Chapter 3148: 2943 Lickdog

"Manager Zhou, send the patient to rheumatology immunology." Zheng Ren said.

"How come I didn't see the annular cartilage…… It seems to have dissolved?" Zhou Litao asked in surprise.

"Relapsing polychondritis, as a rare disease, its etiology and pathogenesis remain unclear; reports indicate it is an autoimmune disease, and there is also a certain genetic predisposition, while the specific pathogenesis is still under further study."

Zheng Ren explained, "The pulmonary manifestation of this disease mainly appears when accompanied by tracheal chondritis; pathological examination can show dissolution of tracheal cartilage, swelling of tracheal mucosa, and granulation hyperplasia, etc., and the tracheal lumen may become narrowed to the point of obstruction."

"Well……" Zhou Litao paused, he still had doubts, but how could he voice his skepticism toward Boss Zheng's words? He simply swallowed them back.

"Oh, I think it's a slow dissolution, the body gradually gets used to it. When an unexpected event occurs, a large amount of hormone is secreted, and the trachea itself is prone to spasms. Today it just happened to coincide, so it directly flared up." Zheng Ren said, "This explanation is a bit coincidental, so I insist on using a bronchoscope to take a look."

Zhou Litao felt it made sense, he immediately nodded, "Boss Zheng, what else needs to be checked after admission?"

"Just send him to the hospital; our hospital's rheumatology immunology is strong, just write the diagnosis clearly on the admission sheet. Relapsing polychondritis, don't get it wrong. By the way, does this disease have an ICD code for diagnosis?"

"Yes, I know, Boss Zheng." Zhou Litao smiled and immediately went to issue the admission sheet.

Su Yun hesitated a moment, but still didn't stay; instead, he went with Zheng Ren to the operating room to change clothes.

I seem to…… have made a mistake again. Zheng Ren began self-reflection on the way, just now it seemed I didn't auscultate, I had previously suggested Zhou Litao do a tracheoscopy. This is quite unrigorous, and today at the branch bureau things were urgent, I even bought blades in the system space for emergency rescue.

But don't let Su Yun notice any loophole; Zheng Ren felt a little anxious.

"Boss, what are you talking about!" Su Yun complained on the way, his mood obviously off.

"Oh, actually you can know without auscultation." Zheng Ren said.

The two were talking about obviously different things; Su Yun frowned and asked, "What hysteria are you making?"

"Huh? You weren't saying I diagnosed without auscultation?" Zheng Ren also froze for a moment.

But he immediately realized he was pondering that he seemed not to have auscultated just now, and made a judgment based on the Big Pig Trotter's diagnosis. Meanwhile, Su Yun was talking about Qiao Liyan's lover making a date with someone, which actually ended up with his own daughter—such a messed-up dog's breakfast situation.

"Don't be depressed, it's fine, it's fine." Zheng Ren laughed, "Such things are just a matter of probability; we just happened to run into it, nobody can do anything about it."

"I see Miss Qiao not speaking at all, I'm a bit worried." Su Yun sighed, "Apart from you asking about her condition, she doesn't say a word. If she were to cause a fuss instead, it wouldn't matter, but this silence is a big deal."

"Sigh, what can be done." Zheng Ren sighed.

But this kind of thing is clearly not something I can or should resolve; I can only sigh.

"Boss, what did you just mean?" Su Yun also knew he could at most sigh, so he directly changed the subject.

"Problems with the tracheal annular cartilage usually present as cough, sputum, wheezing, voice hoarseness, and breathing difficulty, progressively worsening, often misdiagnosed as chronic bronchitis." Zheng Ren said, "It can also combine with pneumonia, recurrent respiratory infections and wheezing; its characteristic of inducing severe coughing is a sudden, deeper metallic-sounding dry cough or barking cough, often mistaken for asthma."

"Listening to the patient's asthma-like sound, my first impression is that the annular cartilage has a problem, so……"

"I'm going!" Su Yun refused this time.

As a rising star of the cardiothoracic surgery department in the imperial capital, losing to Zheng Ren in other fields doesn't matter; after all, those are just "side jobs." But when it comes to cardiothoracic matters, he is adamant about not yielding an inch.

The deeper metallic-sounding dry cough or barking cough…… can all be judged, and even serve as a basis for definitive diagnosis?

After long years in thoracic surgery, Su Yun subconsciously judges whether there is phlegm when hearing someone cough, the location of the phlegm in the upper or lower respiratory tract, and even the severity of bronchial spasms, among other details, can be heard.

But what Zheng Ren said is simply a huge blow to self-esteem.

"Uh……" Zheng Ren also realized this, and immediately explained, "Mainly because I have encountered a patient with relapsing polychondritis before, so I have an impression."

"You're a doctor from Hai Cheng, how could you encounter so many rare diseases?" Su Yun didn't believe it, directly questioning, "If this disease were in Hai Cheng, it would definitely be diagnosed and treated as bronchitis combined with asthma; tell me, who made the diagnosis back then?"

"……" Zheng Ren was speechless; making all kinds of excuses could be done, but it would be too boring, better not say a word and just lie flat.

"Besides, why do you carry blades on you?" Su Yun asked.

"It's the feel, I keep my hand in my pocket touching the blade, sensing the metal's texture and toughness; I think it helps with surgery." Zheng Ren spoke solemnly while spouting nonsense, completely forgetting about the sterile packaging, "Anyway, usually there's nothing to do, idle hands are idle hands, might as well use them to feel."

Su Yun still had countless questions, and at that moment Zheng Ren's phone rang.

【They say quickly write a love song……】

Zheng Ren took out his phone and waved it, indicating he had a call; glancing at the screen, it was Yi Ren calling, and his face immediately broke into a sweet, sugary smile.

"Boss, your lovesick smile is really practiced." Su Yun immediately snorted.

Zheng Ren gave a slight smile, paying no heed to Su Yun's provocation.

"Yi Ren, what's up?"

"Oh?"

"Oh."

"Oh!"

"I'll be there right away."

Three "ohs", three different tones, Su Yun's face showed an even more disdainful smile.

Seeing Zheng Ren hang up the phone, he immediately asked, "What happened?"

"A classmate of Yi Ren's got into some trouble and came to me for consultation." Zheng Ren said.

"What trouble could a nurse have? Just follow medical orders, and any mishap is the doctor's fault. Was the IV hung wrong? I go, could it be a blood transfusion error?"

The two things Su Yun mentioned are mistakes nurses occasionally make; hanging the wrong IV happens a bit more often, with a few similar incidents each year. The second matter, however, is too serious; Su Yun is also secretly warning Zheng Ren never to agree to something he shouldn't.

"I know, Yi Ren is waiting for me in the underground parking garage; want to go take a look?"

"Sure, go have a look—there isn't even a patient."

"Is everything fine on Shi Wai Ru's side? No need to tutor the kid?" Zheng Ren asked.

"……" Su Yun had a black line (meaning speechless/exasperated).