Chapter 1884: with translation of chapter title

The Bruhl Family members are so arrogant and rude; Lu Di Doctor knows it clearly.

They appear elegant on the surface, but their Inner Mind is extremely dark. Like a snake hiding in a corner, they could bite you at any time.

Lu Di does not dare to offend the Bruhl Family people; this is a fear that comes from the bottom of the heart.

But why does Thus term: Thus term: Kelisidian, who is usually cold-hearted and mercurial, show such respect to this Eastern young doctor? Lu Di Doctor can't understand.

"That's enough." Zheng Ren said offhand, "Ms. Fan Di needs to move after, then supervise the patient's rehabilitation training, and they will have to endure much hardship."

"Please rest assured, I will supervise her." Thus term: Thus term: Kelisidian smiled; the wound on the face had healed, leaving only a dark spot.

Zheng Ren marveled at this group's strong self-healing ability.

Perhaps those with slightly weaker self-healing ability have already died.

"Doctor Zheng, I heard from Wo Mei'er that you have your own diagnosis? It's truly fortunate for Luo Qie sir." Thus term: Thus term: Kelisidian said.

"Yeah, I have a diagnosis." Zheng Ren said offhand: "Mr. Ke Li, in the family... those who want to know Luo Qie sir's condition, have they all come?"

Thus term: Thus term: Kelisidian smiled: "The six branches will arrive within a few minutes. We will listen carefully to your consultation opinion on Luo Qie sir; I think Luo Qie sir will recover soon."

Su Yun sighed in their mind.

This time, Su Yun felt somewhat nervous in their mind. The Boss, like a spring compressed tightly by huge pressure domestically, seemed to have changed into a different person after coming out.

Ah, huge pressure always needs to be released.

But is that really okay? Whether at the Mayo Clinic or Johns Hopkins Hospital, the Boss going crazy is no big deal; at worst it's embarrassing, nothing serious.

But here... the risk is great, even huge.

Su Yun is very nervous.

A few minutes passed in the blink of an eye.

Several people with pale faces, with dark spots more or less on their faces, necks, and hands, came into this room.

Thus term: Thus term: Kelisidian introduced each person to Zheng Ren.

Such a vast and ancient family, its internal relations are like an equally ancient circuit board, intricate and complex.

Zheng Renye didn't feel like listening; as long as confirming everyone had arrived was enough.

Wo Mei'er saw Thus term: Thus term: Kelisidian standing beside Zheng Ren, said nothing, but came to the front and said: "Today's consulting medical expert comes from China; he is the youngest tenured professor in the history of Massachusetts General Hospital."

Sparse applause sounded.

Wo Mei'er made an elegant bow, raised a hand, and made a gesture of invitation.

Zheng Ren came to the front; that side had the corresponding equipment, and upon opening, the image immediately appeared on the LED screen.

Finding the needed image, Zheng Ren spoke in Lun Dun-accented English: "Ladies and gentlemen, I'm glad to be here to analyze Luo Qie sir's condition."

Below, there was Silence.

"I just thought, chronic variable Crohn's disease was just a joke I made with Wo Mei'er sir." Zheng Ren said, "Now I begin to state my view."

There was a slight clamor, but it wasn't loud.

"First appearing before everyone is the colonoscope image." Zheng Ren opened the computer's image data, speaking loudly: "Perhaps I initially thought the same as everyone, that Luo Qie sir's illness was merely due to old age, ultimately leading to failure of all bodily organs."

"But upon seeing this image, I suddenly changed my mind."

Wo Mei'er was somewhat surprised; the colonoscope showed nothing special, just chronic atrophic gastritis and enteritis.

The doctors began to whisper among themselves.

"Gastric mucosal epithelium and glands atrophy, numbers decrease, gastric mucosa thins, mucosal basal layer thickens, possibly accompanied by pyloric metaplasia and intestinal metaplasia, or atypical hyperplasia as characteristic of a chronic digestive system disease. Commonly presents as upper abdominal dull pain, fullness, belching, loss of appetite, or weight loss, anemia, etc., without specificity." Zheng Ren said, "This is a typical presentation of chronic atrophic gastritis."

Su Yun felt the Boss seemed like a different person; what nonsense is he spouting here?

Just take one look at the patient, then give an ordinary diagnosis, and the task is considered done.

And Zheng Ren is leading the task toward an unfathomable abyss.

"We are doctors; a phenomenon can only support a certain diagnosis; we still need a differential diagnosis." Zheng Ren said: "Since this is not an open lecture, I will not let everyone speak; I will explain my differential diagnosis."

"The differential diagnosis most needed is——" Zheng Ren drew out his voice, looked around, and finally his gaze fell on Wo Mei'er's pale face.

"Lead poisoning!"

Zheng Ren's diagnosis was like a stone thrown into a calm pond, stirring up huge waves!

In Bruhl Castle, saying Luo Qie Bruhl has lead poisoning...

Is this courting death?

Su Yun's face turned deathly pale in an instant, just like Thus term: Thus term: Kelisidian standing beside them.

Wo Mei'er looked coldly at Zheng Ren, with no expression on his face.

"This is just a differential diagnosis, not a diagnosis." Zheng Ren tapped the table, "It's merely a medical discussion; please keep Silence."

"The digestive tract mucosa has the ability to secrete lead; during the secretion process, lead directly acts on the gastric mucosa, destroying its regenerative capacity, causing inflammatory changes in the gastric mucosa."

"Studies show that the pathological damage detection rate of gastric mucosa in chronic lead poisoning patients reaches 96.7%, and can present as atrophic gastritis and atrophic gastritis with hyperplasia. Patients with moderate to severe chronic lead poisoning initially present as superficial gastritis, and 91% progress to atrophic gastritis after three years."

"Some say this is speculation." Zheng Ren opened the next slide, continuing: "Let's look at the kidney CTA image."

"We can see the patient's renal tubules have degenerative changes; regarding this, it could be considered senile chronic change, but it could still be considered a manifestation of lead poisoning!"

"Additionally, the patient's CTA shows progressive interstitial fibrosis in both kidneys, starting around the renal tubules and gradually expanding outward, with renal tubule atrophy and cellular proliferation coexisting."

"Lead can affect the mitochondrial function of renal tubular epithelial cells, inhibiting the activity of Na+, K+-ATPase etc., causing renal tubular dysfunction or even injury."

"Acute poisoning mainly affects the proximal tubule, which may show cell membrane damage, cell swelling, mitochondrial swelling, rupture, and decreased intracellular granules; renal glomerular cell nuclei often contain an inclusion body, a lead-protein complex."

"But Luo Qie sir does not have similar changes, so the differential diagnosis mainly concerns chronic lead poisoning."

The whole hall erupted in an uproar.

Wo Mei'er stared coldly at Zheng Ren, and Zheng Ren also turned his gaze toward him.

Their eyes met; Zheng Ren showed a simple, honest smile, gentle and without any aggression.

"Differential diagnosis, just a differential diagnosis."