Chapter 1914: 1847 Washing the Nose for a Long Life (Monthly Ticket 33500 Bonus Chapter ×67)

"Just doing a cerebrospinal fluid test should be enough." Su Yun saw Zhou Litao running off excitedly to make a call, smiled, and said to Zheng Ren.

"The incubation period of amoeba is short; once it enters the rapid progression stage, the chance of saving the patient is not high." Zheng Ren said seriously: "We must seize every moment for treatment; now we estimate there's still about a fifty percent chance to save the person."

After saying that, he stood up and said: "When the patient gets a CT later, let's go take a look together."

"Mm." Su Yun's voice became much softer, her gaze a little unfocused, as if she were thinking about something.

Earlier, when they said that just based on loss of smell and twitching these two symptoms one could make a diagnosis, she had been completely convinced.

Nowadays……

Su Yun cursed angrily in her heart: How did they end up diagnosing primary amoebic meningoencephalitis?

If it were a diagnosis like a brain tumor or something similar, it would still be okay to say, but she thought it impossible; looking at Zheng Ren's demeanor, he probably thought it impossible too.

That guy was just spouting nonsense off the top of his head, merely doing the simplest differential diagnosis.

But regarding the diagnosis of primary amoebic meningoencephalitis, the boss was full of confidence!

And she couldn't find any fault with it either.

Rhinophyma…… amoeba…… actually it's not uncommon, especially in the 1980s of the last century, when many people contracted it.

Nowadays, the incidence can only be said to have decreased somewhat, but it's absolutely not rare.

The teacher had mentioned it in class, and I also had a memory of it, but the boss beat me to confirming this diagnosis.

Su Yun sighed; if only she had detected it earlier, how great that would be.

"Um…… from now on I really need to be more careful," Su Yun reminded herself silently.

Soon, Zhou Litao returned and said: "Boss Zheng, I've already spoken with the Neurology Department. Today the director happens to be here; he examined the patient and also suspects primary amoebic meningoencephalitis."

"Mm." Zheng Renyi looked relaxed, already entering the sage moment.

"I said, when the patient gets a CT later, just give me a shout and we'll go take a look together." Zhou Litao was full of admiration, his eyes sparkling with little stars.

"Boss, your luck's not bad—you managed to guess what the illness is." Su Yun said somewhat guiltily.

"A guess? It's rich clinical experience." Zheng Ren said, "What do you say?"

"Tsk!"

"Boss Zheng, Yun Ge'er, how did you two figure out the patient has primary amoebic meningoencephalitis?" Zhou Litao was already prostrated in admiration.

Originally he didn't believe the diagnosis given by Boss Zheng—diagnosing without even seeing the patient, that's no joke, right?

But the director of the Neurology Department also gave the same diagnosis, which makes things interesting. At the very least, it proves that Boss Zheng and Yun Ge'er, sitting in the room, conjuring a judgment out of thin air, "might" be correct.

"Nothing much, just ruling things out one by one, then doing a differential diagnosis." Zheng Ren said: "While you were rushing to rescue, I and Su Yun went through each possibility one by one. Although the chance of primary amoebic meningoencephalitis is small, in the end only it fit best; no matter how low the probability, it remains possible."

"How many differential diagnoses did you do?" Zhou Litao sounded impressed but confused.

Usually, when doing a differential diagnosis in clinical practice, one first has a preliminary diagnosis, then rules out similar conditions one by one.

But what Boss Zheng did was, without even seeing the patient, start the differential diagnosis based on just a sentence or two.

How can one be so overconfident about their own diagnostic ability!

"More than twenty?" Zheng Ren glanced at Su Yun, who then started counting on her fingers.

Zhou Litao was dumbstruck; there's no need to mention differential diagnoses for ordinary stuff like tumors—there were things like formaldehyde poisoning, sulfur dioxide poisoning, and so on.

Even more bizarre was long-term perfume spraying, causing poisoning by unknown substances.

It seems my own level is insufficient, which led to me being dazed on the spot and an unclear diagnosis. If Boss Zheng had been there, he'd probably see the rhinophyma and think of amoeba.

I'd guess the director of the Neurology Department also made his preliminary judgment based on the rhinophyma.

Going back, I need to memorize the diagnostics textbook; Zhou Litao set himself a small goal in his heart.

"You two keep going." Zheng Ren casually sat down, wanting to continue listening to Su Yun give Zhou Litao a big bowl of chicken soup.

But after this incident blew up, neither Su Yun nor Zhou Litao had the mood to continue talking about finding girlfriends.

But Zhou Litao was especially interested in how the two of them conducted their differential diagnosis, asking bit by bit, even taking notes voluntarily; it looks like he wants to quiet down and then ponder it carefully.

Half an hour later, Zhou Litao received a call; the Neurology Department sent the patient for examination.

Zhou Litao greeted his department, then went with Zheng Ren and Su Yun straight to the CT room.

The patient was undergoing examination, a doctor and a nurse accompanying inside, while several family members stood outside the lead door, sighing with worried faces.

"Are you the patient's family members?" Zheng Ren asked.

"Mm, you are……"

"I'm a doctor from ward 912, I have a few questions I'd like to ask." Zheng Ren flashed a friendly smile, "May I ask what relation you are to the patient?"

"I'm his maternal uncle, Doctor, what questions do you have?" The man said, still wearing a worried frown.

When the family encounters something like this, they can't sleep well.

"Has the patient recently shown any abnormal behavior? For example, washing their face more often than before?" Zheng Ren didn't follow the usual progression of taking a medical history; instead, he aimed his question directly.

This was about confirming the diagnosis to find evidence that could support it.

"Don't even mention it—my dad heard some nonsense pitch claiming that washing the nose makes you young, long-lived, and free from all illnesses."

"Washing the nose……" Zheng Ren was also speechless.

In the residential complex, the number of people swindling the elderly out of money is endless, impossible to guard against. Various magnetic therapies and health products aren't much; the most hateful is financial investment schemes.

But washing the nose like that—I'd never heard of it before.

However, this also matches my diagnosis.

"My dad believed it, washing his nose happily six times a day, and even told us we should do the same."

Zheng Ren's mind moved, and he asked: "Is the professional nasal wash solution for nose washing this one?"

"Sigh……" Upon mentioning the professional nasal wash, the man became even more distressed.

"Doctor, the old man is so stingy—when I go home for a meal I can't even bear to add a meat dish, yet you expect him to use professional nasal wash? He uses tap water."

All the questions pointed to a clear conclusion: rhinophyma, from long-term heavy use of tap water, or using that kind of nasal irrigator, with high pressure.

Therefore, the chance of infection with amoeba is somewhat higher than that of an ordinary worker.

This time you've suffered, huh? If you want to talk about those people selling health products in the residential area, they're really not anything...

Zheng Ren had no time to listen to the patient's family members nagging and complaining; he gave a slight smile, patted his shoulder to comfort him, then turned and entered the CT Shi's operating room.

The CT scan was already finished; the technician shouted into the microphone, "Okay."