"Boss Zheng and Brother Yun, are you considering whether the patient has pyloric closure dysfunction or other problems?" Zhou Litao asked.
Zheng Ren and Su Yun shook their heads at the same time. Su Yun said, "Mr. Zhou, you need to observe the points carefully. You are such a fussy person. You really should be the resident general for another year."
Zhou Litao had a sad face and didn't know what to say.
Zhou Litao could tolerate pointing at his nose and swearing, as long as he didn't curse at his mother. He was not willing to work as a resident general for another year.
"Mr. Zhou, we just observed that the child's vomitus was feces and a small amount of gastric juice, and there was no sign of bile reflux." Zheng Ren explained briefly.
Zheng Ren stopped when he said this. He seemed to have something that he couldn't figure out, and the same was true for Su Yun. Zhou Litao saw the expressions of the two people, hesitated for a moment, and then asked Su Yun in a low voice: "Brother Yun, what are you and Boss Zheng thinking about?"
"I'm thinking about the feces that the child just vomited. I guess the boss is also thinking about this." Su Yun blew a breath and said helplessly: "What time is it? If I think about it any more, I won't even have dinner." Want to eat."
Zhou Litao was startled for a moment and immediately went out. Seeing that the nurse had diligently cleaned up all the vomit from the patient just now, he had no choice but to recall the shape of the vomit he had just seen in a panic.
That thing smells bad, what's so interesting about it? Although fecal reflux is uncommon, it may also be considered that the child is still young and the pyloric closure is incomplete. Coupled with the stimulation of acute gastrointestinal inflammation, it is reasonable to have reflux.
In the end, it still comes down to inspection.
Zhou Litao returned to the office and turned on the computer.
Under the gaze of Boss Zheng, he turned on the imaging system and called the radiology department to ask them to upload the images as soon as possible after completing the examination.
There is an urgent need in the emergency department, and no doctor will delay it as long as he has the conditions.
What were Zheng Ren and Su Yun thinking about in the office, especially Su Yun, who was always talkative, but was extremely quiet today. He was not playing with his mobile phone, nor was he criticizing this or that. Instead, he was looking at the yellowing leaves outside the window, his eyes focused.
Zheng Ren's eyes were fixed on the screen, while Zhou Litao kept refreshing the images in awkward postures. After nearly 10 minutes, the images were finally uploaded.
After clicking it for the first time, Zhou Litao saw the image data. An upright abdominal plain radiograph showed no signs of intestinal obstruction...
Zhou Litao was immediately confused.
"There's nothing interesting to see. It can't be intestinal obstruction." Su Yun said, "I saw that his mother pressed her hand on her belly when she was holding him. I guess the child's belly didn't feel bloated."
His eyes were looking at the leaves outside the window, without looking at the video data.
Zheng Ren picked up the mouse, zoomed in and out of the image, and watched it repeatedly for several minutes.
There was still silence in the clinic. Zhou Litao held it in for a few minutes and finally couldn't bear it anymore and asked: "Boss Zheng, Brother Yun, what are you considering?"
"Do a gastroscopy to see the stomach wall." Zheng Ren said calmly.
"It's meaningless. If you want me to tell you, just go to the patient's home and have a look."
"What you did was illegal. It's different from the last time I went to Cui Heming's company to see the situation." Zheng Ren shook his head, "If you are caught, this will be the biggest scandal."
"Tch, you are so indifferent." Su Yun said contemptuously.
What the two said was messy, and Zhou Litao still didn't understand a word.
In fact, it's not like I didn't understand. I knew what every sentence meant, but together, I didn't understand what Boss Zheng and Brother Yun were trying to do.
"First do a gastroscopy to see if there are any chronic changes in the gastric mucosa, such as ulcers, congestion, edema, erosion and other symptoms." Zheng Rendao.
"Okay." Zhou Litao nodded and walked out to explain the patient's condition to his mother.
"Boss, do you think it's possible?"
"Yes." Zheng Ren said, "Otherwise there is no way to explain it."
"I didn't expect to encounter it." Su Yun frowned and said, "Could it be some rare disease?"
"It's not supported by imaging studies. Come and take a look. It's too imprudent not to even look at the film." Zheng Ren said.
"I'm afraid I'll lose confidence in the world after watching the film."
"You are the one who says I am like an ostrich, and you are the one who thinks I will lose confidence in the world." Zheng Rendao, "This kind of thing will always happen whether you know it or not. There is nothing new under the sun. It will happen in the past." Yes, it will happen now, and it will happen in the future. Even if humans evolve into consciousness, this kind of thing will probably happen."
"Boss, you are very verbose." Su Yun blew a breath, his black hair fluttered in front of his forehead, and he became more energetic.
He came to the computer, took the mouse from Zheng Ren and started watching the movie.
After looking at the situation in the abdominal cavity from top to bottom, Su Yun smiled slightly and said: "Munchausen syndrome by proxy, what other explanation is there? What matters now is evidence and judicial intervention."
"If you call the police before you figure it out, it will be very embarrassing if something goes wrong." Zheng Ren shook his head and said calmly.
"Are you still thinking it's a pyloric problem? It doesn't rule out that the child has pyloric regurgitation."
"Where's the bile?"
"The bile has been almost consumed in the previous vomiting, and we can only see refluxed feces." Zheng Ren said, "Although there is no way to fully explain it, the examination still needs to be done."
"Boss, I saw you opening doors very quickly last time in Haicheng. Do you often use half a pack of instant noodles to open the door lock of a community?" Su Yun asked with a smile.
"I've never done this before," Zheng Ren said. "I don't recommend that you visit the patient's home. That is burglary and is illegal."
"This is the easiest."
"That won't work either. Mr. Zhou will come back later and ask him to see if he has any clues."
The two fell silent again.
Munchausen syndrome by proxy is a symptom of imagining other people, especially children, juniors, younger siblings and other people who need care, who come to the hospital for treatment.
Strictly speaking, a type of performing personality is someone who is willing to act as a caregiver.
After the child vomited feces, Zheng Ren and Su Yun observed and considered related diseases, but they were unable to diagnose the child according to diagnostics. Coupled with the medical history described by Zhou Litao, Munchausen syndrome by proxy came to mind.
After a few minutes, Zhou Litao came back.
"Mr. Zhou, do you know anything about the mother of the child?" Su Yun asked.
"Uh..." Zhou Litao was stunned for a moment, and then said: "I know a little bit, but not much. Her lover is a crew member and works overseas for a long time. He comes back twice a year and is usually away from home."
"I didn't ask you this, what are you thinking about?" Su Yun said: "Do you have her social account? WeChat Moments, Weibo, etc."
"Both." Zhou Litao said, "But... I don't see anything strange. I just want to show off my baby."