Chapter 1905: 1838: Taking a Medical History Like a Spy

Director Kong chuckled and waved his hand.

The little boss often looked at patients while eating, and Director Kong had long grown accustomed to it.

Watching the two grow quickly, Director Kong felt a bleak sense of time flying and himself aging rapidly, but they still respected him, which was enough.

Zheng Ren and Xie Yiren said something, patted her head, and then left together with Lin Ge.

"What's the medical history?" Zheng Ren asked, stepping out while pondering the images.

"They say you had surgery last time, rested at home after, and then fainted two days ago when getting up to move," Lin Ge said.

Zheng Ren nodded, mentally noting that Section Chief Mao had high fever, pneumonia, anemia, and hemolytic cell syndrome—all certain.

But pulmonary arterial hypertension itself wasn't serious, lost among the severe diagnoses; yet he felt it was important, which seemed odd.

This was intuition, genuine clinical experience.

Gradually, Zheng Ren's talk of rich clinical experience was no longer a joke with Su Yun; constant reading, reflection, and progress saw him growing rapidly without realizing it.

"Boss, you always make a mountain out of a molehill," Su Yun said. "Hemolytic cell syndrome is a clear, urgent diagnosis—just treat it."

"That's right," Zheng Ren agreed with Su Yun, "but I feel it's wrong for someone this age to have pulmonary arterial hypertension. Let's take a look and ask about the history."

Su Yun's lips curled into a smile as she asked, "Are you sure Section Chief Mao won't lose it when she sees you?"

"……"

Zheng Ren hadn't considered that.

Lin Ge sighed, he had been hesitating, but Zheng Lao Ban was eager to take the history—what could he say?

Su Yun was decent; at least she wouldn't forget things he found inconvenient to say.

If he went to the VIP ward and got kicked out by Section Chief Mao, that would be fun. How would he work with Zheng Lao Ban afterward? Even if Zheng Lao Ban didn't hold a grudge, what face would he have left?

"Um…" Zheng Ren mused.

"If I were Section Chief Mao, I'd have the heart to kill you," Su Yun said.

"No way, I did her paralysis surgery before—there's no problem."

"You don't understand women. She probably thinks you're a jinx!" Su Yun looked down on Zheng Ren and said, "Just seeing you annoys her; everything goes wrong."

Zheng Ren thought it over; that seemed to be the case. Human hearts are far more complex than the body, by several degrees.

He could see illness, treat it, perform surgery—but he couldn't mend a heart.

Stepping out of the hotel doors, the night breeze brushed his face, and Zheng Ren felt a bit at a loss.

Go or not?

Seeing him dazed, Su Yun chuckled and said, "Let Director Lin ask."

"But…"

"Use your phone, Bluetooth—tell Director Lin whatever you want to ask. As long as Section Chief Mao doesn't see you, then lose control and flare up, anything else is fine," Su Yun said.

That was all he could do; Zheng Ren felt a bit regretful.

Glancing at the system panel would be easiest, but involving Section Chief Mao made it another matter.

Then he'd ponder a bit—asking the history first would work.

He hailed a car, headed straight to 912, Zheng Ren silent, mulling what to ask.

Section Chief Mao stayed in the VIP ward, but the attending doctor was from hematology; previously it had been pulmonology, after all, specialty is more specialized.

Arriving at the VIP ward, Su Yun equipped Lin Ge with a Bluetooth earpiece, adjusted the volume, and after a few tests the effect was satisfactory.

This odd way of taking a history was also Su Yun's first experience.

In the doctor's office, Zheng Ren inserted Section Chief Mao's lung CT into the viewer, folded his arms and pondered. Su Yun's phone lay before him, and he could faintly hear Lin Ge's footsteps approaching.

"How are you, Mao?" Lin Ge said gently after knocking and entering the ward.

"Old… Lin? Why are you here?"

Section Chief Mao's voice was dry and raspy, as if she had gravel in her mouth, completely lacking her former charm.

"You're sick—I'm just coming to see you, isn't that right?" Lin Ge said.

Afterwards someone exchanged pleasantries with Lin Ge, offering a seat and such.

Zheng Ren stayed silent for a moment—not a doctor's rounds—but after entering, some small talk was still necessary.

To take a history, one must be targeted—but what diseases actually cause pulmonary arterial hypertension?

Zheng Ren kept pondering.

The diagnosis of pulmonary arterial hypertension mainly follows the classification from the 2013 Nice World Pulmonary Hypertension Conference.

"Director Lin, ask about family history—anyone with pulmonary arterial hypertension?" Zheng Ren said.

On the other end of the line, Lin Ge didn't know if he'd heard; he was still making small talk.

Zheng Ren felt helpless—asking a history felt like spy work; it was really hard.

A few minutes later, Lin Ge finally asked, "Mao, how are your uncle and aunt? I remember when I was little, your uncle came to see you and kept coughing."

"Old Lin, your memory's still great," Section Chief Mao forced a smile. "The old man's just got a bad heart; everything else is fine."

"Is the cough better? In our dry northern climate, tracheitis, bronchitis, pulmonary arterial hypertension—all are serious."

"It's fine; the old couple don't have those ailments. Sending them to Hainan for half a year each year improves their cerebrovascular conditions a lot."

No family history… Zheng Ren, while Section Chief Mao spoke, said, "Ask how long the cough's been going on, and when it first started."

"Mao, you're so young and already coughing nonstop," Lin Ge laughed. "After surgery you should still move around; otherwise, hypostatic pneumonia becomes a headache. You can't be reckless—your brother-in-law has to keep an eye on you."

"Ah, can't be bothered to move," Section Chief Mao said. "The cough's only been a few days, no yellow sputum—not like hypostatic pneumonia. Just lying in bed recuperating, she's restless and irritable, losing her temper every day."

Zheng Ren asked a few more points, and Lin Ge, without changing expression, got the answers.

No wonder Lin Ge is a veteran of the Medical Department, rich in experience; a few exchanges, amid small talk, he'd gotten a detailed rundown of everything.

Section Chief Mao's cough had lasted only a few days, mainly dry, with slight chest tightness, no hemoptysis or other complications, so she basically ignored it.

The abnormal symptom she noticed was mainly an allergic purpura–like rash.

Limbs develop rice‑grain‑sized red papules with clear borders that do not blanch on pressure, appearing in batches. Each batch lasts about 10 days and resolves spontaneously, leaving brown pigmentation.

In addition, there is numbness in the hands and feet, and a feeling of restlessness.

With fever comes dry mouth and throat; no amount of water can quell the inner heat.

After today's hospital-wide consultation, high-dose Hormone shock therapy was started; the person felt a bit more alert. The fever also subsided, so in the Evening they had the energy to chat a bit more with Lin Ge.