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Chapter 538: 529 Superficial

~7 min read 1,275 words

Soon, Su Yun pushed the ultrasound machine from the operating room downstairs, and the patient's father also pushed the small patient over.

After hearing the patient's family describe the situation, Doctor Zhou was quite surprised and also came along.

In his view, the patient's diagnosis of malignant bone tumor was completely fine.

Although it's somewhat pitiful, facts are facts. He also wanted to help the patient as much as possible, so he called in a favor to have Zheng Ren take a look at the film.

Maybe Zheng Ren would have a solution?

After all, the surgery following the embolization of the lumbar transverse artery left him with a very deep impression.

Teacher Tian had called twice after the surgery, instructing himself that if he ever encountered a similar patient, he must find Chief Zheng for the operation. Moreover, before the surgery, he would rush over to observe the interventional embolization procedure.

But…… never would have imagined that a definitive diagnosis would be outright overturned by Chief Zheng?

Doctor Zhou neither believed nor disbelieved; he maintained a neutral attitude and rushed to the emergency ward together with the patient's family.

Arriving at the emergency ward, Doctor Zhou saw Zheng Ren, quickly walked a few steps, smiling and said, "Chief Zheng, I'm here."

While speaking, he winked at Zheng Ren.

Doctor Zhou was somewhat effeminate; when he winked, it looked like he was throwing a flirtatious glance.

Zheng Ren felt a slight chill.

But he understood Doctor Zhou's meaning and immediately said, "Su Yun, take the patient to the treatment room; I have something to do, I'll do the ultrasound on the patient shortly."

Having said that, he brought Doctor Zhou to the office.

"Chief Zheng, are you sure?" Doctor Zhou asked.

"Eighty percent sure." Zheng Ren smiled, "We need to do the ultrasound first to basically confirm."

"Is it hyperparathyroidism? Really?" Doctor Zhou still couldn't believe it.

"Boss, you're being too conservative." Professor Rudolf Wagner, his blond hair flying, expressed dissatisfaction with Doctor Zhou's doubtful remark.

As long as he wasn't speaking to Zheng Ren, Professor Rudolf Wagner would be full of momentum and majesty, giving the young doctor a hard-to-breathe sense of oppression.

Doctor Zhou was exactly like that.

"What are you thinking? As an orthopedic doctor, you don't know the various factors of bone density deposition and loss in imaging?" Professor Rudolf Wagner regained the dignity of a world-top professor, looked at Doctor Zhou, and lectured: "Whatever you do, it's just superficial."

"Fugui'er!" Zheng Ren stopped the professor's words, gave Doctor Zhou an apologetic smile, and said, "I and the professor think the same way; there shouldn't be too much of a problem."

This time Doctor Zhou believed.

In his view, Zheng Ren was merely the inpatient chief of the Emergency Department at City First Hospital, his words not very trustworthy; but Professor Rudolf Wagner is a professor at a world-top medical center, so his diagnosis must be correct.

He just couldn't understand why the professor would call Chief Zheng "boss."

"It's fine, let's first do an ultrasound, then we'll work out a treatment plan." Zheng Ren patted Doctor Zhou's shoulder and said with a smile.

Some family members stretched their necks to peek, feeling very tense, wanting to know what the doctors were saying.

But going in directly wouldn't be proper; they could only listen in this way, catching a sentence or two to ease their doubts.

While talking, several people walked out of the office and came to the treatment room of the emergency ward.

The patient was already lying on the examination bed, with two buttons of the hospital gown undone, the neck fully exposed.

Su Yun thoughtfully moved a chair beside the examination bed, and Zheng Ren sat down directly.

"Close the curtains." Zheng Ren said.

Just as Su Yun was about to act, Professor Rudolf Wagner chimed in, with a "swish," pulling the curtains in the treatment room that hadn't been drawn for years.

Fine dust fluttered everywhere.

Seeing that the machine was already on and warmed up, Zheng Ren squeezed a bit of coupling gel onto the patient's neck, then placed the ultrasound probe on it.

Su Yun had seen Zheng Ren do ultrasounds before, and he mocked him for tossing a tissue onto the patient at the end, letting the patient wipe it off themselves—behaving like a total jerk.

But he still couldn't figure out why a doctor from a general surgery background would actually perform ultrasounds.

Not only can he do it, but when Zheng Ren sits beside the patient, his mountain-like steadiness naturally inspires a sense of trust.

Even he himself felt a bit dazed.

The ultrasound probe moved back and forth over the patient's neck, and soon stabilized.

"Su Yun, take notes." Zheng Ren said: "Right parathyroid adenoma, diameter about 2.2 by 3.2 cm, surface smooth. There is hyperplasia of the retrosternal thyroid, but specifics are unclear."

In front of the patient's family, Su Yun would not disparage Zheng Ren.

He then took out a piece of paper from his white coat pocket, not knowing what it was for, and wrote down Zheng Ren's words.

The patient's father was filled with surprise and joy, standing nervously in place, fists clenched, palms full of sweat.

Soon, Zheng Ren finished the ultrasound, turned off the machine, and stood up.

"Chief Zheng……" the patient's father hesitated, called out his name once, then fell silent.

Zheng Ren smiled and said, "It's a parathyroid adenoma, no mistake. The patient's imaging findings are due to the parathyroid adenoma, not a bone tumor."

Doctor Zhou was completely stunned; the professor's rebuke just now left him quite uneasy.

The professor was right; this disease, others might not know, but he should be well aware of it.

But in the end, it was actually an inpatient chief from the Emergency Department who solved the problem—shouldn't he reflect on himself?

"A parathyroid adenoma absorbs calcium from the bones and excretes it via urine. As calcium is lost, the bones become very fragile; in the late stage, even a sneeze can cause a full-body fracture.

Over time, height may decrease. This is because the bones can no longer support the muscles and are deformed by muscular pressure. The patient currently shows no symptoms of low blood calcium, but…

Speaking, Zheng Ren hesitated a moment.

The patient's family became anxious and immediately asked, "Chief Zheng, what then?"

"Surgery is necessary; I can perform the operation, no problem. But the key to treating this disease lies in postoperative endocrine therapy; the surgery itself is secondary." Zheng Ren said: "Because it's a rare disease, I suggest you go to Di Du for surgery and tell the doctors there my opinion."

"Su Yun!" Zheng Ren, seeing the family's bewildered expressions, knew they couldn't find the appropriate doctors in Di Du.

Zheng Ren also feared something might go wrong; although the patient didn't have a tumor, it was a very troublesome disease.

"Boss, you won't make me call in a favor, will you?" Su Yun immediately complained, but while complaining he took out his phone.

"Wang Zong, I'm Su Yun."

When are you going to Strait Hospital?

Oh, it's fine not to leave for now. Zheng Lao Ban diagnosed a patient with parathyroid adenoma; our side's endocrinology strength is relatively weak, the patient……

"Alright, you're sensible. We'll go in a few days, I'll treat you to a meal." After saying that, Su Yun hung up the phone.

On the paper recording the B-ultrasound values, a name and a phone number were written.

"Go to Di Du, find this person, and get hospitalized as soon as possible." Su Yun said.

◈

End of Chapter

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