Director Zhou didn't think Zheng Ren was making a fuss.
With 912 Director Kong's relationship, Boss Zheng would definitely not slap Zhu Liangchen in the face for no reason. If I were ten years younger and jumped out arrogantly, I might be hit head-on.
Moreover, the patient just now was fine, and those who should be sent to the stage were also sent to the stage. But something happened at this time
Judging from Zhu Liangchen's appearance, he should have the same idea as himself, thinking that nothing was wrong.
Strange.
Soon, Zheng Ren and Zhu Liangchen came back.
"Mr. Zhu, I suggest postponing this operation." Zheng Ren said: "I saw the head X-ray, and I have some questions. I want to check a few more tests to confirm the diagnosis before doing the operation."
"Boss Zheng, what disease do you think it is?" Zhu Liangchen was a little unhappy.
Negative diagnosis? This is a standard slap in the face gesture.
Doctors treat each other poorly, and the most fatal attack is that he can also treat patients
Zhu Liangchen looked at Zheng Ren, the expression on his face getting colder and colder.
"The CT scan of the patient's head shows symmetrical low-density shadows of the lentiform nuclei on both sides. This image is relatively faint and can easily be ignored. The CT side is considered to be an artifact." Zheng Ren inserted the head CT film into the reader.
He clicked on the CT film and said: "The MRI of the head is more specific than CT, showing low signal on T1-weighted images and T2-weighted images of the lentiform nucleus, caudate nucleus, midbrain and pons, thalamus, cerebellum and frontal cortex. The weighted image shows high signal, or the putamen and caudate nucleus show high and low mixed signals on T2-weighted images, and there may also be varying degrees of sulcus widening, ventricular enlargement, etc.”
After finishing speaking, Zheng Ren continued: "I think the patient has rare hepatolenticular degeneration. It is recommended to check biochemical tests related to copper metabolism, serum ceruloplasmin, urinary copper, and liver copper levels."
These inspections are relatively unpopular. There is no place like Haicheng. Even if you listen, you may not have heard of it.
But the Imperial Hepatobiliary Hospital is a specialized hospital, so these examinations should be available.
Is hepatolenticular degeneration
Zhu Liangchen and Director Zhou were stunned for a moment, and then began to think about this extremely rare disease.
This disease is caused by excessive free copper in the serum being deposited in the liver, causing lobular cirrhosis.
When liver cell lysosomes cannot accommodate it, copper is dispersed and deposited through the blood to various organs. Neurons in the basal ganglia and their normal enzymatic transport are particularly sensitive to the toxicity of inorganic copper, and copper deposition in the cerebral cortex and cerebellar dentate nucleus also produces symptoms.
Copper damage to the proximal tubules of the kidney can cause the loss of amino acids, proteins, calcium and phosphate, and the deposition of free copper in the corneal elastic lamina produces KF rings.
At the same time, cirrhosis can produce a series of changes in portal hypertension.
If he was diagnosed with hepatolenticular degeneration... Director Zhou showed a smile on his face.
Things are getting more and more interesting.
Zhu Liangchen's luck is not very good. The general incidence of this disease is only one in 100,000.
I have to get it into his hands and ask Boss Zheng for surgery.
Tsk tsk, no one else has this kind of luck.
Zhu Liangchen was a little embarrassed, and his face suddenly drooped.
This is because the "professor" stopped the surgery... In the past, I only stopped other people's surgeries, but no one stopped my own surgery!
"The patient has a weird expression, slurred speech, and muscle spasms, but they are not rhythmic spasms like Parkinson's disease." Zheng Ren ignored Zhu Liangchen's displeasure and told the truth, "Let's stop this operation. Make a clear diagnosis. If the diagnosis is correct, give the patient d-penicillamine for a period of time. After the symptoms are relieved, it can be done at any time."
Su Yun frowned as he watched.
Running a flying knife in the imperial capital doesn't matter whether you make money or not. You have to be very careful every step you take.
They are all big names in the industry. Even if they are not quite as good as they are, they can't stand up to such a large audience. This is a different concept than going to other cities to fly knives.
What would Director Kong think of losing Zhu Liangchen's face
But there is nothing wrong with what Zheng Ren said. If it was really hepatolenticular degeneration and the tip surgery was performed directly, there would be problems with the patient's copper metabolism.
Alas, I am really unlucky to encounter this situation.
Zhu Liangchen was silent for a few seconds, then nodded and said, "Then the operation on this patient will be stopped."
The air in the office suddenly became lighter.
The remaining two patients quickly finished reading the pictures. Zhu Liangchen had a gloomy face, arranged for someone to communicate with the patients' families, and then took Zheng Ren to the operation.
The atmosphere is not as harmonious as when we first arrived.
Su Yun wanted to ask Zheng Ren to ask about the situation, but Zhu Liangchen was always around and never found a chance.
Arriving at the operating room, Hu Yanhui had already prepared the equipment for the live broadcast of the surgery and was waiting for the live broadcast of the surgery.
The order of the surgeries here does not take into account the live broadcast of the surgeries, but is sorted according to the age of the patients.
Since the operation required fasting and watering, the older people were ranked first, which Zheng Ren also recognized.
I went to change my lead clothes and started brushing my hands. Su Yun finally seized the opportunity, grabbed Zheng Ren and asked, "Boss, is the diagnosis of hepatolenticular degeneration clear?"
"Huh?" Zheng Ren was stunned for a moment, then smiled and said: "It's clear. This is not to hurt Teacher Zhu's face. If this patient undergoes surgery, the venous blood will not flow through the liver, and the filtration of toxins will be lost, and it is very likely that he will suffer from acute Symptoms of Copper Poisoning.”
Su Yun nodded, as long as he was sure, there was nothing more to say.
After taking care of Zhu Liangchen's face, it was Zheng Ren who was slapped in the face in the end. But he was a little confused and asked in a low voice: "Have you ever seen patients with hepatolenticular degeneration?"
"No."
"Then how did you diagnose it?" Su Yun asked.
It is said that the directors of the Imperial City see one hundred and eighty patients a day, and there are many difficult and complicated diseases. If it comes to talent, Zheng Ren might be better than everyone else. But if it comes to experience points, he might be a little weaker.
This is what Su Yun has been worried about.
But... what happened today made him feel that his outlook on life was once again forced in another direction by Zheng Ren.
"Read a book. Shouldn't you write down all the liver lesions and compare them one by one?" Zheng Ren was also very surprised and said to Su Yun: "Isn't that how you treat patients?"
"..." Su Yun really wanted to slap Zheng Ren.
Regarding liver disease, there are not even a thousand, but there must be eight hundred. Who can remember every single one of them? And every time you see a patient, you have to go through it again
This guy is really not a human being.
"I'm on stage. Which channel is the live surgery scheduled on?"
"Third, sixth channel." Su Yun said expressionlessly.
"Oh, contact Director Kong and see when Director Kong and Professor Pei can arrive." Zheng Ren said.
"Are you afraid that they won't be able to arrive after you finish?" Su Yun was already a little impatient.
"Yes." Zheng Ren said frankly.