"Old Luan, your body is recovering very quickly." Su Yun sat down and joked with Luan Yingjie.
"Brother Yun, you're right." Luan Yingjie sat down and said with a smile, "Didn't you tell me to go on a ketogenic diet?"
"The effect is good, right?" Su Yun asked casually.
"The effect is good. My stomach is down and my blood sugar is under control. But now I have a deep impression of this saying — eating meat is just an ornament in life, carbohydrates are eternal happiness, "Boss Luan said with some emotion.
"Hahaha, think about what you lack. When I let you eat whatever you want, will you eat rice and drink cold water every day?" Su Yun laughed. "Stop chatting and get to the point."
"My father, 72 years old, had intermittent dizziness half a year ago. Strangely, he only gets dizzy when he eats, especially when he eats a lot of solid food like rice or steamed buns, "Luan Yingjie said. "At first, I didn't care. I thought I was busy with business and was not at home. The old man missed me, so he pretended to be sick and asked me to go home.
"Later, I went home and had a few meals with him. It didn't seem like he was pretending to be sick. Although he is 72 years old, he rides a bicycle every day and strolls around Sijiu City. He is in good health. But his dizziness when he eats can't be cured. He has lost a lot of weight. "
Zheng Ren listened to Luan Yingjie's explanation while flipping through the medical records and test results.
"I went to the hospital a few times and there are no problems. The doctors are also stumped."
"No other medical history?" Zheng Ren asked. "High blood pressure, coronary heart disease, diabetes, any? Does he take medicine every day? "
"None. His body is great, but it doesn't taste good now," Luan Yingjie said.
Zheng Ren flipped through the various test results.
The tests six months ago were as Luan Yingjie said, there were no problems. The blood tests were more complete, including liver and kidney function, ions, blood sugar, tumor markers, trace elements, blood uric acid, and other routine tests.
In terms of imaging, there was a slight arteriosclerosis on the head CT. There was absolutely no problem, and there was no tumor.
The Doppler examination of the skull base and neck blood vessels showed no problems. It was not caused by insufficient blood supply to the brain.
In terms of the heart, the echocardiogram and electrocardiogram were all fine. D2 and other related blood tests were also done in the later stages. There was even a coronary angiography.
There were no problems. This was considered good for a 72-year-old man.
Just like what Luan Yingjie said, there was no problem.
On the CT scan of the lungs, there were no tumors, trachea, bronchitis, or emphysema.
The veins of the lungs were clear, and one could tell that the function of the lungs was good.
The CT scan of the whole abdomen was also fine. The colonoscopy showed no problems, but there was no gastroscope.
"Why didn't you do an endoscopy?"
"I did it once. He just went in and passed the pharynx, and he couldn't do it anymore. Later, the doctor said to try again. 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 this happened before? I mean, before it happened half a year ago, "Zheng Ren said.
"No, such a strange thing has never happened before. No one in my family has ever encountered such a situation."
"How is the old man now?" Zheng Ren continued to look at the list and asked.
"Because I feel uncomfortable when I eat, I eat less from the start and mainly eat liquid food. But when he ate less, he said he had more difficulty swallowing. "
Zheng Ren put the test results aside and looked at the radiographic films under the light.
On the other side, it was bustling with people eating hot pot. He was watching the radiographic films alone, but Zheng Ren did not feel anything at all. It was as if this was normal.
"Strange," Su Yun looked at the lung CT and nagged.
"Yes, it's very strange," Zheng Ren said. "There are no problems with all the examination indicators."
"Blood system disease?"
"It doesn't seem like it," Zheng Ren said. "Whether it's a blood system disease or an endocrine system disease, there should be a reaction when they don't eat. It definitely won't only happen when they eat."
Su Yun nodded and continued to look at the radiographic films.
Zheng Ren suddenly thought of something and began to look for the radiographic films.
"Boss Zheng, what are you looking for?" Luan Yingjie asked.
"Have you done the B-scan of the upper digestive tract?" Zheng Ren asked.
"I've done it. It's fine." Luan Yingjie began to look for the radiographic films. He flipped through them for a while and said embarrassedly, "I might have left it in the car. I'll go look for it."
After saying that, he stood up and bowed politely before turning around and leaving.
"Boss Zheng, it's a mental illness, right?" Lao He turned around and expressed his opinion. "In the past, I met a patient from a mental hospital who came to our 912 for gastric cancer surgery. When I anesthetized him, he told me a story for a long time. "
"A story?"
"Sigh, it's something like a tragic life. He was cheated by someone and engaged in multi-level marketing. Later, he was arrested or something," Lao He said. "It's just like the real deal. He's the bane of his existence."
"What happened in the end?"
"His parents, wife, and children were all waiting for him outside the operating theater. It was a waste of my time for a surgery," Lao He said. "Later, when I asked, he said that he had an acting personality. If he didn't put himself in the play, he would feel uncomfortable all over."
"The possibility of a mental illness exists, but it can't be easily diagnosed," Zheng Ren said.
"It's not easy anymore. All the test indicators are normal. What do you think the diagnosis is?" Su Yun said.
"Let me think about it again." Zheng Ren held the test results in his hand and leaned against the sofa. His fingers gently tapped on the armrest of the sofa.
Su Yun felt that this guy was becoming more and more similar to Old Chief Physician Pan.
"We'll be able to make a diagnosis when we take a look at the upper digestive tract radiographic films," Su Yun said very straightforwardly. "He's 72 years old and doesn't even have a mild valve reflux. This body is too good. There's no problem with the electrocardiogram. It doesn't consider heart diseases. "
"What do you think it is?"
"Achalasia of the cardia. That's very likely," Su Yun said.
Achalasia of the cardia was a disease caused by the neuromuscular dysfunction of the esophagus and cardia. It caused the sphincter at the lower end of the esophagus to be relaxed and incomplete. Food could not pass through smoothly and was retained, thus gradually reducing the tension and peristalsis of the esophagus and dilating the esophagus.
However, under normal circumstances, the main complaint of this disease was not dizziness, but dysphagia, food reflux, and weight loss.
Zheng Ren carefully searched for various cases of achalasia of the cardia. There were also symptoms such as dizziness caused by malnutrition. But to say that eating was dizzy …
This was too strange. 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 radiographic films and came up. This time, he also brought the PETCT.
"I did too many tests and missed two. I'm sorry, Boss Zheng. I'm sorry, Brother Yun." Luan Yingjie bowed repeatedly and apologized.
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