Chapter 828: with translation of chapter title

Zheng Ren said, "This patient should go to hematology, not cardiology." After comparing dozens of case reports, he guessed it might be a rare disease and told Director Chu.

Director Chu, without surprise, looked at the image and asked lightly, "Zheng Lao Ban, what disease do you suspect?"

He was also pondering the possibilities of various diseases in his mind, and did not take Zheng Ren's words too seriously.

"The information is incomplete; we cannot diagnose for now." Zheng Ren said.

Director Chu was somewhat dissatisfied, glanced at Zheng Ren, and said, "Zheng Lao Ban, you're being overly cautious. In internal film reading, we speak freely; no one will blindly believe just one of your words, leading to misdiagnosis of the patient."

Zheng Ren asked, "Can we find the patient's ECG?"

"I'll ask." Director Chu took out his phone, made a call, and less than a minute later, the WeChat notification sounded.

The doctor on that end took a photo of the ECG and sent it over.

With the rapid development of instant communication, the model of consultations within and outside the hospital has undergone a fundamental change.

Previously, such data had to be sent by email for remote consultations. Even Haicheng Shi Yiyuan had established a remote consultation center for this purpose, preparing to cooperate with the large tertiary hospitals in Di Du and Modu to improve medical standards.

Unfortunately, the construction of this remote consultation center was slow. With the rapid progress of mobile communications, the image transmission quality of WeChat and QQ improved, so the consultation center, upon completion, lost its original function and was directly scrapped. (Note 1)

For sending images, the clarity of WeChat and QQ is sufficient; no need for more advanced professional equipment.

"Zheng Lao Ban, take a look." Director Chu said while holding his phone.

"Director Chu, let's add each other on WeChat." Zheng Ren had an idea and added Director Chu's WeChat.

Others usually ask for the WeChat of pretty young women on the street, but Zheng Ren is eager to get the WeChat of various senior officials.

People, indeed, are different.

If Su Yun were here, she would surely give Zheng Ren a truly heavy comment.

After adding WeChat, Director Chu sent the ECG photo to Zheng Ren.

He downloaded it, zoomed in, and Zheng Ren examined it carefully bit by bit.

The patient's ECG showed T-wave changes, ST-segment depression, indeed the standard ECG changes of myocardial infarction.

Yet Zheng Ren noticed that, alongside these changes, the patient had low voltage in the limb leads and an abnormal increase of R-wave in the precordial leads, accompanied by arrhythmia.

This... increasingly resembles the ECG changes of primary light-chain amyloidosis. Of course, Zheng Ren is only guessing; this disease is rare. Moreover, according to dozens of case analyses and reports, other examinations are needed for confirmation.

And the ECG before us,

The typical ECG changes of myocardial infarction are merely a "side effect." The seemingly unimportant R-wave changes are the key point!

Zheng Ren asked, "Director Chu, sorry, could you please get all the relevant test results for the patient?"

While pondering the patient's condition, Zheng Ren spoke less formally. But Director Chu didn't mind; after inquiring on that end, he had all the test results sent back.

Most of the patients coming to 912 for treatment have already undergone tests locally; their families bring all the test reports and films. If needed, the doctors at 912 will issue orders for examination here. But in most cases, the various tests from their hometown are sufficient.

After a full five or six minutes, the data from that end was finally transmitted completely.

Zheng Ren examined each item: urine protein +++, showing early changes of renal syndrome. The echocardiogram resembled his own reconstruction, with a slight reduction in left ventricular ejection Score, diffuse myocardial thickening, and a standard "snowflake" echo within the myocardium.

"Any liver tests?" Zheng Ren asked.

"En, none." Director Chu saw Zheng Ren's solemn face, felt surprised inside, but suppressed it and directly replied.

"I want to see the patient." Zheng Ren said.

Director Chu nodded; Liang Boshi gathered the films and handed them to the doctor issuing the report. Meanwhile, Director Chu took out his phone and made a call.

The phone rang for a long time before someone answered. It seemed the doctor on call was busy, with no time to pick up.

"Is the patient with you?" After the call connected, Director Chu, without courtesy, asked directly.

"Okay, we'll come right over."

"There's something wrong with the films; I want to see the patient."

After saying that, Director Chu hung up and left. Zheng Ren immediately followed him out of the film-reading room, all the way to the outpatient clinic.

"By the way, Zheng Lao Ban, what do you need me for?" Director Chu asked then.

"It's like this, Director Chu." Zheng Ren hurriedly walked a few steps to stand beside Director Chu, slightly behind, and said: "Director Luo of the Department of Gastroenterology introduced me to a patient with portal hypertension and end-stage liver cirrhosis. I plan to perform surgery tomorrow, but the patient lacks a Nuclear Magnetic Resonance diffusion examination, so I cannot determine the puncture point."

Having said that, Zheng Ren had expressed all his thoughts clearly.

"Oh, this matter. Can we do it after work?" Director Chu asked.

"Yes, yes, we can." Zheng Ren replied quickly with a smile.

"Little Liang, you do it for Zheng Lao Ban." Director Chu immediately arranged.

What Zheng Ren considered a difficult matter was, in Director Chu's view, just a casual remark.

"Okay." Liang Boshi immediately responded.

Zheng Ren felt a bit ashamed; when he previously came to Di Du, Liang Boshi had helped him greatly. Yet he hadn't even asked for Liang's WeChat or phone number, realizing he needed to pay more attention to social interactions.

People, after all, are social animals and must always communicate with others.

If I didn't want to pursue a Nobel Prize project, it wouldn't matter. But given the current situation, I must have people, many people helping me, to accomplish it.

Zheng Ren followed beside Director Chu, thinking silently. However, Director Chu had agreed, which was a good thing. Zheng Ren immediately contacted Liu Zong of the Department of Gastroenterology, asking the patient to fast, give appropriate fluids, and undergo Nuclear Magnetic Resonance diffusion around seven in the evening.

Although the fasting time is a bit early now, it's still better than not being able to do it at all.

Out-of-town patients rarely come alone to Di Du for medical treatment (Note 2). A whole family, with people eating and horses chewing, incurs high daily expenses.

Being able to discharge one day earlier would save a lot of expenses.

Arriving at the outpatient corridor, a crowd of patients waited outside in line, with security maintaining order.

Looking at the countless red and light-red background boards, Zheng Ren let out a breath.

No matter how powerful this system's Big Pig Trotter is, being just one person, I cannot solve too many problems.

Entering the consultation room, coming to the Expert Consultation Room 3 of Cardiology, Zheng Ren saw a patient around thirty years old standing anxiously at the door.

And on his System Panel appeared a faint red, the diagnosis clear—primary light-chain amyloidosis.

……

……

Note 1: Our hospital's teleconsultation centre is just scrapped like that.

Note 2: Last year I managed a female patient; reportedly, the ovarian cancer resection Shou Bing she underwent in Beijing was done by herself alone. She was very strong-willed and very optimistic.