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Chapter 2062: 1991 In an Instant

~7 min read 1,245 words

"It's possible, but the incidence of cerebral cysticercosis is too low; after everyone leaves, we'll stay behind to look at the images on the computer." Zheng Ren said.

Lin Yuan saw Zheng Lao Ban not denying his diagnosis and smiled happily. Director Wei caught a glimpse of the swaying ponytail and a smile like morning light in his peripheral vision, and was stunned for a moment.

Look at Zheng Lao Ban's bearing, tsk tsk.

When I was younger…… not to mention back then, even now I wouldn't dare to swaggeringly bring Quan Xiaocao out to participate in the hospital-wide consultation.

Besides, Zheng Lao Ban is truly genuine.

"Zheng Lao Ban, do you have any other considerations?" Lin Yuan saw Zheng Ren still looking at the images and asked softly.

"Tuberculosis is also possible; we need to continue detailed differentiation. However, I recall that Section Chief Mao previously had no history of tuberculosis." Zheng Ren said while recalling the previous medical records.

"I also don't recall any." Director Wei echoed.

"Well, there's no history of low fever, night sweats, decreased appetite, general weakness and fatigue, or listlessness; tuberculosis can basically be ruled out." Zheng Ren said.

"Why don't we start the analysis from cerebral cysticercosis?" Lin Yuan asked.

She was a bit confused; since we've found a direction, shouldn't we continue researching it?

Zheng Lao Ban only said one sentence and then stopped talking about it; it seems quite strange.

"Because if the cysticercosis induces epilepsy…… we only have a head CT now; if we did a head nuclear magnetic resonance, we would see a low-signal area with clear borders on T1-weighted imaging and a high-signal area on T2-weighted imaging." Zheng Ren simply explained, "I estimate the likelihood of diagnosing cerebral cysticercosis is not high."

"" Lin Yuan was stunned.

Deriving nuclear magnetic resonance from CT—what kind of skill is this? She completely failed to understand what Zheng Lao Ban said.

Lin Yuan widened her eyes, waiting for Zheng Lao Ban to explain further, but Zheng Ren said nothing and continued to ponder the condition.

Previously, when only Su Yun was by my side, I didn't feel this guy was particularly strong.

But people, without comparison there is no harm. After Lin Yuan, a Harvard PhD, arrived, the comparison became blatantly obvious.

Like the possibility of cerebral cysticercosis, using CT images to reconstruct and convert into nuclear magnetic data would show the possibility is not great, fundamentally not worth further investigation.

Su Yun could do this, albeit a bit slower than me.

But Lin Yuan couldn't do it.

Zheng Ren really couldn't be bothered to explain; he kept looking at the CT images and continued to ponder.

"Zheng Lao Ban, the hospital is really in a hurry this time." Director Wei gossiped quietly.

"Hmm?"

"Section Chief Mao's family…… her mother came to the hospital today, sat in Director Yan's office and raised a fuss…… though it's hard to call it a fuss." Director Wei lowered his voice and said, finally adding a somewhat helpless explanation.

"What's there to fuss about?" Zheng Ren wondered.

"It's not that she's been having frequent bouts lately; Section Chief Mao's mother started laying out facts and reasoning with Director Yan. The work pressure is too great, inhumane, ultimately lowering the body's immunity, which then leads to all these subsequent issues."

Zheng Ren did not comment on this.

Work pressure is high—could an inpatient chief possibly have even greater work pressure? For half a year to a year, living and eating in the hospital every day, without even a girlfriend—is this how a person lives?

Nor have I seen any inpatient chief unable to endure it.

Thinking of this, Zheng Ren saw a few freckles dancing before his eyes. Zhou Litao had already rolled up his sleeves, preparing to find a girlfriend; I hope he succeeds.

However, Zheng Ren quickly shifted his attention back to Section Chief Mao's current condition.

"Director Wei, has Section Chief Mao's physical examination been done?" Zheng Ren asked.

"The neurology department did a simple physical exam; endocrinology and rheumatology wanted to do something else, perhaps it's taken too long, also somewhat coincidental, and then a major epileptic seizure occurred, so the family wasn't pleased."

"Section Chief Mao's mother?"

"Hmm, tell me about the fuss." Director Wei also seemed unhappy.

For one thing, I've known Section Chief Mao for many years and hope she stays safe and sound. Although Director Wei won't think much about promotions later, whoever goes up is irrelevant to him, but at the very least, health is a natural hope.

But not even allowing a physical exam—this is really annoying.

Zheng Ren could vaguely imagine the scene then: the patient's relatives shouted angrily, and the doctors from endocrinology and rheumatology were driven out.

Even if we gave up treatment, it wouldn't matter; not allowing anything to be done yet demanding a clear diagnosis makes this very difficult.

Seeing Zheng Lao Ban begin to ponder, Director Wei suddenly felt moved and asked: "Zheng Lao Ban, do you have any considerations?"

Zheng Ren nodded, looking at the rheumatology and immunology department's Director Feng who was speaking.

"Director Feng is right; I also think it might be a disease triggered by low calcium." Zheng Ren said.

Low blood calcium—too many diseases could be considered; this doesn't give a clear direction.

Director Feng was stating his judgment, without specifying a concrete diagnosis, merely suggesting a B-ultrasound to check the thyroid.

"Zheng Lao Ban, thyroid? What disease are you considering?" Director Wei asked.

Rheumatology and immunology diseases truly are at an extremely difficult stage.

That's another realm altogether; other departments haven't touched it, even a big chief like Director Wei hasn't gotten involved.

In a regular small hospital, rheumatology and immunology only look at rheumatic diseases; but the 912 rheumatology and immunology, just as Su Yun said, these words mean difficult and miscellaneous diseases.

"Pseudohypoparathyroidism, I think Director Feng is considering this disease." Zheng Ren said.

"Zheng Lao Ban, the likelihood of this diagnosis is not high." Lin Yuan said while biting her fingers.

Zheng Ren turned and saw her biting her fingernails, picked up a ballpoint pen from the table, like a hemostatic forceps, and struck it against her radial styloid.

"Ah..." Lin Yuan cried out in pain unintentionally.

"Hmm?" Vice President Yuan, while watching Director Feng make a diagnosis, occasionally glanced at Lin Yuan.

"Director Lin," Vice President Yuan thought this was especially interesting and would later report it to Director Yan.

This habit of biting fingernails is exactly the same as in childhood; despite being such a grown girl, she hasn't shaken off this flaw.

But seeing Zheng Lao Ban unhesitatingly tap Lin Yuan's radial styloid with a ballpoint pen also startled him.

If he really were to strike something bad, Old Lin would have to go to Director Yan's door and fight desperately!

"Zheng Lao Ban." Vice President Yuan coughed, cutting off Director Feng's words, about to say something, when he saw Zheng Lao Ban stand up.

"Director, I agree with Director Feng's opinion."

Director Feng also froze for a moment; I merely had a vague judgment, suggested to improve relevant examinations, and Zheng Lao Ban then started to agree with my opinion?

Mainly, I don't even know what my opinion is, and there are several situations that need differential diagnosis.

"I think it's pseudo-parathyroid Function reduction disease; let's get a thyroid B-ultrasound." Zheng Ren said: "After doing it, we can have a relevant judgment."

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