Chapter 3105
"What did you say?" Su Yun thought she hadn't heard clearly, and immediately asked back.
"Ah, Yun Ge'er, I also thought I was mistaken, to be honest." Zhou Litao said, "But this is the second recheck; I Worry there might be something else, so I left both of their phone numbers. As for the rest… I still don't know what to do."
Zheng Ren knew this involved an ethical issue, just like the entanglement between that man and his wife earlier; no matter how you judge it, it's wrong.
But doing nothing is also wrong.
"According to standard procedure, you should still report it and then tell the patient's partner. You got AIDS and don't know? That possibility is small, right." Su Yun said.
"Yun Ge'er, do you think the patient is in the window period, that is, the latent period?"
"Undetectable AIDS mainly occurs during the window period of HIV infection, that is, there is a window period of 2 to 4 weeks coinciding with initial HIV infection; patients in the window period can test negative for HIV antibodies. But you said that woman is a longtime patient, she's come many times already." Su Yun pondered.
"Yeah, the first visit was about half a year ago, and since then he's often felt fatigued and short of breath. All kinds of ailments, the symptoms are just like those of AIDS described in the books." Zhou Litao said strangely, "But if someone says they feel Uncomfortable, they definitely wouldn't just go get checked. I also suddenly thought of that, which is why I did the test."
"Could it be that the woman already knew everything but didn't want to expose it, so she kept feigning illness and dropping hints, making the doctor ask her partner to get tested?" Zheng Ren frowned and said.
"Wow… Boss, your train of thought is too wild!" Su Yun exclaimed in surprise.
It's obvious that Zheng Ren's idea is too scheming. The key is… there actually is a sliver of possibility.
"It's possible." Zheng Ren said seriously.
"I'd say there's no such possibility at all." Su Yun said, "You know, in ordinary people's eyes, AIDS is a fatal disease! They avoid it like the plague; how could they live under the same roof every day? How could their hearts be so big?"
"It's also possible she only has Doubt but can't speak them. Once those words are out, there's no turning back." Zheng Ren added.
"Tsk tsk, it's almost like a family ethics drama. I'd say it's just a coincidence: a patient with vegetative nervous system dysfunction keeps coming to the Hospital for checkups, and in the end it turns out she's fine, but her partner happens to have AIDS."
"Hmm, indeed this possibility is the greatest." Zheng Ren didn't argue with Su Yun; he thought what Su Yun said made sense, so he directly overturned all his previous words and then said, "Furthermore, there are some clues in life that we aren't even aware of; this kind of psychological hint lurks in the subconscious, which is why she keeps unconsciously leaning toward AIDS."
"Maybe so, anyway, the trouble is all Manager Zhou's." Su Yun laughed.
"I'll call that guy later, hoping he won't break down emotionally after hearing this." Zhou Litao said with a hint of worry.
"Who knows, just be careful yourself." Su Yun said, "At times like this, people are most likely to cause trouble. When they feel hopeless and want to drag you down to die with them, it's damned annoying—such people are all too common."
"Who knows." Zhou Litao suddenly remembered and asked, "Why did I order a maxillary sinus CT for that nosebleed patient?"
"Something's grown in the nasal cavity, covered with mucosa, so you can't see what it is. Boss guessed it's a tooth growing in the nose—do you think that's possible? Manager Zhou?" Su Yun asked.
"Uh… I actually read a report about teeth growing in the rectum." Zhou Litao said.
"Don't talk nonsense, it's just dentures that fell out and can't be expelled from the rectum." Su Yun scolded.
"I've also seen a similar report, an article published in a radiology journal saying that during an examination they found a tooth-like object on a toe, and after removing it everything was fine." Zheng Ren said solemnly.
"Mmm-hmm!" Zhou Litao nodded repeatedly, "I looked at a Yingguo patient who often had abdominal pain, so I did an examination and found a tooth in the rectum. The paper doesn't detail exactly where it was located, saying it's the only report of its kind. I think it might be a calcified superfluous growth."
"All of those are possible, but the chance of it being a real tooth is small because there aren't more cases showing it's a tooth." Zheng Ren said, "Actually, teeth growing in the nose, ears, or eyes would be genuine; teeth in other positions wouldn't hold up under scrutiny."
"Is it an error in the tooth bud's position, with the bud too far from the eruption point or abnormally placed? Simply put, don't make it so complicated." Su Yun said, "Basically it's due to genetic factors, endocrine disorders, trauma, or local infection. But Boss, you just take a look and say through the mucosa it's an impacted tooth—I can't understand that."
"Is it just guessing then? You've made a bold Hypothesis and need to verify it carefully. I can't speak cautiously, nor can I speak carelessly—what exactly do you want?" Zheng Ren asked.
Su Yun froze for a moment, also amused by that strange logic between them.
"A Few Years Ago there was a CT in the group showing an impacted tooth extending to the edge of the right eye socket. If you weren't careful when extracting it, it could directly cause blindness." Su Yun changed the topic quickly and immediately began recounting the case: "This is the first ectopic tooth case I've seen. As for the nose and ears, I haven't seen any."
Being able to see one case in person is impressive; I haven't seen a single case, and there are hardly any similar reports in magazines.
"A tooth in the ear canal would probably be similar to appearing in the eye socket." Zheng Ren said, "The principle is the same; there's nothing to explain."
As he spoke, Su Yun's phone rang. The doctor from the CT Shi said the patient had finished the examination and the image data had been uploaded.
Su Yun immediately opened the computer and found the images of the nosebleed patient just now.
Sure enough, the supernumerary teeth of the maxillary Bone incisor canal, when lying down, grow in the nasal cavity. The length is about 2 cm; this guy is quite long!
Looking at the images, Zheng Ren knew Big Pig Trotter was right again. What grew in the nasal cavity was indeed a tooth, no wonder he often has nosebleeds and nasal pain.
"Let the patient come back and have him go to the oral department for inpatient treatment; at least a minor Shou Bing is needed. 2 cm, how many chisels must be chiseled? Boss, do you count this as a tooth extraction? How about the fee?" Su Yun clicked her tongue in amazement.
"To completely pull it out, general anesthesia is required; hospitalization is appropriate. The difficulty of the Shou Bing exists, but it's not big." Zheng Ren had already mentally simulated the Shou Bing once.
Such a minor Shou Bing also carries no system reward; Zheng Ren is unwilling to waste his Surgical Training Time. For an oral surgeon, it might be a bit troublesome, but there will definitely be no situation where it cannot be pulled out.
End of Chapter
