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Chapter 2331: with translation of chapter title

~6 min read 1,190 words

Zheng Ren sat in a chair reading a book; Professor Rudolf Wagner will soon return to the country to attend to Nobel Prize matters.

While Mei Ha'er's second-phase surgery will also be done in Di Du soon, Fugui'er is probably waiting for Mei Ha'er.

The Fame Under Heaven enhanced version task has already been completed 588/20000, as the doctors sent for further study by Lanke return to the country one after another, Shou Bing volume also began to increase rapidly.

Everything is proceeding in an orderly manner; although it's getting busier and busier, Zheng Ren feels very fulfilled.

【They say write quickly......】、

The phone rang; Zheng Ren came out of the System Space, picked up his phone and glanced at it.

"Huh?" Zheng Ren saw the note on the phone, finding it strange.

"Who is it?" Su Yun played with her phone, asking without looking up.

"Wang Zong."

After saying that, Zheng Ren answered the phone.

"Wang Zong." Zheng Ren answered the phone.

"Oh?"

After saying that, he fell silent, seriously listening to Wang Zong's description of the condition.

After a full minute, Zheng Ren then said, "Send the medical record to my email, I'll consider it."

"What's going on, Boss?" Su Yun asked, raising her head.

Wang Zong said there is a patient with intermittent incoherent speech and major epileptic seizures. After taking carbamazepine orally, the seizures improved a lot. However, the frequency of episodic loss of consciousness and similar episodes increased, with persecutory delusions and behaviors like talking to the air. The episodes don't last long, and then the patient returns to normal.

"Oh?" Su Yun and Lin Yuan both looked at Zheng Ren.

Chang Yue had no interest at all, and went to chat with the patient.

Gu Xiao Ran sat in the corner working; he could understand what Zheng Lao Ban said, but had no idea. For Gu Xiao Ran, such patients in his hometown can only be taken by family to a higher-level hospital for confirmation.

"Is it senile dementia?" Lin Yuan asked.

"No, memory impairment, aphasia, apraxia, agnosia, visuospatial skill damage, and executive function dysfunction are the main symptoms of senile dementia. A slight functional impairment appears, but it does not fluctuate. Not considering degenerative changes, let's wait for the medical record." Zheng Ren shook his head.

Su Yun didn't speak, but opened her laptop and waited for the email to arrive.

Before seeing the medical record, nobody knew what was going on; Haicheng Shi Yiyuan couldn't handle it, Wang Zong sought help, so it's better to be cautious.

Soon, the medical record email arrived.

Su Yun wanted to go to the Community Hospital's small demo classroom to use the most advanced imaging equipment, but Zheng Ren rejected the proposal.

To Zheng Ren, that so-called advanced imaging equipment is just for show; it offers no help for a clear diagnosis. Using it occasionally during meetings or teaching is fine, but using it otherwise is rather nonsense.

The medical record notes: patient, female, 71 years old; no prior neurological or psychiatric history.

Five years ago, after her loved one died, she lived alone; one year ago, she gradually showed personality changes, and had a history of talking to the air...... Here, Wang Zong added a sentence: the patient's relatives reported that the patient, starting one year ago, became willing to pick up trash.

The patient herself said that one year ago, aliens implanted a robot inside her body, called Wang Canlan.

This robot constantly releases electric current, causing her great pain. Each time it releases current, she experiences a memory blank, forgetting what happened before.

Wang Canlan also likes to collect various things on Earth, and Wang Zong said this "story" could explain the history of her willingness to pick up trash.

Seeing this, Su Yun exhaled and said, "Boss, giving the high-tech robot inside the body the name Wang Canlan really sounds like something aliens would do."

Su Yun's train of thought is completely different from Wang Zong's; her judgment on the name Wang Canlan shows this.

Zheng Ren ignored that, continuing to read the medical record. He had no interest in Su Yun's habitual complaining, knowing she was just saying the name Wang Canlan is too simple and crude.

"When I was in the United States, I heard them say someone claimed to have been abducted by aliens for experiments. It was described so vividly that I almost believed it." Lin Yuan added.

"There's plenty of that in movies." Su Yun glanced at the medical record and casually remarked.

"I'm telling the truth."

"Fact is often stranger than fiction."

"Look at the medical record properly, stop the nonsense." Zheng Ren stopped their conversation.

He scrolled the mouse wheel quickly, and the medical record swooshed down. Fortunately, Su Yun and Lin Yuan are both top-tier students; although top-tier students differ among themselves, their reading speed can still keep up.

Five minutes later, after thoroughly reading the medical record, Zheng Ren began to ponder.

"Auxiliary tests show no special changes in blood routine, blood sugar, C-reactive protein, liver and kidney function, thyroid function, or electrolytes; the interictal EEG shows diffuse brain function abnormality but no epileptiform activity." Su Yun said, "How do we explain the existence of Wang Canlan?"

Zheng Ren felt somewhat helpless; Su Yun had already used Wang Canlan to stand in for a possible psychiatric disorder the patient might have.

But this name is too strange, Wang Canlan?

"Affective disorder?" Lin Yuan asked.

"Not really." Su Yun gazed through the black hair in front of her forehead with a somewhat vacant look at the computer screen, while Zheng Ren was looking at the large medical record.

"The clinical manifestation of affective disorder is mainly elevated or depressed mood, accompanied by racing or retarded thought, psychomotor agitation or inhibition; during manic states, the patient's mood is elevated, disproportionate to the situation, and severe cases may present with mood-congruent or incongruent delusions, hallucinations, etc."

"These still cannot explain the existence of Wang Canlan." Su Yun remained troubled by Wang Canlan.

"……" Lin Yuan was not used to Su Yun's rambling way of speaking.

Wang Canlan, what the heck is this? Could there really be an alien robot inside the patient? Impossible.

"Well, affective disorder mostly has a recurrent course, with intermittent periods of basically normal mental state, and often a higher positive family history." Zheng Ren suddenly said, "But its presentation mainly fluctuates between depression and mania, without hallucinations."

"Psychiatric disorders should be judged by a psychiatrist, right?" Lin Yuan whispered a suggestion.

Since seeing the description of Wang Canlan on the medical record, Lin Yuan has already leaned toward the patient having a psychiatric disorder.

"We shouldn't casually diagnose a patient with a psychiatric disorder." Zheng Ren said, "The oral medications themselves already harm the nervous system. Clinically, many diseases can cause psychiatric symptoms; for example, we recently encountered an extrapancreatic tumor causing hypoglycemia, which led to psychiatric symptoms."

Lin Yuan honestly stayed silent, and began to reconsider the patient's condition.

If it's not a psychiatric disorder, what could it be? With only one medical record, making a definite diagnosis is extremely difficult.

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End of Chapter

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