Chapter 1596: with translation of the chapter title

1545 I trust you, it has nothing to do with Chinese or Western medicine (Alliance Leader Yun Piao Ying extra update 4)

"Zheng Lao Ban, how come I can't feel any special aura on you?" Master Yan was concerned about this matter: "Ancient sayings, extraordinary people have extraordinary appearance; today I misjudged."

"Boss, are you sure? Let me feel." Su Yun, curious, walked over and said.

"Here, there's a nodule on the scalp, and a nodular swelling of the temporal artery, a typical sign." Zheng Ren's finger touched a certain spot, he called Su Yun to come look.

Master Yan was stunned.

I've wandered the martial world for decades; no matter where I go, as long as I reveal my identity, who doesn't treat me with courtesy?

But how did I suddenly become a patient today, and moreover a rare disease of the sort that, after a doctor examines it, they call others to come look?

Su Yun's finger touched the spot Zheng Ren had just touched, and he said: "Indeed, the temporal artery's pulse is weak, with nodular swelling. Consider temporal arteritis, visual impairment due to insufficient blood supply. Huh? No, why does the temporal artery feel deformed?"

"Deformity? No, it should be a small thrombus formed after narrowing." Zheng Ren said, "It's been a long time; I don't know if the clot can be removed."

"Is it the same as Sister Lin's?" Su Yun asked.

"Pretty much." Zheng Ren said: "But Sister Lin's case was diagnosed timely, the blood vessels reopened relatively quickly, and she was hardly affected. This old gentleman's case, although not a complete blockage, cannot be operated on."

"Can't do surgery." Su Yun was a bit disappointed.

In his view, surgery is still clean and swift. Whereas internal medicine medication, recovery is much slower, cannot see immediate effect.

Zheng Ren also knew what he was thinking, but the condition here is not something you can just say you'll do surgery and do it.

How to treat it, in the end still depends on the patient's own condition.

You say a word, I say a word, the two of us have already talked about the surgery.

"Zheng Lao Ban, wait a moment." Song Ying gave a wry smile and said, "What disease is it?"

"Giant cell arteritis, this disease's etiology is unknown; the biggest risk factor for developing giant cell arteritis is old age. It never occurs before age 50, and after age 50 the incidence of giant cell arteritis steadily increases." Zheng Ren said.

"The older one gets, the more prone to this disease?"

"Generally speaking, that's the case, and we don't know how to prevent it. But don't worry, as long as you have a problem, go to the hospital. Any decent tertiary hospital can diagnose it." Zheng Ren said with a smile.

"……" Master Yan sat in the chair, silent.

"Headache, due to giant cell infiltration of the temporal artery, is the main manifestation of temporal arteritis." Zheng Ren continued: "Generally it is unilateral or bilateral temporal, frontal, or occipital tension-type pain, or superficial burning pain, or paroxysmal tearing-like severe pain."

"The skin over the painful area is red and swollen, there is tenderness on pressure, and sometimes one can feel scalp nodules or nodular swelling of the superficial temporal artery, etc."

Having said that, Zheng Ren paused, then asked: "Master Yan? Shall we go to the hospital together?"

We have to go to the hospital now?

Song Ying gave a wry smile, looking at Zheng Ren.

He really is just a doctor; aside from treating illness, he basically doesn't want anything else.

The person being examined is actually a famous earth master.

Such earth masters, if you don't know them, you might go a lifetime without knowing; but those who do know them are basically wealthy and noble people. They treat earth masters as honored guests, consulting them on yin-yang and feng shui.

But in Zheng Lao Ban's eyes, it amounts to nothing; he's just a patient.

This could be considered disrespectful to Master Yan, right?

However, looking at Master Yan's attitude toward Zheng Lao Ban, the earlier worries have all dissipated.

But is it really appropriate for Zheng Lao Ban to treat Master Yan as a patient?

"Shall we go to the hospital to have a look? Master Yan?" Zheng Ren said softly, feeling as if he were speaking to a master chef at a restaurant.

"Can it be cured?" Master Yan thought for a moment, then asked softly.

"I dare not guarantee it, but we can give it a try." Zheng Ren said.

Master Yan didn't think too much about it, directly stood up and said: "Then let's go have a look."

"Master..." the boy suddenly said.

"How?"

"If we're going to do surgery, should we say something to our senior brother?"

"I'm not yet muddle-headed; what's there to say to him? Besides, didn't Zheng Lao Ban say no surgery is needed?" Master Yan, though thin and wiry, still carries a graceful demeanor in his gestures.

He reached out and lightly tapped the boy's head, saying: "You're hasty in handling affairs; you don't listen carefully to what Zheng Lao Ban says."

The boy said nothing, silently following beside him.

"Thank you for everything." Master Yan clasped his hands and said to Zheng Ren.

"It's a small matter; first do a vascular Doppler, then we'll see if surgery is possible after it's done." Zheng Ren said politely.

The prepared dinner was simply skipped.

Driving back to room 912, Su Yun first contacted the on-duty Inpatient Chief of the ultrasound room.

At night, vascular ultrasounds aren't performed; if we need to do the test immediately, we have to give notice first.

However, Zheng Ren can do it himself; it's just turning on the machine, not a big deal. Anyway, no queuing, no occupying staff, these are all minor things.

Master Yan went with the flow, without stubbornly refusing Zheng Ren's request.

I don't know whether he wanted to continue observing a bit more, to find out why he misidentified the person. Was it because Zheng Lao Ban's heroic spirit was internalized, returning to simplicity and authenticity, or because of the content of that letter sent by Song Mo Yi that caused him to misjudge.

Transcranial Doppler showed markedly reduced flow velocity in both ocular arteries and the right superficial temporal artery; preliminary diagnosis is temporal arteritis.

"Old sir, are you planning to go home for treatment, or stay in Di Du?" Zheng Ren asked politely.

"I've looked, looked it over, just misjudged." Master Yan chuckled: "Go back, and please trouble you to write me a treatment plan."

"I thought you didn't believe in Western medicine."

"I trust you, it has nothing to do with Chinese or Western medicine." Master Yan said while smiling, and followed Zheng Ren out of the color Doppler room.

His steps are steady; you can't tell he's already 84. Most importantly, you can't tell his eyes can't see anything, and what impact that has on him.

This old fellow, too, could be considered a strange person, Zheng Ren thought to himself.

"Su Yun, help me note this down." Zheng Ren said.

"Oh, just a moment." Su Yun went to borrow pen and paper, made a gesture, and Zheng Ren began to say: "Dexamethasone 10 mg once daily intravenous drip, apply B vitamins, pay attention to blood sugar control."

Su Yun wrote up to this point, then handed the A4 paper in his hand to the boy beside Master Yan.

"All done?" the boy asked in surprise.

"Yeah, what else do you want to use?" Su Yun said.

"It's just oral vitamins, plus using hormones, right?" the boy said contemptuously.

Looks like he also knows a bit about medicine.

"It's not a serious illness; these treatments are enough." Su Yun slapped the A4 paper into the boy's hand, saying: "Go back and treat according to what's written here, and report your condition on time."

"……"