Chapter 1915: with translation of chapter title

"Zheng Lao Ban, you're here." The CT Shi doctor greeted Zheng Ren politely.

Zheng Ren smiled, saw him get up to operate the machine, exit, and lift the patient, then glanced at the patient's System Panel to confirm the diagnosis.

Afterwards he sat directly in front of the console and began to look at the CT images.

The patient's brain CT showed a diffuse area of increased density involving the gray matter.

The cisterns between the brain and brainstem were obstructed, and the subtle structures in the upper cerebral hemispheres surrounding the midbrain and subarachnoid space began to show signs of disappearance.

These are typical imaging features of primary Amoeba meningoencephalitis; Zheng Ren finally obtained the final confirmation.

Just a glance showed the patient's System Panel was very red, but not that hopeless red.

It is probably detected relatively early; although the condition progresses quickly, with nausea, vomiting, and seizures in stages II and III combined, but since only a few days have passed, it looks like it can be treated.

The chief of the Neurology Department, Zheng Ren, didn't know him, but he also judged at First Time that it was primary Amoeba meningoencephalitis, and treatment should be fine.

Zheng Ren let out a breath, stood up, turned, and left.

"Zheng Lao Ban, aren't you going to check the Neurology Department?" Zhou Litao asked.

"Nothing to see; they've already given the diagnosis, the CT image is a standard primary Amoeba meningoencephalitis image, treatment is fine, at least there's a 50% hope of saving them."

50%……

Zhou Litao felt a bit depressed.

He hoped everyone could receive treatment and leave the hospital healthy. Even if after discharge they would forget all the efforts made by everyone in the hospital, Zhou Litao still wished everyone well.

The probability Zheng Lao Ban mentioned is also a bit too low.

"What? A 50% cure rate and you still think it's low?" Su Yun could guess what was on his mind from Zhou Litao's expression.

"Uh... Yun Ge'er, I know this disease is serious, but a 50-50 chance is also too low."

"Be content; primary Amoeba meningoencephalitis has an extremely high mortality rate, a very short course, usually death within one week, and an extremely poor prognosis. Early diagnosis and timely treatment are essential. Currently there is no definitively effective drug." Su Yun said: "Having a 50% chance is due to early detection."

"How to treat it? Use anti-Amoeba drugs?"

"No." Zheng Ren said: "Intravenous drip and intrathecal injection of high-dose amphotericin B and miconazole used together may be effective. Also need to accompany with oral rifampicin-like drugs; the efficacy... is just about that."

A Strange thought suddenly popped into Zheng Ren's mind: Is an Amoeba considered a parasite?

If so, could Chu Nu Ang Sai drive parasites to actively leave the human body?

However, this is just an idea, similar to a joke.

If Chu Nu Ang Sai could achieve this, the global parasite drug market would be monopolized by him.

If one's heart were darker, they could actively create a large-scale parasite disease outbreak and then sell drugs.

Of course, if Chu Nu Ang Sai did such a thing, it would likely provoke an iron-fist strike so powerful that even he couldn't afford to offend, leaving not even bone fragments.

I estimate he can't; if there's time and opportunity, ask. But don't look for Chu Nu Ang Sai, otherwise a massive parasite disease outbreak could happen in Di Du.

Zheng Ren walked out of the CT Shi, and Zhou Litao followed behind, asking some more about the diagnosis and differential diagnosis of Amoeba.

The two of them, however, did not return to the Emergency Department together with Zhou Litao; going back again would be unnecessary, at least because Su Yun had already said everything she needed to say.

"Let's go check the Thoracic patient who needs surgery tomorrow." Zheng Ren said: "Has the surgery time been arranged?"

"Esophageal atresia? It's arranged; we'll receive the patient at 11 sharp, the Thoracic Department will perform it, we just stand below and watch." Su Yun said.

"You've done it before?" Zheng Ren was very curious.

Logically, Su Yun should be very interested in all the strange and odd conditions of Cardiothoracic Surgery, so why isn't she organizing to go up on stage this time?

"I've done two cases, nothing special." Su Yun said: "They're usually discovered in childhood; adults are just rarer."

"Two cases!" Zheng Ren was somewhat surprised.

"Boss, you're just a small doctor from Hai Cheng; clinically speaking, how could your experience be richer than mine?" Saying this, Su Yun felt somewhat proud.

Zheng Ren didn't mind either; esophageal atresia surgery is just that, not particularly difficult. It's just because of the esophagus's special physiological structure and blood flow issues that one worries about postoperative complications.

Consulting the Intervention Department for a consultation, keeping an eye during the surgery, the Thoracic Department doctors will feel more at ease.

Just a glance is enough; Zheng Ren has no interest in going up on stage.

If the surgery isn't stable, worrying about postoperative anastomotic leak, then we'd better set up a big stand.

The two arrived at Cardiothoracic Surgery and saw Fang Lin standing in front of the viewbox, dazed.

"Fang Lin, what are you up to? Dodging dinner with guests by hiding and facing the wall?" Su Yun entered, patting Fang Lin's shoulder as she said.

"Uh... Yun Ge'er, Zheng Lao Ban, how did you guys come?" Fang Lin was startled, obviously distracted, still pondering the images.

Zheng Ren smiled, was about to speak, glanced at the image, and let out an exclamation.

"What patient?" Zheng Ren strode to the viewbox like a rampaging beast, shoving Fang Lin and Su Yun away from it.

"The lower-level hospital couldn't figure it out; an out-of-town patient came to Di Du for treatment." Fang Lin said: "The patient's family went to handle admission and bring the person over; I'll first take a look at the film."

"Oh?" Su Yun also glanced at the film at that moment, was stunned, twisted her shoulder, and directly pushed Fang Lin even farther away.

Fang Lin gave a bitter smile.

The first film was an upright chest X-ray.

The frontal view showed a nodular, dense opacity in the right lung near the hilum, with partially clear outer margins, and the right hilus angle disappeared.

Through the lesion shadow, the lung markings posteriorly were disordered, seemingly showing a crossover phenomenon; the right lower pulmonary artery trunk had indistinct borders; the lateral view shadow was located anteroinferior, corresponding to the position of the right middle lobe, where lung markings could be seen with uniform density.

The right upper lung markings were slightly sparse, and the right hemidiaphragm was slightly elevated.

This…… Zheng Ren found it interesting, his eyes went straight.

Crossover phenomenon? That is to say, the patient's lungs overlapped.

The three lobes of the right lung, intertwined with each other, like the intestines?

Theoretically impossible, as pulmonary lobes are ligament-fixed to ensure normal breathing and gas exchange; absolutely impossible to have a crossover phenomenon on imaging, or any overlap.

"Has the patient not undergone any surgery?" Zheng Ren asked.

Looking at the image, it doesn't seem like the lobes were resected, but Zheng Ren, out of caution, still asked.

"Mm, no." Fang Lin said: "It's because of chronic bronchitis, coughing up sputum with blood, and they went to the local hospital for examination."

Zheng Ren nodded, then began to look for the film bag.

He checked the patient's name clearly, found the lung CT film, and inserted it.