Dean Wu was stunned. He looked at Su Yun blankly.
"Don't make trouble." Zheng Ren stepped sideways and stopped in front of Su Yun. He didn't smile, his face was a little stern, and his voice was low, "Let's go and see the patient."
Dean Wu was filled with grievances, wondering why the experts in the imperial capital were so hot-tempered.
But the rows of names still flashed before his eyes, and each one made him tremble with fear. This kind of person is not someone you can offend. Director Zhao is right, you just listen to what others say.
But this thunder... ugh.
The scene was a bit embarrassing, and Director Zhao quickly made arrangements to go to the city hospital.
Soon, two cars were ready, and Zheng Ren and Su Yun got into one of the cars accompanied by Director Zhao.
"Boss Zheng, is the patient's misdiagnosis serious?" Director Zhao asked softly after getting in the car.
"Rare diseases cannot be said to be mental hospitals..."
"It's just that the level is not good enough." Su Yun said coldly: "Hepatolenticular degeneration is one of the few neurogenetic diseases that can be cured so far. The key is early detection, early diagnosis, and early treatment." Su Yun said, "If it is the last If you can diagnose the disease when it starts, the effect will be much better."
"What I mean is that the patient's parents did not take him to a tertiary hospital, but to a mental hospital, which has a certain impact on this matter." Zheng Rendao, "I will talk about the specific situation. I did not see the patient and did not have a physical examination. For the time being, It can’t be diagnosed yet.”
"What if..."
"You can't expect every doctor to be able to diagnose 1/30000-100000 rare diseases." Zheng Ren interrupted Su Yun.
"Isn't that what you think?" The corner of Su Yun's mouth raised, but it was not a smile, but an expression of endless contempt and ridicule.
"Yes." Zheng Ren admitted frankly, "Maybe this is why I agreed to open a live broadcast room in Xinglin Garden in the first place."
"Many rare diseases, once you have seen them and have an impression, they will not occur, or misdiagnosis and mistreatment will be as small as possible. It is still just beginning. When the remote consultation system is launched, let's do a demonstration first. The Imperial City and the Magic City will definitely It will be carried out quickly.”
Director Zhao was stunned when he heard this, why did it get involved in the live broadcast again
"Boss Zheng, Professor Su, what are you two talking about... what exactly is the hepatolenticular degeneration?"
"It is an autosomal recessive disease of copper metabolism disorder. It is characterized by liver cirrhosis and basal ganglia damage caused by copper metabolism disorder. The understanding of the pathogenesis of hepatolenticular degeneration has been in-depth. Molecular level." Zheng Ren explained, "It is relatively common in China, with 1/30 people carrying this recessive gene."
"But the incidence rate is not high, nearly one in 100,000. When I was in Haicheng, when I first started studying TIPS surgery, I met a misdiagnosed patient with hepatolenticular degeneration. But his clinical manifestations were cirrhosis. , ascites, portal hypertension.”
"..." Director Zhao was really speechless. The disease called hepatolenticular degeneration that Boss Zheng was talking about actually has many different manifestations, and they are very different or even completely opposite.
This kind of disease is probably difficult to diagnose even in the best hospital in the city.
If you don't say that there are rows of people under their names, it looks dazzling, but this is a real skill.
"The patient had no mental symptoms at that time, but the child in front of me had the first mental symptoms. The initial irritability may evolve into suicide." Zheng Rendao, "Early detection, early diagnosis, and early treatment are still needed. Now... Let’s make a diagnosis first, and then treat it for copper removal.”
"Is it effective?" Director Zhao asked cautiously.
"It should be good. Some patients need long-term copper depletion treatment, but mild cases don't need it. It mainly depends on the situation, it's hard to say now." Zheng Ren said, and began to make a habit of explaining to the patients' families. The same time as before, he spoke vaguely.
"There are also types that are dominated by kidney damage, bone joint muscle damage or hemolytic anemia." Su Yun added.
"Those are other classifications and will not be considered for the time being."
"You are not careful in what you say."
Director Zhao watched the two young experts in front of him start to argue, and he fell silent.
He quietly took out his phone, but put it back after thinking about it.
Looking for information on the Internet in person, it is also very embarrassing for me to go to see a doctor and ask about a certain degree, regardless of what the two professors think.
Early detection, early diagnosis and early treatment, no wonder Professor Su got angry. If the child had been diagnosed clearly six months ago, it would have been as serious as the execution.
Director Zhao thought and sighed inwardly. The parents of the patients took their children to a mental hospital for treatment as symptoms of Internet addiction withdrawal... Forget it, each of them has its own right and wrong.
It would be best if the child could be cured. Fortunately, the diagnosis should be clear. If this is delayed any longer, the consequences will be disastrous.
Zheng Ren and Su Yun chatted for a while about hepatolenticular degeneration, explaining things in simple terms. After listening to this, Director Zhao felt that he would be able to diagnose similar patients in the future.
When I arrived at the hospital where the child was staying, the director in charge and other relevant personnel greeted me at the entrance of the inpatient department early in the morning.
Seeing Zheng Ren and Su Yun get out of the car, the dean here shook hands and greeted them warmly, and talked about a lot of things about Xinglin Garden. Zheng Ren basically didn't listen. He wore a standard fake smile on his face and mumbled casually.
Arriving at the ward, Zheng Ren looked at the patient's system panel and did a physical examination, and then went to the demonstration classroom with the dean and others.
The patient’s family members were not called this time, which is also a clinical routine.
For the diagnosis of difficult cases, especially the diagnosis of difficult cases where the patient’s family members have opinions, it is necessary to come up with a confirmed diagnosis before explaining it to the family.
Otherwise, repeated overturning of the diagnosis will increase the distrust of the patient's family members and even lead to more serious things happening.
Arriving at the demonstration classroom, Zheng Ren stood at the front without hesitation and began to hold the medical records and explain his analysis of the entire condition and future treatment plans.
The entire conference room was quiet, with only Zheng Ren's voice echoing.
Hepatolenticular degeneration, such a rare disease, became easy to understand when Boss Zheng mentioned it. Many people have a vague misconception, as if this disease is like appendicitis, it is everywhere, and it would be a shame if it is misdiagnosed.
"Let's eliminate copper treatment first." Zheng Ren said: "D-penicillamine is the first choice. If it doesn't work or the effect is not good, hurry up and send the child to the imperial capital."
After he finished speaking, he looked around the room and saw that no one questioned him, so he slowly put the medical records on the table.
"After the boss has finished speaking, let me add a few words." Su Yun sat on the chair and said in a deep voice.
He held the medical record in his hand, with a slightly cold smile on his face.