Chapter 2415: 2331 Both Sides Scolded
Director Zhao's heart sank a little.
He had met countless people, but he had never seen someone like Professor Su, who looks like a current pop star but speaks with such sharp, merciless sarcasm.
Moreover, he wasn't the type who knows nothing yet spouts nonsense; throwing medical records at people...... every sentence was reasonable, leaving no room for rebuttal.
What harsh words will he say now?
"Director Wang, right?" Professor Su smiled at a doctor nearly fifty years old below and asked gently, like a spring breeze.
Zheng Ren heard Su Yun's tone and knew there was a problem; catching the smile at the corner of his mouth confirmed it.
However, Zheng Ren did not stop Su Yun.
"Professor Su, do you have any guidance?" Director Wang nodded politely.
"I wouldn't dare call it guidance; I just want to ask, do you all do tertiary rounds?"
"We do, I have to every day......"
He had just said that when Su Yun's medical record flew out of his hand again.
"What the hell!" Su Yun snapped angrily, "I haven't seen any description of K-F rings in the big medical records or rounds. Bilateral pupils equally large and round, sensitive to light reflex—this is just a copied template!"
"In tertiary rounds, from the director to the attending physician to the ward doctor, not one noticed the K-F ring?"
Director Wang was stunned from being hit.
K-F ring, what is a K-F ring?
"Copper deposits in the corneal posterior elastic layer—such an obvious K-F ring isn't described anywhere in the medical record, and you claim you did tertiary rounds?! You're just fooling people!"
The hall fell silent; all the doctors listened wordlessly as Su Yun lost his temper.
Director Wang felt indignant and wanted to retort, but he didn't even know what a K-F ring was, so how could he?
"Do a physical exam! You're a director, yet you don't even examine the body and just know how to look at auxiliary test reports?!" Su Yun stared coldly at the opposite director, his words leaving no room for courtesy.
"Don't you know what a K-F ring is? Not knowing is fine; no one expects you to know everything. But you don't even do the simplest physical exam—what good are you as a director?"
The hall was so quiet you could hear a pin drop; no one dared to step forward and invite misfortune. A junior doctor in the back furtively pulled out his phone, preparing to look up the K-F ring.
"You're going to look it up online now? Patients look up their illnesses online, and you doctors do too?!" Su Yun's icy words cut like an icicle.
He gave the junior doctors in the back a grim stare, his eyes like two blades. The junior doctor lowered his head sheepishly, avoiding his gaze and quietly putting away his phone.
"Corneal pigment ring. It's the most important physical sign of Wilson's disease, present in 95%-98% of patients. If you had even a bit of responsibility and examined the patients, this wouldn't have blown up like this!" Su Yun's voice wasn't loud, but it was piercing.
Those seated below remained silent.
Su Yun finished his scolding, blew out a breath, his black hair fluttering over his forehead, drawing the attention of several female doctors.
"What Su Yun said is correct, but this isn't entirely your fault," Zheng Ren said. "The K-F ring lies on the inner surface between the cornea and sclera, appearing greenish or golden brown, about 1.3 mm wide; it's most clearly seen when light slants across the cornea, though early detection often requires a slit‑lamp exam."
"When we just did the physical exam, the K-F ring wasn't very clear, which means if the patient undergoes copper‑chelation therapy now, the effect could be good." Zheng Ren said. "Hurry up and do the relevant tests; if the values meet the diagnostic criteria, proceed with copper‑chelation therapy."
Having said that, he stood up, looked at the doctors below, and said lightly: "Physical exams can't be faked. The public says doctors won't see patients if they don't examine them—is that wrong? You still need to familiarize yourselves with the typical signs and symptoms."
After saying that, Zheng Ren glanced at Director Zhao and said: "There's nothing else here; I'll leave first. Just send me the results when they're back—don't delay treatment."
Zheng Ren paused, then added: "If it doesn't work, contact the capital and refer the patient there for treatment."
Director Zhao quickly rose and saw Zheng Ren out.
Opening the door, Zheng Ren saw the patient's mother anxiously standing outside, her hair disheveled, grayish and mismatched with her age.
