Chapter 160: Acute optic neuritis
There are many diseases that can make patients ashamed.
They will even hide it from everyone around them.
"Ah...... Mom, haven't your feet always been fine? What's wrong?" the middle-aged man couldn't help but be shocked.
"My feet were infected with beriberi years ago. Although I went to the pharmacy to buy some medication on my own, the condition has been recurring, and the root has never been broken. Thinking that it wasn't a big deal anyway, I didn't tell you. ”
The woman was embarrassed to tell about her illness.
Beriberi is one of the more common diseases.
Because it does not die and does not cause serious discomfort, it is easy to be overlooked by patients.
In general, people who contract beriberi do so because of a lack of vitamin B1.
"Feet, beriberi...... I know, I know, the patient's illness is most likely acute optic neuritis!" Dr. Wang was so excited that he picked up a candy like a child and danced with his hands.
Dr. Fucharin, who was originally standing next to him gloating, thought that he had finally found a foil who was worse than his own medical skills.
I didn't expect the plot to be reversed.
Far from being a joke, the headache has become a real case.
Fucharin is a specialist in ophthalmology and is no stranger to acute optic neuritis.
There are many causes of acute optic neuritis, and beriberi is one of them.
Beriberi, if not treated in time, can lead to ascending symmetrical peripheral neuritis, sensory and motor disturbances, decreased muscle strength, and muscle soreness.
In particular, gastrocnemius pain is most pronounced.
There are also some patients with beriberi who develop foot lobe and toe lobe, and walk with a threshold gait.
If the above symptoms are not serious, there are more serious ones.
Beriberi can cause severe damage to the vagus nerve in the cranial nerve, and it can also injure the optic nerve, oculomotor nerve, and so on.
That's why the woman had beriberi, which led to blindness in both eyes.
Now that the cause has been diagnosed by Li Quan, Fucharin's face has become very ugly.
Careless.
Why didn't I think of doing another MRI for the patient?
If the patient is given an additional MRI, it will definitely reveal inflammation of the optic nerve.
Now that Li Quan has found out the cause of the disease with traditional Chinese medicine techniques, his face has been beaten hard.
Fucharin is the typical kind of person who does not cry when he sees a coffin.
He didn't give up, and still said toughly, "Hmph, before the test results come out, no one is sure that she has acute optic neuritis." ”
Li Quan's eyes were as bright as stars, staring at Fucharin, and he said sarcastically, "What is the urgency of Dr. Fucharin, is it acute optic neuritis, let the patient do an MRI, or evoked potential examination, isn't it clear?"
"I give the patient an MRI request form, and you immediately take your mother for a test to determine the cause. Acute optic neuritis due to beriberi is rare, but it does exist. ”
Dr. Wang has already opened the application form quickly.
Yang Jia was on the side to help enter the computer.
"If the test results come out, my mother really has the disease you said, and I will solemnly apologize to you. ”
The attitudes of middle-aged men are changing.
He is also looking forward to the results of this MRI.
This man was a dutiful son, and as long as the cause of the disease could be identified, his mother's illness could be cured.
Although there are still doubts about Li Quan's claim that the cause is caused by beriberi, he is willing to give it a try.
......
Nearly twenty minutes later, the middle-aged man returned with his mother after the examination.
During this period, Fucharin was really restless, wiping the sweat that broke out of his forehead from time to time.
When he came to the emergency department just now, he was as arrogant as 2580,000.
The majesty is unbeatable.
He felt that the doctors in the emergency department were all garbage in front of him.
At this moment, the situation is reversed, and he already has a premonition that he will be beaten.
"Doctor, the MRI results are out, please take a look. The middle-aged man handed the test results directly to Li Quan.
There were three doctors standing in front of him.
The examination list was prescribed to him by Dr. Wang, and the results should have been shown to Dr. Wang.
The middle-aged man is not like a foolish person, but very shrewd.
Then why did he show the MRI results to Li Quan?
In addition, he used the honorific title for Li Quan's title - you.
It means that the physician in the MRI room has probably given him the results of the examination.
In other words, the middle-aged man already knew that his mother had this disease.
"The optic nerve is inflamed, the situation is more serious! Doctor Wang, take a look. Li Quan took two looks and handed over the results to Dr. Wang.
This can be regarded as giving Dr. Wang enough face.
"Well, sure enough, it's the disease, and now it can be diagnosed. If the cause is found, it will be cured. ”
After reading the test results, Dr. Wang smiled.
Fucharin, who was invited by him to come to the emergency room, changed his face again and again. The last trace of luck was also shattered by reality, and he knew that it was inevitable to be embarrassed today.
"Dr. Fucharin, the cause has now been diagnosed, which is acute optic neuritis caused by beriberi. My promise has been fulfilled and the cause of the patient has been identified. Now it's your turn to make good on your promise, take the you pulled out, and swallow it back for me. ”
Li Quan said to Dr. Fucharin with a sneer.
Fucharin was watched by countless people, and an ophthalmologist lost to a physician in the emergency department. And also in the field of ophthalmology.
This man lost his hair.
"People have stumbled, horses have stumbled, this time I admit it. It's called Li Quan, right? We'll have a chance to compete. ”
Throwing down such a scene, Fucharin wanted to slip away.
"Wait!"
How could Li Quan let him go so easily.
Reach out and stop.
"If you can't, I can find a video of a dog eating from the Internet for you to learn on the spot. ”
If you want to leave, it's too cheap for him.
Li Quan didn't agree, and neither did the doctors in the emergency department.
One of Fucharin's faces instantly turned red, and his eyes were so angry that they could breathe fire.
"You, don't go too far. Everyone is a doctor in the same hospital, don't look up and don't look down, don't do too much. "Fucharin also wants to be face-saving.
I made a big mistake in the emergency department today, and I'm afraid it will soon become a joke for the whole hospital.
When the time comes, how can he raise his head and behave in front of his colleagues?
"You don't really need to eat. But you go to our emergency department to spread wild, there should always be an apology, right? I can't show the sincerity of the apology, I don't mind finding you something to come over for you to taste. ”
Li Quan sneered.
Fucharin's face changed again and again.
If you don't bow your head and admit your mistake today, it seems that you don't want to get out of the emergency department easily.
Taking a deep breath and suppressing the fury of the thunder, he gritted his teeth and bowed deeply to Doctor Wang and Li Quan.
"Doctors in the emergency department, I'm Fucharin from the Department of Ophthalmology, and I now solemnly apologize to you. I shouldn't have belittled the doctors in the emergency department just now. I beg your pardon. ”
This apology is much more sincere.
"Listen, next time, don't look at no one, our emergency department physicians may not be as deep as specialists in a certain field. But it's not like you're talking about mediocre medical skills. ”
Li Quan taught this guy a lesson and waved his hand.
"You can go. ”
Fucharin was pardoned and fled from the emergency department in disgrace. I'm afraid I'll never dare to run here again in the future.
Today's loss is a bit big.
"Doctor Li, please take care of my mother's illness! I'm sorry for the verbal offense before!" The middle-aged man took the initiative to apologize to Li Quan. It was also the first time he had seen the magic of TCM pulse diagnosis.