Chapter 2466: 2379: Money Allergy or Bird Allergy?

I… damn it!

"You see, I just said it's due to insufficient exposure. The conditions weren't adequate, so the lesions of microscopic changes caused by interstitial pneumonia can't be seen." Sister Zhao chuckled while taking the images and uploading them.

Director He stood foolishly at the back, looking at the mosaic changes of dense, diffuse patchy ground-glass density appearing on the image data, and the whole person was stunned.

What the hell is going on?!

Interstitial pneumonia? The patient has no prior medical or work history—where would interstitial pneumonia come from! For such a young bank employee, the chance of interstitial pneumonia is too low.

34 years old, the age also doesn't support a diagnosis of interstitial pneumonia.

Moreover, it's progressing too fast—in just two or three months, the limbs have already become weak to some extent.

This, impossible!

"Director He, the patient probably doesn't need a referral." Sister Zhao looked at the images, began uploading, "It might be hypersensitivity pneumonitis, a rare condition. Testing for allergens is difficult; you might have to screen everything the patient has been exposed to."

Hearing Director Zhao's diagnosis of hypersensitivity pneumonitis, Director He had no objection. But just thinking about having to screen countless possible allergens made her head feel like it was splitting into two.

A contrast-enhanced CT image completely defeated Director He; she left the CT room feeling somewhat dejected, walking back slowly on her own.

Section Chief Zhou told her to call and inform the department, but Director He forgot. All she could see before her eyes was a diffuse ground-glass image.

Damn it! How tiny is this interstitial inflammation—ordinary CT resolution can't even see it.

Hypersensitivity pneumonitis refers to a group of diffuse interstitial granulomatous lung diseases caused by susceptible individuals repeatedly inhaling various antigenic organic dusts and low-molecular-weight chemical substances.

Repeated inhalation of hay containing thermophilic actinomycetes causing farmer's lung is a major clinical source.

Director He had considered this disease, but what allergen could a bank employee be exposed to? Could it be an allergy to money?

If one were allergic to money, could it be diagnosed as a poverty disease? Does anyone actually have a poverty disease? Director He also knew that was impossible. But just thinking about it being impossible, that contrast-enhanced CT image appeared before her eyes.

Director He walked back to the department slowly, aimlessly thinking random thoughts.

How did Chief Zheng figure it out? Never mind, regardless of how he figured it out, finally finding the allergen is probably impossible.

Director He sighed; this "troublesome" patient still couldn't be transferred away.

I have to screen for allergens next! Thinking about this, Director He felt even more depressed. She felt she was already beginning to show tendencies toward depression.

Returning to the ward, Director He pushed open the door to the doctors' office, saw the patient's family also there, and then remembered she hadn't yet informed Section Chief Zhou about the upload of the image data.

However, it now seems unnecessary.

"Zheng Lao Ban thinks it might be related, so just throw it away—or send it to the parents' place or a friend's house; in short, don't let the patient be exposed again." Wang Zong said earnestly.

"Really… really?" the patient's family asked, stunned.

Director He also didn't understand what had happened.

From Manager Zhou's words, it seems they found the allergen. But why so fast? Even if I walked back slowly, I couldn't possibly have found the allergen.

Sending the images over takes time, let alone diagnosis and tracking down the source—those trivial matters. Could it really be an allergy to money, requiring us to throw away all the money?

"Manager Zhou, what is the patient allergic to?" Director He asked directly, not bothering with anything else.

"Zheng Lao Ban thinks it's an allergy to the down comforter; I just asked the patient's family, and they said they indeed bought a down comforter during the recent off-season discount." Wang Zong replied with a chuckle.

With a clear diagnosis, everything is fine—this is precisely when doctors are happiest.

"Zheng Lao Ban gave the treatment plan; the specifics are for you to consider. I'm still busy on my end, so I'll head out first." Wang Zong handed Director He an A4 sheet.

Director He saw written on it—first test for antigen-specific IgG antibodies to duck or goose feather; if confirmed, administer prednisone 40 mg, orally once daily. Continue for one month, then reduce every two weeks, tapering gradually.

There are also some tests to do, such as bone density, to avoid long-term stimulation by glucocorticoids causing reduced bone density and complications.

Furthermore, we need to combine use of a proton pump inhibitor like omeprazole to avoid other complications.

These are all routine; using glucocorticoids to control allergies is also to be expected.

It's just that the determination of this allergen is too bizarre……

……

……

"Boss, have you ever seen bird lovers' asthma, or what's called bird allergy?" Su Yun asked.

"No, but it's in the diagnosis report. For this relatively more complex pulmonary allergic manifestation, the first thing to consider is an allergy to bird feathers." Zheng Ren chuckled, "Manager Zhou, if there's nothing else, I'm heading out."

Zhou Litao looked foolishly at Zheng Lao Ban, thinking that if it were him, diagnosing a bird allergy would surely have him showing off long ago.

But look at Zheng Lao Ban—he gave a slight smile, completely unbothered.

It's as if he'd diagnosed appendicitis; he didn't think it was a big deal at all.

"Don't mention it, Zheng Lao Ban." Zhou Litao quickly said, "Was the patient just exposed to the down comforter? Isn't that too much of a coincidence?"

"After exposure to a new down comforter or pillow, the onset of symptoms can occur anywhere from three weeks to five years later. As time passes, breathing difficulty will worsen, and the patient may experience night sweats, dry cough, weight loss, and fever." Zheng Ren said with a smile.

"Have you ever stayed in a high-end hotel?" Su Yun asked.

"I have."

"Some people stay in high-end hotels…… I ask you, when judging whether a hotel is high-end or not, what's the first thing you see upon entering?" Su Yun said, drifting off topic again.

"……" Zhou Litao stared for a moment—weren't we just talking about bird allergy? How did we jump to hotels?

He actually understood Yun Ge'er's meaning—high-end hotels basically all have down pillows. But whether a hotel is high-end or not, that kind of thing……

"Look at the trash can." Su Yun said, "After eliminating other factors, if the first thing you see at the trash can lacks a plastic bag or garbage bag, then the hotel's standard should be decent."

"……" Zhou Litao's thoughts simply couldn't keep up with Su Yun's pace.

"Is this the legendary idea that luxury means trouble— the more trouble, the more luxurious?" Zheng Ren asked with a smile.

"Of course!" Su Yun said.

"Uh…… Yun Ge'er, what's the deal with bird allergy?"

"Huh? You haven't forgotten, have you?" Su Yun glanced at Zhou Litao, looking somewhat surprised, but actually full of contempt.