"This kind of situation is very rare. Usually, only when a large amount of diuretics is used will the patient be instructed to supplement potassium," the doctor on duty said confidently. The doctor on duty said confidently, "It's most likely that potassium ions are lost through feces and urine."
"And then?" Zheng Ren was focused on looking at the test results and habitually gave a perfunctory reply.
"Insulin, catecholamines, and metabolic alkalosis are the most common causes of hypokalemia. After entering our examination, we ruled out these possibilities. "
The doctor on duty felt that he was very professional. As for what catecholamines were, what effects and side effects they had … He had learned them in school, but he had long returned them to his teacher.
It was not usually useful, so it was normal for him to forget them after a long time. Just as he was checking the information, Boss Zheng came.
The doctor on duty looked at Zheng Ren proudly. How was it? This brother was skilled in his work. Were you dumbfounded?
Look at this brother's luck. He had directly stunned the people from the 912. Just this matter alone could be bragged about for three years when he went back.
However, it seemed that he was only a master's student from the 912. He really did not know his limits when he went to other hospitals to pretend to be a big shot.
"Boss Zheng, Boss Zheng!" A hurried and somewhat flattering voice came from the door.
"Chief Wang …" The doctor on duty immediately greeted him, but before he could finish, he was pushed to the side.
"You are …" Zheng Ren raised his head and glanced at him. His face was a mosaic. He did not know him, and Su Yun did not give him any hints.
"I'm Wang Wei from the Medical Affairs Department. Chief Lin called me. Look, you came to guide the work, but you didn't tell us in advance. We weren't prepared here, "Wang Wei quickly explained.
The doctor on duty's eyes widened.
Even if he was a doctor from the 912, he had just started working at this age. It was too embarrassing for Chief Wang to bow and scrape like this.
Was there a need? He was just a doctor or a master's degree.
Moreover, he did not give any diagnosis after looking at it for a long time. It was obvious that he did not know anything.
For such a difficult and complicated disease, a junior doctor who had just graduated, even if he was a bullsh * t doctor, would not know.
He had been working for so many years, but he still had to flip through books.
How embarrassing … The doctor on duty felt very embarrassed and a little disdainful.
"You're too kind." Zheng Ren smiled. "I just found out that a friend is hospitalized here, so I rushed over to take a look."
"Is the patient's condition serious?" Chief Wang changed his expression and asked the doctor on duty.
"…" The doctor on duty felt very helpless, but in the face of the Medical Affairs Department's tyranny, he had already knelt down long ago. His thighs were aching.
"It's very serious. The key is unexplained hypokalemia and syncope. The patient's condition is very bad."
"Boss, what do you think about acute kidney failure?" Su Yun suddenly asked.
"The possibility of insufficient body fluid is higher," Zheng Ren said.
The doctor on duty recalled that the values of the patient's urea nitrogen and creatinine were on the high side, and the amount of fluid rehydration in the past two days was more than 2000ml.
The key was that the patient could still eat.
Insufficient fluid? Nonsense!
Chief Wang stood beside Zheng Ren. Although he was a little embarrassed, he maintained a smile on his face as if he did not realize the fact that Boss Zheng had not stood up since he came in.
Ten minutes passed.
These ten minutes were so long that the doctor on duty felt like a whole day and night had passed. It was time for him to get off the night shift.
When he finished reading the last test report, his hand left the mouse, his body leaned back slightly and his eyes narrowed.
"Boss, the possibility of insulinoma has been ruled out. Why do I feel like it's an intestinal disease?" Su Yun asked doubtfully.
Hey!
The doctor on duty and Qin Tang felt a hint of disdain at the same time.
That was it?
The 912 was not that good.
Qin Tang paid attention to the patient's lethargy and delirium, while the doctor on duty paid attention to hypokalemia and acute kidney failure.
No matter what kind of disease it was, it did not seem to be related to intestinal diseases at all.
Was it because there was a problem with the intestines that there was a problem with the brain? If he really thought so, then he would be called crazy.
Out of politeness, Qin Tang did not turn around and leave. However, the way he looked at Zheng Ren and Su Yun had changed.
They were not reliable at all.
The doctor on duty lowered his head, afraid that he would not be able to hold it in and embarrass the doctors of the 912.
Although he was right, looking at Chief Wang's fawning look, if he did that, he was afraid that there would be endless trouble in the future.
"Is the CT scan done?" Zheng Ren suddenly raised his head and asked.
The doctor on duty was lowering his head and enduring his desire to show off. Then, he saw the two junior doctors of the 912 looking confused and did not notice that Zheng Ren was talking to him.
The atmosphere in the office was a little awkward.
"I'm asking you a question. Why aren't you saying anything?" Chief Wang scolded with a dark face.
"…" Only then did the doctor on duty notice. He asked in a low voice with a confused expression, "What?"
"Did you do a CT scan?" Zheng Ren smiled and asked.
The doctor on duty immediately said, "I don't know either. I'm just asking."
"If not … we'll add another CT scan of the middle and lower abdomen," Zheng Ren said.
"Boss, what are you thinking about?" Su Yun seemed to have an answer when he heard Zheng Ren say that.
"Mckittrick-Wheelock syndrome."
"What's that?" The doctor on duty was stunned.
He had never heard of such a disease. What kind of syndrome was it? The doctors of the 912 were really good at talking nonsense.
"Let's do the examination first," Zheng Ren said lightly. "It's just a suspicion now."
"I think there's a high probability that it has already been diagnosed," Su Yun said.
"We'll talk about it when the results come out."
"Boss, the old squad leader seems to be out of money," Su Yun said in a low voice.
"Chief Zheng, Brother Yun, I've saved more than 10,000 yuan. Is that enough?" Fan Tianshui said.
He did not understand what kind of disease it was, but he trusted Zheng Ren and Su Yun without reservation.
In the past half a year, he had been a security guard in Sea City. He ate in the cafeteria and had a salary. Usually, he did not have a place to spend money, but he had saved some money.
"Old Fan, save that bit of money for yourself to get married." Su Yun smiled and said, "Shall I call Peng Jia?"
"Go ahead. If my judgment is correct, Mckittrick-Wheelock syndrome is very rare. Whether it's diagnosis or treatment, the viewership will be very high if it's live broadcast."
Zheng Ren's eyes were slightly closed, as if he was thinking about something.
"Colonoscopy? Or surgery? "
"I want to look at the CT scan. If it's short, I'll cut the intestines. If it's the entire colorectum, I'll have to use a colonoscope to peel it off bit by bit. "Zheng Ren already had a comprehensive plan.
He was really good at pretending! The doctor on duty cursed silently at the side.
Just say any English word and put them together to form some kind of syndrome, just to scare people.
This was obviously because he did not know anything and was just randomly prevaricating.
The 912 was only at this level? What nonsense.
Qin Tang was also very suspicious, but he was still very cautious.
Remembering the name of the disease that Zheng Ren said, he quietly walked out and used his phone to look up the information about the disease on the Internet.
Chief Wang was also swift and decisive. He knew that the patient might still have to queue up and so on, which would delay time.
He directly called the CT room and said the old squad leader's name. He asked that side to do a CT examination of the middle and lower abdomen.
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