Director Zhao's heart sank.
He has read countless people, but he has never seen someone like Professor Su who looks like a popular celebrity, but speaks so harshly and without mercy.
And he's not the kind of unreasonable guy who doesn't know anything but talks nonsense. Hitting people with medical records... Every sentence is reasonable and cannot be refuted.
What ugly words are you going to say
"Director Wang, right?" Su Yun looked down at a doctor who was nearly fifty years old with a smile and asked as warmly as a spring breeze.
Zheng Ren knew something was wrong when he heard Su Yun's tone of voice. A glimpse of the smile on his lips made him even more sure.
But Zheng Ren didn't stop Su Yun.
"Professor Su, what guidance do you have?" Director Wang nodded politely.
"The instructor dare not say, but I would like to ask you whether you do all the third-level ward rounds?"
"Do it, I have to do it every day..."
As soon as he finished speaking, the medical records in Su Yun's hand flew out again.
"What the hell!" Su Yun cursed in a deep voice, "I didn't see any description of the KF ring in the medical records or ward rounds. The pupils on both sides are about the same circle and are sensitive to light reflection. This is a template to stick on. of!"
"In the third-level ward round, from the director to the attending physician to the bedside doctor, no one found the KF ring!"
Director Wang was stunned by the smash.
KF ring, what is KF ring
"Copper is deposited in the corneal Descemet's lamina, and the obvious KF ring is not described in the entire medical record. You said you were doing third-level ward rounds?! Are you kidding me?!"
“…”
There was silence in the venue, and all the doctors listened to Su Yun's rage in silence.
Director Wang was not angry and wanted to fight back, but he didn't even know what a KF ring was, so how could he fight back? !
"Physical examination! You are a director, and you don't even have a physical examination. How can you know how to read the auxiliary examination report?" Su Yun looked at the director opposite him coldly, without any emotion in his words.
"Don't you know what a KF ring is? Forget it if you don't know. You are not required to know everything. But you don't even do the simplest physical examination, so what's the use of being a director!"
“…”
The venue was so quiet that you could hear a pin drop, and no one wanted to step forward and get in trouble. The little doctor sitting in the back secretly took out his mobile phone and prepared to check the KF ring.
"Now you are searching online? Patients go online to see a doctor, and you doctors also go online to see a doctor?!" The sarcastic words spouted from Su Yun's mouth were as hurtful as ice.
He looked at the little doctor in the back row sternly, his eyes like two knives. The young doctor lowered his head nonchalantly, not looking into his eyes, and quietly put away his cell phone.
"Coreal pigment ring. It is the most important sign of hepatolenticular degeneration. 95%-98% of patients have KF ring. As long as you have a sense of responsibility and check the patients, this matter will not happen like this!" Su Yun's voice was not loud, but quite sharp.
Everyone sitting below was silent.
Su Yun had finished scolding and blew a breath. The black hair on his forehead was floating, attracting the attention of several female doctors.
"Su Yun is right, but I can't blame you entirely for this matter." Zheng Ren said, "The KF ring is located on the inner surface of the cornea and sclera. It is green or golden brown in color and is about 1.3mm wide. The light shines obliquely on the cornea. It can be seen most clearly in the early stage, but it often requires a slit lamp examination to detect it in the early stage.”
"It was not very clear when I saw the KF ring during the physical examination, which means that if the patient now undergoes copper removal treatment, the effect will be good." Zheng Rendao, "Seize the time to do relevant examinations. If the value meets the diagnostic criteria, then copper removal treatment will be carried out." Bar."
After saying that, he stood up, looked at the doctor below, and said calmly: "You can't fool around with the physical examination. People say that doctors can't treat patients without doing examinations. Is that wrong? You still need to be familiar with the most typical signs and symptoms. .”
After saying that, Zheng Ren glanced at Director Zhao and said, "There's nothing going on here, so I'll leave first. Just send me the results for a look when you come back. Don't delay the treatment."
Zheng Ren paused for a moment, and then said: "If the effect is not good, contact the Imperial Capital for referral there for treatment."
Director Zhao quickly stood up and sent Zheng Ren out.
Opening the door, Zheng Ren saw the patient's mother standing anxiously outside the door, with messy hair that was not consistent with her age.
