"Director Luo just talked to the boss." Su Yun said contemptuously.
Lin Yuan seemed to have not heard what Su Yun said, raising his head and waving his ponytail, "Eosinophilic gastroenteritis is a disease of unknown cause, which is characterized by diffuse or localized gastrointestinal tract hyperplasia. Eosinophilic infiltration is often accompanied by peripheral eosinophilia.”
"I didn't ask you to endorse me, and I didn't even ask about your medical history. How do you get the confidence to say that you have these things?" Su Yun said contemptuously.
"The patient's symptoms are very typical." Lin Yuan was confident.
Director Luo smiled and said: "I also suspected eosinophilic enteritis at first, but to find a large number of eosinophils, we have to wait for the results of a gastrointestinal endoscopy."
"I'll do it!" Lin Yuan volunteered again.
"Don't panic. I'm asking about the patient's medical history." Zheng Ren sat on the chair next to Director Luo and said calmly.
Countless similar cases and diagnoses were running through his mind.
But thinking about these things now can only be regarded as a kind of training. Without asking for a medical history, it is almost meaningless.
Soon, Director Luo called the patient’s family members in.
This is a farmer in his fifties, with a confused and cautious look on his face.
When he walked into Director Luo's office, he stood cautiously in a corner, not daring to touch anything around him.
He was afraid that Director Luo would dislike him.
When I came to 912 and was able to live in the upper courtyard, I had already burned incense, so there was nothing else to worry about.
"Are you the patient's lover?" Zheng Ren asked with a smile.
"Yeah." He nodded obediently, not daring to say another word.
"Don't be so formal." Zheng Ren stood up and carried a chair to the side of the patient's family. "You sit down and talk."
Uh... The patient's family members were hesitant. He looked around and looked at the expressions of everyone in the room.
No disgust or contempt was seen. Finally, with Director Luo's comfort, he carefully sat on a corner of the chair.
Zheng Ren was afraid that he would sit on the ground.
However, he did not persuade the patient's family again. He was too polite, which in itself was a kind of pressure for the patient's family.
"How long has your lover had diarrhea?" Zheng Ren asked directly.
"It's been four or five years, but it's still not good."
"Where have you looked? Have you taken any medicine?"
"I've been to the hospital over there, and I've taken intestinal insecticide, piperonic acid, etc., and there are many other medicines that I don't know about."
"What happens after taking the medicine? Does it have any effect?" Zheng Ren continued to ask.
"Sometimes there is, sometimes there isn't."
"how are things?"
"It's getting worse and worse recently. People with diarrhea can't get out of bed. In the past, working in the fields was fine. I just had diarrhea. Who wouldn't have diarrhea?" The patient's family said sadly: "But two or three months ago It just keeps getting heavier.”
Zheng Ren was startled for a moment, he was a little confused. Worsening diarrhea? This is rare.
"What do you usually like to eat?" Director Luo asked.
In the outpatient clinic before, there were countless patients lined up outside, and it was impossible to ask for detailed medical history.
Director Luo just relied on his many years of rich clinical experience to judge that the patient might have a problem. After reading the test sheet and asking a few questions, he was admitted to the hospital for further examination.
This is a difficult disease to some extent, and further detailed medical history is required to make a judgment.
"Pork stewed with vermicelli." The patient's family said honestly.
tapeworm? No, tapeworms rarely and rarely cause diarrhea. This probability is even rarer than pork tapeworm parasitizing the brain and causing neurological diseases.
Zheng Ren and Director Luo asked in detail, from family history to past history to personal history.
Half an hour later, Director Luo and Zheng Ren stopped asking.
I've asked everything I can and there's no problem.
The patient is a very ordinary female patient from the countryside. She usually does farm work and plays mahjong during leisure time.
I had severe diarrhea recently after playing mahjong. There is no connection between playing mahjong and diarrhea.
"Boss Zheng, do you have any ideas?" Director Luo asked.
Zheng Ren shook his head and said, "Let's go see the patient."
This is the last trump card. It cannot be said that diagnosis can only be made by relying on the big pig's hooves system panel.
If you don't understand, it's your own business, and you can't delay the patient's diagnosis and treatment.
As for Director Luo's initial diagnosis, Zheng Ren only had doubts, but did not think that the possibility of eosinophilic enteritis was very high.
"Yes." Director Luo said, "The patient's condition is not very good now. I took a look at it when I was in the outpatient department. I guess he has ion disorder and is accompanied by slight dyspnea."
"Has the colonoscopy come back?" Zheng Ren suddenly asked.
"It's time to come back. Take a look at the images before going to see the patient." Just as Director Luo was about to move, Su Yun quickly picked up the mouse and started looking for the patient's imaging data.
Generally, there will be two to three typical images on the gastrointestinal endoscopy report sheet. But this patient had been greeted by Director Luo, so he uploaded images of the entire intestine.
Su Yun clicked on the image, and everyone gathered around the computer and watched intently as if they were watching a movie.
After five minutes, the mirroring process ends.
"It's not eosinophilic enteritis." Zheng Ren said, "I don't see any granulomas."
Lin Yuan also sighed, really not.
Originally, she was sure that it was eosinophilic enteritis, but once it was denied, she felt a little empty and uncomfortable.
The patient's lover sat carefully on the chair. Seeing that the diagnosis was denied, he sighed and said, "Doctor, can it still be cured?"
"Um?"
"If it doesn't work, we'll go back." He said frustratedly: "Eat whatever you want, drink whatever you want. We haven't sat and drank together for a long time, ever since I got this weird thing. I haven’t had it since I got sick.”
Zheng Ren was a little sad.
Go take a look and see what Big Pig Hoof has to say.
"How much can you drink?" Su Yun asked.
"You can drink one catty in summer and half a catty in winter." Speaking of drinking, the man's face gradually became a little brighter.
"Huh?" Zheng Ren felt something was wrong and immediately asked: "Why is there such a big difference?"
"There is something to drink with wine in the summer! The snails caught in the ground are stir-fried with chili peppers, and they are great to drink with wine!" the man said dejectedly.
This is the most annoying thing about asking for medical history.
Patients don't tell doctors everything they need at once.
But this is also easy to understand. Among the countless trivial things in life, no one knows what is related to disease.
If I talked about it all, I wouldn’t be able to finish it in three days and three nights.
When Zheng Ren heard what the patient's family said, his eyes suddenly lit up!
"Are you usually willing to eat snails?"
"Yeah, those things are everywhere. My wife's fried snails are delicious. We drank a whole night and could eat a small bowl."
Director Luo also discovered the problem!
Parasite, the answer started from the very beginning, and after a lot of twists and turns, it returned to the starting point.