The next morning, he went to the hospital.
"Boss Zheng, someone is looking for you. He arrived early in the morning," the doctor on duty informed him.
"Where is he?" Zheng Ren asked.
"He said he's from your hometown, so I asked him to wait in the office."
He changed his clothes and went to the office.
Liu Zewei arrived early. Today, he had to discharge patients and receive patients. He was very busy.
Moreover, it was very likely that this batch of patients would be sent to the community hospital after a day of observation after the first stage of surgery.
Therefore, he came very early. It could be considered as welcoming a beautiful future and witnessing a huge leap in Boss Zheng's career.
Although there were countless things waiting for him to do, he was chatting with an ordinary middle-aged man. The man was carrying a thick bag of radiographic films. It was obvious that he was the person Old Chief Physician Pan had mentioned.
"Hello, are you the patient's family member that the chief mentioned?" Zheng Ren came in and asked directly.
"This is Boss Zheng," Liu Zewei introduced.
The middle-aged man's appearance and attire were extremely ordinary, and he looked honest.
Although he was surprised by Zheng Ren's young age, he still bowed obediently to show his respect for him.
After being introduced to the Imperial Capital by others, most of them came to see a doctor with a nervous heart. Since they were here to ask for help, they had to have the right attitude.
Zheng Ren smiled and asked, "The patient is your lover? Tell me about the situation. "
As he spoke, he took the radiographic films from the patient's family member.
"Chief Zheng, the patient is my wife. She's 42 years old. A month ago, she said that it was pain around her navel. The pain subsided immediately after the beginning. I thought it was diarrhea or something, so I didn't care, "the middle-aged man said.
Zheng Ren nodded, indicating that he knew. He began to look at the time on the radiographic films.
According to the chronological order, looking at the patient's condition from the very beginning would allow one to have a better understanding of the patient's condition.
"The first episode didn't last long, so I didn't take it seriously. But two or three days later, he had another stomachache. The frequency of the pain was getting higher and higher. I was worried that something big was going to happen, so I brought her to the hospital to have a look. "
He found the 23-day old film and inserted it into the radiographic film viewer.
It was not a month, but it was normal for the patient's family members to have some deviation in their narration.
It was a plain radiograph of the upright abdomen. There was no sign of free gas under the diaphragm. There was a slight accumulation of gas in the left colon. There were two "irregular" small vapor-liquid levels in the right lower abdomen. Other than that, there were no obvious special changes.
Considering that the possibility of incomplete intestinal obstruction was high, there was no problem with the diagnosis made by Sea City General Hospital.
"At that time, I checked …" The middle-aged man began to look at the bag of radiographic films. After comparing the time, he said, "It was this radiographic film. The diagnosis is incomplete intestinal obstruction. I suggest we go back for further observation. "
Incomplete intestinal obstruction could be triggered by many factors. He could be admitted to the hospital for observation, or he could be sent home for observation.
Zheng Ren considered that the doctors in Sea City's emergency department did not find any triggering factors after the consultation, so he made this suggestion.
At most, he would use some Casserole or something, and that would be enough.
He was extremely familiar with the doctors in Sea City's Emergency Department.
Although there was a small problem, without special treatment, it was difficult for the patient and the patient's family to accept being hospitalized.
"What happened after that?" Zheng Ren asked casually as he flipped through the test results.
"After going home, the pain will be gone after that period of time. After that, it hurt for a while almost every day. It would be fine after about 20 minutes, "the middle-aged man said. "When it doesn't hurt, she's like a good person, so my wife and I didn't care."
"Three days ago, she had another bout of abdominal pain. This time, it didn't get better. It was so painful that she broke out in cold sweat," the middle-aged man said. "There was nothing we could do. We could only call the ambulance and send her to the hospital."
"The emergency department diagnosed it as' acute abdominal pain '. They said that she would be observed in the emergency department. I didn't think it was the case, so I asked someone to find Chief Sun and let her be hospitalized in the Second Department of General Surgery. "
Zheng Ren smiled, picked up the examination results at that time, and looked at them carefully.
The imaging examination showed that it was still the performance of incomplete intestinal obstruction, but the symptoms were much more serious than the last time.
This could also be determined when the patient's family recounted the medical history.
The blood tests and other tests were the same. They were in line with the imaging's judgment.
The white blood cells in the blood routine were slightly high, and the neutrophils were also high. The hemoglobin was low. It was not uncommon for middle-aged women to have anemia.
Zheng Ren muttered to himself and looked at the test results one by one.
Liver function … The aminotransferase was a little high? There did not seem to be much of a problem. The bilirubin was normal, and the rest were not enough to make a diagnosis.
After being admitted to the hospital, the Second Department of General Surgery gave him symptomatic support treatment such as fasting, gastrointestinal decompression, defecation, fluid replacement, somatostatin to inhibit intestinal fluid secretion, and anti-infection.
The diagnosis was clear, and the treatment was considered standard. It was very in line with Chief Sun's style. It was stable, so stable that it was a mess.
However, the patient's abdominal pain did not ease after treatment. Later, he did an oral enteroscopy. The report was: duodenal diverticulum, non-atrophic gastritis with bile reflux.
The endoscopy also diagnosed the patient with atrophic gastritis.
This was not very common. Forty-two years old and already had atrophic gastritis?
But it was not a big deal. It was just rare, not even rare.
As Zheng Ren looked at the test results, he made his own judgment in his mind.
He flipped through the test results. There were many problems, but they were not serious. It was impossible to give a clear diagnosis. In other words, Chief Sun's diagnosis was correct. Zheng Ren had no objections to it for the time being.
Zheng Ren inserted the abdominal CT into the radiographic film viewer, rested his chin on his right hand, and carefully read the radiographic films.
"Boss, there seems to be a problem here. It's a pretty obvious intestinal obstruction. Why isn't it good? "Su Yun stood at the side and pointed at the location of the obstruction on the radiographic films.
Zheng Ren nodded and continued to read the radiographic films.
After the reconstruction, there were many things that seemed wrong with the image.
The renal tubules were atrophied. It did not look like a 42-year-old middle-aged woman. It was more like the imaging findings of a person in his 70s.
Excessive aging?
Zheng Ren recalled a few clinical case reports and directly rejected the diagnosis.
"What medicine does your wife usually take? Other than a stomachache, is there anything else that's uncomfortable? "Zheng Ren asked as he looked at the radiographic films.
"She's over 40. Menopause. Her temper is a little grumpy." The middle-aged man thought for a moment and said, "She always says that she's useless all her life and can't earn money. She used to cook for me, but in recent years, she hasn't cooked anymore. She just complains every day. Otherwise, she would dress up and run out to a classmate gathering. "
"…" Zheng Ren quickly stopped the middle-aged man's topic.
If he continued, it might become a family ethics drama.
Seven years … Eight years … The itch of more than ten years. He held his right hand with his left hand and began to pay attention to his dressing up. Then, he went out to meet his classmates.
"I'm asking if there's anything wrong and what medicine did she take?" Zheng Ren repeated his question again.
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