835 Is there really such a disease?
"There's no good way to treat it. Wu Mian's words were poured on Aunt Feng's body like a basin of cold water.
"This is a rheumatological vascular disease that has no definitive treatment yet. Wu Mian continued, "However, it is not impossible, and it can be relieved by oral non-steroidal anti-inflammatory analgesics. β
"What's that?" Aunt Feng asked in a daze.
"Aspirin, Aunt Feng, you know. Wu Mian asked.
"You know, I see that a lot of people have been eating aspinline lately. β
"Yes, that's it. Wu Mian said, "Twice a day, one aspirin or aspirin each time, Grandma Huang's symptoms can be alleviated."
If something suddenly worsens, come to the hospital and use some glucocorticoids...... Dexamethasone, I'll write it to you in a moment. β
"Is it that simple?"
"Can't it be completely cured?"
Aunt Feng and Grandma Huang asked at the same time.
Wu Mian looked at Grandma Huang and said, "Grandma Huang, that's the case. People, just like machines, get older, machines have been running for too long, there will always be problems of one kind or another.
I don't lie to you, it's impossible to live forever, let's live a few more years in a good mood, and have fewer problems. With your bones, why can't you be 100 years old?"
Although Grandma Huang knew that Wu Mian was saying good things, she still couldn't close her mouth with a smile.
"When I wasn't a doctor, I thought that all diseases could be cured, but when I became a medical student, I found that there was no cure for many diseases. Later, when I became a doctor, I found that most diseases were not treated. And now......"
"I don't think I can't see any diseases now. Aunt Feng asked.
"The vast majority of diseases are not regulated. Wu Mian said with a smile.
"Look what you kid is talking about, and if that's the case, what's the use of a doctor. Aunt Feng said.
"Let's not talk about polymyalgia rheumatica, a rare disease of rheumatism and immunity, let's just talk about some geriatric diseases, hypertension and diabetes can't be cured. Stents for coronary heart disease are a remission, as long as they do not affect normal life. β
"Yes. Grandma Huang said, "After using this medicine, I feel that my whole body is light." β
"Polymyalgia rheumatica is hormone-sensitive, which is also a diagnostic treatment. Wu Mian said, "As long as you feel comfortable, go home and prescribe some aspinline, oral every day, you must remember." β
"Well, I remember. Grandma Huang said seriously, "Don't make trouble for your children, my sons are sixty years old and still working outside." β
With a very clear diagnosis, Wu Mian no longer chatted with the elderly about the short things in the family, and stood up and went out to ask for pens and paper.
Seeing Yang Lei standing at the door, Wu Mian smiled, but ignored him.
Picking up a pen and paper, Wu Mian wrote down the diagnosis and medication, and repeatedly told him not to forget the oral medication, so he and Chu Zhixi left the observation room.
"Section Chief Wu. Yang Lei was a little hairy by Wu Mian just now, and he whispered hello.
"Doctor Yang, is there something wrong with you?" Wu Mian asked casually.
"I am...... It's just curious, what kind of disease the patient is. Yang Lei asked.
"Polymyalgia rheumatica. "A relatively rare and difficult to diagnose rheumatic immune disease. β
Wu Mian didn't want to waste time here with Yang Lei, and left far away while talking.
Cut, it must be fooling people, just say the name of a disease that no one knows, and let the patient take any useless medicine orally, and it can't be cured if it can't be cured. Yang Lei saw that Wu Mian was unwilling to take care of himself, and thought with disdain in his heart.
What did he just do? Didn't he just ask about his medical history, and he didn't seem to have a physical examination.
Yang Lei was thinking about it, and saw Wu Mian walking back again.
He was startled, and his neck couldn't help but shrink. Section Chief Wu's force value is too high, and Yang Lei is really afraid that Section Chief Wu will deal with himself like a human trafficker.
But Wu Mian passed by him, didn't say anything, and returned to the ward.
"Grandma Huang, I forgot to explain one thing to you. Wu Mian said, "Polymyalgia rheumatica is a disease that cannot be smoked, and smoking will lead to aggravation of the disease. β
"Huh?!" Grandma Huang was stunned for a moment.
"Quitting smoking is an important measure of prevention. Clinically, it has been observed that smoking cessation can relieve pain and stabilize the patient's condition, and the symptoms of re-smoking will worsen. Wu Mian said very seriously, "There are not many things that can be determined about polymyalgia rheumatica, but quitting smoking has been decided." β
"Child......" Grandma Huang stopped talking.
"Don't worry, didn't Aunt Feng tell me that I have to quit smoking. Wu Mian knew what she was thinking when she saw Grandma Huang's expression, and said with a smile, "Really, quit smoking." I'm really gone this time, just contact me directly if I have anything in the future. β
Wu Mian left this time and did not look back. Yang Lei remembered the six words polymyalgia rheumatica, and pondered while walking home.
No matter how you look at it, it doesn't look like a disease name, and the name is so confusing, especially in the end, Grandma Huang is not allowed to smoke, which is a typical Wei Dabao practice.
What the patient can't do should be explained to the importance, and once the condition recurs afterwards, smoking can be used to talk about it.
Yang Lei didn't believe that Grandma Huang's old smoking gun could quit smoking, and it was relatively simple for her to quit eating.
When he got home, Yang Lei turned on the computer.
People of his age have been exposed to the Internet since the time when there was an Internet in China, and he is a little old and not used to mobile phone screens, so it is easier for him to check information online.
opened a certain degree and searched for polymyalgia rheumatica, Yang Lei was stunned all of a sudden. I really have this disease!
He read word by word, for fear of missing something. While reading, I compared it with Grandma Huang's condition and with Section Chief Wu's repeated medical history.
It wasn't until the end that Yang Lei realized that he was wrong, very wrong.
There are no diagnostic criteria for this condition, which means that the physical examination is not useful. But even so, it's easy to judge.
The patient is over 50 years of age;
Muscle pain and morning stiffness occur in at least one of the 3 susceptible areas of the neck, shoulder girdle, and pelvic girdle, and the course of the disease lasts for a week or more;
elevated erythrocyte sedimentation rate and C-reactive protein in blood tests;
No redness or swelling of the affected muscles;
And most importantly, this rare disease is quite sensitive to hormones.
And quitting smoking is an effective treatment.
Yang Lei looked at the computer screen, feeling uncomfortable.
It's not that he can't, he feels like he's losing face.
This disease was even misdiagnosed by the doctors of the Affiliated Hospital of the Provincial Medical University, wouldn't it be a very normal thing for him, if he could understand it, it would be a strange thing.
Yang Lei just felt that his previous idea of wanting to make Wu Kechang ugly was very naΓ―ve......
This Section Chief Wu is really quite awesome, no wonder Han Kuien saw Section Chief Wu like a third grandson at that time.