Chapter 1832: with translation of chapter title

Urology Department requested a hospital-wide consultation.

All relevant departments were summoned, and even because of gallbladder area tenderness, Gan Dan Wai Ke was also called in.

In the office, Yu Zong reported the medical history, and many professors gave their opinions.

More laboratory tests were done, yet Yu Zong found none of the opinions constructive.

This complicated condition is quite thorny, yet it cannot be delayed. Yu Zong knows the patient is in great pain; this near-death pain truly makes people feel depressed.

If delayed for several days, even if a clear diagnosis is later made and proper treatment alleviates the condition, the patient would likely be left with strong psychological trauma and possibly develop depression.

"Then let's do that." said the Medical Department staff member in charge of hosting the hospital-wide consultation politely: "Thank you for your trouble."

Everyone also knows that the opinion they raised is merely a possibility, a low-probability one. Wanting a clear diagnosis…… they themselves don't really believe in this diagnosis.

Packing up, preparing to leave, the office door was pushed open, and Zheng Ren strode in.

"Zheng Lao Ban?" Yu Zong exclaimed in surprise.

"Mm, the diagnosis is ready." Zheng Ren's face bore a bright smile.

"Er……" everyone sat back down.

Everyone was also curious; this kind of fantastical condition, lacking a stone in the "urinary system stone", what exactly did Zheng Lao Ban diagnose as the disease?

"Check a cervical spine Nuclear Magnetic Resonance." Zheng Ren said.

"……" Yu Zong was speechless.

Is this meant to be a full-body examination?

What relation does a cervical spine Nuclear Magnetic Resonance have to renal colic?

"That's right, I'll briefly say two sentences." Zheng Ren stood before the film viewer, with the film viewer behind him turned on, as if he radiated light all over.

Su Yun found it amusing; the boss surely had figured out what position to stand in to be more noticeable!

This position is extremely handsome, even more golden than the golden ratio point; I'll definitely try it when I get the chance.

"When young, the patient was an athletic prodigy, maintaining considerable exercise volume all these years." Zheng Ren said.

"Zheng Lao Ban, this probably has nothing to do with renal colic, right?" Yu Zong asked weakly.

"There is a connection." Zheng Ren said with a smile: "I'll first state the diagnosis, considering the patient has mild stenosis of the cervical intervertebral foramen, which can irritate the nerve roots, exciting the cervical sympathetic nerves. When it weakens, it reflexively excites the vagus nerve, thereby causing the gallbladder neck sphincter and ureter smooth muscle to contract, leading to biliary-renal colic."

"……" the office fell into Silence.

If it weren't for Zheng Lao Ban, had it been someone else, I'm afraid people would have started to lose patience, standing up to leave.

The reason the professors and directors present didn't leave is because Zheng Lao Ban's recent diagnoses have been legendary. Especially the incident where Lao He administered an epidural anesthesia to Section Chief Mao, which people still occasionally recall to this day.

Could it actually be true?

Although it sounds absurd, seeing Zheng Lao Ban's grave and earnest expression, the Inpatient Chiefs and professors from various departments who came for the consultation were dazed.

"But the patient has hematuria." Yu Zong was still struggling.

"Athletes or healthy individuals undergoing training often exhibit hematuria immediately after intense exercise, and its severity is closely related to the exercise load and intensity."

"But……"

"Yu Zong, you mean that in most cases of exercise-induced hematuria, the red blood cells in the midstream urine completely disappear within 24 hours to 3 days after exercise, right?" Zheng Ren said.

Yu Zong nodded; it seemed Zheng Lao Ban had it figured out.

"The patient is in severe pain, muscles spasming, forced posture, activity level higher than normal exercise." Zheng Ren said: "Persistent hematuria is also understandable."

"Then what?" Yu Zong asked while taking notes.

"No 'then after'; it's just a simple cervical spine condition; the patient should be consulted by Orthopedics Department. A neck brace, some medication, and they'll recover quickly."

"……" Yu Zong was speechless again.

"Unscientific physical exercise actually leads to, or even accelerates, chronic strain of the muscles around the cervical spine." Zheng Ren said, "Excessive activity, frequent neck movements from playing badminton, thus causing cervical spine disease."

"Cervical spine disease is not only something you get from sitting at work or constantly using your phone."

"Is it really that simple?" Yu Zong still couldn't believe it.

"Mm, it really is that simple." Zheng Ren said, "Because of the renal colic, both the patient and we overlooked his mild right shoulder pain and right upper limb numbness. After all, compared to renal colic, shoulder pain and slight hand numbness are easily overlooked."

Zheng Ren scanned the office, seeing no one speaking, he smiled and said: "If anyone has doubts, let's do a local block."

That is indeed an immediate-effect method; if local symptoms ease and the renal colic also eases accordingly, it proves Zheng Lao Ban's diagnosis is correct.

Although this diagnosis sounds unreliable, it indeed is.

A local block usually involves injecting a mixture of a certain concentration and amount of dexamethasone injection and hydrochloride lidocaine into the lesion area.

Used to treat pain conditions, mainly utilizing its anti-inflammatory effect. They can improve capillary permeability, inhibit inflammatory response, and reduce damage caused by pathogenic factors to the body.

Local blocks are rarely used as diagnostic therapy in clinical practice; in the 912 Hospital, most are performed in outpatient settings.

The block is simple; Zheng Ren completed it in two minutes under the watch of many professors and directors.

The whole process was simple and swift.

Everyone's eyes were fixed on the patient, some with anticipation, others with various thoughts.

Within less than ten minutes, the patient's renal colic symptoms noticeably eased. Including the patient, everyone wondered how a needle in the neck could make the stomach stop hurting.

This is also somewhat unbelievable.

"Mm, the diagnosis is still fairly clear." Zheng Ren, looking at the patient's performance, very satisfied: "Yu Zong, hurry up and do the Nuclear Magnetic Resonance, then consult Orthopedics Department. It's a simple problem; I estimate the condition won't be severe."

"Oh, oh." Yu Zong saw that after the block, the patient's renal colic also disappeared, leaving him dumbfounded.

He had considered almost all possible issues, but abdominal pain caused by cervical spine problems had never crossed his mind.

This idea is too strange, too unbelievable.

Yet no one objected; a single injection of local block promptly relieved the patient's renal colic symptoms, which is sufficient to illustrate the point.

Others marveled and left one after another. Yu Zong then ordered an emergency cervical spine Nuclear Magnetic Resonance, had the patient undergo the test. Afterwards he pulled Zheng Ren and Su Yun into his Zhibanshi for a lengthy interrogation.

Although the logic is understandable, he still refused to believe it in the end.

……

…

Note: Last year, a patient who came to our department head for treatment happened to have a case similar to one that a senior fellow disciple gave me, so I used it.

I searched for similar case records; hematuria is uncommon, and the case used here is relatively extreme.