Chapter 1825: 1761 Past History Doesn't Matter (Monthly Ticket 500 Bonus Chapter ×1)

"She has seen a doctor many times before, right?" Zheng Ren asked.

"Um, the diagnoses elsewhere are all roughly the same, basically gastroenteritis or something." Zhou Litao said: "This girl is being tormented almost to madness."

"Manager Zhou, any other medical history? Think about it." Zheng Ren looked up at the roof, speaking casually to Zhou Litao.

"Um... the diagnosis, it seems she was recently diagnosed with depression, given oral medication for treatment. Also, she was diagnosed with intestinal ascariasis!"

"Ascaris?" Zheng Ren pondered, "The manifestation of ascariasis is typical epigastric gripping pain, the patient sweats profusely, is restless, accompanied by nausea, vomiting, abdominal pain; sometimes they vomit worms, and during remission the abdominal pain can completely disappear."

Zhou Litao looked at Zheng Ren in surprise, feeling somewhat moved inside.

Zheng Lao Ban seems to have focused his attention on the female patient about to jump off the building; this is just a reaction from reading too much, right?

"Nausea and vomiting only match a small part of the time. Severe abdominal pain is not the epigastric gripping pain. Epigastric gripping pain..." Zheng Ren said, recalling the two patients with loaches in their peritoneal cavities.

One doesn't even know how painful it will be, but guess it will be quite painful.

It should be like that.

"Zheng Lao Ban, the diagnosis of chronic gastroenteritis doesn't really look like it to me." Zhou Litao said, "Decreased appetite, upper abdominal discomfort, belching, nausea, vomiting, recurrent stomach pain, etc., all match quite well."

"Chronic gastroenteritis since age ten, flaring up for sixteen years." Zheng Ren kept looking upward; Zhou Litao felt he was like a predatory leopard, coiled and ready to strike.

But for someone about to fall from a height, what does he intend to do by being coiled and ready?

"Manager Zhou, as doctors we can't be so careless. Some patients look fine but actually have serious conditions; delaying treatment would be disastrous." Zheng Ren said lightly, his voice low and soft.

Yet each word landed so clearly in Zhou Litao's mind.

Even the freckles across his face seemed a bit shy.

"Zheng... Zheng Lao Ban, what do you think the illness is?" Zhou Litao asked.

"I don't know." Zheng Ren said: "I haven't seen the patient, nor the lab report; do you think you can diagnose just like that?"

"..."

Zhou Litao was completely speechless.

"Has the colonoscopy been done?" Zheng Ren asked.

"Checked, everything's fine." Zhou Litao said.

"Everything's fine, where does chronic gastroenteritis come from." Zheng Ren saw the girl on the upper floor suddenly sit down, then turn around, her body trembling; he didn't know whether it was a spasm from pain or crying.

He let out a sigh of relief.

Afterwards, a faint glimmer appeared in the night sky; Su Yun's figure appeared, sitting beside the girl.

Zheng Ren finally felt relieved, looking at Zhou Litao, he gave a slight smile and said: "The colonoscopy is fine, CT and B-ultrasound are fine, blood tests are fine, is that right?"

"Yes." Zhou Litao immediately replied.

"How about the past medical history?" Zheng Ren asked.

"No surgical trauma history, unmarried and no children, no hypertension, no coronary heart disease..."

"So everything's fine?"

"Yes." Zhou Litao answered firmly.

"What about family history?" Zheng Ren asked.

"Um..." Zhou Litao paused, "We didn't ask about that."

"Wait until the patient's emotions stabilize, then ask about family history." Zheng Ren turned and walked toward the Emergency Department.

"..." Zhou Litao gave a wry smile.

Do all bosses do this? Family history? Does the Emergency Department need to ask about family history?

Generally, patients with heart disease will have some family history of heart disease; this point is basically unimportant.

Therefore, family history is often overlooked in lower-level hospitals. Even in the 912 Emergency Department, Zhou Litao thinks it's not important.

"Is it meaningful?" Zhou Litao caught up and asked, "Just a stomachache; is there hereditary abdominal pain at home?"

"Ask; right now we have no leads, we can only gather more information." Zheng Ren said, "By the way, look at her appearance—anything special?"

Zhou Litao paused, "Special?"

"Zheng Lao Ban, what are you considering?"

"I said I wasn't considering anything; just now I meant special circumstances include environmental factors, family factors... wrong!" Zheng Ren suddenly said, "She's not from the Imperial Capital, right?"

"No." Zhou Litao said, "She's a migrant worker."

"Then those two points can basically be ruled out." Zheng Ren sighed, "Changing the environment, changing residence—her abdominal pain didn't improve but worsened."

"Zheng Lao Ban, I think the depression diagnosis can solve all the problems." Zhou Litao said.

"Depressed since age ten until now? That must be severe." Zheng Ren's tone shifted.

Zheng Ren has always been cautious in diagnosing psychiatric illnesses, and this time is no exception.

"Let's hypothesize, I say hypothesize. Suppose the patient has had depression since childhood, gradually worsening. Later she went to work in the Imperial Capital, overtime increased, and her depression worsened." Zhou Litao spoke more and more convinced his analysis was correct.

Zheng Ren suddenly stopped, turned his head to glance at Zhou Litao, and smiled: "Manager Zhou, diagnosing depression requires a medical history. Did you ask?"

Zhou Litao felt a bit resentful, "Wasn't this just what we were talking about?"

"You can't just have a patient come to the Emergency Department and ask about everything, can you?"

"The Emergency Department is too busy; you can't just have a patient come and ask about everything." Zheng Ren then chuckled, voicing what Zhou Litao was thinking, turned and continued toward the emergency department passage: "I'm not wearing a white coat; you take a look later—if there's no problem, go up and have a glance."

"Look at what?" Zhou Litao asked instinctively, then immediately shrank back.

"Of course it's to ask about the medical history."

He took out a sheet of paper, preparing to start noting down what Zheng Lao Ban needed to ask.

On the paper were still the test results recorded when the 120 ambulance had just arrived.

Zhou Litao froze for a second, then immediately asked: "Zheng Lao Ban, you said, I should record—what all needs to be asked?"

"Manager Zhou." Zheng Ren laughed and cried at once.

"Ah?"

"Normal inquiry of medical history, observing words and expressions, I see you usually do quite well." Zheng Ren laughed, "Go look, ask, I won't go up."

"You..."

"Not wearing a White Coat, then I won't go. You also be careful, check if the patient's emotions are stable or not." Zheng Ren, at the moment he walked into the Emergency Department corridor, turned his head, saw the air cushion being taken away, knew that above was fine.

"Returning to the Emergency Department, after looking around and finding nothing, Zhou Litao saw Zheng Ren sit down in the waiting hall, greeted him, and went upstairs alone to check the situation."

"On the top floor, everyone had already come down one after another; the Hospital's security and fire personnel looked relaxed, evidently that girl had been talked down like this, and everyone's hearts felt the stone drop to the ground."

"Su Yun and the female patient walked side by side in the middle; this female patient is still under strict monitoring."