"Professor, has my son's condition been diagnosed?" the mother said as Zheng Ren stepped out; although he was young, his aura inspired inexplicable trust. "It's not brain cancer, is it..."
As she spoke, her eye sockets reddened.
"Probably not," Zheng Ren said. "Let's go to the office to talk."
Hearing Zheng Ren say that, although there was now a likely explanation, the mother was overjoyed.
"I said from the start it wasn't, but they insisted it was!" the mother said, looking at the local doctors, beginning to vent her resentment.
"Let's not talk about that for now; tell me the patient's symptoms from half a year ago," Zheng Ren asked lightly.
"My son used to be well‑behaved, but since the winter break he started playing games, glued to his phone every day. After school resumed, I saw him still playing; as soon as he finished homework he'd game, and when I got angry I smashed his phone."
"I thought without a phone he'd stop gaming and be fine. At that time my son showed no change, but after over a month his temper became terrible, and he started arguing with me—something he never did before."
"Then what happened?"
"Later, once he didn't come home after school, I went to look for him. I saw him playing with a classmate's phone, which made me furious. I smashed the phone and dragged him home."
"After that, his temper was really bad; even when he said he was going to school or tutoring, teachers said they hadn't seen him. I..."
"So you sent him to a psychiatric hospital?" Zheng Ren asked gently.
His tone was gentle, but the meaning was in no way any milder than Su Yun's outburst.
Zheng Ren's gaze met the mother's, calm yet imposing, making her feel enormous pressure.
The mother felt a bit embarrassed and whispered, "But doctors are supposed to treat illness; not understanding it nearly delayed my son."
"Actually, if you had come here at the beginning, things might have been fine." Zheng Ren said: "If you notice something off with the child, don't first speculate that it's a mental illness. Doing that harms the child. Moreover, nowadays hospitals are all specialty hospitals..."
This explanation took another twenty‑plus minutes.
Zheng Ren brought his communication skills with the patient's family to peak; at one point he even felt he was nearly as good as Chang Yue at it.
The mother kept her head down, silent, but the ice block in her heart began to melt under Zheng Ren's explanation.
Zheng Ren knew his two‑sided approach wouldn't please everyone, but in his view both doctors and the patient's family were at fault.
"A perfectly fine child, just because he's irritable you send him to a psychiatric hospital? Even if there is a problem, you should first go to a top‑tier hospital for a look."
After speaking for over twenty minutes, the mother's emotions gradually steadied. Recalling how she had angrily sent her child to a psychiatric hospital, she also felt ashamed.
"Boss Zheng, the patient's serum ceruloplasmin test results are back." Director Wang, while listening to Zheng Ren mediate for himself and the psychiatric hospital, kept an eye on the test.
After the junior doctor delivered the report, he immediately took it over to Zheng Ren to look at.
"Your son's serum ceruloplasmin is under 80 mg/L, pretty clearly indicating Wilson's disease." Zheng Ren smiled slightly and said, "Don't rush; once the other tests come back we'll make a comprehensive judgment and can start copper‑chelation therapy."
"All right, from now on you need to communicate more with the child, don't always be so overbearing." Zheng Ren finally said, "If there's a problem, just subjectively think the child has a mental issue and directly send them to a mental hospital—never do that. Doing so will ruin the child's life."
The patient's mother lowered her head sheepishly and gave a brief reply.
"I'm leaving now, I wish the child a speedy recovery." Zheng Ren reached out his hand and shook the patient's mother's hand.
All the doctors present knew that this final handshake and the nearly half-hour of communication were for their benefit.
The professor from Di Du, though his words were unpleasant, was in the right; he even did his best to settle things, which can be seen as having fulfilled benevolence and righteousness.
"Take good care of the child and communicate more." Zheng Ren turned and left, waving his hand, and repeated it again.
The director of the mental hospital, Wu Yuanzhang, kept following Zheng Ren; he had nothing left to say and could only continually express his gratitude.
"You need to strengthen your professional study; the diagnosis of mental illnesses must not be made lightly." Zheng Ren gave this final reminder, then got into the car and left.
End of Chapter
