Chapter 3142: with translation of chapter title
2942 Doctor Zheng, is that you?
"Su Yun, let me say it." Zheng Ren grabbed Su Yun; this guy already had a preconceived stance, completely unable to communicate or treat objectively. If we let him keep talking like this, the situation will probably spiral out of control immediately.
Su Yun glanced at Zheng Ren, crossed his arms and stood to the side. Just came down from the Operating Room, wearing an Isolation Gown, with a sterile gown over it, and Shoe Covers on his feet, his steps went splash-splash, exactly matching Su Yun's inner displeasure.
Zheng Ren had no doubt that if an opportunity arose, he would definitely drag Sister Qiao's lover down and give him a beating.
"Wang Sheng, right?" Zheng Ren had prepared the Fiber Bronchoscope equipment, stood beside the patient and said, "I'm going to do a test on you to see exactly where your asthma comes from."
The patient's eyelids twitched slightly, but he still didn't open his eyes.
"Wang Sheng, your condition has slightly improved, but it may not stay that way. I'm a doctor, please face it seriously." Zheng Ren said, "Open your eyes; I'll tell you what to pay attention to during the procedure."
After hearing Zheng Ren's somewhat stern words, the patient hesitated a moment, his eyeballs rolling a few times, and finally he slowly opened his eyes.
Seeing his eyes full of bloodshot veins, endless panic and hesitation, Zheng Ren thought there was nothing pitiable about it; he just wanted to maintain an objective, calm stance, use the Fiber Bronchoscope to check whether the diagnosis of Big Pig Trotter was correct, then give a treatment plan and be done.
"Let me first explain the whole procedure; I'll need your cooperation. First we'll use anesthetic, and in a few minutes we'll……." Zheng Ren said, waving the tube of the Fiber Bronchoscope in his hand, "Insert it along the nasal passage; during this you may feel a suffocation sensation, so breathe steadily and don't move around. If you're too tense, it could trigger cerebrovascular disease, even possibly lead to sudden death."
Zheng Ren bluntly said these things, giving Sister Qiao's lover a fright.
Cerebrovascular accident…… sudden death…… involving life and death, he opened his eyes.
"Doctor, can I skip it?" Wang Sheng asked softly, his voice trembling.
"We definitely have to respect the patient's opinion, but your asthma attack this time is very strange, explosive. Moreover, after asking your lover, I learned that you usually have swelling in your right thumb and often ear pain; I suspect some disease, need to run a test to have a look before we can prescribe the right medication."
The man took a long time to recover from his dazed state, still not fully grasping what Zheng Ren was saying to him.
He thought his right thumb swelling and pain must be rheumatism, and as for the ear pain, the doctor said it was neuralgia.
Besides, what does breathing difficulty have to do with those? Are we supposed to breathe with our fingers or our ears?!
"You don't know how to treat illness!" the man said, somewhat resentful after figuring it out, though his asthma was still severe, mixed with the sound of bronchial spasms, making the remark oddly strange.
"We don't know how to treat illness, but you do!" Su Yun retorted directly from behind.
"I definitely won't, but I…… hehe…… I have breathing difficulty; how could it be related to ear pain? There probably isn't any connection."
"This is Zheng Lao Ban, who just won the Nobel Prize; you should know him." Zhou Litao frowned, saying, "We suspect you have an immune system disease and need a confirmation."
Upon hearing about the Nobel Prize, the man was stunned. A doctor from 912 had won the Nobel Prize, which he knew. These days newspapers and online news have been running piece after piece interpreting the two words Doctor Zheng said to the Swedish king at the award ceremony; even if he wasn't interested, he had seen some of it.
He never expected that Doctor Zheng would now be standing right in front of him.
"Um…… Doctor Zheng, is that you?" the man's voice immediately softened, and he asked sheepishly.
"Mm, I'm Zheng Ren."
"The chance of problems occurring isn't big, right?"
"As long as you stay calm and cooperate with the exam, the chance of sudden death is less than one in ten thousand." Zheng Ren gave the figure objectively and calmly.
"Then… I'll do it, please be gentle." The man closed his eyes, adopting the attitude of a dead pig not fearing boiling water.
Zheng Ren looked at his face, thinking that if Su Yun were to do it, he'd probably just shove the bronchoscope straight in.
Forget it, forget it; don't have a preconceived stance, the person before us is just a patient, just a patient.
"Have you used anesthetic before? Any allergy history?" Zheng Ren asked.
"No, Doctor Zheng." The man answered honestly.
Zheng Ren suddenly felt that having won the Nobel Prize wasn't bad either; this halo meant he didn't have to deal with a lot of troublesome questioning and explaining. Just like the person in front of him, who had just been doubting him, Zhou Litao directly said this was Zheng Lao Ban, the Nobel laureate, and immediately the man quieted down, willing to undergo any test.
Hey, I guess I've achieved Fame Under Heaven too," Zheng Ren chuckled inwardly. The task of Fame Under Heaven had long been completed by me; only now did it take effect.
However, Zheng Ren didn't move; he was still waiting for the test report, and meanwhile asked about the medical history to let the patient's emotions settle a bit.
"Zheng Lao Ban, coagulation is fine, the routine blood shows slightly high white blood cells, platelets normal, segmentation normal." Zhou Litao said immediately after seeing the emergency lab report.
The four coagulation tests, routine blood, ECG, and blood pressure monitoring with respiration are mandatory, especially when facing a patient still suffering from asthma; Zheng Ren will surely be cautious, absolutely not as emotional as Su Yun.
He glanced again at the ECG Monitor; the ECG was stable, blood oxygen saturation steadily rising, so it should be fine.
Using 2% lidocaine to anesthetize the throat, the patient lay supine, and Zheng Ren gently inserted the Fiber Bronchoscope into the nasal cavity.
"This part is a bit uncomfortable; take deep breaths, don't rush." Zheng Ren watched the screen, advancing the Fiber Bronchoscope bit by bit.
Sliding along the pharyngeal wall into the larynx, he located the epiglottis and glottis, observing vocal cord movement; when the glottis opened, he quickly advanced into the trachea, observing the tracheal lumen and then straight to the carina, observing the carina's shape. There was slight congestion and edema here, otherwise nothing much.
Afterward he entered the right-sided airway that Zheng Ren suspected was problematic.
The Fiber Bronchoscope showed loss of tracheal cartilage ring structure, mucosal swelling and thickening, and narrowing of the lumen.
"Ah ah ah……" the patient expressed his discomfort in a muffled voice.
Zheng Ren also knew that, under normal circumstances, many people choose general anesthesia for a gastroscope because it's uncomfortable; the discomfort of a bronchoscope is even worse than that of a gastroscope, after all it goes into the airway.
Having seen clearly, Zheng Ren saved the image and immediately withdrew the Fiber Bronchoscope.
"Hah……" the patient exhaled.
"Boss, that's really it." Su Yun also saw the image. Only his tone was somewhat flat, lacking the slight joy he usually had after giving another patient a definite diagnosis.
End of Chapter
