Chapter 395: Cervical Spondylosis
After checking the patient's information, Fang Han hooked a small round stool with his foot and sat down opposite the patient: "Come, stretch out your hand, I'll take a pulse." ”
The patient hesitated slightly, looked at Fang Han, who was sitting in front of him, who was handsome and unspeakable, and then looked at Miao Dalong, who was still standing on the side, and was a little confused.
Since Fang Han entered the rescue room, it was almost natural that he had taken all the initiative, and the other people in the rescue room had instantly become foils, whether it was Ye Kai or Miao Dalong.
Miao Dalong is already in his forties, such an age is obviously not a shallow qualification, but Fang Han is a little young.
The patient and his wife have been in battle for a long time, have been to many hospitals, and know some things about the hospital.
Isn't Dr. Miao, who came in just now, as good as the young man in front of him?
Miao Dalong felt the patient's gaze, and turned his head very casually: "That Xiaoye, please ask the nurse to bring me a bottle of glucose, my blood sugar has been a little low recently, and I feel dizzy at every turn." ”
"Okay, Dr. Miao. Ye Kaiqiang couldn't help laughing, walked out of the rescue room and shouted outside.
Seeing Ye Kai's cooperation, Miao Dalong breathed a sigh of relief and wiped the sweat on his forehead.
Yaya, now that I'm with Fang Han, I'm really getting more and more faceless.
Unconsciously, the aura on Fang Han's body was almost catching up with the old thing in Haoyang above, well, the old thing, compared to him Miao Dalong, Fang Haoyang was an old thing.
Just looked at Fang Han on the side, Miao Dalong felt that his old thing had really become an old thing.
The most important thing is that Fang Haoyang's old thing is on his head, and now that Fang Han's little thing has gradually climbed on his head, he even felt that he should take it for granted just now.
The patient just glanced at it inadvertently, and then naturally stretched out his hand, Fang Han reached out to check the pulse, then checked the patient's tongue and eyes, and finally stood up and pinched all over the patient's body.
"Does it hurt here?"
"Hmm!"
"What about here?"
"It hurts too!"
After pinching a few places, Fang Han pinched the patient's neck again: "What about the neck?"
"It hurts, you pinched me so much. ”
Fang Han let go of his hand and looked back at Miao Dalong: "Doctor Miao, what do you think?"
"Ah......h
Miao Dalong had just opened the glucose water, and he almost choked after taking a sip, his eyes looking directly at Fang Han.
"Is this a Q&A?"
Miao Dalong almost felt like a dog, and couldn't help muttering in his heart.
I, a senior director, will one day be asked by an intern.
Fang Han was a little strange, what kind of eyes did Doctor Miao have, he was just communicating normally, since there was Miao Dalong, the attending doctor, in the rescue room, he had to respect it somewhat.
After sorting out his emotions a little, Miao Dalong said slowly: "According to my judgment, the possibility of coronary heart disease is not very likely, judging from the patient's medical history, I have not taken less drugs in this area before, but the patient's various symptoms still exist, so can we consider the cause from other aspects, such as cervical spondylosis........"
"Dr. Miao is worthy of being Dr. Miao, and his insight is really unique. Fang Han couldn't help but praise, and at the same time, he was a little surprised, Dr. Miao's level is not low.
Miao Dalong looked at Fang Han in surprise, what do you mean?
Are you right?
He's just giving an example, for example, cervical spondylosis, and there is a series of possibilities that haven't been said, but this first one is right?
For a while, Miao Dalong couldn't help but feel a sense of pleasure, just like answering the questions of the senior doctor when he was a resident doctor back then, a kind of excitement and happiness from the heart.
"Phew!"
Miao Dalong hurriedly shook his head, and changed to an unfathomable expression, he was the attending doctor, so he was half of Fang Han's teacher, how could he have other emotions, wasn't it normal to answer correctly?
"Cervical spondylosis?" Ye Kai was stunned for a moment, and asked puzzledly: "Doctor Fang, cervical spondylosis will cause the patient's current symptoms?"
The patient couple also looked at Fang Han and Miao Dalong directly at this time.
Cervical spondylosis?
They watched for more than three years, sought medical treatment everywhere, and the reason for their exhaustion turned out to be cervical spondylosis?
They still know about cervical spondylosis, and many people have this disease now, most of them have neck pain, numbness in the arms, and discomfort in the back, how can they have chest tightness and shortness of breath?
Especially when lying down like this, the whole person is even more breathless.
"Why not, do you remember the patient with high blood pressure last time?" Fang Han asked Ye Kai.
"Yes. Ye Kai hurriedly said, although he was not present with the patient with high blood pressure that Fang Han treated a few days ago, he had heard about it afterwards, and he had seen it when he was sorting out the medical records.
At that time, the patient's hypertension was caused by cervical spine problems, and Fang Han used the technique of small-angle rotation and reduction of the cervical spine to help the patient solve the cervical spine problem, and the patient's blood pressure went down instantly, only ten minutes before and after.
Fang Han said: "Since cervical spine problems may cause various symptoms of high blood pressure, what is impossible to cause various symptoms of coronary heart disease?"
