Chapter 1912: 1845 Zheng Ren's One Two Three (Monthly Ticket 32500 Bonus ×65)

Speak plainly, why do I say it's the most crucial half step? Because the most common outcome is to die at first sight. Of course, this refers to online chatting; if you've seen their looks and still dare to meet, then probably half can succeed.

"……" Zheng Ren zhen wanted to curse this guy to death.

"Don't be nervous when meeting, just chat casually, say something to make her happy." Su Yun continued: "After that, comes the most crucial step—the second invitation. If you can manage a second date, that proves there's no problem; as long as you don't mess up, it should work out."

"Uh……" Zhou Litao looked at the notes on the A4 paper, his bitter melon face scrunched, forehead lines appearing.

Basically, that's it—grasp the spirit and study well.

Yun Ge'er, uh……

Manager Zhou, the patient has an issue!" a nurse knocked on the door.

Okay, I'll go right away." Zhou Litao's troubled, anxious expression vanished instantly, replaced by an extremely focused, serious look; he folded the paper recording Su Yun's words and set it aside.

Yun Ge'er, Boss Zheng, please wait a moment.

What patient?" Zheng Ren asked.

A patient who suddenly lost their sense of smell." Zhou Litao said: "I sent him for a head CT."

Oh, go ahead." Zheng Ren, hearing this history, knew it was probably nothing serious and couldn't be bothered to look.

Olfactory ability is a characteristic of olfactory cells in the nasal mucosa; damage to the nasal mucosa, olfactory bulb, olfactory filaments, or the connection of the central nervous system may affect olfaction.

Clinical manifestations include reduced olfaction, loss of olfaction, anosmia, parosmia, phantosmia, and increased sensitivity to olfactory stimuli.

There are many common causes of anosmia.

Including allergic sinusitis, nasal polyps, cold virus infection, rhinitis virus infection, head trauma, sulfur dioxide, nitrogen compounds, and residual formaldehyde from home renovations, etc., which can cause it.

Also, long-term use of perfume can lead to olfactory dysfunction.

Zheng Ren was pondering what caused the patient's condition; it might be formaldehyde, since home renovations often exceed formaldehyde limits.

Zhou Litao immediately ran out.

Boss, professional, right?" Su Yun said with a smile.

I think only Zhou Litao would believe such talk." Zheng Ren said: "You don't even have a girlfriend, yet you have the nerve to say this?"

Tch!" Su Yun said: "I just don't want to look, okay? There are plenty of girls out there. A girlfriend? You can just pick one off the street!"

Zheng Ren couldn't be bothered with him, waiting for Zhou Litao to return was boring; the duration was unknown, and beside him sat a chatterbox who occasionally interjected, making even going to the System Library to read impossible.

After a long wait, Zhou Litao still hadn't returned, and Zheng Ren felt it was strange.

He was really bored, so he stood up and pushed the door open.

Seeing a nurse busy in the hallway, Zheng Ren asked: "Sorry to ask, where did Manager Zhou go?"

"Teacher, I just arrived, I don't know who Manager Zhou is, sorry." The nurse immediately replied.

Oh, a nurse who just came for the 912 further training; Zheng Ren smiled.

Su Yun saw the nurse enter the treatment room, guessed she was going to change dressings, and said with a smile: "I'll go ask."

Zheng Ren glanced at him, saw this guy turn and head to the treatment room, leaning against the doorframe like he had no spine, starting to chat and laugh.

He's really quick to get familiar, Zheng Ren thought.

But letting him ask something was also troublesome; after waiting a few minutes, Su Yun returned, looking pleased.

Where?

The patient with the smell issue just went to the CT room and had a seizure." Su Yun said.

A seizure?" Zheng Ren wondered, "Is it epilepsy or convulsions?"

Nobody saw it; why are you asking in such detail?" Su Yun said: "We'll know when Manager Zhou returns."

Where's Zhou Litao?" Zheng Ren wondered.

They said it was emergency resuscitation, the seizures were severe, making a CT impossible.

He became agitated; the CT images were full of artifacts, making the scan as good as not done.

This patient will likely be sent to the Neurology Department, to avoid needing anything in the CT room; if a sudden cardiopulmonary arrest occurs, they'd just be left there.

But the patient with the smell problem suddenly had a seizure……

This medical history seems off.

Zheng Ren began to think.

Boss, if you could make a diagnosis now, I'd be convinced." Su Yun said with a laugh.

Zheng Ren also understood what he meant; knowing only that there was olfactory dysfunction and then convulsions in the CT room, you can't infer anything from just those two points.

But being idle is still being idle; Zheng Ren went back to his room, sat down, and started counting on his fingers.

First, if the patient has cranial trauma, the olfactory nerve filaments passing through the cribriform plate can be torn, or the olfactory bulb can be crushed by contusion.

Su Yun looked at his serious expression, found it amusing, sat opposite and said: "Logically, the patient isn't traumatized; otherwise, given Zhou Litao's personality, he'd definitely say the smell loss came after trauma."

Zheng Ren nodded; Su Yun's judgment was correct.

Second, meningiomas, metastatic tumors, or invasive tumors of the anterior cranial fossa arteries or frontal lobe can compress the olfactory bulb and tract, causing olfactory damage.

This point isn't reliable either; if there were a meningioma, anosmia wouldn't be the chief complaint. Moreover, if the patient themselves didn't know, there generally wouldn't be sudden seizures accompanying it." Su Yun said.

You can't say that either; it's just probable, this point is doubtful." Zheng Ren said: "The likelihood is about five percent."

About right, I think it should be even lower—continue." Su Yun found discussing such airborne cases quite interesting.

Third, olfactory damage from epidemic flu is temporary and basically doesn't come with seizures, so this is also ruled out.

Fourth, occasional temporal lobe lesions may accompany transient or episodic phantosmia. Loss of smell often accompanies taste impairment, depending on volatile substances in food and drink.

Temporal lobe syndrome?" Su Yun asked.

Just saying that, it probably isn't a symptom of temporal lobe syndrome." Zheng Ren said: "Volatile substances can cause anosmia, but seizures requiring resuscitation are too far-fetched to consider for now."

Su Yun increasingly found making diagnoses and differential diagnoses interesting, like playing an intellectual game.

Fifth, congenital factors are not considered; besides, neural pathology of the nasal mucosa, olfactory bulb, or olfactory filaments can cause olfactory function decline or loss; whereas damage to the central nervous system connection usually does not accompany any perceptible loss of smell.

How likely is the fifth point?

Hard to say; probably not much, still because it can't be accompanied by convulsive symptoms at the same time.

After all that talk, do you have a diagnosis? The biggest possibility is an intracranial tumor, with a likelihood under five percent. Su Yun said.