Zhou Litao sent Boss Zheng and Brother Yun away. In the corridor, a man happened to walk in. He greeted Zhou Litao in a hoarse voice.
"Mr. Zhou, I'm here again." The man was dressed normally, but his collar was turned up, making him look a little sneaky.
"Old Qin, why are you here again?" Zhou Litao said very habitually, as if he didn't see the man's sneakiness; or maybe he was used to it.
Both Zheng Ren and Su Yun admired having so many familiar patients in the emergency department.
"Isn't this an illness again? Take the time to check it out while it's not serious yet." The man said, "Mr. Zhou, if you have anything to do, just get busy first. I'm not in a hurry."
"You really treat your patients like family." Su Yun smiled and said to Zhou Litao, "The hospital should set you as a model."
"Brother Yun, don't be ridiculous. He is an old patient. He always has thyroid problems. It's always a big deal when he gets sick. It scares me." Zhou Litao said, "He had an enlarged thyroid gland half a year ago, which oppressed the respiratory tract. , I almost couldn’t hold it in at home.”
"It's so heavy. What did the glandular department say?"
"He was told that he had hypothyroidism. He received symptomatic treatment, and he quickly improved and was discharged from the hospital. Two months ago, he suffered from thyroid crisis, and I happened to be on the tail of the inpatient general when he was sent..."
"Hypothyroidism? Goiter?" Zheng Ren asked doubtfully.
"Well, it's not very common." Zhou Litao said.
"What symptoms did he have? A few months ago, my boss gave Johns Hopkins Hospital remote consultation and solved a patient with thyroid storm who presented with abdominal pain."
"It's almost the same performance." Zhou Litao said.
"Not bad, Mr. Zhou, the diagnosis level is very high." Su Yun smiled.
"No way, don't you know his medical history and diagnose him directly? This is familiarity, otherwise I guess there is a high probability of misdiagnosis." Zhou Litao said.
Zheng Ren recalled the patient's system panel. The diagnoses of hypothyroidism and goiter were clear.
There should be no special treatment for this kind of patient. Just take blood tests and take medicine regularly.
As for the induction of thyroid storm, there are many factors, and Zheng Ren doesn't think it will be a big deal. But after listening to Zhou Litao's statement and comparing it with the patient's performance, an idea seemed to flash through Zheng Ren's mind.
Thyroid disease is complex.
The human body is an extremely sophisticated machine, and the various appearances and internal logic of the endocrine system are extremely complicated. When Zheng Ren thought about the detailed dialectical analysis, his brain ached.
But listening to the conversation between Zhou Litao and the patient, it seems that the patient has long been accustomed to this and will get better after being hospitalized for a period of time.
Zheng Ren thought of this and looked back at the patient.
The system panel was very red, the diagnosis of hypothyroidism was obvious, and apart from some basic diseases, there were no other fatal diagnoses.
"Doctor Zheng? You are Dr. Zheng!" Unexpectedly, Zheng Ren looked back and the patient recognized him and said loudly with joy.
"Uh..." Zheng Ren was stunned for a moment.
"Dr. Zheng, you must be Dr. Zheng who won the Nobel Prize. I have seen you on TV!" The patient strode over and stretched out his hands, very enthusiastically.
"Hello." Zheng Ren had no choice but to reach out and shake the patient's hand. It would be too embarrassing if we didn't talk face to face.
"Dr. Zheng, what you said on TV was so cool. I watched that video many times!" The patient said happily: "I heard Mr. Zhou talk about you, and I always wanted to see you when I came to the hospital one day. It'll be great if it comes to you. What a coincidence, this can be considered a wish come true."
Zheng Ren frowned slightly, is this a wish come true? Coming to the hospital is not a good thing.
Moreover, the patient's condition showed that his goiter was so severe that he was mute when speaking. At this time, Zheng Ren was still thinking about seeing himself, and Zheng Ren was in a daze. If she were a star like Wu Xiaomei... How is Wu Xiaomei doing now? Go home and find time to ask your lover.
Zheng Ren was distracted in an instant and unconsciously.
"Doctor Zheng, Doctor Zheng?" Seeing Zheng Ren stunned, the patient called twice.
"Oh." Zheng Ren calmed down. After winning the Nobel Prize, shouldn't he get used to being recognized when walking on the street? Although he is not like a traffic star, more or less people will know him.
"Are you busy? Can you leave me a signature?" the patient asked cautiously.
"Uh... your current situation requires hospitalization. The enlarged thyroid has compressed the airway, and you need to be careful about the occurrence of thyroid crisis. Don't rush about signings. You can just take care of your condition in the future. Go get treatment first. ." Zheng Ren has never encountered this kind of situation, so he can only deal with it as best he can.
"Dr. Zheng, for my minor illness, I only need two days of treatment at 912 every time. It doesn't matter." The patient said, "Are you busy? I won't disturb you too much."
"What's the matter with your illness?" Zheng Ren was really embarrassed to leave, but he didn't want to regard himself as a star, so he might as well talk about what he was interested in.
"It's okay, it's an old problem. It's just that the two attacks were more serious. Mr. Zhou has told you." The patient said, "I usually take medicine, but there is still something wrong with the dosage of the medicine, and I can't adjust it well." .”
"Why can't you adjust well?"
"It was fine when I was in the hospital. It's fine to stay in the hospital for a few days and go home, but it won't work if I stay at home for a long time. This time I have experience. If I feel something is wrong, I will come to the hospital immediately." The patient said with a smile.
"???" Zheng Ren had a question mark on his forehead.
Putting what the patient said together with Zhou Litao's statement, there seems to be some problems.
"Tell me about my disease. My big neck disease is hyperthyroidism. I also have big neck disease, but it's still hypothyroidism." The patient looked at Zheng Ren and said, "I always take levothyroxine sodium tablets on time, and I know how to take them." I will take medicine for the rest of my life. My wife said that I just want to come to the hospital and see that the hospital is closer than home."
Zheng Ren also rarely encountered such talkative patients, and he didn't know what to say for a moment.
"Hypothyroidism can also cause goiter, so there's nothing surprising about it." Su Yun said, "Have you not checked it in detail?"
"After checking, the doctor also said that I always get sick very strangely. He always said that I need to do more checks, but I always feel that it is not good to do check-ups." The patient said: "We are not short of money, we can reimburse it, it's not bad. . Aren’t I worried about radiation? Tests like radioactive iodine intake sound unhealthy.”
"You still have to do what you have to do." Zheng Ren said with a smile.
Since he couldn't leave anyway, Zheng Ren and the patient came to the emergency department and sat down on the chairs in the treatment hall.
Su Yun suddenly frowned and asked, "How is your usual diet?"