"This situation is rare. Generally, patients are told to supplement potassium only when large amounts of diuretics are used." The doctor on duty said confidently: "The possibility of losing potassium ions through stool and urine is the greatest."
"Then what?" Zheng Ren looked at the test report attentively and casually answered it as a habit.
"Insulin, catecholamines, and metabolic alkalosis are the most common triggers of hypokalemia. Our examination has ruled out these possibilities."
The doctor on duty felt that he was very professional. As for what catecholamines are, what their effects and side effects are... I learned about it when I was in school, and now I have already given it back to the teacher.
It is not useful at ordinary times, and it is normal for it to be forgotten after a long time. As soon as I checked the information and found this place, Boss Zheng came.
The doctor on duty looked at Zheng Ren proudly, "How is it? My brother is skilled in the business, he must be dumbfounded."
Look at my luck, I just told the 912 people that they were stupid. As for this matter, I can boast about it for three years when I go back.
But it seems that he is just a master's student from 912. He goes to other hospitals to pretend to be a wolf, and he really doesn't know what he is doing.
"Boss Zheng, Boss Zheng!" A quick, flattering voice came from the door.
"Chief Wang..." The doctor on duty greeted immediately, but before he could finish speaking, he was pushed aside.
"You are..." Zheng Ren raised his head and glanced, with a mosaic on his face. He didn't recognize him, and Su Yun didn't give any hint.
"I'm Wang Wei from the Medical Department. Director Lin called me. Look, you came to guide the work without saying anything in advance. We have no preparations here." Wang Wei explained quickly.
The doctor on duty was stunned.
Even the 912 doctor, at this age, has just started working. It's so embarrassing for Section Chief Wang to be so groveling.
As for what? Just a PhD or a master's degree.
Besides, he didn't give any diagnosis after looking at it for a long time, so he obviously didn't know anything.
This kind of difficult and complicated disease is impossible for a newly graduated doctor, even a shit PhD.
I have been working for many years, and I still have to read books.
It's so embarrassing... The doctor on duty felt so embarrassed and a little disdainful.
"You are too polite." Zheng Ren smiled, "I just learned that a friend is hospitalized here, so I rushed over to take a look."
"Is the patient's condition serious?" Section Chief Wang changed his expression and asked the doctor on duty.
"..." The doctor on duty was helpless, but facing the power of the medical department, he had already knelt down and his thighs were sore.
"It's very serious. The key factors are unexplained hypokalemia and syncope. The patient's condition is very bad."
"Boss, I have acute renal failure, what do you think about it?" Su Yun suddenly asked.
"It is more likely that the body fluid volume is insufficient." Zheng Ren said.
The doctor on duty recalled that the patient's urea nitrogen and creatinine values were on the high side, and the amount of fluid replenishment in the past two days was more than 2,000ml.
The key is that the patient can still eat.
Not enough fluids? Nonsense!
Section Chief Wang stood next to Zheng Ren. Although he was a little embarrassed, he kept a smile on his face, as if he was not aware of the fact that Boss Zheng had not stood since he came in.
10 minutes passed.
These 10 long minutes made the doctor on duty feel that a full day and night had passed, and it was time for him to get off the night shift.
After Zheng Ren read the last test sheet, he took his hand away from the mouse, leaned back slightly, and narrowed his eyes.
"Boss, the possibility of insulinoma has been ruled out. Why do I feel like it's an intestinal disease?" Su Yun said doubtfully.
Hey!
The doctor on duty and Qin Tang felt a hint of contempt in their hearts at the same time.
At this level
912 is not that bad either.
Qin and Tang paid attention to the patient's lethargy and delirium, while the doctor on duty paid attention to hypokalemia and acute renal failure.
No matter what kind of disease it is, it seems that it has nothing to do with intestinal diseases.
Is there a brain disease due to intestinal problems? If you really think that way, you are mentally ill.
Qin Tang did not turn around and left out of politeness. But the way he looked at Zheng Ren and Su Yun had changed.
Not reliable at all.
The doctor on duty lowered his head, fearing that he might not be able to bear it and would disgrace the 912 doctor.
Although he was right, looking at Section Chief Wang's flattering look, if he did that, he might be in trouble in the future.
"Is the CT done?" Zheng Ren suddenly raised his head and asked.
The doctor on duty was lowering his head to endure his desire to show off, and then saw the confused expressions of the two young doctors from 912, and did not notice that Zheng Ren was talking to him.
The atmosphere in the office was a bit awkward.
"I'm asking you something, why don't you say it?" Section Chief Wang scolded with a dark face.
"..." The doctor on duty noticed it and asked in a low voice with a confused look on his face: "What?"
"Have you had a CT scan?" Zheng Ren asked with a smile.
The doctor on duty immediately said: "I don't know either, just ask."
"If not... we'd better add another CT scan of the middle and lower abdomen." Zheng Ren said.
"Boss, what are you considering?" Su Yun seemed to have the answer after hearing what Zheng Ren said.
"Mckittrick-Wheelock Syndrome."
"What is that?" The doctor on duty was stunned.
I have never heard of this disease. What kind of syndrome is it? The doctor at 912 is really capable of talking nonsense.
"Let's do a check-up first." Zheng Ren said lightly, "I'm just suspicious now."
"I think it's very likely that the diagnosis has been confirmed." Su Yundao said.
"We'll wait until the results come out."
"Boss, the old squad leader's family seems to have no money." Su Yun whispered.
"Mr. Zheng, Brother Yun, I have saved more than 10,000, is it enough?" Fan Tianshui said.
He didn't understand what the disease was, but he believed in Zheng Ren and Su Yun without reservation.
In the past six months, I worked as a security guard in Haicheng, ate in the canteen, and got a salary. I usually didn't have any place to spend money, but I saved some money.
"Lao Fan, you can save your money to get a wife." Su Yun smiled and said, "Should I call Peng Jia?"
"Let's fight. If the judgment is correct, Mckittrick-Wheelock syndrome is rare. Whether it is diagnosis or treatment, the live broadcast will have high ratings."
Zheng Ren's eyes were slightly closed, as if he was thinking about something.
"Colonoscopy? Or surgery?"
"If it's a CT scan, cut off the intestines. If it's the entire colorectum, use a colonoscope to peel it off bit by bit." Zheng Ren already has a comprehensive plan.
You can really pretend! The doctor on duty groaned.
Just say any English words and put them together to form some kind of syndrome to scare people.
This is clearly a matter of not knowing anything and making random prevarications.
Is this the level of 912? What nonsense.
Qin Tang was also very suspicious, but he was still cautious.
Remembering the name of the disease Zheng Ren said, he quietly walked out and used his mobile phone to check the disease information online.
Section Chief Wang was very resolute and knew that patients might have to queue up, which would waste time.
He called the CT room directly, told the old squad leader's name, and asked him to do a CT examination of the middle and lower abdomen.