"It looks, it's like pulsating tinnitus. Yun Tian carefully inspected Le Lao's illness.

Pulsatile tinnitus is a rhythmic tinnitus that is produced by the blood vessels or muscles of the head and neck and is perceived by the blood vessels and blood flow in the bones to the cochlea.

The most common cause of this type of tinnitus is dural arteriovenous leakage.

Lelao's deafness has basically improved.

But throbbing tinnitus again.

It seems that the vascular problem is still more serious.

"My grandfather won't have any serious illness, right?" asked Le Shuyi, the youngest granddaughter of Le Lao, worriedly.

"It's just a rough guess at the moment, and the exact situation will need to be further checked to be determined. Yun Tian replied.

"You need to have a specialist examination first, and if there is no problem with the specialist examination. Patients are advised to undergo further angiography. Yun Tian continued.

"Angiography?" Director Shi is older after all, although he has been making up for his intervention-related knowledge during this time.

But obviously, there is a limit to the level of knowledge that can be received in a short period of time.

"Overselection of relevant transverse and sigmoid sinus vessels for contrast examination, vascular stenosis and pressure gradient analysis. It can not only screen for the vascular cause of pulsatile tinnitus, but also directly measure pressure parameters to reflect local blood flow conditions. Yun Tian understood that Director Shi should not be familiar with this examination, so he patiently explained.

"Yes, the relevant angiography can understand the condition of vascular stenosis, and it can also analyze the pressure gradient, which is of great significance for the analysis of the cause of fluctuating tinnitus and the evaluation of treatment. Director Shi listened to Yuntian's explanation and sighed.

"Xiaoyun, it seems that interventional surgery is a big baby. In the future, it seems that not only you, Mr. Lin, will offer you as a baby, but our neurology department will also have to offer you as a baby!" Director Shi teased Yuntian seriously.

Yun Tian was embarrassed for a while.

Director Shi and Director Lin are so good to themselves that they have nothing to say, but these two people can't praise themselves seriously?

"Let's go to the ENT department for a specialist examination first!" Yun Tian said.

"When my grandfather was admitted to the hospital last week, didn't he just go to the ENT department for relevant examinations?" asked Le Shuyi.

"Well, I've just checked it, but it's going to change in a week, and of course it's not very likely. If you sign it, you can do it. Yun Tian replied.

In fact, a week apart, it is not possible to have any problems in the specialist examination, but as a doctor, even one in 100,000 is possible.

If this 1 in 100,000 chance is missed, a living life may be lost!

Therefore, in general, doctors prefer to follow the diagnosis and treatment process.

"Do, do, of course! The checks that need to be done must be done, and nothing less is missing. Tang Feiguang, the director of the Provincial Literature and Art Group, seemed to have just gotten the news, so he hurried over, and said anxiously when he heard Yuntian's words at the door.

Le Shuyi's face was a little embarrassed.

But in the end, he didn't say anything, so he followed Director Tang

took care of my grandfather and went to the ENT department for an examination.

The results of the specialist examination came back quickly.

No anomalies were noted.

"Then Yuntian will have an angiogram!" Yuntian decided.

The associated angiography requires a drinking water time requirement.

There are also some relevant preoperative preparations to be made.

Therefore, the inspection time can only be set on a cloudy day.

The little girl was a little sullen and took her grandfather back to the ward.

Director Lin and Director Shi also left after talking to Yun Tian about going to the imperial capital.

Yuntian took a book of neurointervention, found a desk in the corner of the office, and flipped through the pages one by one.

Leng Chengye had finished treating the patient, lying in the corner like Yuntian, holding his mobile phone and watching a video.

Although Leng Chengye is nominally a further student, Dr. Huang and Yang Deming know this future star of the Massachusetts God very well, and they have a cold and arrogant look, except for Yun Tian, no one dares to really call him.

Therefore, in the entire office, except for Yun Tian and Leng Chengye, who hid in the corner and were idle, the others were busy.

Dr. Yang and Dr. Huang are taking Zhao Lei and Zhuang Zhuyue to record the course of the disease and deal with the patient's relevant copywriting.

The internal medicine work of an internist is absolutely complicated!

There seems to be endless work to be done every day.

"Doctor Xiaoyun. Le Shuyi appeared at the door of the doctor's office.

"What's the matter?" Yun Tian asked.

In fact, when he said at noon today that he was going to conduct a special examination of Le Lao's ENT department, Le Shu stopped talking, and Yun Tian guessed that the little girl might have something hidden in her heart.

"Go and sit in the duty room. Seeing that Le Shuyi was still speechless and stopped, and wanted to say it but it was not easy to say, Yuntian proposed.

"Is my grandfather's illness serious?" Le Shuye asked Yuntian anxiously as soon as he entered the office.

"Well, it depends on the results of tomorrow's imaging, and I can't be sure yet. Yun Tian thought for a moment and replied.

"Then, if my grandfather is very ill tomorrow, will he have to rest and not be able to work, and he will need his children to go home to take care of him and sign something?" asked the little girl again.

"Rest is needed, after all, the elderly are old, as for whether they need their children to go home to take care of it depends on their family situation, this kind of thing is discussed and dealt with by your family. Yun Tian didn't understand the meaning of the little girl's question, and replied after thinking about it.

"As for the issue of signing, it is also up to your family to discuss, unless the patient is particularly critically ill, or the patient is unconscious and unable to communicate, the matter of signing can be decided by the patient himself. Although Yun Tian didn't understand what the little girl meant, he still replied seriously.

"Doctor Xiaoyun, after tomorrow's examination, can you tell me that my grandfather's illness is more serious, at least he can't go out anymore, he must lie down and rest, and he can't leave the hospital or something?" the little girl asked again.

"It depends on the results of tomorrow's examination, and if the illness requires it, it is natural to make such a request to your grandfather. ”

"If you can ask for it, you have to have children

Come back and sign?" the little girl continued to negotiate with Yuntian.

"If the disease needs it, it will naturally be raised. Yun Tian replied.

"Can you not always be sick and needy, can you help me directly" The little girl finally couldn't stand Yun Tian and kept using her illness to deal with her, this little girl who seemed gentle and gentle, and had a good upbringing, shouted at Yun Tian loudly for the first time.

"I'm sorry. After the little girl shouted, she apologized to Yuntian.

The two drops of eyes fell on the table with a "click".

"Director Tang and Grandpa are all focused on the show, and Grandpa refuses to take a good rest, I checked it on the Internet, and many people on the Internet say that his illness has a lot to do with too much pressure. ”

"If he keeps doing this, what if he gets seriously or becomes permanently deaf?"

"I advised my grandfather, but he didn't listen at all. ”

"I call my mom and dad and they're always busy too. ”

"I was scared, and it was said on the Internet that many of these patients suddenly collapsed and couldn't get up. ”

"Woo woo woo woo ......." the little girl said in the end, or the psychological pressure was too great, too worried about her grandfather's body, lying on the table and crying.