"Please be quiet, everyone." Zheng Ren knocked on the table again. "With the above two points, we cannot distinguish the patient's congenital porphyria from lead poisoning. So, let's look at the next point."
"Long-term lead exposure can lead to elevated blood pressure, toxic myocarditis and myocardial damage. Lead can increase oxygen free radicals in the body and cause lipid peroxidation damage, including myocardial cell membranes and myocardial microsomal membranes.
It can also affect the cation transport enzyme of the myocardial microsomal membrane, causing Ca2+ ion overload in vascular cells such as the aorta, and Ca2+ accumulation in myocardial cells, causing membrane ion transport disorders and leading to myocardial cell dysfunction. "
"I don't know the patient's family history, and there are no relevant literature reports on what will happen to the heart function of patients with congenital porphyria after a certain age. But I think the changes in the patient's heart function are related to congenital porphyria. It has nothing to do with the disease, it looks a lot like lead poisoning.”
This is what Zheng Ren wants to do.
The mechanism of lead poisoning itself is related to porphyrin metabolism. It can cause anemia, and its mechanism is closely related to hemoglobin synthesis disorder and hemolysis.
Acute lead poisoning is easy to identify, but the differential diagnosis between chronic lead poisoning and porphyria is not as difficult as usual.
Only laboratory examination can clearly distinguish the difference between the two.
The patient did not undergo laboratory tests related to lead poisoning. Zheng Ren just wanted to plant a thorn in the Bruch family.
right!
Just a thorn.
It may not be useful, but it may also create mutual suspicion among family members.
Anyway, there is no cost. All it consumes is his "prestige" in the Bruch family. Faced with the previous threats, intimidation, arrogance and arrogance from Wormel, Zheng Ren did not feel that he had any reputation within the Bruch family.
This was Zheng Ren's counterattack.
In order to fight back this time, Zheng Ren even drank a bottle of energy potion without hesitation.
At this time, his mind was extremely clear, his thinking was almost flat, and he thought about countless things in an instant.
From the stomach to the kidneys, to the heart, brain, and nervous system, Zheng Ren carefully analyzed every suspicious point.
The most professional terminology, the most rigorous analysis, and the most in-depth differential diagnosis.
Gradually, all the doctors present fell silent.
How come the condition that seemed to be taken for granted before changed decisively and fundamentally under the judgment of this young doctor
It seemed ridiculous at first, but after ten minutes of listening, no one spoke except Dr. Rudy, who was still anxious to return to London.
Su Yun looked at Zheng Ren with wide eyes.
Did this guy think so from the beginning
Zheng Ren was so confident that the slight hesitation he had at the beginning disappeared, leaving only confidence.
As they talked, every word pointed to lead poisoning, implicitly or explicitly, and not the congenital porphyria that at least ten people present had or the disease recorded in strange writings.
Although Zheng Ren was talking nonsense, in the face of his powerful theoretical knowledge, everything he said was sound.
…
In the huge bedroom, old Luo Che was half lying on the bed.
He stared at the image on the screen.
The picture is so clear, and every expression and every movement of Zheng Ren in the center of the screen is so firm and provocative.
The charm value given to Zheng Ren by the big pig's hooves was maximized at this moment.
incite…
From being dismissive at the beginning, to being suspicious, to now, the defense line in Lao Luo Che's heart has been broken.
Although his reaction is much slower than before, compared to ordinary people, his reaction is still quick.
"Is he the young man who made an exception and became a tenured professor at Massachusetts General Hospital some time ago?" Old Roche asked.
The young man beside him replied respectfully: "Yes, sir."
"Is it because of him that Dr. Olson met with the king three times?" Old Roche murmured, "What this young man said was so inflammatory that I almost believed it."
"..." The young man next to Old Luo Che was silent.
Whatever happened around him seemed to have nothing to do with him. As long as he takes good care of old Luo Che, this is the only thing he has to do.
"Let's go see him." Old Luo Che said.
"Your body..."
"It's okay." Old Luo Che smiled, "I still have the strength to sit in a wheelchair."
The young man was silent, prepared a wheelchair, laid a soft fur cushion on it, put old Luo Che in black clothes with a hood, and then carried him to the wheelchair.
"Sendy, what do you think of this young man?" Old Roche asked.
"Young, but very professional. But I don't know why he is targeting lead poisoning. Your food has been strictly inspected and there is no possibility of lead poisoning at all." Sendi pushed the old Luo Che and said calmly.
"Do you think my appearance will scare this young man?"
"Sir, I will." Sendi smiled, "Your majestic figure is enough to overwhelm everything. No one can tell lies under your pressure."
Old Luo Che smiled and tried to block the black hood more tightly. His hands were like deformed animal claws, constantly trembling slightly, making it difficult to perform even a simple movement.
"Sir, let me help you." Sendi stopped immediately.
"No need." Old Luo Che smiled gently. The scars and blisters on his face were distorted. The smile did not make him amiable, but instead made him more ferocious and terrifying.
"Sir, actually you don't need to see that little doctor." Sendi said: "He may know that he will not win the Nobel Prize this year and is taking crazy revenge."
"He is a smart young man, and every word he says is just about making a differential diagnosis. But if this thorn remains in his heart, the fight and friction within the family will intensify." Old Luo Che said slowly: "It seems that he has just arrived Gubao, he still doesn’t know what kind of person I am, I should teach him a lesson.”
"I can go."
"I am still alive. This is very important. Not only let this young doctor know, but also let all the guys who are ready to take action know." Old Luo Che finally covered his face completely with a black hood, not letting a trace of sunlight shine. Come in.
Under the dark shadow, his eyes exuded a strange light.
Sendi no longer tried to dissuade him, but quietly pushed Lao Luo Che into the elevator and came to the room where Zheng Ren was analyzing his condition.
The doctors were whispering among themselves, and even Rudy was silent at this moment.
He didn't believe it was lead poisoning, but he couldn't refute every word of Zheng Ren, who was standing on the stage doing differential diagnosis as if giving a speech.
At this moment, old Luo Che's wheelchair was pushed in quietly, like a ghost.