Chapter 2414: 2330 Early Detection, Early Diagnosis, Early Treatment

Wu Yuanzhang was stunned by the blow, he stared blankly at Su Yun.

"Don't make trouble." Zheng Ren stepped to the side, blocking in front of Su Yun. He didn't smile, his expression somewhat stern, his voice low: "Come on, let's take a look at the patient."

Wu Yuanzhang felt full of grievance; how could the experts from the capital have such explosive tempers?

However, before his eyes still flashed a row of titles, each making him tremble with fear. Such people are not ones he can offend; Bureau Chief Zhao is right—whatever they say, he just listens.

But this thunder... sigh.

The scene was a bit awkward; Bureau Chief Zhao hurriedly arranged matters to go to the city hospital.

Soon, two vehicles were ready; Zheng Ren and Su Yun, accompanied by Bureau Chief Zhao, boarded one of them.

"Zheng Lao Ban, how serious is the patient's misdiagnosis?" After getting in the car, Bureau Chief Zhao asked softly.

"It's a rare disease, but it can't be completely called a psychiatric hospital......"

"It's just not enough skill." Su Yun said coldly: "Hepatolenticular degeneration is one of the few treatable neurogenetic diseases to date; the key is early detection, early diagnosis, early treatment." Su Yun said, "If diagnosis could be made at the onset, the outcome would be much better."

"What I mean is the patient's parents didn't take them to a top-tier hospital, but went to a psychiatric hospital, which also has some impact on this matter." Zheng Ren said, "Let's talk about the specifics later; we haven't seen the patient or done a physical exam, so we can't make a diagnosis yet."

"If..."

"You can't possibly expect every doctor to diagnose a rare disease with an incidence of 1/30,000 to 1/100,000." Zheng Ren cut off Su Yun's words.

"You don't really think that, do you?" Su Yun's lips curled up, but it wasn't a smile; it was filled with endless contempt and mockery.

"Yes." Zheng Ren frankly admitted, "Perhaps that's also why I originally agreed to open a livestream room at Xinglin Yuan."

"For many rare diseases, once you've seen them and have an impression, misdiagnosis and mistreatment won't happen, or at least we can minimize them. We're just getting started; once the remote consultation system is up, we'll first do a demonstration, and the capital and Modu will surely roll it out quickly."

Bureau Chief Zhao was completely bewildered—how did we end up talking about livestreaming again?

"Zheng Lao Ban, Professor Su... what you two were saying... what exactly is hepatolenticular degeneration?"

"It is an autosomal recessive copper metabolism disorder characterized by liver cirrhosis and basal ganglia damage caused by copper metabolism impairment; our understanding of the pathogenesis of hepatolenticular degeneration has reached the molecular level." Zheng Ren explained, "It is relatively common in China; carriers of this recessive gene account for 1/30."

"But the incidence is low, about one in a hundred thousand. When I was previously in Hai Cheng, just starting to research TIPS surgery, I encountered a patient misdiagnosed with hepatolenticular degeneration. His clinical presentation was merely liver cirrhosis, ascites, and portal hypertension."

"……" Bureau Chief Zhao was truly speechless; the disease called hepatolenticular degeneration that Zheng Lao Ban spoke of actually has many manifestations, vastly different, even outright opposite.

Such a disease, even going to the best hospital in the city would probably make it hard to diagnose.

Otherwise, how could their titles be lined up in rows, looking dazzling, if they didn't have real skill?

"Back then that patient had no psychiatric symptoms, but this child before us presents with primary psychiatric symptoms. Starting from irritability, it could evolve into suicide." Zheng Ren said, "We still need early detection, early diagnosis, early treatment. For now... first confirm the diagnosis, then try copper-chelation therapy."

"How effective is it?" Bureau Chief Zhao asked cautiously.

"Probably not bad; some patients need long-term copper-chelation therapy, but milder cases don't. It mainly depends on the situation; hard to say for now." Zheng Ren said, saying, and then fell into his habitual way of speaking to patients' families, uttering vague words.

"There are also types dominated by kidney damage, bone joint muscle damage, or hemolytic anemia." Su Yun added a sentence.

"Those are other subtypes; we won't consider them for now."

"You're speaking imprecisely."

Bureau Chief Zhao watched the two young experts begin to argue, and then fell silent.

He quietly took out his phone, but after thinking, put it away again.

To look up information online in person, not saying what the two professors think, but actually asking a search engine about the illness—this is also quite embarrassing.

Early detection, early diagnosis, early treatment—no wonder Professor Su got angry. If the child had been clearly diagnosed half a year ago, it probably wouldn't have become this severe.

Bureau Chief Zhao thought, letting out a sigh. The patient's parents regarded the child as having internet addiction withdrawal symptoms and sent them to a psychiatric hospital... well, each side has its own reasoning.

Being able to cure the child is the best; fortunately the diagnosis should already be clear. If further delayed, the consequences would be unthinkable.

Zheng Ren and Su Yun chatted a while longer about hepatolenticular degeneration, explaining it in an accessible way; after listening, Bureau Chief Zhao felt he could now diagnose similar patients himself.

Arriving at the hospital where the patient was, the supervisor and hospital director, along with other relevant personnel, had long been waiting at the inpatient department entrance.

Seeing Zheng Ren and Su Yun get out of the car, the hospital director here warmly shook hands and greeted them, talking at length about Xinglin Yuan. Zheng Ren basically didn't listen, wearing a standard fake smile and giving perfunctory replies.

Arriving at the ward, Zheng Ren examined the patient's system panel and performed a physical check, then went with the hospital director and others to the demonstration room.

This time we didn't call the patient's family, which is also standard clinical practice.

The diagnosis of difficult cases, especially when the patient's family has objections, must first produce a definitive diagnosis before explaining to the family.

Otherwise, repeatedly overturning the diagnosis will increase the family's distrust and could even lead to more serious consequences.

Arriving at the demonstration room, Zheng Ren took the front position without hesitation, holding the case history, and began explaining his analysis of the entire condition and the future treatment plan.

The meeting room was utterly silent, only Zheng Ren's voice echoing.

Hepatolenticular degeneration, such an obscure disease, when spoken from Zheng Lao Ban's mouth, becomes easy to understand. Many people have a hazy illusion, as if this disease were as common as appendicitis, everywhere on the streets; if misdiagnosed, it would be a deeply embarrassing matter.

"Let's start with copper-chelation therapy." Zheng Ren said: "The first choice is D-penicillamine; if it's ineffective or not working well, hurry and send the child to the capital."

After he finished speaking, he scanned the room; seeing no one questioning, he slowly placed the case history on the table.

"After the boss finished speaking, I'll add a few words." Su Yun sat in the chair and said in a low voice.

He held the case history in his hand, the corner of his mouth bearing a slightly cold smile.