This Doctor is Great

Zhang Mei and Zhou Mo glanced at the list casually.

Although I am not specialized in oncology, but after looking at CT, I think the patient may indeed have lymphoma, but further examination is still needed.

"Doctor, how are you?"

Zhang Mei: "I think it might be lymphoma... You should do a pathological examination. Only after a pathological examination can you better judge whether it is lymphoma and prescribe targeted drugs..."

Zhou Mo nodded.

He also has the same opinion.

"How to do a pathological examination?"

"It's just a minor operation. The enlarged lymph node under the left armpit is incised and taken out, and then sent to the pathology department for examination."

Zhang Mei looked up at the patient and said.

"Ah? Doctor, is this operation dangerous?" Zhang Mei asked seriously with a calm face.

Zhou Mo was on the side: "As long as it is an operation, there is danger. No doctor dares to say that this operation is 100% successful. However, your operation is a small micro-incision operation, and the probability of safety is very high. It is almost impossible for problems to occur. .”

Zhang Mei: "However, we are in the emergency department. To do this, you have to go to the oncology department and listen to the opinions of the doctors in the oncology department."

At this moment,

A patient came in from the outside, supported by his wife.

His forehead was full of shouts, and he looked very painful.

Chat time is over.

Admitting new patients.

...

As soon as the patient comes in,

Teacher Zhang Mei and Zhou Mo couldn't help but increase their volume.

The patient was in his forties or fifties, wearing a pair of gold-rimmed glasses, and looked refined.

Moreover, his hands were white and tender, and they didn't look like they were doing heavy work.

However, Zhou Mo found that when the patient was walking towards him, his body was shaking a little, as if there was something wrong with his legs.

And while breathing and drawing air-conditioning, I feel very painful.

The patient came to Zhou Mo and sat on the chair, as if he was relieved.

"What's your situation..."

"My hands and feet are very painful, very painful!" The male patient gritted his teeth and said in a cold sweat.

"Tell me more specifically..." Zhang Mei said.

As long as it is not abdominal pain, chest pain, or headache, pain in hands and feet can be diagnosed slowly.

"Okay, doctor."

"I'm an engineer in a construction company and I'm fifty-five years old."

"My main problem right now is joint pain."

"Where does it hurt, when did it start, and have you seen a doctor before?"

Zhou Mo nodded slightly and asked.

Hearing Zhou Mo's words, the patient showed a thoughtful expression on his face.

After a while, he spoke with some uncertainty.

"About half a year ago."

"When I was playing billiards, I had inexplicable pain in the joints of my hands."

"At that time, I thought I was tired from playing and I was going to rest for two days."

"However, the more the hand rested, the more painful it became, and not only the hand joints, but also multiple joints all over the body suffered severe pain."

Having said that, a pained expression appeared on the patient's face.

"The severe pain in the joints all over his body back then is still fresh in his memory."

"At that time, I thought it was not good, so I went to the doctor and did some tests."

"After the examination, the doctor said it was caused by high uric acid. The uric acid measured at that time was 520."

"Although it is not particularly high, it is much higher than the normal standard."

"The doctor said that my joint pain was caused by gout."

Hearing the patient's words, Zhang Mei and Zhou Mo nodded incredulously.

Gout is a disease caused by excessive accumulation of urea in the body.

This disease causes pain in and around the joints of the body.

In severe cases, joint disease and renal function damage may occur.

Severe gout patients will have tophi.

(Touty stone map)

According to the patient's symptoms, the doctor's inference is no problem. It is very likely that the joint pain caused by gout.

"The doctor at that time told me not to drink alcohol or eat seafood, saying that these things would increase the purine content in the body."

Zhou Mo nodded.

Alcohol and seafood can cause gout.

However, in addition to drinking and seafood, there is another one——

Cantonese favorite,

— Soup!

——Old Fire Soup!

The soup in Guangdong is called good soup because it has been boiled for a long time.

Egg soup, seaweed soup, tomato soup, Cantonese don't call it soup at all.

The longer the soup is boiled, the higher the purine.

Purine will be metabolized into uric acid, and when there is too much uric acid, it will be deposited in various joints of the body, causing severe inflammation and pain.

"The doctor told me it was gout."

"Then you can't drink alcohol, you can't eat seafood, and you have to take several uric acid-lowering drugs."

He is an engineer, and entertainment is inevitable.

Basically, seven days a week, eat out at least five days.

When I usually eat out, I can't do without drinking and eating seafood.

But he thought of the pain in his body.

Really quit drinking.

As for seafood, he didn't eat much seafood before, and he doesn't eat it now.

Having said that, the patient sighed heavily.

"At that time, I quit drinking for several months, and then took medicine on time, but the problem with this joint still hasn't healed."

"When I went to the hospital later, the doctor even suspected that I hadn't really stopped drinking, and I must have been drinking secretly."

"When I heard this sentence, I was anxious."

Speaking of this, the patient spoke with a little anger.

No matter what he said at the time, the doctor didn't believe it.

It was only after he swore to God that the doctor believed he hadn't been drinking.

"At that time, the doctor still thought that I was drinking secretly. I tried to persuade him to believe it. In the end, I thought that the medicine I took might not be effective enough. He changed me to another uric acid-lowering medicine and asked me to take two more. Let's see again in a month."

"But I took it for more than two months, and there is still no effect."

"I still can't bear the pain in the joints all over my body."

Speaking of this, the patient was a little helpless.

He must have encountered a quack doctor, and he took so many medicines to no avail.

And it is suspected that he was secretly drinking.

Originally, he planned to go to a professional old doctor to see a doctor.

result,

Tonight, excruciating pain.

Can't stand it!

Hurry up and ask your wife to help you, and come to the emergency room!

Zhang Mei glanced at Zhou Mo: "Tell me about it."

Exam time is up!

Zhou Mo still knows a lot about gout, because there are people around him who have gout.

Zhou Mo talked eloquently: "Flut disease is not difficult to treat, but you still haven't improved after taking medicine for several months, it is very likely that you have misdiagnosed it."

"High uric acid may indeed lead to gout, but it does not mean high uric acid, it must be gout, and there may be other diseases."

heard the words.

The patient nodded heavily.

"That's right, I've been taking medicine for a long time, but it hasn't improved at all, but the joint pain is even worse."

Zhou Mo asked: "Do you feel that the joints of your hands and feet are a little stiff when you wake up in the morning, and there will be rattling noises when you move randomly?"

Hearing Zhou Mo's inquiry.

The patient thought about it carefully and nodded slightly.

"Doctor, you are right. I thought about it for a while, and it seems to be true."

"When I wake up every morning, I feel my joints are very stiff, and it will only get better when I start the activity."

After a pause, the patient continued to add.

"Generally speaking, the joints are still very painful even after the activities are started, and I can't do physical work at all."

"I usually move a desk, a chair, etc., and I can't bear the pain in my back. Even writing is difficult."

After the words fell, the patient sighed heavily, with a painful expression on his face.

For him, this disease is a great torture, and it has completely affected his normal life.

He usually likes to play billiards after get off work, but now every time he plays, his wrists are in severe pain.

Haven't played for several months.

.