Chapter 2023: 1953 He Sees Patients Better Than I Do
While speaking, while changing clothes, Zheng Ren pondered the possible condition, head down as he walked out of the changing room.
Director Luo's skill is high, experience rich, he asked himself to go for a 'consultation' on diarrhea, surely there is some difficulty.
"Boss, have you heard of five more bowel movements?" Su Yun asked while walking.
"No." Zheng Ren said: "I've said there's no such diagnosis. But I've heard of it; I guess it's a collective term for symptoms of many diseases."
Speaking, the two walked to the fire escape.
"Zheng Lao Ban, wait a moment." Lin Yuan's voice came from behind.
Zheng Ren turned back, saw Lin Yuan running quickly, holding a hair tie in his mouth, running while combing his ponytail.
"Don't rush." Zheng Ren had already forgotten Lin Yuan.
At this moment, watching her run big steps, really afraid she'd fall and cause something like a fracture or meniscus tear.
Su Yun didn't say anything, just her eyes flashing with a strange light, fighting spirit vigorous.
Walking the fire escape, Zheng Ren's speed is always fast, but Lin Yuan can also keep up.
"Such long legs, not pulling a rickshaw is really a pity." Su Yun said: "That's just domestically, in Australia, this is an ostrich."
Lin Yuan simply had no time to argue with Su Yun.
Although barely keeping up, he also exerted all his strength.
She just didn't understand; it's just a consultation, why not take the elevator but walk the fire escape?
Hurriedly rushed to the Department of Gastroenterology, arrived at Director Luo's office.
"Director Luo, I'm here." Zheng Ren knocked, entered the room, and said with a smile.
"Zheng Lao Ban, you're really fast." Director Luo said.
"What patient?" Zheng Ren didn't waste pleasantries, got straight to the point asking.
"Two patients, chief complaint both diarrhea for 5 years, diarrhea 5-6 times a day, accompanied by progressive weight loss." Director Luo said, "The patients underwent gastrointestinal endoscopy examination; here is the report."
Speaking, he handed the first patient's report to Zheng Ren.
"Sit and look, Zheng Lao Ban." Director Luo surprisingly discovered there was a tall girl with a ponytail following beside Zheng Ren.
Is this the Medical Team expansion?
The Medical Team rapidly expanded; this is also to be expected. The Nobel Prize project undertaken by Zheng Lao Ban's Medical Team, if no one covets it, that would be strange.
However, Director Luo only glanced at it, not too surprised; seeing Zheng Ren start to look at the lab report, he then slowly said.
"The first patient is a 42-year-old male; 5 years ago, with unknown cause, diarrhea appeared. Initially, it was just unformed stool, 1-2 bowel movements per day. But after one year it turned into diarrhea, about 3 times a day."
"In recent years, diarrhea has gradually worsened; the patient is also very troubled."
Zheng Ren looked at the lab report, nodded.
About 6 times a day of diarrhea, regardless of time, place, or occasion, this is practically a nightmare.
The key is that there is no sign of improvement at all; it's too despairing.
"The patient has been seen at many hospitals; the main symptom is a malabsorption syndrome dominated by diarrhea. The diarrhea is watery stool, large volume, foul smell, no pus or blood."
Zheng Ren flipped through the lab report: white blood cells 8.21×10*9/L, neutrophils 3.4×10*9/L, neutrophil percentage 45.2%, lymphocytes 2.0×10*9/L, lymphocyte percentage 26.6%, eosinophils percentage 13.2%, basophils percentage 1%, monocytes 0.66×10*9/L, hemoglobin 123g/L, platelets 180×10*9/L.
The routine stool test also shows nothing special.
"Any images?" Zheng Ren asked.
Director Luo placed the abdominal CT film on the viewer: "I see nothing wrong with the images."
Zheng Ren nodded, arms crossed while viewing the images.
Su Yun and Zheng Ren looked together; Lin Yuan took the lab report and continued to flip through.
"No problem." Zheng Ren said: "Has a parasite test been done?"
"Partially checked; the lower hospital's examination is incomplete." Director Luo said: "I also considered parasites, but a full check would need to go to the Disease Prevention and Control Center, Parasitic Disease Prevention and Control Institute for testing."
Zheng Ren nodded; he understood what Director Luo meant.
It's like screening for allergens; testing hundreds or thousands of parasites all at once, not to mention the cost, just the time is unaffordable.
But this disease…
Zheng Ren felt a bit embarrassed.
He and Director Luo agreed, both believing the patient's diarrhea is due to parasitic infection.
But what parasite exactly?
"Dang dang dang~" the knocking sound rang out.
"Please come in." Director Luo said while looking at the images.
A woman in her thirties walked in, holding a film bag, politely saying: "Director Luo, these are other earlier test reports; please take a look."
Zheng Ren looked at the woman's system panel and was stunned.
Her system panel was faintly red, but there was no diagnosis.
What kind of problem does Big Pig Trotter not give a diagnosis for? Zheng Ren immediately began to recall.
"Zheng Lao Ban, this is the patient's family member who just looked at the films." Director Luo said.
Zheng Ren nodded; as a result, the woman, while flipping through the film bag, began to ponder.
No wonder Director Luo asked me for a consultation; confirming this disease is really difficult.
"Are you the patient's lover?" Zheng Ren, while looking at the lab report, asked.
"Hmm, you are……" the woman was puzzled, wondering why a young doctor had switched to ask her.
She even felt a bit panicked, thinking Director Luo didn't want to take it on and just found a junior doctor to brush her off.
"This is our hospital's Boss Zheng; his medical skill is higher than mine." Director Luo said calmly.
The woman was astonished, and Lin Yuan was also very surprised.
The director of the 912 Department of Gastroenterology directly admitted that Boss Zheng's skill is higher than his; this is somewhat beyond belief.
But Zheng Ren seemed not to have heard this; he continued asking, 'Please tell me about the situation before the first onset of the illness.'
The young married woman had already recounted her medical history many times; she was well versed in it.
'My spouse five years ago showed loss of appetite, had abdominal pain, but it soon got better. After that…'
'Five years ago, do you recall eating anything you don't usually eat?'
'No, just ordinary home-cooked food. Seafood… Doctor, I can't remember that part.' The young married woman said with a worried frown, 'It's been a while.'
'Hmm.' Zheng Renye agreed with this, 'Try to think, see if you can recall anything.'
The young married woman wore a worried expression; trying to find some details in the dust of five years of memory is extremely difficult.
Let alone details from five years ago; even many details from five months ago are hard for most people to remember.
'Doctor, I really can't remember.' The young married woman said, 'Many people have asked me this; I'm sorry, truly sorry.'
Zheng Ren let out a breath, continuing to search his mind for related matters.
'Since getting this illness, my spouse has completely changed.'
End of Chapter
