Liu Zewei looked at Su Yun with a bitter face and asked for help.
A few banners were held in the hands of the patient's family members behind him. They were two meters away, and Liu Zewei could feel the heat coming from them.
"Did she have any illnesses before?" Zheng Ren continued to ask, completely unaware of Liu Zewei's embarrassment.
"No." The patient's family saw the banners and saw the old chief of the province standing awkwardly beside the young doctor. They also felt very strange.
What was going on? The interpersonal relationships in the Imperial Capital seemed to be very complicated.
"Does she have high blood pressure, coronary heart disease, and diabetes?" Zheng Ren continued to ask.
"No." The patient's family was a little confused. "She's just willing to spend money. I think it's because the family has been tight recently that she got sick. Sigh, Chief Zheng, to tell you the truth, she spends more than 3,000 yuan a day in Sea City General Hospital. Although it can be reimbursed, the pressure is also great. "
More than 3,000 yuan should be the cost of various examinations and intravenous high nutrition after fasting.
This amount of money was not considered much.
"Fortunately, she should be using medicine that can be reimbursed," Zheng Ren comforted.
"Sigh, even if it's all reimbursed, it'll still be a few hundred yuan a day. My wife told me every day that she used all the money she saved to treat her illness, "the middle-aged man nagged.
What he said wasn't serious at all.
"A bottle of immortal water every three days." Su Yun habitually stabbed at the side.
"That's right. One day is enough for her to bake her hair once. Two days is enough to sell a week's worth of facial masks. Three days is a bottle of immortal water," the middle-aged man said bitterly.
It seemed that he had calculated this more than once.
Zheng Ren was watching the radiographic films seriously. Chang Yue and Liu Zewei asked him to take a picture but were directly rejected.
Seeing Liu Zewei's bald head standing in the middle of the patient's family, he did indeed look like a chief. His style was dignified, especially his bald head, which made him look even older. Although he was a little old, doctors were getting more and more valuable.
Zheng Ren smiled. Suddenly, something occurred to him.
A thought flashed through his mind. Zheng Ren was stunned. This kind of inspiration came from his subconscious. If he could not grasp it at the first moment, he was afraid that he would never be able to think of it.
But …
What was it?
Zheng Ren was sure that it must have something to do with the patient's condition.
His gaze froze. He did not look at the photo of Liu Zewei and Chang Yue, nor did he look at the radiographic films. Staring at the medical records cart, even he himself did not know what to think.
"Boss, what are you thinking about?" Su Yun asked.
"Don't talk." Zheng Ren seemed to be about to grasp that wisp of inspiration, but was interrupted and floated away again.
"You're crazy." Su Yun said disdainfully, "Lil Fugui, come and look at the radiographic films!"
Professor Rudolf Wagner was happily taking photos with the patient's family members. He did not care if his name was on the photos; he only cared about the process.
Also, with a blonde foreign professor standing next to Liu Zewei, he looked even more imposing.
The international medical team was truly an international medical team.
"Yup." After taking the photo, he came to Su Yun's side. "Brother Yun, this is an incomplete intestinal obstruction. There's nothing to look at. The entire wave is blocked, but I don't see any intestinal polyps. "
"Lil Fugui, you don't say. When you stand there and flick your hair like that, you look quite stylish." Su Yun said with a smile, "In the future, when you go back to Heidelberg, make a wax figure here, with a wig, and specialize in taking pictures …"
Halfway through his sentence, Zheng Ren suddenly clenched his right hand into a fist and smashed it on his left hand.
There was a muffled sound.
"Boss, what's wrong?" Su Yun asked in surprise.
"Here, look," Zheng Ren said excitedly as he pointed at the patient's kidney.
Su Yun looked at the radiographic films carefully. There was no major problem with the kidney. If there was, the biggest problem was the interstitial fibrosis around the renal tubules.
"Interstitial fibrosis? What can it prove? "Su Yun asked in surprise.
That was also what the professor wanted to ask.
The patient's interstitial fibrosis was not obvious. He had to look carefully to see vague clues.
"Lead poisoning! The patient's blood test shows anemia, liver problems, and kidney interstitial fibrosis around the renal tubules. It can be determined! "Zheng Ren regained his calm and began to speak.
Su Yun's eyebrows were slanted into his temples. He frowned and began to ponder.
"When lead poisoning occurs, there is often an inclusion body in the nucleus of the glomerular cells. It is a compound of lead and protein. Its nature is still not completely understood.
It is generally believed that it is the cell's defense function, allowing the lead stored in the cells to be contained in the body, preventing lead from directly poisoning the cells.
"Acute poisoning mainly affects the proximal convoluted tubules. It can appear cell membrane damage, cell swelling, mitochondrial swelling, rupture, and reduced particles in the stroma.
"In addition to damaging the renal tubules, chronic poisoning mainly manifests as progressive interstitial fibrosis. It begins around the renal tubules and gradually expands outwards. Renal tubules atrophy and cell proliferation coexist at the same time.
"It's lead poisoning. There's no doubt about it. Does your lover dye her hair once a month? "
As he spoke, he turned his head to look at the patient's family.
This was what Liu Zewei had said when they were chatting just now.
Everyone only treated it as a joke and no one took it seriously.
However, now that Zheng Ren had first put out a bunch of pathophysiological changes and asked about hair dyeing, some problems became apparent.
"Yes." The patient's family was a little confused. They did not know why intestinal obstruction was related to hair dyeing.
"How much does it cost?" Zheng Ren immediately asked.
"…" The patient's family was stunned.
What was going on?
"It's probably about 100 yuan," Su Yun said. "Right."
"Ah? Ah! "the middle-aged man replied subconsciously.
"Hair dyes, especially low-quality hair dyes, contain a high amount of lead. Once a month. Long-term hair dyeing causes lead poisoning. This is normal. "Zheng Ren smiled. His face was full of joy.
"What is lead poisoning?" the middle-aged man asked in a low voice.
He felt that this doctor was so unreliable. Although there was a chief from the Provincial Capital and a foreign professor, he was just unreliable.
Zheng Ren did not answer the patient's family. Instead, he picked up the phone and made a call.
"Hello, Chief Sun.
"Okay, I'll go back when your side is ready," Zheng Ren said. "Let's get down to business first. The patient called Li Liangfen, do a blood lead and hematoporphyrin test on your side."
"I remember that the Occupational Disease Monitoring Institute in the Provincial Capital can do it. Old Liu, help me contact them," Zheng Ren said to Liu Zewei.
Liu Zewei nodded.
"Chief Sun, I'll give your phone number to Professor Liu at the First Affiliated Hospital of Provincial Capital Medical University. You guys can contact them. The patient will do these two tests first. I estimate that it's incomplete intestinal obstruction caused by lead poisoning.
"We'll talk about it after the diagnosis. Calcium sodium edetinate promotes lead excretion and can be cured in a few courses of treatment."
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