

"If you don't know the root cause of the problem, if you use painkillers right away, the best result will only be to make you feel less painful for a while. Sun Lien patiently explained, "The painkillers we commonly use have a limited pain-relieving effect, and they may not be so effective for your current pain. If you want to take opioid painkillers, you have to have a clear diagnosis — and you can't find a cause, and you're still in pain after the pain has worked. ”

If the patient resolutely refuses to be treated, the doctors will be unable to solve anything, even if they have at all means. Fortunately, Wang Li doesn't seem to be the kind of person who is particularly stubborn and can't listen. After frowning and hesitating, she agreed to pay for the examination.

After Wang Li left the consultation room, Sun Lien called the next patient again. But in the process of the consultation, the energy he put into it was somewhat affected - the new patient complained of headache, fever and cough, coupled with the perfect dullness of lung percussion, and the occasional crepitus that could be heard, combined with the patient's witty rust-colored sputum taken by his mobile phone, Sun Lien didn't even need to look at the status bar to judge that this was a textbook-level lobar pneumonia patient.

The new patient's diagnosis was simple and clear, and Sun Lien couldn't help but pay attention to Wang Li. It's not because of how good-looking this female white-collar worker is - a white-collar woman with dark circles and unkempt or even a white shirt really has no attraction to the opposite sex. What he cares about is Wang Li's condition.

The words "women of childbearing age" are generally highly related to "autoimmune diseases" and "endocrine diseases". Fluctuations in estrogen levels in women during their reproductive years affect far more things than one intuitively feels. Under the influence of estrogen, many normally normal organs may have problems functioning. This makes women of childbearing age a high incidence of various autoimmune diseases and endocrine diseases.

But the effects of estrogen on the human body are not all negative. Estrogen reduces vascular permeability, lowers serum cholesterol, and promotes bone density. This is also the reason why the incidence of coronary heart disease and osteoporosis is significantly higher in women after menopause than before menopause.

From this point of view, Wang Li's sudden severe neck pain after strenuous exercise should not have much to do with fractures. In general, there are no major problems with bone quality in women of childbearing age. And vascular problems are unlikely to cause Horner syndrome – even if there is atherosclerosis peeling, it should affect the brain tissue rather than the sympathetic nerve center.

It can't be that the freestyle twists the head too violently, causing the sympathetic nerve center to be edema...... Sun Lien shook his head and shook off this unreliable thought from his mind.

What if exercise wasn't the direct cause? Could it be that exercise caused some causative factors to emerge from under the water? Sun Lien continued to reason in his head, and skillfully prescribed blood tests and X-rays for patients with lobar pneumonia.

Swimming is not quite the same as sports in general. It has little burden on the joints of the body, but it puts a lot of pressure on the heart and lungs. Exercisers need to breathe and hold their breath several times and perform exercise movements.

Such activities can be cardiopulmonary stressful, but ...... Will it cause neck pain? Sun Lien was a little unsure whether this reasoning was feasible. Instead, he thought of diver's disease, an occupational disease in which nitrogen gas precipitates out of the blood and into the joints due to rapid ascension, causing severe pain. But Wang Li only had neck pain, and there was nothing wrong with the other joints. And I think that in Ningyuan, a city that is not near the sea, a white-collar worker will not dive to a depth of ten meters after work, and then quickly rise to the surface.

The sign of impassability has been put on the diagnosis of diver's disease, and Sun Lien continues to ponder other possibilities. But no matter what he thinks, he can't make the connection between his immune system and cardiopulmonary stress. The only possible inference is that Wang Li may have had some kind of respiratory or lung infection caused by choking on water while swimming. And this infection may exacerbate an already existing autoimmune disease.

This reasoning is somewhat reluctant, at least for the time being, and conclusive evidence is lacking. At least Sun Lien didn't think that his reasoning could explain Wang Li's sudden sharp pain in his neck. Progressive exacerbations can be perfectly covered by this theory.

It's useless to think about it so much now, it's better to wait for the results of the image to come out. Sun Lien looked down at the time on his phone and decided to order a claypot rice tonight to try it - it was obviously unrealistic to go to the cafeteria and queue up. After half past six in the evening, he could have a break of about an hour, and it was just right to eat.

Just after placing an order for takeout, Sun Lien's phone rang suddenly. Picking up the phone, there was a voice from Brother Imaging Koro on the other end of the phone, "Doctor Sun, the image of the patient on your side has come out, I think it may be a little troublesome - you can make a B-ultrasound order." ”

"Huh?" Sun Lien was stunned when he heard this, "What's the situation?"

"Her right vertebral artery image wasn't quite right. "When communicating about her condition on the phone, you don't have to be as rigorous as issuing paper materials," Luo Ge said with some hesitation on the phone, "I watched her T5 vertebral artery on her right side not go very well - the vertebral artery suddenly became very thin in this position. ”

"Is the vertebral artery thinning?is it physiological?" Sun Lien suddenly closed his mouth, and the T5 vertebral artery narrowed...... It is not completely impossible to affect the nerves of the T1~T2 cervical vertebrae. And this sudden narrowing is associated with pain...... Sun Lien immediately made a decision, "I'll give a prescription now, Brother Luo, you let her come to the rescue room immediately!"