Chapter 462: Application of Auscultation, Congenital Bone Marrow Aging
There was no other choice but to ask the family to put the patient directly on the treatment bed.
Li Quan found that the little boy looked young, but his skin was dull, there were even wrinkles at the corners of his eyes, and some white and gray hair could be seen at the temples on both sides. In addition, the little boy's eyes were not as innocent as those of a child.
It's more like the eyes of an adult man, revealing the vicissitudes and insight into the fickleness of the world.
There are only two possibilities for such a young child to have white hair. Either it is inherited from the parents or it is congenital.
Either they look young on the surface, but are actually quite old.
However, people who are born with a tendency to have white hair usually do not start to grow white hair at the temples, but instead the hair is distributed randomly all over the place, including the top of the head.
Li Quan decided to take the little boy's pulse first.
When Li Quan reached out and held the little boy's wrist pulse, he was secretly shocked and his movements became extremely cautious.
Because the little boy's arms were too thin.
To the touch, the bones are as thin as paper.
I was really worried that if I used too much force, the little boy would suffer a broken bone.
After carefully checking the little boy's pulse, Li Quan was even more surprised.
"There are some problems with both the liver and kidneys. The liver is not strong, and the kidney deficiency is more serious. In addition, judging from the little boy's pulse, it does not look like a child's pulse. It is more like the pulse of a middle-aged man in his forties or fifties. The pulse is beginning to decline and is weakening."
Also, this little boy's tendons are particularly thin.
As the saying goes, if the tendons are not strong, the bones will not be strong.
But what was the specific cause of this little boy’s illness?
Are your tendons and veins naturally weak?
"Mr. Xia, can I take your pulse?" Li Quan couldn't help but look at this ragged man in his fifties.
"Okay, okay!"
The fifty-year-old man had great respect for Li Quan.
Li Quan took his pulse and found that the man's pulse was normal and his tendons were strong.
Of course, this may be related to the fact that men have been engaged in physical labor for a long time.
Muscles and bones can be made particularly strong through acquired efforts.
If you observe carefully, you will find that most white-collar workers who work in offices for a long time and those who do mental work in the IT industry have delicate skin, small arms and legs.
Porters, construction workers, and farmers who engage in heavy physical labor for a long time have particularly strong and .
This is not innate, but is developed step by step.
"Mr. Xia, although your son looks like a child, his actual age should be much older, right?" Li Quan thought for a moment before asking.
"Oh, it seems I have found the right person this time. Doctor Li, my son is now 35 years old." Mr. Xia had heard that Li Quan's medical skills were very advanced.
Now that he saw that Li Quan could tell his son's actual age at a glance, he had more trust in Li Quan's medical skills.
"I just checked and found no injuries on your son. But his liver and kidneys are not in good condition. Especially for kidney deficiency, he needs more nutrition. What disease do you want to treat this time you brought him here?"
Li Quan asked.
"Alas, it's all the result of the evil deeds that the child's mother and I have sown! Back then, the child's mother and I were cousins, blood relatives within three generations. We were young and ignorant, and we tasted the forbidden fruit. Later, he was born."
Mr. Xia sighed and began to explain the cause of the child's illness.
"When this child was born, he was no different from other children. Because he was born prematurely, he was very thin. When he was about six or seven years old, other children of the same age were two heads taller than him, and the shorter ones were at least one head taller than him. At that time I realized that this child might have defects due to inbreeding.
So I started looking for medical treatment and medicine with my child.
A lot of money was spent and the family was deeply in debt, but there was no effect.
Later, I really didn’t have the money to treat my son, so I thought it would be fine if he was shorter. As long as he didn’t have any illness or pain, that would be fine.
Who knew that as my son got older, he would start to cry out in pain from time to time. His body would hurt here and there.”
When Mr. Xia said this, the names of two diseases emerged in Li Quan's mind.
"Has your son been diagnosed with rickets and osteomalacia?" Li Quan couldn't help but interrupt him and asked.
"How could we not have checked it? We have checked all the major hospitals in our province and several famous hospitals in the country. Even the experts from two famous hospitals in Beijing shook their heads and said it cannot be cured."
When Mr. Xia talked about these things, he shook his head and sighed.
