Chapter 1830: 1766 Groundbreaking Consultation (Monthly Ticket 3000 Bonus ×6)

The small demonstration room of the Community Hospital seems to have changed somewhat compared to the last time we came for a consultation.

The equipment has been updated, and in front of several chairs there are transparent touch-screen panels and VR goggles.

"When was this done?" Zheng Ren felt it somewhat Strange and asked.

"Recently." Su Yun didn't mind, laughing, and said, "You don't want to give it a try?"

"It still feels more substantial to look at the medical records with that metal folder." Zheng Ren said.

"Human Progress is just being ruined by people like you. I think you should go to the Middle Ages, where you'd be better off being treated as a dark wizard." Su Yun said.

Zheng Ren sat down, somewhat impatiently, and said, "Let's begin!"

Su Yun stepped up to the front podium, flipped the switch, and a beam of light shone down. Like a Shadowless Lamp, his demeanor shifted from casual to utterly professional, seamless.

"Everyone, the consultation begins." Su Yun said, "Please put on your VR goggles."

"Fancy stuff, is it useful?" Chang Yue glanced at the goggles, scornful.

"Doctor Chang, when the electronic medical record system first started running twenty years ago, someone also said that." Su Yun said.

"Back then you weren't even ten years old."

"Experience can be passed down by word of mouth." Su Yun smiled, "If you don't want to be eliminated too quickly, it's better to embrace new things as soon as possible."

Chang Yue pursed her lips; although she was bickering with Su Yun, she still put on the VR goggles.

Yu Zong found everything novel; this is definitely not a regular consultation in the usual sense of 912. He felt a bit wistful, wondering how long Zheng Lao Ban had been here—just look at the posture, they already have their own turf.

The key is that the turf here is absolutely not ordinary; it's completely new.

VR Technique used for consultation?

That's too extravagant.

Putting on the VR goggles, a case file appears before the eyes. Beside the case file stands Su Yun.

Although knowing it's virtual reality, Yu Zong couldn't resist reaching out to touch Su Yun, to see whether he was a real entity or just virtual light and shadow.

"Don't do meaningless things; you'd better focus on the case, Yu Zong." Su Yun said, "This is your patient; if the consultation yields no result today, you should prepare for a hospital-wide consultation. You'll have to write a hospital-wide consultation record, a whole lot of messy stuff."

"Hurry up." Zheng Ren said impatiently.

"It's already started; I'll give a brief statement. For the medical records, click the touchscreen in front of you. You'll make new discoveries, and this model will later be used as a method for remote consultation."

"The patient came to our Hospital six days ago due to right flank colicky pain and was kept under observation in the Emergency Department. Routine tests showed no abnormalities except for ++++ red blood cells in the urinalysis."

Su Yun began his introduction; in the virtual reality, he essentially played himself. Zheng Ren didn't know what Technique this was, but it looked quite advanced.

"On admission examination, there was positive percussion pain in the right lumbar region, and a positive Murphy's sign..."

"Wait a minute." Zheng Ren interrupted Su Yun's words and asked, "Murphy's sign positive?"

"Yes, the ultrasound showed no inflammation or stones in the gallbladder area, tenderness was not marked, no rebound pain or muscle tension. I just confirmed this; Yu Zong's physical examination was still very meticulous." Su Yun said.

Zheng Ren said nothing more.

"I've noticed that too, but the patient has clear costovertebral angle tenderness. Typical colic often starts at the costovertebral angle in the flank and upper abdomen, occasionally beginning at the lower rib margin and radiating along the ureter to the same-side groin. The patient has no nausea or vomiting, so gastrointestinal symptoms are not considered."

What Su Yun said is correct; Zheng Ren thinks so too.

Generally, if the gallbladder is problematic, there should be gallstones, inflammation, or at least imaging evidence of a rough gallbladder wall.

But aside from the positive urinalysis, the patient shows no other positive signs.

"The patient has no family history, no genetic history, no trauma history; all past histories are negative." Su Yun said, "CT and ultrasound images can be accessed by clicking the touchscreen in front of you, and they are the same as what you see on the computer."

"Has the urinary tract imaging been done?" Zheng Ren asked while looking at the CT images.

"The urinary tract imaging has a sensitivity of only 66% for detecting stones, so we haven't done it yet. If you think it's necessary, I can notify Yu Zong to have the examination done as soon as possible." Su Yun said.

Although speaking in front of Yu Zong, Su Yun still said to notify Yu Zong ASAP, which somehow feels particularly cool.

Zheng Ren slightly shook his head and began clicking the touchscreen in front of him to view the image data.

The examination can be said to be quite comprehensive; what renal colic means is known to every clinical doctor.

A tiny stone could solve everything, yet there happens to be no stone present.

Zheng Ren performed a CT three-dimensional reconstruction, yet still found no abnormalities.

"Does the patient have a history of taking aminopyrine, phenytoin sodium, rifampin, or phenol red?" Chang Yue asked.

"No." Su Yun said, "The patient reports being normally healthy, having taken no medication and undergone no surgery."

"Urinalysis and blood work show no inflammation, and the CT shows no inflammatory lesions. After ruling out infection, stones, tumors, trauma, and urinary tract anomalies, I'm considering gouty kidney." Chang Yue said.

"What a brilliant suggestion." Su Yun said disparagingly, "Gouty kidney is mostly seen in gout patients with a history of over ten years, and if it were gouty kidney, there would likely be some crystals in the renal tubules."

"Doctor Chang, this is a consultation, not a test where you can just guess answers." Su Yun said.

"Cardiovascular diseases—for example, congestive heart failure, renal embolism, or renal vein thrombosis—can also cause hematuria." Zheng Ren interrupted Su Yun's chatter and asked, "Has the heart been checked?"

"The likelihood is low; there's no change in the renal parenchyma, and renal embolism or renal vein thrombosis can basically be ruled out. After all, the history is only six days, so if..."

"It's mainly congestive heart failure." Zheng Ren asked.

"Also impossible." Su Yun said, "The patient plays badminton for three hours every day."

"Badminton? Three hours? The physique must be good." Zheng Ren said.

"Well, when he was young he was a national sports athlete, and after retiring and starting work he kept playing badminton." Su Yun said, "One day before the onset, while playing badminton, he noticed nothing abnormal."

Zheng Ren began to ponder.

"Any food allergies or heavy metal exposure?" Chang Yue asked.

"Judging from the present signs, there probably isn't." Su Yun said, "The patient lives a regular, healthy life. I've asked around, and none of his coworkers or family members have similar issues."

Yu Zong silently looked at the image data without saying a word.

He already knew all of this, but he just didn't know why the symptoms of hematuria and renal colic—those of kidney stones—had arisen.