Chapter 2026: 1956 Took a Big Detour (Monthly Ticket 55500 Bonus Chapter ×111)
"Director Luo and the boss just said that." Su Yun said disdainfully.
Lin Yuan, however, seemed not to have heard Su Yun's words, lifting his head, his ponytail swaying, "Eosinophilic gastroenteritis is a disease of unknown cause, characterized by diffuse or localized eosinophilic infiltration of the gastrointestinal tract, often accompanied by peripheral blood eosinophilia."
"I didn't ask you to recite, I haven't even taken a medical history—where do you get the confidence to spout all this nonsense?" Su Yun said disdainfully.
"The patient's symptoms are quite typical." Lin Yuan said confidently.
Director Luo smiled and said, "I initially suspected eosinophilic enteritis as well, but to find a large number of eosinophils we still need to wait for the colonoscopy results."
"I'll do it!" Lin Yuan volunteered again.
"Don't rush, let me ask the patient's history." Zheng Ren said calmly while sitting in the chair beside Director Luo.
He was thinking of countless similar cases and diagnoses in his mind.
Just thinking about these things now can only serve as training; without taking a history, it's almost meaningless.
Soon, Director Luo called the patient's family member in.
He was a farmer in his fifties, looking bewildered and cautious.
When he entered Director Luo's office, he stood timidly in a corner, afraid to touch anything around him.
He feared Director Luo would look down on him.
Having made it to ward 912 and being admitted, they had already burned high incense—let alone mention anything else.
"Are you the patient's spouse?" Zheng Ren asked with a smile.
"Mm-hmm." He nodded honestly, not daring to say more.
"Don't be so formal." Zheng Ren stood up, dragged a chair over to the family member, and said, "Please sit and speak."
"Um..." The family member hesitated, glancing around at everyone's expressions in the room.
Seeing no disgust or contempt, and after Director Luo's reassurance, he carefully sat on the edge of a chair.
Zheng Ren was afraid he might plop straight onto the floor.
But he didn't keep urging the family member; being overly polite is itself a pressure for them.
"How long has your spouse had diarrhea?" Zheng Ren asked directly.
"Four or five years, and it's never gotten better."
"Where have you gone for treatment, and what medicines have you taken?"
"We've been to every hospital around here; we've taken albendazole, piperazine, and many other medicines I don't even know."
"After taking the medicine, did it help?" Zheng Ren continued asking.
"Sometimes it works, sometimes it doesn't."
"How has it been lately?"
"Lately it's gotten worse—people with diarrhea can't even get out of bed. Before, working in the fields was fine; it was just diarrhea, who doesn't have it?" The family member said sadly, "But it's gotten worse over the past two or three months."
Zheng Ren paused, somewhat puzzled. Progressive worsening of diarrhea? That's not common.
"What do you usually like to eat?" Director Luo asked.
Earlier in the outpatient clinic, there were countless patients outside, making it impossible to take such a detailed history.
Director Luo relied on his years of rich clinical experience to judge that the patient might have a problem; after glancing at the lab report and asking a few simple questions, he admitted the patient for further examination.
This is, to some extent, a difficult and miscellaneous case; a more detailed history is needed to make a judgment.
"Pork stewed with vermicelli." The family member said honestly.
"Threadworms? No way—threadworms are rare and hardly ever cause diarrhea. This probability is even lower than that of pork-borne threadworms parasitizing the brain and causing neurological disease."
Zheng Ren and Director Luo inquired into family history, past history, and personal history in great detail.
After half an hour, Director Luo and Zheng Ren stopped asking.
They had asked everything they could; there was nothing left.
The patient was just an ordinary rural woman who usually did farm work; in the off-season she would stay indoors playing mahjong and such.
Recently her diarrhea became severe after a mahjong session; playing mahjong and diarrhea are completely unrelated.
"Boss Zheng, any ideas?" Director Luo asked.
Zheng Ren shook his head and said, "Let's go look at the eye patient."
This is our last resort; if we can't figure it out, we'll have to rely on the Big Pig Trotter's system panel to make a diagnosis.
If we can't figure it out, that's our own shortcoming—we certainly can't delay the patient's treatment.
As for Director Luo's preliminary diagnosis, Zheng Ren merely had doubts and did not consider the possibility of eosinophilic enteritis to be high.
"Hmm." Director Luo said, "The patient's condition isn't good; I glanced at her in the outpatient clinic and suspect an electrolyte imbalance accompanied by mild breathing difficulty."
"Has the colonoscopy report come back?" Zheng Ren suddenly asked.
"It should be back; let's take a look at the images, then go see the patient." As Director Luo was about to move, Su Yun swiftly grabbed the mouse and began searching for the patient's image data.
Normally a gastroenteroscopy report includes two or three typical images, but for this patient Director Luo had given a heads‑up, so the upload contains images of the entire gastrointestinal tract.
Su Yun opened the images, and everyone gathered around the computer like they were watching a movie, intently watching.
Five minutes later, the imaging process ended.
"It's not eosinophilic enteritis." Zheng Ren said, "I didn't see any granulomas."
Lin Yuan also sighed; it really wasn't.
She had been certain it was eosinophilic enteritis, but once it was denied, she felt empty and a bit upset.
The patient's spouse sat carefully in the chair; seeing the diagnosis denied, he sighed and said, "Doctor, can it still be treated?"
"Huh?"
"If it can't be done, we'll just go back." He said dejectedly, "I want to eat something, I want to drink something. We haven't sat down together for a drink in ages—not since we got this strange illness."
Zheng Ren felt somewhat downcast.
"Let's go take a look—see what the Big Pig Trotter says."
"How much can you drink?" Su Yun asked.
"In summer I can drink one catty, in winter half a catty." When talking about drinking, the man's face gradually gained a bit of luster.
"Huh?" Zheng Ren sensed something was wrong, immediately asked: "How come there's such a big difference?"
"Summer has side dishes for drinking! The field snails caught in the ground, stir-fried with chili, go well with alcohol!" The man said with his head down, discouraged.
When asking about medical history, this point is the most annoying.
The patient won't necessarily say everything the doctor needs all at once.
However, this is very easy Understanding, life's countless trivial matters, no one knows which might be related to the illness.
If one were to say it all, three days and three nights wouldn't be enough.
Zheng Ren heard the patient's family say that, and his eyes lit up instantly!
"Do you usually want to eat field snails?"
"Mm, that stuff is everywhere; my wife's stir-fried field snails are delicious. The two of us drinking one Evening can eat a small bowl."
Director Luo also discovered the problem!
Parasites, the answer from the very beginning, after going around in circles, returned to the original point.
End of Chapter
