I can see the status bar

Chapter 712 Narrowing
Not every adult is quick to accept that something might be wrong with their body.It's not that Sun Li'en has never seen someone who has become devastated because of the doctor's inference.

The diagnosis itself can have an impact on the health of the patient.This is a very simple fact.Before the official results came out, Sun Li'en didn't want to irritate the white-collar woman in front of him.

Her dark circles look really noticeable, and her hair looks a little thinner too.The neck part of the white shirt was slightly blackened—the neck hurt so bad that she couldn't move, and it took her three days to see a doctor. She was probably really busy and didn't have time to do laundry.

This kind of patient should not be frightened.At least not casually scared.What if I startled someone, turned around and ran out of the hospital, delaying the treatment?
Sun Lien carefully chose to complete the imaging data first, and then consider the sequence of other lesions. A CT scan is fast enough to rule out some other problems as quickly as possible.And it's not too expensive - which is downright friendly for office workers.

Even so... Wang Li was still frightened.She glanced at Sun Li'en in disbelief, "I just have a neck pain, so it won't cause a fracture, right? Just give me a painkiller injection and it will be all right?"

"If you don't know the root cause of the problem and use pain relief injections immediately, the best result will be to relieve your pain temporarily." Sun Lien patiently explained, "The pain relief injections we commonly use have limited pain relief effects. “The pain in your body may not be as effective. If you’re going to be on opioid painkillers, you’ve got to have a definite diagnosis — and you can’t find the cause, and you’re still in pain after the painkillers wear off.”

If the patient resolutely refuses treatment, the doctors can't solve anything even if they have all kinds of means.Fortunately, Wang Li doesn't seem like the kind of person who is particularly stubborn and can't listen to words.After frowning and hesitating for a moment, she agreed to pay for the inspection.

After Wang Li left the consulting room, Sun Lien called the next patient again.But during the consultation process, the energy he devoted to it was affected to some extent - the new patient complained of headache, fever and cough, coupled with perfect lung percussion dullness, and occasional crepitus , combined with the rust-colored sputum that the patient cleverly took with his mobile phone, Sun Lien can tell that this is a textbook-level patient with lobar pneumonia without even looking at the status bar.

The new patient's diagnosis was simple and clear, and Sun Lien couldn't help but focus on Wang Li.It's not because of how good-looking this female office worker is - a female office worker with dark circles under her eyes and a disheveled appearance that doesn't even wash her white shirt is really not attractive to the opposite sex.What he cared about was Wang Li's condition.

The four words of women of childbearing age are generally highly related to "autoimmune diseases" and "endocrine diseases".Fluctuations in estrogen levels during a woman's reproductive years affect a wider range of things than one might intuit.Under the action of estrogen, many originally normal organs may have functional problems.This makes women of childbearing age a high-risk group for various autoimmune diseases and endocrine diseases.

But estrogen's effects on the human body are not all negative.Estrogen can reduce vascular permeability, lower serum cholesterol, and at the same time promote bone density.This is also the reason why the incidence of coronary heart disease and osteoporosis in women after menopause is significantly higher than that before menopause.

From this point of view, Wang Li's sudden severe neck pain after strenuous exercise should not have much to do with the fracture.Generally speaking, there will be no major problems with the bone quality of women of childbearing age.And there is a high probability that vascular problems will not cause Horner's syndrome - even if there is atherosclerotic peeling, it should affect the brain tissue rather than the sympathetic nerve center.

It couldn't be that he turned his head too hard in freestyle, which caused the sympathetic nerve center to swell... Sun Lien shook his head, and shook off this unreliable idea from his mind.

What if exercise is not the immediate cause?Could it be exercise that causes some disease-causing agent to emerge from beneath the surface?Sun Lien continued to reason in his mind, and skillfully prescribed blood tests and X-rays for patients with lobar pneumonia.

Swimming is not the same as normal sports.It puts little burden on the joints of the body, but puts a lot of pressure on the heart and lungs.Athletes need to hold their breath for several times continuously and make exercise movements.

Such an activity would be cardio-respiratory stressful, but...would it cause neck pain?Sun Lien was a little uncertain whether this reasoning was feasible.Instead, he thought of diver's disease - an occupational disease in which nitrogen gas escapes from the blood and enters the joints due to rapid ascent, causing severe pain.But Wang Li only had pain in his neck, and there was no problem with other joints.Moreover, in Ningyuan, a city not facing the sea, a white-collar worker would never dive to a depth of ten meters and then quickly rise to the surface after work.

The sign that this road is blocked has been posted on the diagnosis of diver's disease, and Sun Li'en is still thinking about other possibilities.But no matter what he thought, he couldn't make the connection between autoimmune disease and cardiorespiratory stress.The only possible inference is that Wang Li may have some kind of respiratory or lung infection caused by choking on water while swimming.And the infection may exacerbate pre-existing autoimmune disease.

This reasoning is somewhat reluctant, at least for now there is no conclusive evidence.At least Sun Lien didn't think his reasoning could explain Wang Li's sudden severe neck pain.Progressive aggravation can be perfectly covered by this theory.

It's useless to ponder so much now, it's better to wait for the results of the video to come out.Sun Li'en looked down at the time on his phone, and decided to order a claypot rice tonight - it is obviously unrealistic to queue up in the cafeteria.After 06:30 in the evening, he can have about an hour of rest time, which is just right for eating.

Just after placing an order and calling for takeaway, Sun Lien's phone rang suddenly.After picking up the phone, the voice of Image Keluo came from the other end of the phone, "Dr. Sun, the image of your patient has appeared. I think it may be a bit troublesome-you can place a B-ultrasound order."

"Ah?" Sun Lien was taken aback when he heard the words, "What's going on?"

"The image of her right vertebral artery is not right." When communicating the condition on the phone, you don't have to be as rigorous as issuing paper documents. Luo Ge hesitated on the phone, "I saw that her right T5 vertebral artery was going wrong. That's right—the vertebral artery is suddenly very thin at this location."

"The narrowing of the vertebral artery? Is it physiological?" Sun Lien suddenly closed his mouth, the narrowing of the T5 vertebral artery... It is not completely impossible to affect the nerves of the T1~T2 cervical vertebrae.And this sudden narrowing is associated with pain... Sun Lien immediately made a decision, "I'll prescribe it now, Brother Luo, tell her to come to the emergency room immediately!"

(End of this chapter)