Chapter 2027: with translation of chapter title

"I'll go take a look at the patient." Zheng Ren said.

"Let's go together; in the outpatient clinic I just glanced at the patient. In the morning there were dozens of numbers, if they were to be admitted I wouldn't have examined them in detail." Director Luo followed Zheng Ren out of the office.

The patient's family members followed cautiously at the side; he didn't understand why mentioning eating snails made the doctors look like they were facing a great enemy.

"Have you ever eaten snails in the United States?" Su Yun walked at the back, asking Lin Yuan without any seriousness.

"No, over there Chinese restaurants occasionally sell them, but I rarely have time to go out." Lin Yuan answered offhand.

"Let's eat Fa Guo snails," Su Yun said, having run out of ideas.

"..." Lin Yuan already knew what this guy was going to say.

"Here, diarrhea, and you also risk infection with trichinella." Su Yun said with a laugh: "I suggest you go to the health check center for a check-up, at the very least draw some blood. If eosinophils are elevated, you might have a related disease. Of course, this is just a suggestion, free of charge."

"Impossible!" Lin Yuan felt uneasy but still answered firmly: "I don't eat raw food."

"Tsk tsk, are all doctors coming out of Harvard this level?"

"You..."

"The cysts of trichinella larvae are relatively resistant, able to withstand low temperatures; the cysts in pork need to be stored at -15°C for 20 days to die, and they can also survive 2–3 months in spoiled meat. Methods such as air-drying, salting, grilling, and hot pot often fail to kill the larvae, but they are usually killed at 70°C." Su Yun said leisurely.

Lin Yuan really didn't want to deal with this guy; she quickened her steps to follow behind Zheng Lao Ban.

But Su Yun's words were like a spell, swirling in his mind.

Should he get a check-up? Lin Yuan hesitated a bit. If he didn't get checked and really got infected with trichinella, what would he do?

Having diarrhea during Shou Bing... just thinking about that possibility made Lin Yuan shiver.

Arriving at the ward, Zheng Ren began to examine the patient. The System Panel showed red; the most serious disease was not trichinella, but the comorbid—Loffler endocarditis.

Loffler endocarditis is also called eosinophilic endocarditis, caused by an increase in eosinophils in the body, which is a reactive change.

No wonder the patient's family said the patient hadn't been able to get out of bed for the past two or three months.

At first hearing this medical history, one would surely think it was an electrolyte imbalance caused by diarrhea. But after seeing the patient's System Panel, Zheng Ren felt somewhat depressed.

Besides Loffler endocarditis, the patient also had a secondary thrombus in the left ventricle.

Zheng Ren felt a bit regretful; although it didn't delay anything, he now had a rather bad tendency.

After encountering a patient, he always wanted to rely on his own ability to make the correct diagnosis.

Constantly inquiring about medical history and ruling out various abnormalities all take time.

Although the earlier analysis and diagnosis would not worsen the patient's current condition, Zheng Ren still kept this in mind, planning to reflect on it after he got busy.

"I need an echocardiogram." Zheng Ren put down his stethoscope and said firmly.

Director Luo called a nurse to have a doctor write orders and call the ultrasound department; upon returning, he asked somewhat surprised: "Loffler endocarditis?"

"Not just that." Zheng Ren didn't go into too much detail, after all, speaking too much in front of the patient might scare them into something bad.

Director Luo's brows furrowed.

Elevated eosinophils leading to Loffler endocarditis is something he had considered. But a more serious disease with cardiac complications is trickier.

Zheng Ren also did other physical examinations; soon the ultrasound machine was pushed in.

Sitting at the bedside, Zheng Ren began to perform an echocardiogram on the patient.

"How is Zheng Lao Ban's echocardiogram skill?" Lin Yuan asked Su Yun quietly.

She said, "It sounds like your echocardiogram skill is high," and her replies to Su Yun are always mocking.

"Can't you just speak properly?" Lin Yuan felt a bit disgusted with this person beside him.

This is still because his looks are indeed high; if it were someone else, Lin Yuan would have long been too lazy to bother.

"Mm, the boss said that before." Su Yun said, "Just watch closely; we'll probably have to go into Shou Bing soon."

"Shou Bing?" Lin Yuan was dumbfounded.

It's just diarrhea; even if there's Loffler endocarditis, it shouldn't require surgery, right?

"Loffler endocarditis with a thrombus. Tough luck, Lao Liu is leaving, Fugui'er is still working on Nobel Prize materials, so I can only follow along for the surgery." Su Yun had already prepared.

Lin Yuan tried to recall Loffler endocarditis; this rheumatic immune disease, even just diagnosing it requires a high level.

Just say surgery and do surgery? Where does this confidence come from!

"It's fine, if you don't want to go, I can go." Lin Yuan said softly.

"Indeed, that's what United States doctors do; interventional angiography is just routine."

Lin Yuan was about to show off when Zheng Ren suddenly said.

"Interventional thrombectomy; I examined carefully—it's not a granuloma secondary to eosinophilia, just a left ventricular thrombus causing left ventricular dysfunction." Zheng Ren said softly: "Director Luo, please prepare to transfer the patient to another department."

The echocardiogram doctor hurriedly recorded.

Director Luo frowned, watching Zheng Ren perform the echocardiogram. The image analysis came out line by line, truly frightening.

As for the echocardiographic imaging examination, Director Luo is not very skilled. He can handle simple things, but when it gets serious he becomes vague.

After all, it's not his Specialty.

As for Zheng Lao Ban... there's no comparison; Director Luo knows that in his heart.

After finishing the examination, Zheng Ren asked: "When was the last time you ate or drank?"

The patient's lover hesitated and said: "Just ate a little something."

Zheng Ren said nothing, stood up, and walked out.

"Zheng Lao Ban, what are we preparing to do?" Director Luo asked, following behind Zheng Ren.

"Interventional thrombectomy; I examined carefully—it's not a granuloma secondary to eosinophilia, just a left ventricular thrombus causing left ventricular dysfunction." Zheng Ren said softly: "Director Luo, please prepare to transfer the patient to another department."

Director Luo sighed.

He had received a patient with endocarditis complicated by a thrombus.

He missed it in the outpatient clinic...

There's nothing to be done; the chief complaint was diarrhea for five years, and I don't have Zheng Lao Ban's ability... wrong!

Thinking of this, Director Luo suddenly woke up.

How did I end up habitually rating Zheng Lao Ban's level so high!

This is not a good habit.

"How difficult is the Shou Bing?" Director Luo asked.

"It's fine, thrombectomy Shou Bing, just be careful not to have complications." Zheng Ren said: "If the cardiology department thinks it's difficult, they can call me."

"......" Director Luo was speechless.