Chapter 886: It's a broken bone
Although the doctor didn't say it explicitly, the meaning was already obvious. My dad was a big man who was in tears at the time...... "The young man's eyes are also red.
"The whole child was depressed, he couldn't even eat, he lost all interest in the things he liked, and he was ......," the young man's mother couldn't continue.
"Didn't go to the cancer hospital later?" Guo Xiang asked, he didn't see the medical records of the tumor hospital.
The young man and her mother looked at each other, "I didn't dare to go." ”
Guo Xiang couldn't cry or laugh, this is a medical avoidance.
"It may not be bone cancer, how can you know if you don't check it out?" Guo Xiang said.
"We were just scared, and then we heard from others that your doctors here are of a high level, and we want to come here to have a look, but if we can't do it, we have to be treated, right?" The young man's mother said.
Guo Xiang nodded, "I'll check." ”
Have the young man lie on the table, put his hands on his knees, and use his hands and legs to fight against him.
"How?" Guo Xiang asked.
"It still hurts." The young man said.
Guo Xiang frowned, "Did you have a fever during this time, or any other uncomfortable places?" ”
"Nope." The young man shook his head.
That's not right, if it's bone cancer, eighty percent of it will have a fever.
"Or do a check-up, do a whole body bone scintigraphy." Guo Xiang said that there is always a reason for pain.
Guo Xiang opened the bill, "Take another blood." ”
Blood is drawn mainly to see the white blood cells in the blood, if the white blood cells are high, there may be inflammation. If it's really a blood disease, it can be seen.
So a series of inspections were arranged.
There were many tests to do, and the results could not be obtained until the next day, so the young man stayed in the hospital for one night.
When Guo Xiang came to work the next day, the results of various examinations had already been delivered.
Guo Xiang took a piece and looked at it carefully on the light box, "There's no problem." ”
"Didn't you say bone marrow edema?" The young man's mother asked.
"It's a little, but it's not diagnostic of bone marrow cancer." Guo Xiang said.
Guo Xiang looked at the other checklists, and they were all fine.
"There's nothing out of the ordinary." Guo Xiang said.
"How is that possible?" The young man's mother was surprised, "But the doctors in other hospitals said ......."
"I only trust the tests done in my own hospital." Guo Xiang said, "But this edema is a little bit of a problem, but it is definitely not bone marrow cancer." ”
However, she is really not so familiar with orthopedics, but Ji Changlin is strong in this aspect, should you ask him?
"But I'm really in pain, not psychological, it's been painful for a long time, there's always a reason, right?" The young man was also very puzzled, he was naturally happy when the conference said that there was no problem, but the pain was real, and he was afraid that this doctor would also say that there was no problem like the previous doctor, so he asked them to go to the tumor hospital for another examination.
"In this way, we have a Chinese medicine doctor in our hospital, who is especially good at orthopedics, let me go over and have a look?" Guo Xiang said.
"Okay!" The young man's mother nodded, and at this time, the dead horse became a live horse doctor.
Guo Xiang took the two to the Chinese medicine outpatient clinic, and it happened that Ji Changlin had a visit today.
When he arrived, Ji Changlin was prescribing a patient, Guo Xiang waited at the door for a while, and the patient walked out before bringing someone in.
"Master, I have a patient here, and other hospitals have diagnosed him with a problem with his pubic bone, but we don't seem to have any problems after this examination, why don't you take a look?" Guo Xiang said.
"Okay, come here!" Ji Changlin nodded.
Ji Changlin also asked why he was uncomfortable as usual, and the young man said that his pubic bone hurt and he walked painfully.
"Lie down, I'll see!" Ji Changlin said.
The young man was lying on the consultation bed, Ji Changlin folded his leg up, moved, and pressed it gently.
"Come here and check the pulse again."
The young man got up and went back to the chair outside, Ji Changlin took his pulse, and frowned slightly.
"You stand up, take a few steps inside and out, and I'll take a look." Ji Changlin said again.
The young man stood up, walked out, and walked back again, the corners of his mouth tugging, as if it hurt badly.
"That's it!" Ji Changlin said, "Sit down and rest for a while." ”
"Are you exercising too much?" Ji Changlin asked.
"Doctor, how do you know?" The young man was surprised, he hadn't said he was an athlete when he came in just now.
"I can see it." Ji Changlin smiled, "Have I been a doctor for nothing for decades?" ”
The young man's mother suddenly came to her senses, "Doctor, what kind of disease do you say my son has?" Is it a muscle strain? ”
"No, he's got a broken pubic bone." Ji Changlin said.
"No way, I don't know if I've fallen myself? Never had a broken bone. The lad didn't believe it.
Ji Changlin smiled lightly, "Just because you haven't fallen doesn't mean you won't have a fracture, you have exercised too much, and quantitative changes cause qualitative changes." ”
Guo Xiang smiled, Master still knows philosophy.
"But MRI and CT didn't show a fracture, but the bone marrow was a little enlarged." Guo Xiang said.
"This kind of fracture is extremely subtle, you may not be able to get it through those examinations, you, you use too many good machines to form inertial thinking, when there was no MRI before, what is used to judge whether there is a fracture?" Ji Changlin asked.
"X-ray machine ......," Guo Xiang replied.
"That's right, the X-ray machine is more obvious, Enron, he should just have a thin crack, which may be difficult to see, and it has been delayed for so long, it has proliferated, periosteal edema, you can't see it, it's understandable." Ji Changlin said.
Guo Xiang's face flushed, yes, he seems to rely too much on those high-end machines and forget the most basic.
"It's a fracture, of course it hurts, but it's not serious, it's easy to treat." Ji Changlin said to the young man: "Don't worry, I'll prescribe a medicine for you, take it internally and apply it externally, and you can be fine for half a month." ”
"Really?" The boy and his mother were overjoyed.
"Really, I don't believe you guys are going to do an X-ray again, take a closer look." Ji Changlin said.
The two of them naturally went to do it, and they did so many inspections, and it was not bad for this one.
So I went to shoot again, and I did it very carefully, and when the film was washed out, I saw that there was a very thin crack.
Because there are some hyperplasias, the surface layer of the bone is a little rough and not obvious, so it is easy to misdiagnose.
Guo Xiang then remembered that this should be a fatigue fracture.
Because I'm not good at orthopedics, I didn't think about it just now.
The young man is an athlete, and because there is a competition, he practices desperately and exercises too much, which causes fatigue fractures.
Because he had never fallen, he never thought about fractures himself.
Unexpectedly, bone marrow edema caused by fractures led to misdiagnosis by doctors in several hospitals.
He himself avoided medical treatment and did not dare to go to the cancer hospital, so he suffered from gains and losses, and the current situation was created.
Fatigue fractures are mostly caused by long-term non-physiological stress on the skeletal system, and there is no typical clinical history of trauma, and early plain x-rays are usually negative, so it is easy to miss or misdiagnose.
This disease occurs a lot in the troops, especially the recruits, the recruits are inexperienced, and it is easy to suffer from the sudden increase in the amount of exercise, so it is also called a march fracture.
After finding the reason, the young man and his mother were relieved, very grateful to the old Chinese medicine doctor, they didn't expect that the disease that had plagued them for so long could be easily found out by a Chinese medicine doctor, and they knew that they would have seen a Chinese medicine doctor earlier.
Because it's not bad and it's serious, so there's no need to put on a plaster or anything, Ji Changlin prescribed medicine, Guo Xiang told them to rest well, take more calcium and vitamin D, and they should be fine soon.
The two left the hospital with great gratitude.