"Professor, has my son's disease been diagnosed?" The patient's mother saw Zheng Ren coming out. Although he was very young, his aura made her inexplicably trust him, "It's not brain cancer..."
As she spoke, her eyes turned red.
"Most likely not." Zheng Ren said, "Let's go to the office and talk."
Hearing what Zheng Ren said, the patient's mother was still overjoyed, even though there was a high probability.
"I said no at the beginning, but they insisted on saying yes!" The patient's mother looked at the local doctor and began to express her resentment.
"Let's not talk about this first. Please tell us about the patient's symptoms half a year ago." Zheng Ren asked calmly.
"My son used to be well-behaved, but he started playing games during the winter vacation and logged into his phone every day. After school started, I saw that he was still playing. He would play games after finishing his homework every day. When I got angry, I would turn his phone off. It was smashed."
"I thought it would be fine if I didn't have a mobile phone and didn't play games. My son didn't change much at that time, but after more than a month, he had a particularly bad temper and even quarreled with me. He had never been like this before."
"and after?"
"Then one time he didn't come home after school, so I went to look for him. I saw him playing with his classmate's mobile phone, which made me very angry. I dropped the phone and took him home with him."
"After that, his temper became very bad. He would go to school or make up classes sometimes, but the teacher said he didn't see him. I... "
"You sent him to a mental hospital?" Zheng Ren asked gently.
The words were gentle, but the meaning behind them was not even a little gentler than Su Yun's anger.
Zheng Ren looked directly at the patient's mother. It was very plain, but it made her feel tremendous pressure.
The patient's mother was a little embarrassed and defended in a low voice: "But the doctor has to see the doctor. I didn't understand it and almost delayed my son."
"Actually, if you came here in the first place, you might be fine." Zheng Ren said: "If you find something wrong with your child, don't assume it's a mental illness. If you do this, it's not good for the child. And today’s hospitals are all specialized hospitals…”
This explanation took more than 20 minutes.
Zheng Ren brought his ability to communicate with patients' families to its peak. At a certain moment, he even felt that he was almost as good at communicating with Chang Yue.
The patient's mother lowered her head and said nothing, but the ice began to melt gradually under Zheng Ren's explanation.
Zheng Ren knew that what he did was not flattering, but in his opinion, there was something wrong with both the doctor and the patient's family in this matter.
A good child should be sent to a mental hospital if he has a bad temper? Even if there is a problem, you have to go to a tertiary hospital to see if it is right.
After talking for more than 20 minutes, the patient's mother gradually became calmer. She was also ashamed when she recalled that she had sent her child to a mental hospital out of anger.
"Boss Zheng, the test results of the patient's serum ceruloplasmin are back." Director Wang listened to Boss Zheng helping himself and the mental hospital's family members while paying attention to the examination.
After the little doctor delivered the inspection report, he immediately took it over and showed it to Boss Zheng.
"Your son's serum ceruloplasmin is less than 80 mg/L, which indicates hepatolenticular degeneration." Zheng Ren smiled slightly and said, "Don't worry. After other tests come back, after comprehensive judgment, copper elimination treatment can be initiated."
"Okay, you need to communicate more with your children in the future and don't always be so forceful." Zheng Ren finally said, "If there is a problem, you will subjectively think that the child has a mental problem and send him to a mental hospital directly. Don't do it. You Doing this will ruin the child’s life.”
The patient's mother lowered her head and responded.
"I'm going back. I wish the child a speedy recovery." Zheng Ren took the initiative to reach out his hand and shake the patient's mother.
The doctors present all knew that this last handshake and nearly half an hour of communication was for them.
Although the professors in the imperial capital are unpleasant to listen to, they are reasonable. In the end, he did his best to do "fair" things, which can be regarded as the most benevolent and righteous thing.
"Take good care of your children and communicate more." Zheng Ren turned around and left, waved his hand, and repeated it again.
Dean Wu of the mental hospital has been following Zheng Ren. He has nothing to say and can only keep expressing his gratitude.
"We need to strengthen our professional studies. Diagnosis of mental illness should not be made easily." Zheng Ren gave the last instruction before getting in the car and leaving.