At this time, Miao Dalong's thinking was clear, and he took over the conversation and said: "Isn't there a disease called cervicogenic coronary heart disease, this coronary heart disease is caused by cervical spine problems, generally speaking, what are the factors that cause symptoms such as chest tightness and shortness of breath?"
"Lack of qi and blood. Ye Kai hurriedly replied.
Among the three people on the scene, he is the most inpatient in the hospital, Fang Han he can't afford to provoke, Miao Dalong he can't afford to provoke, it is obvious that Dr. Miao is planning to establish his prestige as an attending doctor at this time, and he is the only suitable person for hospitalization.
"Yes, it is the lack of qi and blood, the lack of qi and blood, and the lack of qi and blood will cause symptoms such as pale or dull face, weak speech, frequent chest tightness, palpitation, dark lips, flank tingling, abdominal distention, etc., limbs are easily numb, and even pain, cold hands and feet or fever. ”
Miao Dalong has a kind of meaning of pointing out the country at this time: "Whether it is coronary heart disease or other diseases, it has nothing to do with our traditional Chinese medicine, we have to find the cause from our own starting point, since the symptoms are caused by poor qi and blood, then what factors cause poor qi and blood......
Fang Han took over the conversation: " In fact, from the perspective of modern medicine, it can also be explained that when cervical spondylosis is severe, it will compress the sympathetic nerve, and one of the main functions of the sympathetic nerve is to control the expansion and contraction of blood vessels with the parasympathetic nerves, they are mutually restrictive relationship, to ensure that the blood vessels dilate blood vessels when the human body needs them, increase blood flow, or constrict blood vessels to reduce blood flow, the teaching rod nerve in the neck is connected to the heart, if the sympathetic nerve is compressed, the function of controlling the expansion of blood vessels will be inhibited, resulting in the parasympathetic nerve to strengthen the control of blood vessels, and the blood vessels are in a state of contraction, resulting in a decrease in cardiac blood supply......”
Fang Han looked at the patient's previous examination results in detail, and a cardiogram done by the patient showed that the patient's coronary artery stenosis, the most serious part of the stenosis was 30%, and it was precisely because of this contrast and the patient's various symptoms that many hospitals have been treating the patient's symptoms as coronary heart disease, but in fact, the patient's symptoms are not caused by coronary stenosis, but the cervical spine.
Ye Kai nodded again and again on the side.
Whether Miao Dalong said or Fang Han said, he had to listen very carefully, and no one dared to offend.
"Doctor, can I treat this disease?"
Listening to Fang Han and Miao Dalong's sentences one by one, the patient also seemed to have found confidence, and what the two doctors said seemed to be very reasonable.
Hearing the patient's question, Miao Dalong instantly stopped talking, and raised the glucose water in his hand as well: "Xiaoye, do you want to drink some?"
Fang Han didn't care, and said to the patient with a smile: "Of course it can be treated, find the cause, and the treatment is actually simpler." ”
"Do we need to be hospitalized?" the patient asked.
"It's okay to be hospitalized, or not to be hospitalized. Fang Han said with a smile: "Since it is a problem with the cervical spine, then take the method of massage treatment, massage treatment every day, but it will last longer, if you are willing to be hospitalized, it is okay to live in the hospital, if you don't want to be hospitalized, you can come to massage on time every day." ”
"Tuina?" The patient is a little hesitant, can Tuina be cured?
If it weren't for what Fang Han said just now, maybe they would have to leave.
I have to say that sometimes some detailed explanations can really regain the patient's confidence.
"Well, you can continue the treatment for a week, and if it works, then continue to do so, and if it doesn't work, then you don't need to continue. Fang Han could guess the other party's thoughts.
After all, the patient and his wife have been seeking medical treatment for three years, but this time Fang Han told them that they had cervical spondylosis and only needed massage treatment, which may not be believed by individuals.
"Then we'll treat it first. The patient and her husband looked at each other and made a decision.
Fang Han didn't rush to arrange, but told again: "After all, this massage treatment is not so immediate, and you have been in this situation for a long time, so you must adjust your mentality, it is best to stick to the treatment, you must stick to it for a week, feel it, and don't give up halfway." ”
"Well, we'll stick to it. The patient nodded, after a week, they were still willing to give it a try, they had tried many methods in the past three years, and they didn't care about holding on for a week.
Since the patient had no opinions, Fang Han turned back to Ye Kai and said, "Contact the acupuncture and massage department and let the patient go to the acupuncture and massage department for treatment." ”
"Okay. Ye Kai nodded, like this kind of long-term massage treatment, the emergency department naturally has to be sent to the acupuncture and massage department, and the emergency department does not have so much manpower.
The patient was a little anxious when he heard this: "Didn't you treat it yourself?"
Fang Han said with a smile: "Professional things need more professional people, the doctors of the acupuncture and massage department are more professional in this area, I will tell the other party the treatment plan, if you have any problems here, you can come to me at any time, I will work here, I can't run away, right?"
When the patient heard this, he was reassured.
: The second watch is here, and there is another watch!