Chapter 1753 No Abnormalities at All (Leader LUCKY Bread Tree Plus 4)
"Old Luan, your figure is recovering quickly." Su Yun sat down and laughed and joked with Luan Yingjie.
"Brother Yun, see what you said." Luan Yingjie sat down and said with a smile: "Didn't you tell me to go on a ketogenic diet?"
"The effect is good." Su Yun asked casually.
"The effect is good, the stomach has gone down, and the blood sugar has been controlled. But now I really feel the sentence - eating meat is just the embellishment of life, and carbohydrates are the eternal happiness." Boss Luan said with some emotion.
"Hahaha, what are you missing, what do you think about, when you are asked to eat whatever you want, you will eat rice and drink well every day?" Su Yun smiled and said, "Don't gossip, just get down to business."
"My father, who is 72 years old this year, experienced intermittent dizziness half a year ago. The strange thing is that he only gets dizzy when he eats, especially when he eats a lot of solid food such as rice or steamed bread." Luan Yingjie said, "I didn't care at first. , I thought it was because I was busy with business and was not at home. The old man thought of me, so he pretended to be sick and asked me to go back."
"Later, I went home and ate a few meals with him. It didn't look like he was pretending to be sick. But he was usually fine. Don't look at him at 72. He rides a bicycle every day and walks around the world along the four and nine cities. He is in good health. But Even the problem of dizziness after eating is not good, and it is very thin."
While listening to Luan Yingjie's introduction to his condition, Zheng Ren looked at the medical records and laboratory tests.
"I went to the hospital for examinations several times, and everything was fine, and the doctors were stumped."
"No other medical history?" Zheng Ren asked, "Hypertension, coronary heart disease, diabetes, do you have any? Do you take medicine every day?"
"Nothing at all, my body is great, but even now it's not tasty anymore." Luan Yingjie said.
Zheng Ren flipped through the various test sheets.
As Luan Yingjie said, there was nothing wrong with the test half a year ago. Blood tests are relatively complete, and routine tests such as liver and kidney function, ions, blood sugar, tumor markers, trace elements, and blood uric acid are readily available.
In terms of imaging, the head CT has a little arteriosclerosis, which is absolutely no problem, and there is no tumor.
The blood supply of the skull base and neck blood vessels is no problem, and it is not caused by insufficient blood supply to the brain.
In terms of heart, echocardiography and electrocardiogram were all fine, and related blood tests such as D2-mer were also done in the later stage, and there was even a coronary angiography film.
There is no problem, this is good for a 72-year-old.
As Luan Yingjie said, there is no problem.
Lung CT, there is no tumor, even trachea, bronchitis, emphysema does not exist.
The lung texture is clear, and the lung function is good at a glance.
The CT of the whole abdomen was fine, and the colonoscopy showed no problem, but there was no gastroscope.
"Why didn't you do a gastroscope?" Zheng Ren asked.
"I did it once, just went in and passed the throat, and he died. Later, the doctor said to try again. My dad said nothing. He said that doing it once is equivalent to dying once." Luan Yingjie said distressedly. .
"Has this happened before? I said before the attack half a year ago." Zheng Ren asked.
"No, there has never been such a strange thing, and no one in my family has ever had this happen."
"How is the old man now?" Zheng Ren continued to look at the list and asked.
"Because it was uncomfortable to eat, I started to eat less, mainly liquid food. However, the amount of food decreased, and he said that he felt that the difficulty in swallowing was aggravated."
Zheng Ren put the test sheet aside and looked at the light with the film in his hand.
There was a lively hot pot eating, and he was watching the movie alone, but Zheng Ren didn't feel at all, it seemed that this was normal.
"Strange." Su Yun muttered while looking at the lung CT.
"Well, it's very strange." Zheng Ren said: "There are no problems with all the inspection indicators."
"Blood system disease?"
"It's not like." Zheng Ren said: "Whether it's a blood system disease or an endocrine system disease, you should have a reaction when you usually don't eat, and it will never happen only when you eat."
Su Yun nodded and continued watching the movie.
Zheng Ren suddenly remembered something and started looking for movies.
"Boss Zheng, what are you looking for?" Luan Yingjie asked.
"Upper gastrointestinal B-transmission, have you done it?" Zheng Ren asked.
"I did it, I did it, it's fine." Luan Yingjie began to look for the film, he flipped through it for a while, and said embarrassedly, "Maybe I got off the car, I'll look for it."
After he finished speaking, he stood up, bowed politely, and turned to go out.
"Boss Zheng, it's a mental illness." Lao He turned around and said his opinion, "I met a patient in a mental hospital before who came to our 912 for gastric cancer surgery. When I gave him anesthesia, he Tell me a story for a long time."
"story?"
"Hey, it's just a tragic life experience or something. He was deceived and engaged in pyramid schemes, and then he was arrested or something." Lao He said, "It's the same as the real thing. He is the Lonely Star."
"The results of it?"
"Parents, wife and children are all waiting for him outside the operating room. I was blind and had a hard time with an operation." Lao He said, "When I asked later, he said that he has an acting personality, so if he doesn't put himself in the play, he will Suffering all over."
"The possibility of mental illness exists, but it cannot be easily diagnosed." Zheng Rendao.
"It's not easy anymore. All the test indicators are normal. What are you talking about?" Su Yun said.
"I'll think about it again." Zheng Ren held the test sheet in his hand, leaned back on the sofa, and lightly tapped the armrest of the sofa with his fingers.
Su Yun felt that this guy was more and more like Director Pan.
"The diagnosis can be made by waiting for the barium film of the upper gastrointestinal tract to take a look." Su Yun said simply, "72 years old, I don't even have mild valve regurgitation, and my body is very good. The electrocardiogram is also fine. , regardless of heart disease.”
"What do you think it is?"
"Achalasia, this possibility is high." Su Yun said.
Achalasia is a disease in which the lower esophageal sphincter relaxes due to esophageal dysfunction caused by the neuromuscular dysfunction of the esophagus and cardia, and food cannot pass through smoothly, thereby gradually reducing esophageal tension, peristalsis and esophageal expansion. .
But in general, the main complaint of this disease is not dizziness, but difficulty swallowing, food regurgitation, and weight loss.
Zheng Ren carefully searched for various cases of achalasia, but there were also symptoms such as dizziness caused by malnutrition. But when it comes to eating dizzy...
This is too weird, and Su Yun said it casually. Zheng Ren considered that it may be caused by tumors of the endocrine system.
Soon, Luan Yingjie brought up the film, this time with PETCT.
"I've done too many inspections and got two things wrong. I'm sorry, Boss Zheng, I'm sorry, Brother Yun." Luan Yingjie bowed and apologized again and again.