Chapter 1602: with translation of chapter title

Boss, are you sure? Su Yun asked.

Not to mention others, even Su Yun was confused.

"It should be fairly certain." Zheng Ren laughed: "Lead poisoning will impact the digestive system, hematopoietic system, immune system, etc.; clinically, the most common symptoms are primarily digestive."

The patient's clinical symptoms were intermittent abdominal colic centered around the umbilicus, accompanied by belching, constipation, and reduced bowel sounds.

Clinically, it is easy to misdiagnose as a digestive system disease.

After admission, abdominal CT and CTA were performed, and the results ruled out acute inflammation of abdominal organs, organ torsion or rupture, peritonitis, intra-abdominal vascular obstruction, and abdominal wall diseases.

So I think lead poisoning is a reasonable guess. Moreover, you just saw changes in the patient's renal imaging, combined with the anemia from the blood count, the diagnosis of lead poisoning should be fine.

"The inference is a bit forced, but still plausible. Yet you're so certain—who gave you that confidence?" Su Yun still seemed surprised.

But after thinking it over, I still didn't have full confidence to overturn Zheng Ren's conclusion.

"Rich clinical experience." Zheng Ren said seriously.

"Tch." Su Yun especially despised his pretentious remark.

"Lead poisoning from hair dye is rarely reported domestically and abroad, so it's easy to misdiagnose clinically. Literature reports that misdiagnosing lead‑induced intestinal colic as surgical acute abdomen has a misdiagnosis rate as high as 43%." Zheng Ren began to hit people with data.

Although the misdiagnosis rate was given as the precise figure of 43%, Su Yun did not believe it was true.

The more precise it sounds, the more it seems like a lie.

"After the test we'll know if it's right or wrong." Zheng Ren said: "You can go back first; I can only do this much on my end."

The patient's family member stared blankly for a while before realizing Chief Zheng was telling them to leave.

"Oh." He said with his head down, feeling Discouraged.

In the middle‑aged man's view, this was just brushing him off.

Whatever lead poisoning, it's nonsense. If you don't understand intestinal obstruction, don't spout nonsense.

Still, the old doctor at the Medical University Affiliated Hospital is reliable; otherwise I could ask him again. The patient just now sent a banner to him, not to any Chief Zheng at all.

The middle‑aged man furtively glanced at Liu Zewei with the corner of his eye.

At this moment, the old doctor's aura had overwhelmed the Charm Value that Big Pig Trotter had given Zheng Ren.

Some things, especially prejudices, even Big Pig Trotter cannot overcome.

But the middle‑aged man saw a scene he could not forget.

Liu Zewei called to arrange the lab test, then walked up to Zheng Ren, waist slightly bent, wearing a respectful expression, and said, "Zheng Lao Ban, the test arrangements are complete; the patient's family can send blood samples anytime. But don't delay too long—best within four hours."

"Can it be done right away?" Zheng Ren asked.

"Given your diagnosis, the test will definitely be done immediately." Liu Zewei gave an apologetic smile, trying to ease the embarrassment from earlier when the patient's family only asked him for a photo, and said, "Rest assured, once the blood sample is sent over, the result will surely come out within two hours. I've said hello; the director's father over there—I performed his Shou Bing, and when I return I'll still need to find him."

The middle‑aged man froze.

On Liu Zewei's face he saw fawning flattery, even to the point of sycophancy.

It was obvious, not trying to hide it at all.

"Okay, uh… the family of Li Liangfen?" Zheng Ren called out.

"Oh, oh." The middle‑aged man replied immediately.

"You can send it yourself or have someone send it—just hurry." Zheng Ren said: "After you go, the result will be out in two hours; then let Director Sun tell me."

"Oh, oh." The middle‑aged man was almost speechless, not knowing what to say, just uttering "oh".

Zheng Ren was happy; lead poisoning from inferior hair dye was also his first encounter. Too bad he couldn't perform Shou Bing, so he couldn't use surgical completion to prove whether his judgment was correct.

His heart was a mix of anxiety and excitement.

This counts as a difficult miscellaneous case; I didn't rely on Big Pig Trotter to judge it. If the diagnosis is correct, it means my Diagnostic Level has made substantial Progress.

"Sure." Su Yun pondered Zheng Ren's reasoning, then laughed and said.

"Normal reasoning—once you think about it, it seems more and more like that." Zheng Ren said: "Still, reversing the logic is somewhat simpler."

"I've heard before of an old man with a similar condition." Su Yun looked at the patient's films, feeling emotional, and said: "He liked massage, going for a rubdown every day."

"Essential oil?"

"Yeah, he kept getting rubbed for a long time, later hospitalized for renal failure." Su Yun said: "I didn't see it myself, but reportedly the final diagnosis was also lead poisoning."

"Having similar cases makes the diagnosis more certain." Zheng Ren's attention remained on the patient before him, never wavering.

"Renal failure is easy to diagnose, but intestinal obstruction caused by lead poisoning is too easy to miss." Su Yun said.

"Okay, that's it then." Zheng Ren happily waved his hand, took the film off the viewer, and put it into the appropriate sleeve.

The lab slips were also neatly arranged in chronological order, well organized.

After the middle‑aged man finished his call and returned, seeing everything tidied up, he kept thanking them, then asked Liu Zewei for contact information.

"Will you go back to send the blood sample, or will someone else from your family go?" Zheng Ren asked.

"Family will go." The middle‑aged man said: "Everyone's desperate; as soon as they heard there might be a clear diagnosis, they went straight to find Director Sun. I guess… they should have left by now."

"That's good—go early, get the test results early, and start treatment early." Zheng Ren said.

"Chief Zheng, if you're certain, can we start treatment right now?" The middle‑aged man asked cautiously.

"Just a matter of a few hours." Zheng Ren patted his shoulder and smiled: "If it's wrong, using the wrong medicine would also be a big problem."

"Okay, okay." The middle‑aged man nodded repeatedly, feeling a bit embarrassed.

"Go find a place to sleep; don't drive back nonstop." Zheng Ren said: "Wait a few hours, after you wake up the results will be out. If the diagnosis is wrong, I'll take you to see the director of Gastroenterology Surgery 912 for another look."

The middle‑aged man repeatedly Jiu Gong, thanking Zheng Ren for his thoughtfulness. This way, he wouldn't have made the trip for nothing.

But Zheng Lao Ban said it so lightly—will the big director of 912 even bother with a small doctor like him?

After he left, Zheng Ren still recalled the diagnostic process, feeling somewhat pleased.

Suddenly, before he could show off, he caught sight of Su Yun's face turning ashen, her hand holding the phone trembling slightly.

"Su Yun, what's wrong?" Zheng Ren asked.