"Well… "
"This is the test report. I haven't seen anything abnormal yet." Director Luo didn't joke, but handed the test report directly to Zheng Ren.
Seeing Director Luo's magnanimity, Zheng Ren smiled, took the test sheet and looked through it.
The values on the test sheets were all normal, and nothing unusual was seen.
Zheng Ren began to wonder about the patient's symptoms described by the patient's family: general weakness? What to consider? Is it fatigue and weakness caused by tumors, electrolyte imbalance, or other diseases
Then there was the diagnosis of intestinal obstruction, but detailed examination ruled out the diagnosis.
Is this a pseudo-obstruction, or is there something wrong with the local hospital’s diagnosis? Zheng Ren soon discovered that seeing a doctor in the imperial capital was indeed different from that in Haicheng.
In Haicheng, patients' families do not trust local doctors very much. As long as they have some difficult and complicated diseases, they are unlikely to stay for treatment.
However, when arriving in the Imperial Capital, the patient's family members usually come with films and examination reports first, without being able to see the patient himself. Moreover, the patient's family members are full of expectations, as if no matter what the disease is, they can understand it in the imperial capital.
Faced with this expectation, Zheng Ren felt great pressure.
In Haicheng, patients and their families can be advised to go to higher-level hospitals. But now I am standing in a higher-level hospital, which is almost the last stop for all kinds of difficult and complicated diseases.
Zheng Ren looked at the test sheets while feeling the new environment and new problems.
Director Luo looked at it very carefully and did not just glance at the list and make a conclusion just because there were many people queuing outside.
He asked some detailed questions from time to time, which seemed casual, but Zheng Ren could tell Director Luo's true intention.
It's not a diet problem or an ion disorder problem. Intestinal obstruction can be temporarily determined as pseudo-intestinal obstruction.
Intestinal pseudo-obstruction is a disorder of intestinal wall muscle movement due to nerve inhibition, toxin stimulation, or lesions of the smooth muscle of the intestinal wall itself.
It has clinical symptoms and signs of intestinal obstruction, but there are no mechanical intestinal obstruction factors inside and outside the intestine, so it is also called dynamic intestinal obstruction. It is a syndrome without intestinal obstruction.
To put it simply, there is a problem with intestinal peristalsis.
There is no particularly good solution for this kind of intestinal obstruction, just pay attention to your diet.
This should be the case, but the diagnosis cannot be given easily. Zheng Ren quietly took over the various information that Director Luo had read.
Suddenly, an inspection report appeared in Zheng Ren's field of vision.
For electromyography examination, the bottom report result states that there is no abnormality in electromyography.
Nothing unusual
Zheng Ren had never seen an electromyogram before. It was an examination within the scope of medical kinesiology and was basically required by neurosurgery, orthopedics, and traumatology departments. Even they don't do much electromyography.
But in Nanchuan Town and during the day and night surgeries and diagnoses that followed, Zheng Ren's auxiliary examinations were fully improved.
An electromyogram sheet caught his attention. In the electromyogram, Zheng Ren read countless information.
He was in the system space and didn't notice the branching skill tree of electromyography. But at this moment, it seems that it will also improve with the improvement of CT, MR and other skills.
Electromyography, there is a problem! The diagnosis given by the local hospital was wrong.
"Director Luo, please take a look at the electromyogram." Zheng Ren said softly.
"Huh?" Director Luo was stunned for a moment. He didn't understand electromyography. After all, he was a doctor in the Department of Gastroenterology and never looked at electromyography.
Director Luo glanced at the report and was a little confused, "Boss Zheng, what do you think?"
"The local diagnosis is wrong." Zheng Ren said.
"..." Director Luo was speechless.
His speechlessness was not because the local diagnosis was wrong. Because in the imperial capital, we often see incorrect diagnoses from lower-level hospitals. Even if he sees dozens or hundreds of patients every day, Director Luo himself will feel amazing if he does not encounter an incorrect diagnosis.
But... this is an electromyogram. Does Mr. Zheng understand it
Director Luo said nothing, but looked at Zheng Ren with a questioning look in his eyes.
Zheng Ren nodded slightly and said: "According to the performance of the electromyogram, I think it may be..."
"Huh?" Director Luo felt Zheng Ren's hesitation. Is it some kind of rare disease
"It's mitochondrial encephalomyopathy." Zheng Ren whispered.
The patient's family members were stunned, mitochondria? What the hell is that? Sounds weird.
Not only her, but Director Luo was also startled.
Director Luo was very cautious. He did not answer Zheng Ren's words directly. After pondering for a few seconds, he picked up the phone and made a call.
"Hello, I'm Luoshan."
"I have a patient here who came here with a local electromyogram. Now I suspect that there is an error in the local diagnosis. Could you please take a look at it."
"Okay, I'll ask the patient's family to find you. Write down your diagnosis. Thank you."
After speaking, Director Luo asked the patient's family members to go to the EMG room to find a certain director and then come back.
The patient's family members were confused, but they still followed Director Luo's instructions and left with the electromyogram. As I walked, I recalled the name of mitochondrial encephalomyopathy, but I can’t remember it clearly now. I only vaguely remember the word mitochondria.
Director Luo didn't let me bring other information, saying it was troublesome.
But Zheng Ren knew that he might have to ask himself many questions.
When the patient's family members went out, Director Luo went to the door to say a few words and comforted several other people who came to see the doctor. Then he closed the door, looked at Zheng Ren, and asked: "Boss Zheng? How did you diagnose?"
Director Luo's tone was not serious, but he was serious and full of academic energy.
Zheng Ren knew that now was the key to gaining Director Luo's approval.
When I diagnosed the Crohn's disease patient before, my judgment was the same as Director Luo's. I could show some ability, but it was not enough.
Academics are only close to academics. Of course, it is possible for peers to become enemies, and it is more likely to happen than being close to each other.
In other words, if you don't have two skills, let alone doing scientific research in the imperial capital, it will be difficult to even gain a foothold.
You can't really rely on the few beds given by Director Kong to win the Nobel Prize.
Of course, you can also submit an application to get support from the health department. But in that case, the timeline will be extended indefinitely. Moreover, 912 Hospital is not affiliated with the Ministry of Health.
Zheng Ren doesn't want this.
He cheered up, smiled, and said, "Because there is something wrong with the patient's electromyogram, and according to the patient's family, the patient gets tired easily. If I guess correctly, he should get tired extremely easily."
"How did you guess it?" Director Luo adjusted his glasses, stared at the young man with a bruised nose and swollen face, and looked a little funny, and asked without politeness at all.
"Because of intestinal obstruction." Zheng Ren said: "I came from the hospital below. Doctors in the local hospital know that there are not many people with mitochondrial encephalomyopathy. Uh... I'm sorry, I got off topic."