Liu Zewei grimaced and looked at Su Yun with pleading eyes.
Several banners, like runes to remind people to die, were held in the hands of the patients' family members behind them. They were two meters away, and Liu Zewei could also feel the heat coming from them.
"Have you had any illnesses before?" Zheng Ren continued to ask, completely unaware of Liu Zewei's embarrassment.
"No." The patient's family members felt very strange when they saw the banner and the old director of the province standing awkwardly next to the young doctor.
What is all this about? The interpersonal relationships in the imperial capital seem to be very complicated.
"Do you have high blood pressure, coronary heart disease, or diabetes?" Zheng Ren continued to ask.
"No." The patient's family members were a little distracted and said, "I'm just willing to spend money. I think it was because the family was tight recently that she got sick. Alas, Mr. Zheng, to tell you the truth, she spent more than 3,000 a day in the city's first hospital. . Although it can be reimbursed, the pressure is also great."
More than 3,000, which should include the cost of various examinations and intravenous hypernutrition after fasting and water-free.
This amount of money is not that much.
"Fortunately, the medicine should be reimbursable." Zheng Ren comforted.
"Well, after the reimbursement is over, it will cost several hundred dollars a day. My wife says every day that all the money she usually saves on food is spent on medical treatment." The middle-aged man said nagging.
What he said was nothing serious.
"A bottle of fairy water every three days." Su Yun stabbed the side with a knife out of habit.
"No, one day is enough for her to bake her hair, two days is enough to sell a week's worth of facial masks, and three days is enough for her to sell a bottle of fairy water." The middle-aged man said sadly.
It seems that he has calculated this economic account more than once.
Zheng Ren was watching the film seriously. Chang Yue and Liu Zewei invited him to take pictures, but he was rejected directly.
Seeing Wei Yanagisawa's bald head standing among the patients' family members, he indeed looked like the director. He looks very impressive, especially his bald head, which makes him look older. Although they are older, doctors are becoming more and more valuable.
Zheng Ren smiled, and suddenly his heart moved.
An idea flashed across his mind, and Zheng Ren was stunned. This inspiration comes from the subconscious mind. If you don't catch it the first time, you may never remember it for the rest of your life.
Can…
what exactly is it
What Zheng Ren can be sure of is that it must be related to the condition of the patient in front of him.
His eyes were glazed over, and he did not look at the group photo of Liu Zewei, Chang Yue and the patient, nor did he watch the movie. Staring at the medical record cart, he didn't even know what to think.
"Boss, what are you thinking about?" Su Yun asked.
"Stop talking." Zheng Ren seemed to be about to catch the ray of inspiration, but was disturbed and drifted away again.
"I'm sick." Su Yun said contemptuously: "Rich son, come watch a movie!"
Professor Rudolf Wagner was happily taking a group photo with the patient's family. He didn't care whether his name was written on it. What he focused on was the process.
Moreover, a blond and blue-eyed foreign professor stood next to Liu Zewei, making him look much taller.
International Medical Group, this is a truly international medical group.
"Yes." The professor responded and made a gesture. After taking the photo, he came to Su Yun and said, "Brother Yun, this is incomplete intestinal obstruction. There is nothing good to see. The whole wave is blocked, and there is no Intestinal polyps were seen.”
"Fugui'er, don't tell me. Where do you stand and sway your hair like that? You are really stylish." Su Yun smiled and joked: "When you go back to Heidelberg in the future, you can make a wax figure here to match. Wearing wigs and taking photos..."
Halfway through his words, Zheng Ren suddenly made a fist with his right hand and hit it on his left hand.
There was a muffled sound.
"Boss, what's wrong?" Su Yun said in surprise.
"Here, look." Zheng Ren clicked on the patient's kidney and said excitedly.
Su Yun looked at the movie carefully and found that there was no serious problem with his kidneys. If anything, interstitial fibrosis around the renal tubules is the biggest problem.
"Interstitial fibrosis? What can it prove?" Su Yun asked in shock.
This is also what the professor wants to ask.
The patient's interstitial fibrosis is not obvious, and only vague clues can be seen through careful inspection.
"Lead poisoning! The patient's blood test showed anemia, liver problems, and peritubular interstitial fibrosis in the kidneys, so we can tell!" Zheng Ren regained his composure and began to speak.
Su Yun's eyebrows slanted into his temples, his brows furrowed, and he began to ponder.
“During lead poisoning, an inclusion body often appears in the nucleus of the glomerular cell, which is a complex of lead and protein. Its nature is not yet fully understood.
It is generally considered to be the cell's defense function, which causes the lead in the cell to be stored in the inclusion body to prevent the direct toxic effect of lead on the cell. "
"Acute poisoning mainly affects the proximal convoluted tubules, which can cause cell membrane damage, cell swelling, mitochondrial swelling, rupture, and reduction of particles in the matrix."
"In addition to damaging the renal tubules, chronic poisoning mainly manifests as progressive interstitial fibrosis, which starts around the renal tubules and gradually expands outward, with tubular atrophy and cell proliferation coexisting at the same time."
Zheng Rendao: "It's lead poisoning, there's no doubt about it. Does your wife dye her hair once a month?"
As he spoke, he looked sideways at the patient's family members.
This is what Liu Zewei said when we were chatting just now.
Everyone just took it as a comment, but no one took it seriously.
But now that Zheng Ren first laid out a bunch of pathophysiological change mechanisms and then asked about hair dyeing, some problems became apparent.
"Yes." The patient's family members were a little confused and didn't know why intestinal obstruction was related to hair dyeing.
"How much does it cost at one time?" Zheng Ren asked immediately.
"..." The patient's family members were stunned.
What is all this
"It's estimated to be about 100 yuan." Su Yun said, "Yeah."
"Ah? Ah!" the middle-aged man responded subconsciously.
"Hair dye, especially low-quality hair dye, contains relatively high lead. Once a month, long-term hair dyeing can lead to lead poisoning. This is normal." Zheng Ren smiled, his face full of joy.
"What is lead poisoning?" the middle-aged man asked in a low voice.
Why does he think the doctor here is so unreliable? Although there are directors from provincial capitals and foreign professors, they are just not reliable.
Zheng Ren did not answer the patient's family members, but picked up the phone and dialed.
"Hello, Director Sun."
"Yeah, I'll go back when your side is ready." Zheng Ren said: "Let's talk about the serious business first. The patient named Li Liangfen, your side will do a blood lead and blood porphyrin test."
"I remember it seems that the Provincial Occupational Disease Monitoring Institute can do this. Lao Liu, please help contact me." Zheng Ren said to Liu Zewei.
Liu Zewei nodded.
"Director Sun, I will give your phone number to Professor Liu from the Affiliated Hospital of the Medical University, and you can contact me. The patient should undergo these two tests first. I think it is incomplete intestinal obstruction caused by lead poisoning."
"After confirming the diagnosis, the lead-removing therapy using sodium edetate to promote lead excretion can be cured in a few courses."