Chapter 1601: 1550 It's All Because of Hair Dye

Liu Zewei wore a bitter look, gazing at Su Yun with a pleading expression.

Several banners, like urgent summons talismans, were held by the patient's family behind him, two meters away, and Liu Zewei could also feel the heat coming from them.

"Have you had any previous illnesses?" Zheng Ren continued asking, completely unaware of Liu Zewei's embarrassment.

"No." The patient's family saw the banner, then saw the provincial old director standing somewhat embarrassedly beside this young doctor, and also felt particularly strange.

What is all this? The interpersonal relations in the capital seem very complicated.

"Do you have hypertension, coronary heart disease, or diabetes?" Zheng Ren continued asking.

"No." The patient's family, with scattered thoughts, said: "Just willing to spend money, I think it's because the family finances have been tight lately that she got sick. Sigh, Chief Zheng, to be frank, at City First Hospital it costs over 3000 a day. Although it can be reimbursed, the pressure is also great."

Over 3000, probably including various examinations and the cost of high-nutrient intravenous feeding after fasting.

This amount is not considered much.

"Fortunately, the medicine used should be reimbursable." Zheng Ren comforted him.

"Sigh, after reimbursement, it's still several hundred a day. My wife always says that the money we usually save by being frugal is all spent on treatment." The middle-aged man muttered.

What he said, there wasn't much serious talk.

"Three days per bottle of Fairy Water." Su Yun habitually interjected.

"That's right, one day is enough for her to do a hair treatment once, two days she could sell a week's worth of face masks, three days equals one bottle of Fairy Water." The middle-aged man said bitterly.

This financial calculation, it seems he has done it more than once.

Zheng Ren was seriously examining the film, Chang Yue and Liu Zewei called him to take a photo, but he directly refused.

Seeing Liu Zewei's bald head standing among the patient's family, he indeed looked like a director. Dignified and imposing, especially the bald head, which made him look older. Although older, are doctors becoming more valuable?

Zheng Ren smiled, and suddenly his heart stirred.

A idea flashed and vanished, Zheng Ren froze. Such inspiration comes from the subconscious; if not caught at first, one might never think of it again in a lifetime.

But……

What exactly is it?

What Zheng Ren can be certain of is that it definitely relates to the patient's condition before him.

His gaze fixed, he didn't look at the photo of Liu Zewei, Chang Yue, and the patient, nor at the film. Staring at the medical record cart, even he himself didn't know what he was thinking.

"Boss, what are you thinking about?" Su Yun asked.

"Don't speak." Zheng Ren seemed to be about to grasp that thread of inspiration, but was disturbed and it drifted away.

"Sick." Su Yun said contemptuously: "Fugui'er, come look at the film!"

Professor Rudolf Wagner was happily taking a group photo with the patient's family, he didn't care whether his name was written on it, he valued the process.

Moreover, a blond, blue-eyed foreign professor standing beside Liu Zewei made him look even more high-end.

International Medical Team, this is truly an international medical team.

"Hmm." The professor responded with a sound, made a gesture, after taking the photo came to Su Yun's side: "Yun Ge'er, this is an incomplete intestinal obstruction, nothing to see. The whole wave is blocked, and no intestinal polyps were seen."

"Fugui'er, you shouldn't say that, when you stand there and flip your hair, you really have style." Su Yun laughed and joked: "When you go back to Heidelberg later, we'll make a wax figure of this side, with a wig, specially for photos..."

Midway through speaking, Zheng Ren suddenly clenched his right hand into a fist and struck it against his left hand.

A muffled thud.

"Boss, what's wrong?" Su Yun said in surprise.

"Here, look." Zheng Ren pointed at the patient's kidney, speaking excitedly.

Su Yun carefully examined the film; the kidney had no major issues. If one had to say there was something, the interstitial fibrosis around the renal tubules would be the biggest problem.

"Interstitial fibrosis? What can it prove?" Su Yun asked in astonishment.

This is also what the professor wanted to ask.

The patient's interstitial fibrosis is not obvious; only careful examination can reveal the faint traces.

"Lead poisoning! The patient's blood routine shows anemia, the liver also has problems, plus interstitial fibrosis around the renal tubules in the kidney, it can be diagnosed!" Zheng Ren regained his calm and began to speak.

Su Yun's eyebrows slanted toward the temples, brows furrowed, as he pondered.

"When lead poisoning occurs, an inclusion body often appears in the nuclei of glomerular cells, a lead-protein complex, its nature not yet fully understood."

"It is generally considered a cellular defense mechanism, storing lead inside the inclusion body to prevent direct toxic effects on the cell."

"Acute poisoning mainly affects the proximal tubule, possibly causing cell membrane damage, cell swelling, mitochondrial swelling, rupture, and reduction of granules in the matrix, etc."

"Chronic poisoning, besides damaging the renal tubules, mainly presents as progressive interstitial fibrosis, starting around the renal tubules and gradually expanding outward, with tubular atrophy and cellular proliferation coexisting."

Zheng Ren said: "It's lead poisoning, no doubt. Does your loved one dye her hair once a month?"

Saying this, he turned his head to look at the patient's family.

This is what Liu Zewei said during the earlier conversation.

Everyone just took it as a casual complaint, nobody took it seriously.

But now Zheng Renxian has laid out a bunch of pathophysiological change mechanisms, and also asked about hair dyeing, making some issues stand out.

"Yes." The patient's family felt somewhat confused, not knowing why intestinal obstruction would be related to hair dyeing.

"How much each time?" Zheng Ren immediately asked further.

"……" The patient's family was stunned.

What is this all about?

"Probably around 100 yuan." Su Yun said: "Right?"

"Ah? Ah!" The middle-aged man responded instinctively.

"Hair dye, especially low-quality hair dye, contains relatively high lead. Once a month, long-term dyeing leads to lead poisoning, which is normal." Zheng Ren smiled, his face full of pleasure.

"What is lead poisoning?" The middle-aged man asked quietly.

He felt that this doctor was so unreliable; although there was the provincial capital's director and a foreign professor, he was still unreliable.

Zheng Ren didn't answer the patient's family's words, but instead picked up the phone and dialed out.

Director Sun, hello.

Mm, once your side is ready I'll go back. Zheng Ren said: "First, let's talk about the serious matter: the patient named Li Liangfen—have your side run a blood lead and blood porphyrin test."

I think the Sheng Cheng Occupational Disease Monitoring Research Institute can handle it, Old Liu—please help get in touch. Zheng Ren said to Liu Zewei.

Liu Zewei nodded.

Director Sun, I'll give your number to Professor Liu at the Medical University Affiliated Hospital—you two get in touch. The patient should first undergo these two tests; I think it's an incomplete intestinal obstruction due to lead poisoning.

After confirmation, treatment with disodium calcium edetate to promote lead excretion—chelation therapy—should cure it after a few courses.