Chapter 2533: 2442 Mother Who Likes to Show Off Her Child (Alliance Leader Wang Liping, Extra Chapter 4)

Zheng Lao Ban, Yun Ge'er, do you two consider whether the small patient has a pyloric closure function disorder or some other problem? Zhou Litao asked.

Zheng Renhe and Su Yun shook their heads simultaneously. Su Yun said, "Manager Zhou, you need a meticulous observation point; you're all thumbs, you really should be inpatient chief for another year."

Zhou Litao had a bitter expression, not knowing what to say.

He can tolerate being scolded on the nose, as long as you don't curse his mother; Zhou Litao could bear it, he simply didn't want to be inpatient chief for another year.

"Manager Zhou, we just observed that the child's vomit is feces and a small amount of gastric fluid, with no sign of bile reflux." Zheng Ren gave a brief explanation.

Zheng Ren stopped speaking here, as if he had something he couldn't figure out; Su Yun was the same. Seeing their expressions, Zhou Litao hesitated a bit, then softly asked Su Yun, "Yun Ge'er, what are you and Zheng Lao Ban thinking about?"

"I'm pondering the child's feces vomit just now; I guess the boss is thinking about it too." Su Yun blew out a breath and said helplessly, "What is this, what time is it? If I keep thinking, I won't even get dinner."

Zhou Litao was stunned for a moment, then rushed out, seeing the nurse had already quickly cleaned up the patient's vomit; he could only recall from memory the shape of the vomit he'd seen in the panic.

That stuff smells foul, what's there to look at? Although fecal reflux is uncommon, we could consider that the child is young and the pyloric closure is incomplete; plus stimulation from acute gastroenteritis, some reflux could be explained.

In the end, it still comes down to examination.

Zhou Litao returned to the office and turned on the computer.

Under Zheng Lao Ban's gaze, he opened the imaging system and called the Radiology Department, asking them to upload the images promptly after the examination.

The Emergency Department's urgent needs mean that, given the conditions, no doctor would delay.

In the office, Zheng Ren and Su Yun were thinking about something, especially Su Yun, who is usually talkative but today unusually quiet. He wasn't playing with his phone, nor arguing about this and that; instead, his eyes were fixed on the yellowing leaves outside the window, his gaze focused.

Zheng Ren's eyes were fixed on the screen; Zhou Litao kept refreshing in an awkward posture, and after nearly ten minutes the images finally uploaded.

Opening them immediately, Zhou Litao saw the imaging data. The upright abdominal flat film showed no signs of intestinal obstruction…

Zhou Litao immediately became confused.

"There's nothing to see; it can't be intestinal obstruction." Su Yun said, "I saw when his mother held him, her hand pressed on his belly; I estimate the child's abdomen isn't distended."

His eyes were on the leaves outside the window; he didn't even look at the imaging data.

Zheng Ren, however, picked up the mouse, zooming the images in and out, examining them repeatedly for several minutes.

The consultation room remained silent; Zhou Litao endured for a few minutes, then couldn't hold back and asked, "Zheng Lao Ban, Yun Ge'er, what are you considering?"

"Do a gastroscopy to examine the stomach wall." Zheng Ren said calmly.

"It's meaningless; if you ask me, just go to the patient's home to take a look."

"That's illegal, unlike last time when we went to Cui Heming's company to check the situation." Zheng Ren shook his head, "If we get caught, this will be the biggest scandal."

"Tch, you're really cold-hearted." Su Yun said disdainfully.

Their words were a jumble; Zhou Litao still couldn't make sense of a single sentence.

Actually, it's not that he didn't understand; he knew what each sentence meant, but put together he completely failed to grasp what Zheng Lao Ban and Yun Ge'er intended to do.

"First do a gastroscopy to see if the stomach wall has chronic mucosal changes such as ulcers, congestion, edema, erosion, etc." Zheng Ren said.

"Okay." Zhou Litao nodded, then went out to prepare to explain the condition to the patient's mother.

"Boss, you say it's possible?"

"Yes." Zheng Ren said, "Otherwise there's no way to explain it."

"I never expected to actually encounter this." Su Yun frowned and said, "Could it be some rare disease?"

"The imaging doesn't support it; come take a look. Not even glancing at the film is too unscientific." Zheng Ren said.

"I'm afraid that after seeing the film I'll lose faith in this world."

"The one who says I'm like an ostrich is you, and the one who thinks they'll lose faith in the world is also you." Zheng Ren said, "Whether you know it or not, this kind of thing will always happen. Under the sun there's nothing new; it happened before, it happens now, and it will happen in the future. Even if humanity evolves into conscious beings, I'd expect this to still occur."

"Boss, you're so long-winded." Su Yun blew out a breath, the black hair in front of his forehead fluttered, and he felt more spirited.

He came to the computer, took the mouse from Zheng Ren's hand, and began to examine the images.

After looking from top to bottom at the abdominal cavity, Su Yun smiled slightly and said, "Proxy Munchausen Syndrome; what else could explain it? Now the important thing is evidence and judicial intervention."

"If we call the police before we've figured things out, and it turns out to be a mistake, it'll be really embarrassing." Zheng Ren shook his head and said calmly.

"Are you still considering it a pyloric problem? We can't rule out incomplete pyloric closure in the child."

"What about bile?"

"The bile has mostly been used up in previous vomiting; we can only see feces with reflux." Zheng Ren said, "Although we can't fully explain it, the examination still needs to be done."

"Boss, last time in Hai Cheng I saw you break open a door quickly; do you often use half a pack of instant noodles to unlock a residential complex's door?" Su Yun asked with a chuckle.

"I've never done that." Zheng Ren said, "I don't advise you to go to the patient's home to look; that would be breaking and entering, which is illegal."

"This is the simplest."

"That also won't do. When Manager Zhou comes back, we'll ask him and see if there are any clues."

The two fell silent again.

Proxy Munchausen Syndrome is a condition where one fabricates another's symptoms, especially in children, younger generations, or siblings who need care, leading to hospitalization for treatment.

Strictly speaking, it belongs to the performative personality type; they simply are willing to act out caring for others.

After observing the child's vomiting of feces, Zheng Ren and Su Yun considered related diseases but could not diagnose the child according to diagnostic criteria; combined with Zhou Litao's account of the medical history, they independently thought of Proxy Munchausen Syndrome.

After a few minutes, Zhou Litao returned.

"Manager Zhou, do you have any knowledge about the patient's mother?" Su Yun asked.

"Uh..." Zhou Litao paused, then said, "I know a little, but not much. Her husband is a seaman, working overseas long-term. He comes back twice a year, usually not at home."

"That's not what I asked; what are you thinking about?" Su Yun said, "Does she have social media accounts? WeChat Moments, Weibo, etc."

"She does." Zhou Litao said, "But… I didn't notice anything unusual; she just likes to show off her child."