"How?"

After looking behind Xu Jinliang for a while, Fang Yan arrived at Chen Dong's side.

"Brother Fang."

Chen Dong greeted Fang Yan with a smile and said, "It's okay, I have some feelings now." ”

This is the first time that Chen Dong has sat in a clinic independently, although it is only a free clinic, but it can be regarded as an experience and a breakthrough for Chen Dong.

Today, Chen Dong is also very serious, there are people on the side to escort him, Chen Dong just took this opportunity to practice, and he will also be able to sit in Fushengtang at that time.

After studying medicine for so many years, what every medical student looks forward to most is that he can take care of a patient independently, and the first patient is like the first girl in his life, which is always exciting and exciting.

Thinking about it day and night, for fear that his posture was wrong, and for fear that the girl would not be satisfied, on the one hand, he tried to prove himself, and on the other hand, he was worried.

Only by experiencing a real battle can we truly recognize ourselves, taste the ups and downs, and accumulate experience for the future.

"Doctor, doctor!"

Fang Yan stood by Chen Dong and watched for a while, when he heard a shout coming from the door of the outpatient building, and an aunt in her fifties slowly walked in while supporting a twenty-two or three-year-old young man.

Listening to the aunt's shout, many people subconsciously looked over, and some people got out of the way.

It's almost four o'clock in the afternoon, and there are not as many patients as there were in the morning, and in a small place like Jianglan County, in fact, most people are very simple.

Some people say that poor mountains and bad waters come out of the people, but Fang Yan actually doesn't agree with this sentence, but the poorer the place, the less education people receive, the more conservative they are, and the more they value some things.

Like some urban people and rich people, they don't really understand why rural people can fight for a little bit of wall root and a little bit of land, and they can have a little more money if they are a little more diverse.

But in the countryside, that's it, it's just a little bit of contention, and the crops that were planted with great difficulty were trampled on, which was even more serious than trampling on themselves.

As long as you don't touch their interests, they are very kind, but once you touch their life, they will definitely be desperate, which is also the origin of the so-called poor mountains and bad waters.

Some people wear noble clothes, don't care about crops when they go out, what kind of outing, outing, when they arrive in the mountain village, the car is parked at will, the photo is stepped on casually, and they are scolded by the villagers, they will come to a sentence, the poor mountains and bad waters come out of the people, but no one thinks about what they have done.

This is the case in Jianglan County, if you don't touch the interests of the villagers, they are very talkative, and they can tolerate many things.

"What's going on?"

Xu Jinliang stood up.

"Doctor, look at my son, the county hospital said what ankylosing spondylitis is, and said that it may be disabled and paralyzed......"

My aunt was about to cry.

The aunt looks like she is in her early fifties, but in Jianglan County, because of poverty, many people look a little older than their actual age, and the young man looks like he is about twenty-three years old, tall and thin.

But at this time, he looked very stiff, and his upper body was completely still, just walking on his legs, and if he didn't look down, it would be like a zombie coming.

"Come, sit here."

Fang Yan greeted loudly.

"Come on, this is an expert from the Provincial Health Bureau, a big expert from the province to see your son, that's luck." Aunt subconsciously looked at Xu Jinliang, Xu Jinliang said to Aunt with a smile.

Fang Yan's level Xu Jinliang knows, not only in internal medicine, but also in bone injury, which is even better than their Director Qian.

Chen Dong had naturally stood up and made way for Fang Yan.

The aunt was skeptical, and took her son to sit down in front of Fang Yan.

When the young man sat down, his upper body appeared very stiff.

"Can it turn?" Fang Yan asked as he observed.

"I can't."

"Can you turn your neck?" Fang Yan asked again.

"I can't." The young man said: "It hurts so much when you move, it's like it's about to break." ”

"When did this happen?" Fang Yan asked.

"Wake up in the morning."

The aunt said on the side: "I called him to eat, but he couldn't get out of bed, or I helped him up, and then immediately went to the county hospital, did an examination, said that it was ankylosing spondylitis, and the doctor at the county hospital asked us to go to the provincial capital for treatment, saying that this disease is not easy to treat, and if it is delayed, it may cause disability and paralysis of the lower half of the body." ”

"Well, the doctor at the county hospital said it right."

Fang Yan nodded.

Ankylosing spondylitis is a chronic inflammatory disease that belongs to the rheumatic immune disease. The main lesions are sacroiliac joints, spine and peripheral joints, accompanied by extra-articular manifestations such as eye, lung, intestinal and cardiovascular lesions of different degrees, and spinal deformity and spinal rigidity may occur in severe cases.

Hearing the word chronic, people who know a little bit of common sense know that this disease is not easy to treat, and in clinical practice, all diseases that are called chronic, treatment is quite tricky and troublesome, and the cycle required is very long.

Therefore, in clinical practice, what doctors are most afraid of is the acute to chronic.

Ankylosing spondylitis develops to the later stage, which will not only cause a lot of sequelae, but also involve the heart and lungs, etc., and the patient will gradually lose the ability to move, that is, the lower body paralysis mentioned by the aunt.

"What do you do?"

Fang Yan continued to ask.

"Working in a cement factory on the edge of the county." Youth Road.

"Doctor, don't look at my son's thinness, he has a lot of strength." Aunt said.

"Did you have any symptoms before today?"

Fang Yan continued to ask: "Any situation is okay, you yourself feel abnormal, you haven't had it before, it's been there in the past two years, think about it." ”

"Doctor, if you want to talk about it like this, he is a little forgetful this year, and he always loses everything, and the things I just told him have forgotten in a blink of an eye, and it has been many times, and there were few before." Aunt said.

Because the young man works in a cement factory near his home and goes home every day, the aunt is aware of her son's situation.

"Arms outstretched."

Fang Yan asked the young man to stretch out his arm, stretched out his hand to check the young man's pulse, and while feeling the pulse, Fang Yan asked, "Do you usually like to drink cold water?" ”

"I like to drink cold beer when it's hot, and I often take a cold shower."

The aunt said on the side: "It was very cold outside last night, and I didn't wear a shirt to go in and out, and I didn't listen to my scolding." ”

"Married?" Fang Yan asked again.

"Not yet, let alone married, I don't have a girlfriend." Aunt said.

"Say it yourself." Fang Yan said.

"Nope." Youth Road.

"Have a habit of hands?" Fang Yan asked again.

The youth was a little embarrassed.

"It's all men, in this era, there is something, there is nothing to be ashamed of." Fang Yan said with a smile.

"Hmm." The youth responded.