Doctor Song, are you married?

Chapter 452 451. Bone-eating blood disease
How should I put it? The CT report of this old man is indeed a fracture, but this fracture looks very strange.

The old man made it clear that he had not suffered any trauma and had not done any heavy physical work. However, his lumbar spine was fractured.

Judging from the CT films, the bones in the old man's lumbar vertebrae and pelvis were damaged to varying degrees, and there were many holes that looked like insect bites. Moreover, these holes seemed to not only exist in the lumbar vertebrae and pelvis.

This is rather strange.

The fracture was indeed a fracture, but it didn't look like it was caused by an external force. Could it be that there really were bugs in the bones? Song Qi thought a little whimsically.

Song Qi smiled bitterly and shook his head, finding his idea funny.

No, just when Song Qi was about to put aside this strange idea, the name of a hematological disease suddenly flashed in his mind: bone-eating blood disease!

Although the name sounds a bit scary, the description of the symptoms is indeed quite appropriate.

The first time Song Qi heard about this disease was when he was studying Felice's disease.

During that time, Song Qi read countless hematology documents and studied many cases related to blood diseases.

The so-called bone-eating blood disease is technically called multiple myeloma.

Clinically, multiple myeloma has a slow onset and generally has no obvious symptoms in the early stages, so it is easily misdiagnosed. It is generally discovered in the middle and late stages, and its clinical manifestations are diverse, including anemia, bone pain, renal insufficiency, infection, bleeding, neurological symptoms, hypercalcemia, amyloidosis, etc.

The cause of multiple myeloma is that myeloma cells secrete osteoclast activity factors and activate osteoclasts, causing bone dissolution and destruction. Bone pain is the most common symptom, mostly pain in the lumbosacral, sternum, and ribs. Due to the destruction of bone by tumor cells, pathological fractures may occur, and multiple fractures may occur simultaneously.

This old man's symptoms are very similar to multiple myeloma.

Is it possible?
Song Qi frowned and continued to search for relevant knowledge about multiple myeloma in his brain.

Anemia in multiple myeloma is common and is the first symptom. The anemia is mild in the early stage and severe in the later stage. Thrombocytopenia may occur in the late stage, causing bleeding symptoms. Bleeding of skin and mucous membranes is common, and in severe cases, visceral and intracranial hemorrhage may be seen.

Song Qi looked up at the old man opposite.

The old man is thin, with a yellow complexion and sparse hair. It is consistent with the appearance of anemia.

Looking more closely, Song Qi saw some clues in the old man.

For example, there are many bruises on the old man's arms.
"Excuse me, besides back pain, do you have any other symptoms?" After having an idea, Song Qi continued to ask about the medical history.

"There seems to be nothing else. Oh, and my whole body is weak, and I bleed every time." The old man said, subconsciously touching his nose.

"You often have nosebleeds?" Song Qi asked again.

The old man nodded, "Maybe it's because I've been too angry recently."

Song Qi smiled and said, "That's not necessarily the case. Old man, you go and lie down on the bed next to you first, and I will give you a physical examination." Song Qi pointed to an empty diagnosis and treatment bed next to him.

The conditions at free clinics outside are certainly not as good as those in hospitals. There are only a few treatment beds, which are shared by everyone. However, these are basically old patients. General physical examinations have been done during the first diagnosis, so the treatment beds are Basically idle.

"Let's just check the body. My mother's waist is broken and she can't move." The old man's son frowned when Song Qi said he wanted to check the body.

I just came to see Song Qi casually and didn't have much hope.

"You don't have to lie down, just let her sit, and I'll do a simple lymph node examination on her." Compared with Rong Xin's attitude, Song Qi's attitude towards the old man was completely different.

This is Song Qi's style. There is no distinction between high and low patients. As a doctor, he understands and respects patients, but he also hopes to be respected by patients. If he uses power to suppress others, he will not do this. .

Song Qi said and began to perform a physical examination on the old man.

An examination revealed that the elderly man indeed had hepatosplenomegaly, and the lymph nodes in his neck and armpits were also significantly swollen.

"Doctor, what kind of disease does my mother have?" The old man's son couldn't help but have a little respect for Song Qi when he saw Song Qi's careful examination, strictness and professionalism.

"It's hard to say now, but it should be clear after another blood test." Song Qi said, and opened a few test sheets.

Since it is a free clinic and there is no laboratory on site, if there are necessary examinations, they will be arranged to the nearest hospital. Of course, the hospital will also open a green channel for them. Generally speaking, examination reports will be issued before other patients.

"I still need to do a check-up." The old man's son frowned again.

"If you want a clear diagnosis, this examination is necessary." Song Qi heard the reluctance in the old man's son's words and said.

"Then, doctor, do you mean that as long as we do this examination, we can know what disease my mother has?" The old man's son also brightened up after hearing Song Qi's words.

"We won't know until the test results come out." Although Song Qi was 80% sure, in the current medical environment, diagnosis still needs to be based on evidence, and these inspection reports are the basis.

"Okay, I've seen so many doctors anyway, this one is the best." The old man's son hesitated, and finally decided to take a gamble.

Chen Ting’s relative’s house.

Rong Xin took Director Guo, a gynecologist, to sit in the living room and wait.

"Rong Chu, what kind of patient is this? Why is he so mysterious?" Director Guo asked.

Director Guo was quite speechless when he was inexplicably caught by Rong Xin. However, he thought that he was a gynecologist after all, and some patients did have some secrets that were difficult to explain to the doctor in public, so it was okay to ask the doctor to visit him through connections. That makes sense.

"Director Guo, when the patient comes out later, you can just check it out and say there is nothing you can do." Rong Xin said to Director Guo with an embarrassed look on his face.

"What? Just checking it out? Rong Chu, I am not selling tiger skin plasters. I, Guo Qingshan, have been doing gynecology for so many years, but I came out to get around with my real skills. I am not just a pimp going around in troubled waters." Director Guo When he heard this, he became angry.

Director Guo is a well-known brand in the field of gynecology. When he came to Rongxin, he was asked to check casually and then said that the patient was hopeless. Isn't this a disregard for human life?
"Director Guo, this patient's situation is quite special." Rong Xin blushed.

It was all Song Qi's fault that things had developed to this point, but what could he do? Song Qi didn't obey orders, and Director Chen put pressure on him, so he had no choice but to drag Director Guo into the muddy waters. .

"I don't care how special it is, or I won't watch it. If you want to watch it, you must watch it seriously," Director Guo said with a livid face.

Although Rong Xin is the leader of the provincial department and Director Guo is also a sensible person, if Rong Xin does this, he can no longer give him face.

Just as Rong Xin was about to speak, he saw the bedroom door open, and a middle-aged woman pushed a pale man out slowly in a wheelchair.

"What? Is it a man?" Before Rong Xin could speak, Director Guo was the first to be shocked.

(End of this chapter)