Chapter 809: with translation of chapter title

"What illness?" Wang Dong's mother was stunned.

Really ill? Or some... whatever... a disease I can't recall.

No way, Wang Dong keeps complaining of pain every day, feeling uncomfortable all over. Yet there's nothing wrong with him—no cold, no fever, he eats and drinks normally.

Impossible!

Impossible......

"Boss, is Fabry disease the condition caused by congenital deficiency of alpha-galactosidase A in the patient's body?" Su Yun, after hearing Zheng Ren finish, also realized something; he carefully examined the keratosis on little Wang Dong's ear, pondering deeply.

This disease is very rare; if it weren't for Su Yun's extensive knowledge, glancing at any book or magazine, few people would know about it.

However, Su Yun reads books just to brag at the dinner table; he never imagined he would actually encounter such a patient one day.

"Well, there's Blood Vessel keratosis on the ear, that's a mid-stage manifestation. I guess if we examine, we could see corneal vortex opacity in the eye." Zheng Ren looked at Wang Dong's mother, patiently asking: "May I take a look at Wang Dong's eyes?"

Seeing Zheng Ren's serious expression, although his face had some yellowish bruises that looked funny, Wang Dong's mother still believed him.

It's just a glance at the eyes, in broad daylight, under the clear sky—what's there to fear?

She nodded, placing her hands on Wang Dong's shoulders, ready to exert force and hold the child in her arms at any moment.

Zheng Ren smiled and said, "Little brother, don't be nervous, I'll just flip your eyelid."

Su Yun was also curious; he recalled that the typical feature of Fabry disease is corneal vortex opacity in the eye.

One glance can give about an eighty percent confirmation.

Leaning in, seeing Zheng Ren extend his hand, he gently flipped Wang Dong's eyelid, only for a moment, then let it go.

Before Wang Dong could react, before his mother could let her imagination run wild, the examination was already over.

Of course, if a detailed examination were done, we would also need to check the patient's lower abdomen, thighs, etc., where red or purplish-black Blood Vessel keratoses would appear. However, since Blood Vessel keratosis has appeared on the ear, those areas become much less important.

"It really looks like the eye of a storm." Su Yun saw it clearly and sighed.

Corneal vortex opacity in the eye, upon careful observation, appears just like the eye of a storm existing in the patient's cornea.

This is a very typical feature, different from ordinary corneal eye diseases.

"Anything wrong?" Wang Dong's mother asked half-believing, half-doubting.

"It should be Fabry disease. Su Yun, do you have pen and paper?" Zheng Ren asked.

Su Yun spread his arms, indicating he had nothing on him.

"Chief Zheng, I have one here." Chang Yue took out a small notebook and a pen from her bag and handed them to Zheng Ren.

Zheng Ren thought for a moment, then wrote on the notebook: Diagnosis: Fabry disease. Recommend testing for alpha-galactosidase deficiency. If positive, administer enzyme replacement therapy.

After writing that line, Zheng Ren also wrote "Intervention Department, Zheng Ren" at the bottom, tore off the page, and handed it to Wang Dong's mother.

"I've written down the diagnosis, what tests to do, and the treatment. Keep this safe and go to the emergency room… or see the rheumatology immunology department." Zheng Ren smiled and turned to leave.

He returned the notebook and pen to Chang Yue, and the few people left.

Xie Yiren saw Zheng Ren's gaze sparkling with starlight; in her view, Zheng Ren was really handsome at that moment.

"Boss, you diagnosed him just because of that child's ear Blood Vessel keratosis?" Su Yun still didn't understand and pressed further.

"Fabry disease is often misdiagnosed early as rheumatism, arthritis, growing pains, or psychosomatic pain, and sometimes even thought to be malingering. From what Wang Dong's mother said, I gather he's had multiple episodes, yet nothing was found." Zheng Ren walked and said, "So I just thought of the possible places."

"Blood Vessel keratosis on the ear is a typical feature, but it doesn't give a diagnosis. In the end, didn't we still have to look at the cornea to confirm?"

Zheng Ren didn't think much of it, he said offhandedly.

"But you were so sure earlier." Su Yun remained doubtful.

"I wasn't that sure; Wang Dong's mother wouldn't let me look anyway." Zheng Ren said offhandedly.

"…" Su Yun was speechless. "What if the diagnosis is wrong?"

"Just glance at the cornea; if it's wrong, it's wrong—would you mind? If wrong, I'm just an ordinary passerby. Anyway, I'm a doctor from 912." Zheng Ren looked at Su Yun, dead serious.

"Uh…" Such nonsensical words, Su Yun had never heard them from Zheng Ren's mouth before.

Usually Zheng Ren is honest and straightforward, his speech and actions are by the book, yet I've never seen him this slick.

But Su Yun thought for a moment; the situation just now, with the chaotic crowd causing trouble in the pediatric emergency, Zheng Ren really had no good options.

If it were me, things might be a bit simpler.

Is there a trafficker as handsome as me? Looking like this, shocking heaven and earth, moving ghosts and gods—doing anything would earn more than a trafficker.

Hmm, this is a world that judges by looks; the Boss doing this is also an ordinary person with no choice, forced into it.

Thinking this through, Su Yun felt relieved.

"I remember now: Fabry disease is the inability to metabolize globotriaosylceramide, causing it to accumulate in lysosomes, leading to various clinical symptoms. It's X-linked inheritance, with males more severely affected than females." Su Yun thought long and finally found a trace of Fabry disease in his memory, asking, "Boss, how effective is the treatment for this disease?"

"I don't know either, I've never seen it." Zheng Ren said: "According to magazine introductions, enzyme replacement therapy is given, and the treatment cost shouldn't be too high."

"That's too tragic for such a small child." Chang Yue's sympathy overflowed.

"Just think of it as diabetes: daily insulin injections, no effect. Moreover, it's better than diabetes patients—at least you don't need to control your diet." Zheng Ren explained from another angle.

Upon hearing that diet control wasn't needed, Xie Yiren nodded repeatedly.

In her view, if one couldn't eat much, that world would truly be miserable.

Turning the corner of the emergency department, no longer seeing the troublemaking crowd in the pediatric emergency, I instantly felt back in the normal world, much quieter.

"Causing trouble in 912, these people really have big guts." Su Yun complained.

"Quite normal. A few days ago, when you weren't here, a patient's family member went straight to the Inpatient Department, saying there are still empty beds, why not let them stay." Chang Yue said, "The nurse told him those beds are reserved for military personnel."

"Then the patient's family started causing a fuss?"

"It's not really a fuss; anyway they just shouted a lot." Chang Yue said, "I couldn't be bothered to listen, so I just left."