You just wanted to have a momentary pleasure, but now you have to pay the debt with your whole life.
I should have known that I should not have had the forbidden fruit with my cousin and should not have married a close relative.
"Have you found out what the disease is?" Li Quan asked again.
"Nothing was found. One said it was a rare bone mutation, and the next, another said it was a disease similar to osteomalacia. But no one could be sure, and no one could cure my son. They were all a bunch of quacks seeking fame and reputation."
Judging from Mr. Xia's expression at that time, he must have called those doctors quacks.
Li Quan felt very sympathetic towards those experts.
Modern Western medicine relies on various test data to diagnose diseases.
Even when they encounter a disease that is almost certain to be cured, experts have to put a question mark after the result when writing the diagnosis.
Mr. Xia’s son’s condition is extremely complicated. Which expert dares to diagnose what disease he has?
"Doctor Li, you are a miracle doctor, you must save my son. I would be willing to work like a slave for you in my next life." Mr. Xia held Li Quan's hand and begged bitterly.
"Mr. Xia, I sympathize with your son's situation and will do my best to treat him. But I believe that no doctor in the world dares to guarantee that he can cure your son."
Li Quan shook off Mr. Xia's hand without leaving a trace.
"If you're willing, I can write three test requests for your son. Mainly check the blood routine, bone mass, and bone marrow."
Although the family said that the possibility of chondroitinoma has been ruled out.
But Li Quan still wanted to check it out.
The so-called osteomalacia refers to a disease in which bone growth is slowed due to vitamin D deficiency or abnormal metabolic process. Its symptoms include body aches, poor growth and development, etc.
Mr. Xia's son's symptoms are highly consistent with rickets.
"Okay, then please check my son's condition. As long as there is a one in ten thousand chance, I am willing to spend a lot of money." Mr. Xia agreed readily.
Li Quan asked Luo Wenhao next to him to write three examination applications for the patient.
Blood tests are key.
I believe everyone has heard of the term "bone and blood". The original meaning refers to a man's biological son or daughter.
In fact, there is another way to understand this word if we analyze it from a medical perspective.
Blood comes from bones.
The hematopoietic stem cells in the bone marrow are the 'manufacturers' of blood.
Therefore, the words "bone" and "blood" used by the ancients actually have scientific basis.
As for ancient humans, with their underdeveloped technology, how could they know that blood is produced from bones? This is an unsolved mystery in the world.
There is a lot of wisdom from the ancients that cannot be explained by modern science.
…
It was not until after four o'clock in the afternoon that Mr. Xia and his son finished the examination and handed the results to Li Quan.
"The blood routine test is normal, and the test results of more than a dozen important trace elements for the human body are all normal. He has osteoporosis and is severely aged, with a bone age equivalent to that of a 60-year-old. The bone marrow puncture sample test shows that the cell differentiation rate is slow."
That's all I found out.
In fact, modern medicine has only partially explored the mysteries of the human body.
There is still a long way to go to fully explore it.
The human brain is the most mysterious part of the body. Even several top medical centers and specialized brain research institutions in the United States have not been able to explore all the mysteries of the human brain.
Only a small part was found.
There was once a team of experts in the United States that wanted to build a bionic human brain.
But after spending a lot of money, it ended in failure.
No aspect of the research has been successful, whether it is the more than 100 neurons or the complex construction and operation of the brain circuits.
What modern medicine has not explored is not just the human brain, but also many unknown trace elements and even blood components that may exist in the human body that have not been thoroughly explored.
After reading the results, Li Quan frowned.
He now finally understood why the experts from those top hospitals failed to diagnose what disease Mr. Xia's son had.
Not to mention them, Li Quan was also unable to find out.
We don't even know what the cause of the disease is.
"Mr. Xia, your son's condition is extremely complicated. I have never seen it before. Don't worry, I will check your son carefully." Li Quan took the patient's pulse again.
This time, the three major diagnostic medical techniques of observation, auscultation and palpation were all used.
Li Quan was holding back his anger.
I vowed to get to the bottom of the patient's illness.
He first observed the patient's complexion and qi, then listened to the sound, and deliberately pulled the patient's arms, legs and other parts to listen to the sound of bones.
The last step is to check the pulse.
