Dr. Rudy knows very well how arrogant and rude the Bruch family is.
They appear elegant on the surface, but deep down they are extremely dark. Like a snake hiding in a corner, it will jump out and bite you at any time.
Rudy did not dare to offend the Bruch family. This was a fear from the bottom of his heart.
But why Christian, who was indifferent and moody most of the time, would have such respect for this young oriental doctor, Dr. Rudy couldn't figure it out.
"It's fine." Zheng Ren said casually, "After Ms. Fandi can move, she has to supervise the patient to do rehabilitation training, which will take a lot of hardship."
"Don't worry, I will supervise her." Christian smiled, the wound on his face had healed, leaving only a dark spot.
Zheng Ren was impressed by the powerful self-healing ability of this ethnic group.
Maybe people with less capable self-healing would have died long ago.
"Dr. Zheng, I heard Wormel say that you have your own diagnosis? I'm really lucky for Mr. Roche." Christian said.
"Well, we have a diagnosis." Zheng Ren said casually: "Mr. Kerry, are all the people in the family who want to know about Mr. Luo Che's condition here?"
Christian smiled and said, "Six branches will be here within a few minutes. We will listen carefully to your consultation opinions on Lord Roche. I think Lord Roche will get better soon."
Su Yun sighed inwardly.
This time, Su Yun felt a little uneasy. The boss is like a spring that was squeezed tightly by strong pressure in the country, and he seems to be a changed person after he comes out.
Alas, great pressure always needs to be released.
But is this really good? Whether it's the Mayo Clinic or Johns Hopkins Hospital, it doesn't matter if the boss is crazy. It's awesome, it's embarrassing, it's no big deal.
But here is... the risk is very high, even huge.
Su Yun was very worried.
A few minutes passed in the blink of an eye.
Several people with pale faces and more or less dark spots on their faces, necks, and hands came into this room.
Christian introduced everyone to Zheng Ren.
The internal relationships of this large and ancient family are as complicated as an equally ancient circuit board.
Zheng Ren didn't want to listen, he just wanted to make sure everyone was here.
Seeing Christian standing next to Zheng Ren, Warmel didn't say anything, but came to the front and said: "The medical expert consulting today is from China, and he is the youngest tenured professor in the history of Massachusetts General Hospital. "
Sparse applause sounded.
Warmel bowed down gracefully, raised his hand, and made a gesture of invitation.
Zheng Ren came to the stage, where there was corresponding equipment. After clicking on it, the image immediately appeared on the large LED screen.
After finding the picture he needed, Zheng Ren said in Cockney English: "Ladies and gentlemen, I am very happy to be here to analyze Mr. Luo Che's condition."
It was quiet down below.
"I just thought about it. Chronic variant Crohn's disease was just a joke with Mr. Wormel." Zheng Rendao, "Now I'm going to express my point of view."
There was a slight noise, but it wasn't loud.
"The first thing that appeared in front of everyone was the gastrointestinal endoscopy image." Zheng Ren clicked on the image data on the computer and said loudly: "Perhaps I had the same idea as everyone at the beginning. Mr. Luo Che's disease is just because of his age. In the end, all the organs in the body failed.”
"But when I saw this image, I suddenly changed my mind."
Warmel was a little surprised. There was nothing special about the gastrointestinal endoscopy, it was just chronic atrophic gastritis and enteritis.
The doctors began to whisper among themselves.
"A chronic digestive system disease characterized by gastric mucosal epithelial and gland atrophy, reduced number, thinning of the gastric mucosa, thickening of the mucosal basal layer, or accompanied by pyloric gland metaplasia and intestinal gland metaplasia, or atypical hyperplasia. Often manifested as Dull pain in the upper abdomen, fullness, belching, loss of appetite, weight loss, anemia, etc. are non-specific." Zheng Rendao, "Very standard symptoms of chronic atrophic gastritis."
Su Yun felt that the boss seemed to have changed. What nonsense was he talking about here
Just take one look at the patient and give a generic diagnosis, and the mission is over.
And Zheng Ren is letting the mission go into an unpredictable abyss.
"We are doctors, and one appearance can only provide support for a certain diagnosis. We also need differential diagnosis." Zheng Rendao: "Since this is not a public teaching class, I won't let everyone speak. Let me talk about my experience. Differential diagnosis.”
"The diagnosis that needs to be differentiated most is-" Zheng Ren lengthened his voice, looked around, and finally his eyes fell on Wuermeier's pale face.
"lead poisoning!"
Zheng Ren's diagnosis was like a stone thrown into a calm pond, causing an uproar!
In the Castle of Bruch, it is said that Roche Bruch suffered from lead poisoning…
Is this seeking death
Su Yun's face instantly turned pale, just like Christian standing next to him.
Warmel looked at Zheng Ren indifferently, without any expression on his face.
"This is just a differential diagnosis, not a diagnosis." Zheng Ren knocked on the table, "It's just a medical discussion, please keep quiet!"
“The mucosa of the digestive tract has the ability to secrete lead. During the process of lead secretion, lead directly affects the gastric mucosa, destroys the regeneration ability of the gastric mucosa, and causes inflammatory changes in the gastric mucosa.
Studies have shown that the detection rate of pathological damage to the gastric mucosa in patients with chronic lead poisoning reaches 96.7%, and atrophic gastritis and atrophic gastritis with hyperplasia may occur. Patients with chronic moderate and severe lead poisoning were initially diagnosed with superficial gastritis, and 91% converted to atrophic gastritis three years later. "
"Some people say this is speculation." Zheng Ren clicked on the next film and continued: "Let's take a look at the CTA images of the kidneys."
"We can see degenerative changes in the patient's renal tubules. Regarding this, it can be considered a chronic change in the elderly, but it can still be considered a manifestation of lead poisoning!
In addition, progressive interstitial fibrosis in both kidneys can be seen on the patient's CTA, starting around the renal tubules and gradually expanding outward, with tubular atrophy and cell proliferation coexisting at the same time. "
“Lead can affect the function of mitochondria in renal tubular epithelial cells, inhibit the activities of Na+, K+-ATPase, etc., and cause renal tubular dysfunction or even damage.
Acute poisoning mainly affects the proximal convoluted tubules, which may cause cell membrane damage, cell swelling, mitochondrial swelling, rupture, and reduction of particles in the matrix. An inclusion body often appears in the glomerular cell nucleus, which is a complex of lead and protein.
But Mr. Roche had no similar changes, so the differential diagnosis mainly involved chronic lead poisoning. "
The whole place was in an uproar.
Wuermeier looked at Zheng Ren coldly, and Zheng Ren also turned his attention to him.
Their eyes met, and Zheng Ren showed an honest smile, gentle and without any aggression.
"Differential diagnosis, just differential diagnosis."