Chapter 2051: 1980 Non-existent Diagnosis (Monthly Ticket 60000 Bonus Chapter ×120)
"Little brat, don't talk back." Su Yun said, "There's a lot you don't know."
"What's your diagnosis?" Lin Yuan ignored Su Yun's provocation and asked directly.
"Not yet, aren't we looking at it?"
The two talked while moving the mouse with Zheng Ren to view the imaging data.
After viewing the whole set, Zheng Ren didn't have any particularly good ideas.
He hesitated a moment, switched the image to the chest CT, and stared at it, chin in hand.
"Boss, do you suspect constrictive pericarditis?" Su Yun asked.
"There is stenosis, but an ultrasound might show the problem. However, pericarditis isn't indicated—I don't see any calcification like armor here." Zheng Ren pointed at the computer screen.
Constrictive pericarditis refers to the heart being encased by dense, thick fibrous or calcified pericardium, limiting ventricular diastolic filling and producing a series of circulatory disturbances.
"Constrictive pericarditis mainly presents with dyspnea, palpitations, chest tightness, abdominal distension, and lower‑limb edema; imaging does show some signs, but the patient has no similar chief complaint, so we don't consider it." Lin Yuan said on the side.
Yu Zong felt somewhat moved; after thinking slowly, he could still recall the various symptoms of constrictive pericarditis, but he definitely couldn't think as fast as the girl beside Zheng Lao Ban.
She seemed to blurt it out without thinking; perhaps in her mind she had already ruled out that diagnosis.
Her basic knowledge is rock solid.
"That's not necessarily true." Su Yun stared at the image, a bit dazed; he wasn't arguing with Lin Yuan but talking to Zheng Ren.
"Hmm, there's an issue here—go see the eye patient!" Zheng Ren sprang up.
"Zheng Lao Ban, what are you considering?" Yu Zong hurriedly asked.
"Nothing to consider—go see the eye patient." Zheng Ren said.
Yu Zong was also somewhat surprised.
In his mind, Zheng Lao Ban was already synonymous with omnipotence. After viewing the images, shouldn't Zheng Lao Ban just lay out the condition one‑two‑three‑four‑five?
But since Zheng Lao Ban said to see the patient, let's just take a look.
After closing the computer, Yu Zong led Zheng Ren and the group to the VIP ward.
"How is Master Wang's son doing?" Zheng Ren only remembered this upon arriving at the VIP ward.
"He's fine now." Su Yun said, "After the surgery there's some postoperative pain, but not the regular every‑few‑minutes pain he had before."
Zheng Ren nodded; since there's nothing wrong, he didn't need to go see.
What happened afterward was discussed between Master Yan and Master Wang; it had nothing to do with him.
Arriving at a ward, Yu Zong knocked and entered.
A man in his seventies stood by the window, gazing into the distance.
Seeing Yu Zong enter, he chuckled, "Yu Zong, you've come to see me—thank you for your trouble."
"It's my duty, Mr. Chang." Yu Zong replied politely.
"Who are these…?" the patient looked at the leading Zheng Ren and asked with a smile.
Zheng Ren didn't hear how Yu Zong introduced him; he stared blankly at the patient's system panel.
The system panel glowed faintly red, but most diagnoses were ordinary geriatric ailments, and there was certainly nothing related to hematuria.
He didn't suspect the big pig trotter; his first thought was Yu Zong's judgment—that the old man was faking illness.
At the same time, the chest CT image appeared clearly before his eyes. Given the context, Zheng Ren had already formed his own hypothesis.
"Greetings, Zheng Lao Ban." The patient extended his hand, smiling.
Zheng Ren was still dazed, his brain racing. Even if he were faking, the lab results are genuine—being able to fake it so convincingly is a skill!
Seeing Zheng Ren silent, Su Yun knew he had zoned out again and kicked his shin from behind with the tip of his foot.
"Hello." Zheng Ren reacted quickly, extending his hand to shake the patient's.
"Please have a seat." The patient laughed, "I'm old, I've got a little illness, and I'm troubling you all to come see me—I'm really sorry."
"It's fine." Zheng Ren walked behind the patient to the small lounge outside, sat down, and they began chatting.
After a few pleasantries, Zheng Ren eagerly asked, "Old sir, is this your first episode of hematuria, or have you had it before?"
"I've had it before." The patient chuckled, "It comes out when I get angry or heated—of course I'm getting older, and the episodes last longer."
"How long does it usually take to get better?"
"Usually it clears up in two or three days; this time, counting the days at home, it's been about half a month. Zheng Lao Ban, right? I'm fine, sorry to trouble you." The patient seemed reluctant to discuss his condition, gave a brief answer, and began hinting that they should leave.
"Old sir, I'm just asking casually." Zheng Ren sat firmly, with no intention to move, "Have you recently felt palpitations or shortness of breath?"
"No, my heart is fine. When I was younger I focused on my career and neglected myself, developing a bit of stomach trouble. But after fifty, having some modest achievements, I began to look after my health. The last coronary CT check was a month ago, showing no blockage."
Zheng Ren glanced at the patient, thoughtful.
"It's just a small matter, thank you doctors for your concern."
"Old sir, please don't rush off; I still have a few questions." Zheng Ren said with a smile.
The old man furrowed his brow.
Before Zheng Ren could ask his question, the nurse saw this, came over, and gently bowed: "Mr. Chang is tired, please everyone leave first."
Zheng Ren wasn't unhappy at all; he stood up and said with a chuckle, "Sir, I'll take my leave now—please rest well."
The patient stood up and saw Zheng Ren and the others out.
Leaving the VIP ward, Su Yun chuckled, "It couldn't be more obvious that he's faking illness, Yu Zong—your eyesight has improved!"
Yu Zong scratched his head and sighed, "It's all guesswork—I still have no idea why the patient is faking illness or how he's doing it."
Zheng Ren knew he had been summoned just to determine whether the patient was really faking illness, to confirm his suspicion.
Such speculation about faking illness involves many complex factors; without solid evidence, it absolutely cannot be voiced.
"Tell Director Liu to arrange a hospital‑wide consultation." Zheng Ren said immediately.
"Huh?" Yu Zong froze for a moment.
Lin Yuan also stared, still considering the patient's condition. Only Su Yun smiled and said, "Remember to consult cardiothoracic—get a professor willing to do surgery for the consultation."
"……"
Yu Zong was speechless.
"Well, the consultation opinion: diagnosis is intermittent constrictive pericarditis, recommend Shou Bing treatment." Zheng Ren said affirmatively.
"Intermittent constrictive pericarditis?" Lin Yuan asked in surprise.
"Mm." Zheng Ren nodded.
"Zheng Lao Ban, is there such a diagnosis?" Lin Yuan racked his brains but still couldn't figure it out.
"No, but the patient's condition is indeed like that." Zheng Ren said.
End of Chapter
