The Surgeon's Studio

"Old Yan, you're recovering your figure very quickly." Su Yun sat down and smiled as she chatted with Luan Yingjie.

"Brother Yun, what are you saying?" Luan Yingjie sat down and said with a smile,""Didn't you tell me to take a progesterone drink?"

"The effect is good, right?" Su Yun casually asked.

"The effect is good. My stomach has gone down, and my blood sugar is under control. But now, I really feel that eating meat is just a decoration in life, and drinking charcoal is eternal happiness. " Boss Shao said with some emotion.

"Hahaha, just think of what you lack. When I let you eat whatever you want, would you eat rice and drink it every day?" "Enough chit - chat, let's get down to business," Su Yun said with a smile.

"My father is 72 years old this year. He had intermittent dizziness half a year ago. The strange thing is that he only feels dizzy when he's eating, especially when he's eating a lot of solid food like rice or mantou. " Luan Yingjie said,"at first, I didn't care. I thought that I was busy with my business and wasn't at home. The old man missed me, so he pretended to be sick and asked me to go back."

"After that, I went home and had a few meals with him. It didn't look like he was pretending to be sick. However, he was usually fine. Even though he was 72, he rode his bicycle every day and traveled around the world. He was in good health. But I can't even cure my dizziness when I eat. I've lost a lot of weight. "

While listening to Luan Yingjie's introduction of the patient's condition, Zheng Ren flipped through the medical records and test results.

"I went to the hospital for a few checkups, and there was no problem at all. Even the doctor was stumped."

"No other medical history?" Zheng Ren asked,"high blood pressure, coronary heart disease, diabetes, do you have any? Do you take medicine every day?"

"No, I'm not. My body is great, but it doesn't taste good when I eat it now." Luan Yingjie said.

Zheng Ren flipped through the various test reports.

The test results from half a year ago were just as Luan Yingjie had said, there were no problems. The blood tests were more complete, including routine tests such as liver and kidney function, ions, blood sugar, tumor markers, trace elements, blood uric acid, and other things.

In terms of x - rays, the CT scan of his head showed a little bit of arterial hardening, but there was definitely no problem, and there was no tumor.

The blood vessel Doppler scan of the skull and neck showed that there was no problem with the blood supply, and it was not caused by insufficient blood supply to the brain.

In terms of the heart, there was nothing wrong with the ultrasound and electrocardiography. D2 - body and other related blood tests were also done at the later stage. There was even a coronary angiography.

There was no problem at all. For a 72 - year - old man, this was considered good health.

As Luan Yingjie said, there was no problem.

The CT scan of his lungs also showed no tumors. There was no sign of windpipe, bronchitis, or even edema.

His lung tissue was clear, and his lung function was obviously good.

The CT scan of the whole abdomen was fine, and the endoscope showed no problems, but there was no gastroscopy.

"Why didn't you do the stomach examination?" Zheng Ren asked.

"I did it once. He passed through the throat and couldn't make it. Later, the doctor said to try again, but my dad said that he wouldn't do anything. He said that doing it once was equivalent to dying once. " Luan Yingjie said in distress.

"Has there been such a situation before? I said before the relapse half a year ago. " Zheng Ren asked.

"No, there has never been such a strange thing. This has never happened to anyone in my family."

"How's the old man now?" Zheng Ren continued to look at the list as he asked.

"Because it's uncomfortable to eat, so I ate less at the beginning and focused on liquid food. However, he said that his swallowing difficulty increased after he reduced his appetite. "

Zheng Ren put the test sheet aside and looked at the film under the light.

On the other side, the party was eating hotpot, while he was watching films alone. However, Zheng Ren did not feel anything at all, as if this was normal.

"Strange." Su Yun mumbled as she looked at the CT scan of her lungs.

"Yes, it's very strange." "There's no problem with all the examination indicators,"Zheng Ren said.

"A blood system disease?"

"It doesn't look like it." "Whether it's a blood system disease or an endocrine system disease," Zheng Ren said,"there should be a reaction when you don't eat normally. It definitely doesn't only happen when you eat."

Su Yun nodded and continued to read the scans.

Zheng Ren suddenly thought of something and started looking for films.

"Boss Zheng, what are you looking for?" Luan Yingjie asked.

"Have you done a thorough examination of the upper digestive tract?" Zheng Ren asked.

"I did, I did, it's fine." Luan Yingjie started to look for the film. He flipped through it for a while and said embarrassedly,""It might have been left in the car. I'll go look for it."

He stood up, bowed politely, and left.

"Boss Zheng, it's a mental illness, right?" Old he turned around and expressed his opinion,"I once met a patient from a mental hospital who came to our Room 912 to perform a stomach cancer surgery. When I gave him anesthesia, he told me a story for a long time. "

"A story?"

"Sigh, it's about her tragic life experience. She was deceived and engaged in multi - level marketing. Later, she was arrested and something like that." Old he said,"it's as if it's true. They're saying that he's a jinx."

"And the result?"

"His parents, wife, and children are all waiting for him outside the operating room. It was such a waste that I had to suffer the entire operation." Old he said,"I asked him later and he said that he has a personality for acting. He would feel uncomfortable if he didn't put himself in the show."

"It's possible that it's a mental illness, but it can't be easily diagnosed." Zheng Ren said.

"It's not easy. All the test results are normal. What do you think we should diagnose?" Su Yun said.

"I'll think about it. " Zheng Ren held the test report in his hand as he leaned back on the sofa, his fingers tapping on the sofa's armrest.

Su Yun felt that this guy was becoming more and more like Department Director pan.

"We'll be able to make a diagnosis after we take a look at the barium examination of the digestive tract. " Su Yun said very simply,"he's 72 years old, and he doesn't even have mild valve reflux. His body is too good. There's no problem with the electrocardiography, so heart - related diseases are not considered. "

"What do you think it is?"

"It's highly possible that he has cardiac Achilles. " Su Yun said.

"Achilles tendon repair is a disease caused by the dysfunction of the nerve and muscle in the esophageal heart, which causes the relaxation of the lower esophageal sphincter. Food can't pass through smoothly and stays there, which gradually reduces the tension, peristalsis, and expansion of the esophagus.

However, under normal circumstances, the main cause of this disease was not dizziness, but swallowing difficulty, food reflux, and weight loss.

Zheng Ren carefully searched for various cases of cardiac Achilles, but there were also symptoms such as dizziness caused by malnutrition. But to feel dizzy while eating ...

This was too strange, and Su Yun was just casually saying it. Zheng Ren considered that it might be caused by a tumor in the endocrine system.

Soon, Luan Yingjie took the film and came up. This time, he brought PETCT.

"I've done too many examinations and missed out on two. I'm sorry, boss Zheng. I'm sorry, Brother Yun. " Luan Yingjie bowed and apologized repeatedly.