Although he didn't understand what Zheng Ren meant, the physician still followed his orders and went back to the consulting room to make an order.
"Hello, I am the chief resident of the emergency department." Zheng Ren came to the woman holding the child and said softly.
The woman tried her best to hold the child and ask him to toss it more gently.
Because of too much exertion, traces of sweat can be seen on the forehead and temples.
The woman raised her head, her eyes were red and there were no tears, but it made people feel the sadness immersed deep in her heart.
"When did the child start to act like this?" Zheng Ren asked.
"Don't you think I abused the child?" The woman's voice was slightly hoarse. "All the doctors think so! If you can't see the disease, you just say... "
"Please stay calm." Zheng Ren shook his head and said, "I don't think these wounds were caused by you abusing your children. This is a disease, a rare disease, so I need some examination and what you described. This can only be determined by medical history.”
When she heard Zheng Ren say this, her angry and sad mood calmed down slightly.
Looking at Zheng Ren carefully, he saw that he was wearing white clothes, with a straight body, angular face, short black hair, and piercing eyes that revealed something...kindness
The doctor, who was clearly less than thirty years old, actually had the temperament of an experienced old director.
Just by looking at him, you can feel a feeling of being battle-hardened.
The child's mother was a little touched by Zheng Ren's trust, especially the temperament revealed by Zheng Ren, which gave her an inexplicable confidence.
Regardless of whether it can be cured or not, this doctor should be able to understand the disease.
"Doctor, the child has been willing to bite his fingers since he was born. He didn't pay attention when he was young and thought he was just like other children." The child's mother recounted: "But the older he gets, the more serious his finger-biting problem becomes."
Zheng Ren nodded, which was pretty much what he had judged.
"He was a slow learner and didn't walk until he was two years old. But I really didn't dislike him. He was my child after all." The woman said painfully: "After he was able to walk, he started to prick himself with things, especially Face."
"We had no choice but to tie his hands. But he still bit his lip, especially when eating."
"We came to Haicheng and the provincial capital to see him, and they all said the child was fine. The doctors all thought it was me and the father who abused the child."
The medical history was very simple. At this point, the emergency medicine doctor came out with the emergency bill.
"Here is a blood test form. Pay the money and do the test." Zheng Ren said: "After the test is completed, I may be able to give you an accurate diagnosis."
Although Zheng Ren's words are still a bit vague, this is the professional habit of doctors and there is nothing they can do about it.
Seeing the patient's mother hugging him and leaving, his father walking in front to pay for the test, the emergency physician looked down upon him.
"Mr. Zheng, you just abuse children. I have never seen anyone who goes too far. They are not human at all, they are simply scum and deserve to be destroyed."
"No." Zheng Ren sighed again, "Didn't you notice that the most injured part of the child is the lip?"
The emergency medicine doctor recalled that the child's lips were indeed the most seriously injured. The old and new injuries were added together, and the lips had even become deformed.
But, so what? !
She was still unconvinced and looked at the ground angrily.
"If I'm not wrong, the child should have Lesch-Nyhan syndrome." Zheng Ren's face looked a little ugly.
"What?"
"Lesch-Nyhan syndrome, also known as autoplasia, is an X-linked recessive congenital purine metabolism defect caused by the deficiency of hypoxanthine-guanine phosphoribosyltransferase (hgprt)." Zheng Ren gave The emergency medicine physician explained.
Hearing words such as purine...
The person standing in front of him was not the young Mr. Zheng, but the gray-haired old scholar.
"The lack of this enzyme will prevent hypoxanthine and guanine from being converted into imp and gmp, and then pathologically degrade into uric acid. Therefore, the child's laboratory examination should show that the blood uric acid is high. Once the test results come back, a preliminary diagnosis can be made ”
"Really?"
"Yes." Zheng Ren nodded, "If we do a double kidney and ureter B-ultrasound, we may find kidney stones. But the patient's family is not rich, so just save what you can."
"Uh..." the emergency physician concluded.
"The child has low intelligence and has characteristic and compulsive self-destructive behavior. There should be no problem with the diagnosis of this disease."
What Zheng Ren said was so true.
The emergency medicine doctor almost believed it.
"The diagnosis is clear, so why are you sighing?" the emergency medicine doctor asked.
"Diagnosis is not equal to treatment." Zheng Ren said: "This disease cannot be cured by existing medical methods."
“…”
"And, most importantly, children with the disease rarely live past the age of 20."
Zheng Ren didn't want to say that, but the truth was the truth and would not be changed due to his own subjective wishes.
This kind of thing is something that all doctors are unwilling to face.
Whether you can understand the disease is one thing.
Whether you can make more money is another matter.
But no matter how they think about it, most doctors hope that patients can walk out of the hospital healthy.
Diseases that are helpless, similar to cancer, are also common among doctors.
Only this time, something is different.
The emergency medicine doctor was still doubtful, but he was already inclined to believe Zheng Ren's words.
Can’t treat…
This result is too cruel.
but,
There is nothing anyone can do.
We can only look forward to the advancement of medical technology.
Life is originally a reverse journey.
It's always better if it lasts longer. The child is still so young, it shouldn’t be!
The emergency physician sighed, lowered his head, the angry expression on his face disappeared, and walked into the internal medicine clinic with an indifferent expression.
Zheng Ren knew that this was a kind of self-protection by the doctor.
If you are too emotional, you will go crazy after working in a hospital for one or two years.
Here, there are too many joys and sorrows, too much helplessness, and too much helplessness.
He walked out along the side door, took Ziyun out of his white suit pocket, took out the half cigarette he had last smoked, and lit it.
The spicy tobacco mist surrounded me and was blown away by the north wind.
It would be great if Big Pig Hoof's diagnosis was wrong.
It would be great if my own judgment was also wrong.
Unfortunately, Zheng Ren could instantly find similar case reports in his mind, at least a dozen.
Pity.
A few minutes later, Zheng Ren finished smoking and walked in.
He did not enter the internal medicine clinic, but sat outside on a red hard plastic chair waiting for the results.
It was cold, and so were the hard plastic chairs.
…
…
It's a pity that the chapter is broken here... It's a matter of writing power. It would be nice if I could change the break point. Try harder next time.
Also, I got up at three o'clock yesterday morning. Why did a safety pants book friend leave a message at three o'clock in the morning to remind me to update it? The book friend Late Autumn Ye Ye then said that I had almost finished reading it again. For a moment, it was like receiving an emergency, and everyone woke up with a fright. Have I updated? Updated? No, why are the leaves in late autumn said to be finished again
Well...cry.
Then I noticed that I was almost finished reading it again. I've been under a lot of pressure lately, and the climax is coming (probably in late October). As a doctor, I'm afraid that my book friends won't approve of what I consider to be a climax, so I devote myself to writing every day. Feeling anxious and nervous. Especially when I look at the various lists, there are familiar book titles at the top and bottom. It can be said that I have grown old reading their books, and I feel even more confused.
Will work harder.