Chapter 2148: with translation of chapter title
Director Lin said he had organized several hospital-wide consultations. The rheumatology immunology staff definitely attended and even offered related opinions. Su Yun had no medical record in hand, could only trust Ma Youjiang's guess, "But we still can't solve it, and we don't even know what the problem is."
"You have friends in rheumatology immunology, right? Ask them." Zheng Ren began to hustle.
Involving a major medical dispute, Zheng Ren also thought about going to take a look, but the Shou Bing isn't finished yet. We still need to prioritize.
"I have friends all over the world; who's like you, a shut-in who doesn't even have a friend?"
"You count as one." Zheng Ren laughed, "Hurry up and ask, see how rheumatology immunology judged it."
Su Yun picked up his phone, his operations were fierce like a tiger.
"Director Gu…… you can't even call him the Inpatient Chief anymore; last year he was made associate professor." Su Yun asked while smiling, saying, "He's even faster than Zhao Yunlong, truly admirable."
"If you stayed, would you also be an associate professor?"
"I left, but I'm still an associate professor." Su Yun retorted directly.
Zheng Ren had never accepted the fact that he had become a professor through an exceptional promotion; hearing Su Yun say that, he was slightly taken aback.
Back when I was in Hai Cheng, when we invited professors to do surgery and chatted, we would all call them "beast." Only professors with truly high skill and good temperament would be respectfully addressed as Professor So-and-so.
I seem to have become a beast over a month ago, and not just a surgery beast, but a true beast……
Time really flies; in my memory I still seemed to be an Inpatient Chief. Zheng Ren watched the screen; the Shou Bing was about to finish, and he let out a sigh of relief.
"Old Gu is at the hospital-wide consultation, and I learned some details from his junior doctors." Su Yun frowned.
"Oh, what situation?"
"It hasn't been sent over yet, wait a moment." Su Yun said, "I feel that Old Gu's side has trouble."
"A hospital-wide consultation? There's definitely trouble." Zheng Ren laughed, "It won't be the Professor Gu you know..."
Saying that, Zheng Ren swallowed his words back.
Clinical matters are really hard to say, especially some immune system diseases; once there is a "misoperation", there will be lethal risk.
Although he didn't look back, the usually talkative Su Yun didn't speak, clearly he had a bad guess about how things would develop.
"Boss, the Shou Bing is done. Yun Ge'er, you weird thing, you're so busy every day I can't see you." Professor Rudolf Wagner walked out, speaking cheerfully.
This is a happy expression of feeling progress from a smooth Shou Bing.
"Fugui'er, the Shou Bing keeps getting better." Su Yun looked at the medical record uploaded on his phone, said, "Add some effort, and you'll soon catch up to me."
"Yun Ge'er, I feel my level completely beats yours." Professor said confidently.
"Impossible, that's just an illusion." Su Yun casually said, "Boss, the exam found pseudo-intestinal obstruction and ureteral dilation, mild proteinuria, reduced heart function combined with mild pulmonary hypertension."
"Hmm? Urinary tuberculosis?"
Su Yun didn't answer Zheng Ren's question, but continued, "Old Gu ruled out other diagnoses, thinking it was Systemic Lupus Erythematosus, and prescribed hydrocortisone sodium succinate 300 mg/day, cyclophosphamide 0.2 g every other day."
Zheng Ren didn't speak; daring to diagnose Systemic Lupus Erythematosus proves this Professor Gu has some level.
This dosage is also fairly standard.
"Just now, before the hospital-wide consultation, the patient developed type I respiratory failure."
……
Is the diagnosis wrong? It must be a misdiagnosis!
Immune system diseases are like that; once misdiagnosed and given treatment for another disease, various complications will arise.
Severe, even leading to mortal danger.
Direct type I respiratory failure, no wonder Lin Ge just frowned; even promoting the Intracardiac Intervention Surgery couldn't make him happy.
"Send the medical record over for me to take a look." Zheng Ren knew the situation was serious.
Rheumatology immunology system diseases, I'm not particularly skilled; I can only compare using the System Panel.
"Just go see the patient directly."
This time, without waiting for Zheng Ren to speak, Su Yun already eagerly said he wanted to see the patient. The rheumatology immunology people all went, but there's still no accurate diagnosis; just looking at the medical record isn't enough.
"Hmm, send me the medical record, and we'll talk as we walk." Zheng Ren said.
"What more to send? Walking and looking at things, you'll bump into someone." Su Yun said, "Change clothes, let's go."
"Is Professor Gu male or female?" Zheng Ren, seeing Su Yun so anxious, asked in surprise.
"He's an old man, hurry up." Su Yun sprang up, patted Professor Rudolf Wagner on the shoulder, and said: "Fugui'er, I and the Boss are going to get busy."
"Okay." Professor said, "Yun Ge'er, you and the Boss don't mess up Zhang Guang's, go slow, or else you'll mess up the accounts."
"Got it, how could the Boss possibly mess up the accounts?" Su Yun didn't care, turned and grabbed Zheng Ren, striding away.
Lin Yuan was still seeing off patients, enviously watching the two go change clothes.
Usually there are many miscellaneous tasks; if I could also attend consultations, that would be great.
Diagnosis is my forte. After joining the Medical Team, it seems I'm only being used as a junior doctor.
But there's nothing to complain about; with Zheng Lao Ban around, who isn't a junior doctor?
Professor Zhong Xinzhong, how is he? He's just lending a hand, after installing a cardiac pacemaker he has nothing to do.
Lin Yuan sighed, looking enviously at Zheng Lao Ban and Yun Ge'er marching off, helplessly sending the patient back to the ward.
"Boss, the patient is a 24-year-old female admitted for vomiting, diarrhea, low fever for one month, lower back pain, urinary frequency for seven days." While changing clothes, Su Yun presented the condition.
Having just glanced at the medical record, he didn't miss anything; he just recited it from memory.
"The patient came to our hospital two weeks ago; the ultrasound showed no abnormality in both kidneys, but a cyst was found in the adnexal area, considered a teratoma, and was excised; postoperative pathology diagnosis was clear."
"The Shou Bing went smoothly, but the postoperative nausea and vomiting symptoms did not improve."
"How was it considered back then?" Zheng Ren didn't quite understand, "Was the cyst relatively large?"
"Hmm, we considered the possibility of malignancy, but the postoperative pathology showed no problem." Su Yun said, "Seven days post-op, the patient developed urinary urgency, frequency, dysuria, accompanied by sore lower back pain; an upright abdominal flat film showed an air-fluid level in the mid-abdomen."
"I remember you said it was pseudo-intestinal obstruction."
"Hmm, after taking sesame oil, they had a bowel movement on their own."
Sesame oil has the effect of moistening the intestines and promoting bowel movements; when I was in Hai Cheng, Zheng Ren also often used it.
But there are still rules about taking sesame oil orally; for example, it's said that 50 g of sesame oil should be gulped down in one mouthful, not sipped little by little.
The patients Su Yun referred to, whose symptoms could improve with sesame oil, are indeed cases of pseudo‑intestinal obstruction.
End of Chapter
