Dean Wu was silent for a long time while looking at the complicated medical records. He had a strange dream when he went to bed at night, but he couldn't remember what he dreamed about when he woke up. I can only vaguely remember that it seems to be related to my illness, but I can't remember anything more specific.
This matter was like a fish bone stuck in the throat, which made Dean Wu very uncomfortable.
Two days later, he picked up the medical records again and started reading them.
The patient's condition was more complicated than he thought. He had thyroid cancer and the surgery was done in the imperial capital. But it was just a thyroid nodule, and I ended up having a total thyroidectomy.
This was a bit too much. Looking at the medical records, Dean Wu felt more and more that this patient really had a mental illness.
Although the final pathological diagnosis was thyroid cancer, it was not necessary to remove both thyroid glands.
Seeing that the hospital where the operation was performed was 912, Director Wu thought about it for a long time, but finally he couldn't get over it and started to contact the doctor who performed the operation on the patient.
The imperial capital is so busy, there is a high possibility that the surgeon will not remember the patient at all. But after Dean Wu tried to contact a doctor he knew from 912 and contacted Professor Wei, the leader of the thyroid department, he found that Professor Wei still remembered this patient even after a long time.
According to Professor Jing Wei, the patient was examined in Imperial Capital because of "paranoid schizophrenia", and it was found that he had severe iron deficiency anemia and severe vitamin D deficiency.
During the examination, thyroid nodules were found. Professor Wei saw the patient in the outpatient clinic. He thought that he could just go home and observe. However, the patient strongly demanded surgery, even at the risk of death.
The patient's parents chatted with Professor Wei for a long time, and finally decided to have the surgery according to the patient's own opinion.
The reason why I was so impressed was that Professor Wei was worried about something going wrong, so when Dean Wu called, he was quite nervous.
Professor Wei relaxed a lot when he knew that Dean Wu was just consulting and there was nothing wrong with the patient. He told Dean Wu that he felt something was wrong with the patient at that time. In more than 20 years of medical practice, he had never found anyone actively requesting total thyroidectomy.
Most patients are afraid of surgery. Doctors say they should go home and observe, but almost no one will ask for surgery on their own initiative. But this patient was different. Not only did he need surgery, he also needed a bilateral total thyroidectomy.
The patient had no history of head trauma, epilepsy, or social withdrawal. Therefore, Professor Wei is not sure that the patient really has a mental illness, but his behavior is a bit weird. This is his judgment.
However, Professor Wei's main basis for thinking at that time was that generally speaking, symptoms of mental illness begin in adolescence, but this patient was said to have been normal before, studying until he graduated with a doctorate.
There is no family history, and the patient's parents are normal.
At that time, he wanted to do some related examinations because he was worried about something going wrong, but he was rejected by the patient.
The patient was followed up after the operation. She took levothyroxine sodium tablets orally. The strange thing is that if this drug is taken orally to supplement thyroxine, TSH should be lowered, but there was no change.
Professor Wei made it clear what he knew. Then the patient's symptoms became more and more severe. He even said on the phone that if he hadn't persisted at that time, the disease of thyroid cancer would have been delayed.
This sentence was full of distrust and hostility. Even if Professor Wei had a good temper, he would still be angry.
Although the patient's parents sincerely apologized after learning about the incident, Professor Wei did not want to have any more contact with the patient.
Dean Wu put down the phone and fell into deep thought.
According to Professor Wei's narration, this is a very typical case of a patient with persecution delusion, but Professor Wei's opinions... seem to be worth reference.
Are there any issues that Director Jiang has not considered? Dean Wu suddenly became interested.
He then sent all the patient's laboratory test orders to Professor Wei and asked Professor Wei to take a look at them.
The TSH value in the recent laboratory test is 9.4pmol/L, which is slightly lower than the normal value. Other than that, I can't see anything noteworthy for the time being.
None of the professors in the imperial capital could see anything wrong, so Dean Wu had no choice but to put the matter aside for the time being. He thought to himself that the most likely cause of this matter was that there was something wrong with the patient's mental state.
However, Director Wu wanted to give up, but Director Jiang kept asking the whole hospital for consultation. His reason was that the patient was in poor health and had been losing weight over the past year or so.
No malignant tumors were found during the examination, and the patient had no gastrointestinal symptoms such as nausea, vomiting, and diarrhea.
Dean Wu knows that many patients with persecution delusions do not eat well because they are worried that family members or restaurants will poison their food. So I intentionally reduce my food intake to avoid getting hurt.
This is just looking for trouble, and Dean Wu is a little helpless. He knew what Director Jiang was thinking. He was using his own words to slap himself in the face.
Was what I said wrong? ! He was on guard against danger, but he took advantage of it and beat him up. Relying on his seniority, he will retire soon, and he will not forgive others.
Dean Wu was living a somewhat miserable life during this period, and he even felt that he was suffering from depression. Or ask Boss Zheng to help me take a look? I'm sure I won't be able to invite you. Just give me a look and talk about your inner troubles. It's also a way to vent your frustrations and get acquainted with Boss Zheng.
Dean Wu shamelessly opened WeChat and sent a message to Boss Zheng.
Boss Zheng, are you there
After no reply for a long time, Dean Wu sighed and smiled sarcastically. I wasn't familiar with him at first, but now he is a Nobel Prize winner, and I can't even get in touch with him.
Forget it, don't make trouble for no reason.
Until two days later, Dean Wu suddenly received a WeChat message.
Dean Wu from Nanshan City? Hello. I've been abroad for the past few days and just got back.
Dean Wu was overjoyed when he saw Boss Zheng's reply. It turned out that he had gone abroad, instead of being so arrogant that he simply forgot about him.
Sorry to bother you, I have a case here that the clinical director suspects there is a problem, and we cannot make a diagnosis.
Oh, wait a moment, I'm going back to the Imperial Capital.
Okay, sorry to trouble you.
…
…
Zheng Ren took his mobile phone to send a message, and Xie Yiren asked from the side: "Zheng Ren, is there something wrong with Corey?"
"There's something wrong, but it's not Corey." Zheng Ren said with a smile: "Director Wu of Nanshan City Mental Hospital probably wants to consult with me."
"Mental hospital?" Xie Yi was a little confused.
"Didn't I get drawn by lot some time ago and go to Nanshan City for a medical evaluation? Su Yun and I went there together, and in the end the patient was diagnosed wrong." Zheng Rendao, "So I have Dean Wu's contact information."
"Oh, what patient?"
"It's a message from a few days ago, so it's probably not a big deal." Zheng Ren said, "We'll talk about it when we get home. My vestibular nerve can't stand it if I look at my phone for too long in the car."