Among the four diagnostic methods of observation, auscultation, questioning and palpation, pulse feeling, which ranks last, is the boss and the core examination method.
Observing the complexion, smelling the patient, and asking about the cause and symptoms of the disease are all just auxiliary means.
The patient has severe bone aging, but his actual age is only in his thirties, which means he should be in the prime of life.
The lesion cannot be bone.
Because bone aging is just a manifestation of a disease.
Just like some people, they clearly have a headache, but the problem lies in their feet.
Similarly, this patient's condition appears to be bone aging and severe stunting of physical growth and development, but the actual lesion site must be somewhere else.
Li Quan thought of the patient's kidney deficiency and poor liver function.
So could the lesion be in kidney deficiency?
He stared at the patient and observed him carefully. He found that the patient 's eye circles were dark and a little watery. His lips were white and his face was slightly bluish. His tongue coating was also white and dull.
Considering that the patient's conditions were extremely poor in all aspects, a man in his thirties who had not yet married would definitely have some physiological needs.
The patient himself has been in a state of mental depression for a long time.
If you find a way to satisfy your physiological needs, such as masturbation, it will be difficult to control yourself.
In this way, the patient's kidney deficiency and liver weakness are most likely not congenital.
Rather, after adulthood, people meet their physiological needs without restraint, which eventually leads to kidney deficiency.
After figuring it out, Li Quan had to look for a new site of the lesion again.
Just now, when I listened to the patient's hands and feet moving, the sounds made by the joints were very dull, small, and not crisp.
This indicates that the patient has osteoporosis and extremely poor bone quality.
For people with strong bones, the sound of bones is very clear and loud, like the sound of metal colliding.
Such a person will not be weak in explosive power.
The patient's bone sounds were like two dry branches hitting each other, very small and muffled, indicating that his bone quality was worse than that of an ordinary elderly person.
Li Quan was thinking hard, and a flash of inspiration seemed to come into his mind.
"A person in his thirties has worse bone quality than a person in his sixties. Could it be that the lesion is in the bone marrow? Is the patient's bone marrow naturally like that of an old person?"
An extremely bold guess suddenly popped up in Li Quan's mind.
[You have successfully performed the art of auscultation, skill points +10. ]
[You have successfully performed the art of visual diagnosis, skill points +10. ]
[You have successfully performed the pulse diagnosis technique, skill points +10. ]
At the same time, he obtained three skill points for the diagnosis of divine medicine. This made Li Quan very happy.
It seems that the bold guess just now was correct.
The patient's lesion is in the bone marrow.
Because the bone marrow is naturally like an old man, this leads to slow physical development and long-term lack of nutrition. Then all the symptoms, including poor bone quality, short stature, thin tendons and veins, etc., are caused by the natural aging of the bone marrow.
Think of it this way: bone marrow is the body's blood production factory.
The factories are already outdated, so how can the things they produce not be outdated?
Blood is the energy source of the human body. All nutrients are supplied by blood to various organs, tissues and even every cell of the body.
The blood produced is the blood of the elderly, so how can this child not grow slowly?
Now that the lesion has been found, Li Quan has no idea how to treat it.
Although his bone therapy has been promoted to the master level, which is equivalent to the director level of a modern hospital, it does not mean that it can cure all diseases.
Li Quan cannot cure the patient’s illness right now.
"Perhaps, if my bone healing skills are upgraded to the next level, I can treat this old boy."
Li Quan thought to himself.
"Mr. Xia, your son's disease has been found. His bone marrow is naturally aged, which leads to all the symptoms he has now. However, there is no specific medicine to treat it. If it is convenient for you, you can leave a contact number. When I develop a treatment drug, I will notify you as soon as possible to bring your son for treatment."
Li Quan said sincerely.
"Bone marrow is naturally aged?" Mr. Xia looked puzzled.
"Let me put it this way, the bone marrow is the production factory of hematopoiesis..." Li Quan patiently explained the relevant pathology to Mr. Xia.
"That's right! Doctor Li, you are more accurate than the experts from the top hospitals in Beijing. When will the treatment drug be developed?"
Mr. Xia became more respectful towards Li Quan.
I also trust Li Quan's medical skills more.
Because so many experts were unable to find out the exact cause of the disease, Li Quan was able to find it out.
This is the level.
