"Hello, I am the chief resident physician in the emergency department, and my name is Zheng Ren." Zheng Ren smiled, introduced himself first, and then said: "Are you feeling sick lately?"
The man had been looking at Zheng Ren and Su Yun. Seeing that they were both young, he was not very willing to communicate with them.
"My wife feels uncomfortable all over. I've been here many times and can't find out what's wrong. I just check and check every time." The man complained softly.
The reason why he whispered was not because he was afraid of offending Zheng Ren, but because of a kind of disdain from the bottom of his heart.
Zheng Ren didn't care about his complaints and observed the female patient carefully.
She was dressed very plainly, without any rings or necklaces, and no metal jewelry could be seen.
Could it be that, like Cui Heming's mother, she also has a tooth problem
There is this possibility!
Zheng Ren smiled slightly and said, "How long has your lover been feeling so uncomfortable?"
"Three years!" The man spoke in a very bad tone, hard and full of resentment.
"Were everything fine before this? Have you had any experience with dental implants?" Zheng Ren asked again.
"Yes, yes, how many times have I asked! Little doctor, we are already preparing to go to the imperial capital, please don't bother me. You still have teeth, you don't understand." The man was particularly irritated.
Zheng Ren had no choice now. The patient's family members were particularly poor in medical compliance... In fact, he couldn't blame the patient's family members. After all, after seeing the doctor so many times, the cause of the disease could not be found.
Who would be happy if it were anyone else
But do you blame the doctor for this? Metal allergy is a rare... no, a particularly rare disease. Common metal allergies are symptoms such as local ulceration.
If it were that simple, I'm afraid it would have been diagnosed long ago.
The patient's condition manifests itself as periodic discomfort, which really cannot be solved without rich clinical experience or a big pig's hooves. (Note 1)
Su Yun snorted coldly when he saw the patient's family members speaking in a bad manner.
Although Zheng Ren knew that this guy rarely slandered patients, he was still afraid that he wouldn't get enough rest and would get angry and quarrel with the patient's family members.
He bumped Su Yun lightly with his shoulder, then smiled and said, "So, what kind of examinations has your lover had? Can you take a look at it?"
Don’t reach out to hit the smiling person.
Zheng Ren has a very good attitude. It can be said that he never fights back when hit or scolded.
Although the patient's family members were unhappy, they still hesitated, picked up a film bag, and handed it to Zheng Ren.
Zheng Ren first took out the various test sheets inside and read them over. One by one, I looked at it carefully.
The laboratory examination was very comprehensive, covering almost all common clinical blood tests, and the test results were all normal.
Judging from laboratory tests, the patient is considered a healthy person.
Other examinations... Zheng Ren took a quick look, found a sunny place, took out the film and started reading it.
CT, X-ray, and all kinds of films are all available.
"These pictures were taken in your hospital a few months ago when my wife complained about leg pain." The patient's family pointed to an X-ray of the knee joint that Zheng Ren looked at and began to complain, "We have done countless examinations, and every kind of The tests said everything was fine.”
"What were the symptoms at that time that required an X-ray of the knee joint?" Zheng Ren asked casually.
"It's just muscle and joint pain." The patient's family members answered Zheng Ren's question unknowingly.
"Have you had an MRI of your knee joint done?"
"I can't do it. Why are you so annoying? Do you know how to see a doctor? You are asking all kinds of questions!"
That's not right. Zheng Ren heard something unusual in the words of the patient's family members. Zheng Ren pretended not to hear those unpleasant words. After filtering out the invalid information, what was left was the information Zheng Ren needed.
Generally speaking, this kind of pain does not rule out tendon injury or meniscus injury, so MRI should be done instead of plain X-ray.
And the patient's family said they couldn't do it
Have you ever had metal implant surgery
Zheng Ren's eyes suddenly opened up!
"Has your wife ever had an operation such as fracture fixation?" Zheng Ren then asked, "or an operation to leave a metal fixator in the body."
"No, you just broke a bone." The patient's family became increasingly impatient.
It's strange, the sudden enlightenment just now disappeared and turned into darkness again.
The big pig's hooves are so annoying. Zheng Ren complained in his heart. He only said he was allergic to metals, but he actually explained exactly where he was allergic!
Zheng Ren put in the X-rays of both knee joints. At this moment, Su Yun finally couldn't help it anymore and said, "What's so strange? I can't do MRI. Isn't it because I used an intrauterine ring..."
These words passed through Zheng Ren's mind like a bolt of lightning, and the darkness was torn apart!
Zheng Ren immediately started searching in the film bag.
"How are you talking!" The patient's family members spoke louder.
Su Yun looked disdainful and blew a breath, his black hair floating in front of his forehead.
Zheng Ren ignored the conflict between the two and took the time to find the movie he needed.
Sure enough, just as Su Yun said, a contraceptive ring could be seen in the patient's pelvic cavity.
Moreover, no metallic images were found on the X-ray of the chest and abdomen. Combined with Zheng Ren's observations, he has determined with a high probability where the patient's disease came from.
"Don't make any noise." Zheng Ren said in a deep voice, "I know what the problem is."
Su Yun was stunned for a moment, did he know? No, is he going to directly recommend that the patient go to a mental hospital to look at anxiety or...
Looking back, Su Yun wanted to find Fan Tianshui.
This is the time to fight.
Although Su Yun is agile, when it comes to fighting, it is necessary for more people to bully less people.
Isn't it stupid to leave people like Fan Tianshui alone
Seeing that the patient's lover was full of anger, Zheng Ren didn't show off, and immediately said: "Your lover has a very rare metal allergy, caused by this metal IUD. You just need to go to the gynecology department and remove the IUD, and you will be fine." .”
After saying it in one breath, the patient's family members were stunned. But then he took a sip and cursed: "What a bullshit diagnosis! There are so many people wearing rings, why don't they see anything wrong?"
"There are many good people on the road, why don't we see them coming to the hospital?" Su Yun immediately sprayed.
This... makes sense.
The patient's family members were stunned.
"That's right." Zheng Ren quickly stood between the two of them, making his tone as gentle as possible, and said: "It doesn't take much trouble to take off the ring. If you don't believe me, it's okay, and I won't There’s nothing to say. But it’s always right to give it a try.”
The patient's family members hesitated.
"It's always right to give it a try. If you go to the Imperial Capital, whether it's Xiehe, 301, or the Affiliated Hospital of Peking University, a specialist number will cost three to five thousand. Not to mention the money, the key is that your lover is not in good health. It would be bad if some other disease comes out."
These words were very reasonable and moved the minds of the patient's family members.
…
…
Note 1: In similar cases, no problem was found no matter how hard we checked, the patient later went to Xiehe Medical University for diagnosis. It does require a very rich clinical experience and knowledge base! I will never be able to go to Xiehe University in this life, so I can only pay homage to Xiehe Union Medical College’s cases...