Chapter 202: Strange cough patient
Chapter 202: Strange cough patient
Li Junhao was silent for a long time. It was hard for him to imagine how Liang Yi carried it all by himself. He tried his best to hide his sadness from Liang Yi's discovery, and asked, "Do you miss your family?"
Liang Yi sat up, thought for a long time, and said, "To be honest, apart from grandma, I still have some specific impressions in my memory. I actually can't remember what my parents look like. It may be too long ago, so the harder I try The more blurred the memory, the picture recalled now is very blurry, very blurry..."
Liang Yi picked up his phone and looked at the calendar, and said, "Their memorial day is coming soon. I haven't been back for several years. I want to go back and talk to them this year."
"Hearing what you said, I miss my parents." Li Junhao said.
"Give them a call." Liang Yi said.
"Okay..." Li Junhao dialed his mother's phone, the two talked for a while, and then he hung up the phone, because his mother seemed to have nothing to talk about with her, and he didn't know how to chat or where to start.
He found that the communication didn't seem to be as good as he imagined, and he wanted to give up calling his father again.
Liang Yi said, "Didn't you say you wanted to call your dad?"
"I don't think there is much to talk about, so let's forget it." Li Junhao said, "I have had problems communicating with his father and son since childhood."
Liang Yi reminded: "Without communication, there will be fewer and fewer topics."
"Okay." Li Junhao was always a little afraid of his father, but he finally called.
"Dad, what are you doing?"
Li Junhao's father Li Tiancheng replied: "I'm listening to a book, have you been drinking?"
"With Dr. Leung, had some beer."
"Don't drink too much, our family has a history of gout."
Talking is always so disappointing, Li Junhao thought, and then lazily said: "I see."
Liang Yi laughed when he heard this, if his father probably would have said this to him.
Li Tiancheng said: "After a while, we will have a clan meeting. You must come back. You are no longer a student, and you won't be able to justify not coming back."
Li Junhao said: "I know, I will definitely go back."
"Do the projects one by one, don't do so many at the same time, the body is important."
"I see, let's do it first." Li Junhao hung up the phone.
"You should gradually have some common topics with your dad."
"Well, it's much better than before. Then I will go back to see him more in the future. I think it's the same for any father. It has nothing to do with identity, status, or wealth."
" Um……"
"Okay...I'm going to sleep." Liang Yi got up and drank the rest of the Coke in one go.
I went back and lay on the bed, but couldn’t fall asleep for a long time. I thought a lot, but I didn’t know what I was thinking. Finally, I said to myself: “Maybe I’m homesick, parents, grandma, I’ll go back and see it in a few days.” Look at you."
Affiliated Hospital, Department of Diagnostics.
Today is Zhou Aimin and Shu Yanxin attending the clinic together, specially accepting difficult patients.
A middle-aged woman registered as an expert in the diagnostic department,
The woman was about forty years old, and her husband was beside her.
The first time Shu Yanxin saw the woman, she felt that the woman was frowning and anxious.
After the woman came in, she asked, "Is this the diagnostic department of the affiliated hospital?"
Shu Yan asked: "Yes, this is the diagnostic department."
The woman frowned, a little dissatisfied, and said, "We have spent hundreds of dollars to set up an expert account. How can we be a little girl?"
Shu Yan said heartily: "When you registered, we had a doctor's profile above us."
The woman's husband hurriedly said, "That's not what we mean. She has a different temper recently. Don't mind, doctor." Her husband winked at Shu Yanxin.
Shu Yan nodded heartily.
While talking, the woman picked up a facial tissue and coughed continuously, like firing a machine gun.
Zhou Aimin felt that women didn't trust Shu Yanxin very much, so he took a step forward and said, "I'm the director of the diagnostic department, what's wrong with you?"
The woman said: "I always felt that I was prone to cough like this three years ago. I went to various Chinese and Western medicine clinics and nearby hospitals. I did a lot of checks, but nothing worked."
Zhou Aimin took her previous medical records and looked at them, which covered almost all possible symptoms of cough.
Cough variant asthma, eosinophilic bronchitis, gastroesophageal reflux-related cough, upper airway cough syndrome, allergic cough, etc.
These reasons roughly account for 80% of the causes of chronic cough, and he has seen a series of examinations and diagnostic treatments that do not support the above reasons.
He continued to scroll down the case, feeling more and more strange.
Cough variant asthma requires inhaled hormone therapy, allergic cough and eosinophilic bronchitis also require hormone therapy, upper airway cough syndrome may require hormone or antiallergic drug therapy, gastroesophageal reflux related Treatments such as promoting gastrointestinal motility and inhibiting gastric acid secretion should be used for chronic cough. It is reasonable to say that there should be some improvement, but in the end, the feedback from patients is not good.
The woman coughed several times in a row like a machine gun, coughing until she was a little out of breath, rested for a while, and continued: "This year, not only coughing, but also the feeling of being unable to cough up or swallow, go to the clinic I checked with the hospital and thought it was chronic pharyngitis, and I used medicine for chronic pharyngitis but it didn’t work.”
Everyone with chronic pharyngitis knows the slogan, "Can't cough up, can't swallow, what should I do?"
Such a classic symptom is not the disease.
Zhou Aimin looked at the past medical records and found that he had indeed been treated for chronic pharyngitis, so Zhou Aimin was stumped.
Zhou Aimin and Shu Yanxin came to the special discussion room of the diagnostic department, which has a convenient query system, as long as the symptoms are entered, various related diseases will appear.
Shu Yanxin said: "In fact, this woman is very similar to a unique disease in our Chinese medicine."
"What disease?" Zhou Aimin is a pure Western medicine practitioner, and doesn't know much about Chinese medicine.
Shu Yanxin entered Meiheqi in the convenient query system, and the search results came out quickly:
Meihe Qi, the name of a TCM syndrome, refers to emotional distress, liver qi stagnation, phlegm and qi intertwined, and stop gathering in the pharynx. The time is the main manifestation of the disease.
Clinically, it is characterized by abnormal sensation in the throat, but it does not affect eating.This disease has similarities with the symptoms of chronic pharyngitis, often accompanied by symptoms such as premenstrual breast distension or menstrual disorders.It is equivalent to pharyngeal neurosis or hysteria in Western medicine. The main etiology and pathology are stagnation of liver qi and stagnation of phlegm in the throat. The treatment effect of traditional Chinese medicine is better.
Zhou Aimin said: "It is indeed very similar to the above description."
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