Lin Fengming's driver quickly brought up various films and report sheets, bowed and turned around to go out without saying a word.
Because it was a chance encounter, Lin Jiaojiao did not prepare a reader, so Zheng Ren could only hold the 64 rows of abdominal films and look at the light.
There was indeed no sign of tumor on the film, so Zheng Ren was relieved. Then his eyes fell on the abdominal aorta and superior mesenteric artery.
The sagittal reconstruction shows the beak-bill sign, which is a typical manifestation of the narrowing of the angle between the abdominal aorta and the superior mesenteric artery.
Big Pig Hoof is still as reliable as ever, and there are no problems with the diagnosis it gave.
But although Zheng Ren got the evidence he wanted, he did not neglect it. He reconstructed the film in his mind. After confirming it, he started to look at the B-ultrasound and blood test reports.
After watching the film and report for a long time, Lin Fengming became more and more impatient, and the look on his face changed from respectful to disdain at the beginning.
In his opinion, Zheng Ren was just pretending. So many old doctors in the provincial capital had diagnosed anorexia. How could a young doctor like him overturn it with just one sentence? !
"Boss Zheng, do you have any comments?" Lin Fengming suddenly said after waiting for nearly ten minutes.
His tone was already very impatient. If Lin Jiaojiao hadn't been there, he would have pointed at Zheng Ren's nose and started scolding him.
Lin Jiaojiao raised her head and glared at Lin Fengming unceremoniously.
"Jiaojiao, in the provincial capital, many experienced experts diagnose anorexia." Lin Fengming defended in a low voice.
At this point, Lin Fengming realized that he was in the imperial capital, not his hometown, and he couldn't help but feel a little frustrated.
"It's not anorexia." Zheng Ren put down the report in his hand and said with a smile: "Slim and tall women may develop superior mesenteric artery syndrome because of insufficient body fat."
"Boss Zheng, how should we treat it?" Lin Jiaojiao did not ask how Zheng Ren discovered it, but directly asked for treatment. She stood beside Zheng Ren verbally and expressed her trust.
Zheng Ren found it a little strange. As a person in the industry, Lin Jiaojiao always asked herself a few questions about the diagnosis process.
But he didn't think about it. He picked up the film, pointed at the abdominal aorta and superior mesenteric artery and said, "Here, the angle should generally be 40-60°. But the angle shown here is about 18°." Zheng Rendao: "So there is compression on the second and third sections of the duodenum."
"..." Lin Jiaojiao didn't understand.
She was just a nurse-turned-medical staff, and even most clinical directors would not care about this imaging manifestation of the angle between the abdominal aorta and the superior mesenteric artery, let alone her.
“The transverse and ascending segments of the duodenum cross the third lumbar vertebra, abdominal aorta, and paravertebral muscles from right to left.
The superior mesenteric artery originates from the abdominal aorta at approximately the level of the first lumbar vertebra, forms an acute angle with the abdominal aorta, and crosses the transverse or ascending segment of the duodenum before entering the small mesentery. "This was the first time for Zheng Ren to see this kind of disease. The discomfort caused by riding the roller coaster suddenly disappeared, and he explained it to Lin Jiaojiao with great interest.
"Because he is too thin and lacks fat, the angle becomes smaller, and then the blood vessels compress the intestines. The patient's symptoms are actually not severe, except for vomiting and being unable to eat."
Lin Fengming was stunned, isn't this serious? What exactly counts as heavy? !
"Many patients with this disease will develop incomplete intestinal obstruction, resulting in a high misdiagnosis rate." Zheng Rendao: "The treatment is also relatively simple. You don't need to take medicine. You only need to eat high-calorie foods. It takes a month or two. , you will be cured.”
"That won't work!" When Shanshan heard Zheng Ren say this, she screamed as if she had seen a ghost.
For models and people who pay attention to staying in shape, high-calorie foods... pearl milk tea instant noodles, hot pot rice and chicken, are all devils.
Zheng Ren smiled and said, "It's okay. You are too thin now, not too fat. Eat for a few months and pay attention to balanced nutrition in the future. It will not hinder your career."
After finishing speaking, Zheng Ren looked at Lin Jiaojiao and said, "Sister Lin, take her to the General Surgery Department tomorrow to have a look. Are you familiar with the professor who leads the General Surgery Department at home?"
"We know each other, and we can talk to each other." Lin Jiaojiao said.
"Okay, then I won't do it for you. Do a barium X-ray of the upper gastrointestinal tract, and you can diagnose if there is a pen sign." Zheng Ren still had the concept of a doctor in a small place in his mind, knowing that the patient's family would not trust him. The young doctor in the Haicheng emergency ward mentioned the diagnosis directly.
"The diagnosis you gave is the final diagnosis." Lin Jiaojiao said with certainty.
"Don't mention it, ask the professor for a look. As for treatment, I don't recommend surgery." Zheng Ren said: "Surgery is too troublesome, completely unnecessary, and traumatic. Just eat high-calorie foods for a few months." "
In Zheng Ren's opinion, eating can cure diseases, so it shouldn't be too perfect.
Many girls or women strive to lose weight in order to maintain their figure. But the patient in front of me was so lucky to be able to cure his illness just by eating high-calorie foods.
The thought appeared, and Zheng Ren smiled bitterly.
How can this be luck? The luckiest one is not sick but healthy.
After saying that, Zheng Ren put the film into the film bag, sorted out all the inspection and laboratory reports, stood up and said: "Sister Lin, I won't accompany you. Today, my colleagues have a dinner to celebrate and are drinking. "
"What a happy event." Lin Jiaojiao said jokingly.
"Isn't this the live broadcast of the surgery today? It's from Xinglin Garden, so Su Yun came out to celebrate."
"..." Lin Jiaojiao was stunned.
Is this boss Zheng so brave? The live broadcast of the surgery is still on the website. It's okay if it succeeds, but if it fails... the consequences will be disastrous.
What a bold artist!
Lin Jiaojiao once again refreshed her impression of Zheng Ren and sent Zheng Ren back politely.
"Sister Lin, what took you so long?" Su Yun raised his neck and took a sip of vodka. After tasting the spicy taste of the alcohol, he saw Zheng Ren and Lin Jiaojiao coming back and asked casually.
"Boss Zheng diagnosed a case of superior mesenteric artery syndrome. He watched the film very carefully." Lin Jiaojiao smiled and asked the waiter for a clean wine glass, then carried a bottle of vodka to Su Yun, the professor, Chang Yue, and Little Oliver filled it up and said with a smile: "I'll do it first as a courtesy."
She was also generous. She poured a glass of wine directly into it and looked at the bottom of the glass without changing her expression.
"Sister Lin, it's so refreshing!" Su Yun praised and joined in the fun.
"Then I won't bother you." Lin Jiaojiao said: "Boss Zheng, I'm going to treat you today, and the order has been purchased. Don't be polite to me. If you talk too much, you'll get away with it. You're busy here, I'll go back Sorry, I’ll treat you alone another day.”