Chapter 1623: 1570 Still Far Off (How Could the Sect Master Be Lonely and Still Get an Extra Chapter?)

"How is the adnexal area?" After a moment, Zheng Ren asked.

Behind the curtain, all was silent.

He glanced at Wang Zong, feeling somewhat troubled in his heart.

In less than half a year since I left, I no longer recognize some of the people here.

Things remain but people have changed— that's probably what it means.

In an instant, a hint of literary sentiment emerged from the depths of Zheng Ren's stone‑like heart.

"Doctor Zou, how is the adnexal area?" Wang Zong asked.

"There… there's an occupancy…" the ultrasound doctor stammered.

Zheng Ren nodded, feeling moved; the big pig trotter was still as reliable as ever.

When I first saw the disease diagnosis, I was also a bit dazed, never expecting it to still be true.

"Is it a teratoma?" Zheng Ren asked.

"……" Silence fell behind the curtain; after several dozen seconds, the ultrasound doctor whispered softly: "Chief Zheng, your ultrasound skills are high—could you take a look for me?"

Afterwards, Miao Xiaohua came out, pleading: "Zheng Ren, please take a look."

Her eyes were full of anticipation.

From the start, family members and Miao Xiaohua refused to believe Sun Xiaomei had a mental illness, but the "iron‑clad" facts showed it was definitely a psychiatric disorder, requiring a visit to a mental hospital.

Just thinking about how Sun Xiaomei's life would become gloomy made everyone nearby feel uneasy.

But I never expected things to take a sudden turn.

If it were triggered by a teratoma, that would mean it could be treated with surgery; and if surgery could treat it, then a cure would be possible!

How could this not make Miao Xiaohua delighted?

Zheng Ren smiled and nodded.

Seeing him go in, Wang Zong moved closer to Su Yun and whispered: "Brother Yun, what disease did Boss Zheng diagnose?"

Su Yun held her phone, quickly flipping through it, gave Wang Zong a disdainful glance, and said: "You can't look it up yourself?"

"Never mind, just tell me directly—no need for me to look it up." Wang Zong said with a grin, as if he'd gone back to 912.

"That disease is short for anti‑NMDAR encephalitis." Su Yun said, "Also called autoimmune encephalitis, it's a condition caused by a minor glitch in the immune system; CT can only show mild encephalitis symptoms—really, it's like seeing a ghost."

Su Yun muttered a remark.

"Tumors and infections can trigger autoimmune encephalitis; among young female anti‑NMDAR encephalitis patients, the rate of concurrent ovarian teratoma is relatively high." Su Yun glanced at her phone and said offhand.

Wang Zong caught sight of the pure English text; Su Yun paid it no mind, gave a casual translation, and felt a bit reflective inside.

I myself could read it, but many neurology terms require me to consult a dictionary.

"The main symptoms include abnormal psychiatric behavior, cognitive impairment, recent memory loss, epileptic seizures, speech disorders, motor disorders, involuntary movements, decreased consciousness leading to coma, and autonomic nervous system dysfunction." Su Yun finished speaking, somewhat dissatisfied.

"You didn't see—when we went, the patient was babbling, making up stories." Su Yun said: "She spun a huge tale of grudges and fantasies, from urban to fantastical, almost becoming a member of some ancient clan…"

Just as she was speaking, the curtain was lifted.

"Teratoma combined with psychiatric symptoms—considering the likelihood of autoimmune encephalitis is high." Zheng Ren said while stepping out.

"Why doesn't CT show a clear sign?" Su Yun asked.

"The onset is too sudden; it's only an early delusion, with no organic changes yet. Now, if we operate to remove the teratoma, the postoperative outcome will be excellent." Zheng Ren smiled, very happy.

If there are no complications, after surgery Sun Xiaomei could recover fully—blood and mana restored—and continue her studies, graduate, and work.

Her life trajectory was forcibly pulled back.

"Anti‑NMDAR encephalitis commonly presents with acute or subacute onset, and its imaging, lab tests, cerebrospinal fluid routine, and clinical manifestations often lack specificity.

It shares similar clinical presentations with acute disseminated encephalomyelitis, Creutzfeldt‑Jakob disease, and pure herpes simplex virus encephalitis, making misdiagnosis easy; therefore it must be differentiated from these conditions."

"Some patients often present with psychiatric behavioral abnormalities as the initial symptom, showing incoordination of cognition, thought, emotion, and behavior; early on they are easily misdiagnosed as a mental illness and sent to a psychiatric specialty hospital for treatment."

After Zheng Ren finished explaining, he turned to look at Miao Xiaohua and said: "Xiaohua, tell your relatives to seek hospital surgery as soon as possible."

"Zheng Ren, what about after the operation?" Miao Xiaohua said, a little dazed; happiness had come too suddenly, and she couldn't believe it.

"Oh, right!" Zheng Ren suddenly thought of something and said: "Send the cerebrospinal fluid to Beijing Xiehe Hospital for testing; it seems our provincial capital can't perform this test."

"If it's positive, rush the surgery; postoperatively use immunoglobulin plus a short course of steroid shock therapy—there should be no special problems." Zheng Ren continued.

"Oh." Miao Xiaohua replied excitedly.

Seeing Zheng Ren's certainty, she silently noted down the entire treatment process and later handed it to her aunt.

But with so many professional terms, Miao Xiaohua couldn't remember them; after a few seconds she just looked blank.

She had pretty much forgotten it all.

"We need to save time—we can send for testing while removing the teratoma. Such a large teratoma left in place is also a problem; better to cut it out early to avoid future trouble." Zheng Ren said.

Miao Xiaohua responded and went to help Sun Xiaomei put on her clothes.

"Wang Zong, nothing else—let's head back and rest." Zheng Ren smiled and said: "You've worked hard on this side."

Wang Zong returned the politeness several times.

Boss Zheng's skill is no wonder he could halt emergency surgeries in the gastroenterology department at 912. Just thinking about this, Wang Zong felt a sudden surge of gloom welling up from nowhere.

Back when I came to Hai Cheng to provide support, I thought I could handle things independently here—not just emergency care, but also various outpatient surgeries.

Although the surgical volume here isn't large, its advantage lies in being very diverse.

After returning, I should be able to make some progress. This also lays a solid foundation for becoming a team‑leading professor in the future.

But Boss Zheng returned twice, and each time left a deep impression on me—my face got slapped, literally, with a series of smacks.

Their level is genuinely high, not fake.

Just like today's psychiatric patient… the anti‑NMDAR encephalitis sufferer, if Boss Zheng weren't here, would likely be sent to a mental hospital for treatment.

Moreover, the most important thing is that I still don't realize I misdiagnosed the patient.

To me, it's just a small matter. The emergency department received a psychiatric‑type patient, was sent to a mental hospital, and I'm afraid I'll forget it entirely later.

But a casual diagnosis, a misdiagnosis, yet Impact the patient's life.

Wang Zong pondered, smiling bitterly inside, at that time he felt his level was already about right, he wanted to go to a private Hospital to make money, stepping onto the peak of a tall, rich, handsome life.

Looking back now, still far off.