"Little brat, don't talk too much." Su Yun said, "You don't know a lot."
"Then what's your diagnosis?" Lin Yuan ignored Su Yun's provocation and asked directly.
"Not yet, isn't this what I'm looking at?"
While the two were talking, they looked at the video data as Zheng Ren slid the mouse.
After reading the whole article, Zheng Ren didn't have any particularly good ideas.
He hesitated for a moment, then switched the film to chest CT, held his chin up and watched carefully.
"Boss, do you suspect constrictive pericarditis?" Su Yun asked.
"There is coarctation. I guess the problem can be found by doing an echocardiogram. But I can't tell you about pericarditis. There doesn't seem to be any armor-like hardening changes." Zheng Ren pointed at the computer screen with his finger.
Constrictive pericarditis refers to a condition in which the heart is surrounded by dense and thick fibrosis or depleted pericardium, which limits ventricular diastolic filling and produces a series of circulatory disorders.
"Constrictive pericarditis is mainly characterized by symptoms such as shortness of breath, palpitations, chest tightness, abdominal distension, and lower limb edema. There are indeed some signs on imaging, but the patient has no similar complaints and will not be considered." Lin Yuan said on the side.
Mr. Yu felt a little emotional. After thinking about it slowly, he could still think of various symptoms of constrictive pericarditis, but he was definitely not thinking as fast as the girl next to Boss Zheng.
She seemed to say it without thinking at all. Perhaps she had already ruled out this diagnosis in her mind.
The basic knowledge is simply too solid.
"That's not necessarily true." Su Yun looked at the film, a little stunned. He was not arguing with Lin Yuan, but talking to Zheng Ren.
"Well, there's a problem here. Go see the patient!" Zheng Ren suddenly stood up.
"Boss Zheng, what are you considering?" Mr. Yu asked quickly.
"There's nothing to think about. Let's go see the patient." Zheng Ren said.
Mr. Yu was also a little surprised.
In his heart, Boss Zheng is already synonymous with omnipotence. After Boss Zheng watched the film, shouldn't he just explain the condition clearly in one, two, three, four and five
But Boss Zheng said to see the patient, so just go and see him.
Turning off the computer, Mr. Yu took Zheng Ren and his party to the special needs ward.
"How is Taoist Wang's son?" Zheng Ren only remembered this when he came to the special needs ward.
"It's better now," Su Yundao said. "After the operation, there is a little post-operative pain, but there is no regular pain every few minutes like before."
Zheng Ren nodded. Since he was fine, he didn't need to look.
What happened after that was still discussed between Master Yan and Taoist Wang, and it had nothing to do with him.
Arriving at a ward, Mr. Yu knocked on the door and entered.
An old man in his seventies was standing at the window, looking into the distance.
Seeing Mr. Yu come in, he said with a smile: "Mr. Yu, you came to see me, thank you for your hard work."
"That's right, Mr. Chang." Mr. Yu said politely.
"Who are these..." The patient looked at the leader Zheng Ren and asked with a smile.
Zheng Ren didn't hear how Mr. Yu introduced himself, and looked at the patient's system panel in a daze.
The system panel was slightly red, but most of the diagnoses were geriatric diseases, and there were no diseases related to hematuria at all.
He did not doubt Big Pig Hoof. His first thought was Mr. Yu's judgment that the old man was pretending to be ill.
At the same time, the chest CT picture appeared clearly in front of me. Zheng Ren already had his own guess about the cause and effect.
"Hello, Boss Zheng." The patient stretched out his hand and said with a smile.
Zheng Ren was still dazed, his brain running at high speed. Even if you are pretending to be sick, the test results are real. Being able to pretend to be lifelike is your skill!
Seeing that Zheng Ren was silent, Su Yun knew that he was distracted again, so he kicked Zheng Ren's calf with his toes from behind.
"Hello." Zheng Ren responded quickly, reaching out and shaking the patient's hand.
"Sit down." The patient said with a smile, "I'm old and sick, but I have to bother you all to come and see me. I'm really sorry."
"It's okay." Zheng Ren walked behind the patient and came to the small living room outside, where he sat down and started chatting.
After chatting for a while, Zheng Ren couldn't wait to ask: "Old man, is this the first time your hematuria has appeared, or has it happened before?"
"It happened before." The patient said with a smile: "I get angry when I get anxious. Isn't this because I am getting older, and the time for illness is getting longer and longer."
"How long does it usually take to get better?"
"It usually takes three or two days to get better. This time, including the time at home, it's about half a month. Boss Zheng, right? I have nothing to do. Please worry about it." The patient seemed unwilling to talk about his condition, so he simply said , began to have a vague meaning of chasing people away.
"Old man, I'm just asking casually." Zheng Ren sat firmly, showing no intention of moving, "Have you been flustered or short of breath recently?"
"No, my heart is very good. When I was young and working hard, I didn't pay much attention and had some stomach problems. But after I turned fifty, I started to have a small foundation, so I started to pay attention to maintenance. The last coronary CT examination was a month ago, and there was no Blocked.”
Zheng Ren glanced at the patient thoughtfully.
"Things are all trivial, please doctors, please take this seriously."
"Old man, please don't be busy. I have a few more questions." Zheng Ren said with a smile.
The old man frowned.
Seeing this, the nanny immediately came over, bowed gently and said: "Mr. Chang is tired, please go first."
Zheng Ren didn't feel unhappy at all. He stood up and said with a smile: "Old sir, I'll take my leave now. You have a good rest."
The patient stood up and sent Zheng Ren and others out.
After walking out of the special needs ward, Su Yun smiled and said, "It's obvious that you are pretending to be sick. Mr. Yu, your eyesight has improved."
Mr. Yu scratched his head and sighed, "It's all guesswork. Why and how the patient pretended to be sick, I haven't figured out yet."
Zheng Ren knew that he came to him to see if the patient was pretending to be ill and to confirm his suspicion.
Speculations like pretending to be ill involve very complicated things and should never be spoken out without conclusive evidence.
"Tell Director Liu to seek consultation from the whole hospital." Zheng Ren said immediately.
"Ah?" Mr. Yu was stunned for a moment.
Lin Yuan was also stunned. She was still considering the patient's condition. Only Su Yun said with a smile: "Remember to find a professor who is willing to perform surgery for consultation."
“…”
Mr. Yu was speechless.
"Well, according to the consultation opinion, the diagnosis is intermittent constrictive pericarditis, and surgical treatment is recommended." Zheng Ren said affirmatively.
"Intermittent constrictive pericarditis?" Lin Yuan asked in surprise.
"Yeah." Zheng Ren nodded.
"Boss Zheng, is there such a diagnosis?" Lin Yuan thought about it but couldn't figure it out.
"No, but the patient's condition is indeed like this." Zheng Ren said.