Zheng Ren ignored Luan Yingjie and took the radiographic films from his hand.
The thin one was an upper gastrointestinal tract radiographic film.
Many years ago, this kind of examination was called gastrointestinal barium. Because the barium was unpleasant to drink and sticky, the examination effect was not very good. Later, liquid meglumine diatrizoate was used as a contrast agent.
The effect … was just that. There were not many diseases that could be diagnosed. However, at some point, this kind of examination was still useful.
For example, now that Su Yun thought that it was achalasia, if the 'bird's mouth sign' was seen in the cardia segment of the upper gastrointestinal tract, it could be preliminarily diagnosed.
Zheng Ren took out the thin radiographic films and looked at them under the light.
The esophagus was very smooth, and there was no image of the bird's mouth sign at all. The overall esophagus did not have achalasia, nor did it have diverticulum or any other conditions that could cause him to faint after eating.
Zheng Ren and Su Yun were silent.
What kind of disease was this? He would feel dizzy after eating, and the disease was still progressing. Now, he would faint after eating.
He went to the hospital for a check-up, but nothing could be found.
It was really strange.
Could it really be a mental illness? In other words, a more serious hysteria?
Zheng Ren did not want to make such a diagnosis. The diagnosis of any mental illness had to be cautious, just like the diagnosis of a tumor.
Su Yun took out the PETCT radiographic films and looked at them quickly.
There was no tumor. The old man of the Luan family's body was in good condition … It was a mess.
Luan Yingjie saw that Zheng Ren and Su Yun were looking at the radiographic films and did not speak for a long time. He smiled bitterly in his heart. Perhaps they did not know what kind of disease it was. It was no wonder. After all, they were too young.
Youth meant that his hands were steady, his reaction speed was fast, and his eyesight was good.
These were all necessary and sufficient conditions for a surgeon.
However, youth also meant that he had seen fewer patients and was not experienced enough. Experience had to be honed over time.
Some geniuses, such as Su Yun … Forget it, why was he thinking about this? Boss Zheng, who was rumored to be a god in Shenzhen City, was only so-so.
But what about his old man? He could not be sent to a mental hospital for treatment, right? Luan Yingjie suddenly began to worry.
"Boss, what do you think?" Su Yun asked Zheng Ren while Luan Yingjie's thoughts were running wild.
"Eating, dizziness, it might be a transient insulin secretion problem. However, the abdominal CT did not show any problems, and the PETCT did not show any insulinoma, "Zheng Ren said." But we can't rule it out for the time being. "
"Pancreatic islet β-cell tumor or β-cell hyperplasia causes excessive insulin secretion, which then leads to hypoglycemia. Speaking of which, it's a bit similar to dizziness," Su Yun said. "As the condition progresses, it's getting more and more serious, to the point that he's in a coma now."
"It's just a guess." Zheng Ren said, "Insulinoma often has the classic Whipple triad, which is hypoglycemia, coma, and neurological symptoms. It's easy to have an attack after an empty stomach or physical activity."
"It only matches 1 to 2 points. It's a little far-fetched to say that it's insulinoma, and it's not shown on the imaging. Have you rebuilt it? I rebuilt it, but I didn't see it. "Su Yun muttered to himself as he looked at the radiographic films.
Zheng Ren suddenly paused and looked at Luan Yingjie.
Luan Yingjie was stunned by his honest expression and sharp gaze. He immediately smiled apologetically and said, "Boss Zheng, what can I do for you?"
"Do you have insulin at home?" he asked suddenly.
"Insulin?" Luan Yingjie was stunned.
"Fraudulent hypoglycemia?" Su Yun asked. "But is it necessary?"
"What can't the elderly do when they want their children to accompany them at home? Sometimes, elderly people with paranoid personality disorder will do such things, "Zheng Ren said.
"Boss Zheng, this …" Luan Yingjie was slightly dissatisfied.
"Old Luan, you really have to say. Two days ago … Do you know Song Ying?" Su Yun smiled and said, "Little Luan, do you know him?"
"Little Song, of course. His business is much bigger than mine. "Luan Yingjie did not know why he mentioned Song Ying.
"Song Ying's brother, there's something wrong with that guy named Chu Huainan. He insisted on looking for the boss for surgery."
Luan Yingjie's heart skipped a beat. Chu Huainan and Song Ying were people he could not get close to. Could it be that this Boss Zheng was the real deal?
However, his guess sounded very unreliable.
Although he didn't want to, a diagnosis of a mental illness was better than making wild guesses. What fraudulent hypoglycemia? That doesn't sound very reliable …
"I went to see a patient. There was an old man next to the VIP ward. He said something unpleasant about his son and stuff like that. Later, someone with an ulterior motive collated his words and investigated. Then, they really found the problem. "
"…" Luan Yingjie was surprised. How could there be such a father who tricked his son?
Su Yun's words were simple. There were countless speculations in those four words. It was normal for businessmen to wander in the gray area.
However, they were usually tricked by business partners or mistresses. It was rare to see one being tricked by his own father.
"Oh? Is there such a thing? What happened after that? "he asked.
"After that, the old man was discharged from the hospital. I think he's in dire straits now," Su Yun said. "These things are hard to explain. It's said that many important people were involved. Come to think of it, fraudulent hypoglycemia is possible. Old Luan, say something. "
"Uh … Insulin? I've never seen it before." Luan Yingjie quickly thought about it and immediately denied it. "I'll ask the nanny and search the house."
This was a very correct attitude. He was satisfied.
Fraudulent hypoglycemia and insulinoma were all possibilities, but the possibility was not high. He could not convince himself.
However, when faced with such a strange case, it was always right to give it a try.
At the table, Lin Ge saw that the two of them were watching the radiographic films attentively. He smiled and said, "Boss Zheng doesn't even have time to eat."
"Chief Lin, that's how they are," Chang Yue said. "Most of the time, they eat and see the doctor."
"Why is it the same as the emergency department?" Lao He was a little emotional.
Zheng Ren did not notice what they were talking about at all. At this moment, he was quickly searching for the case, diagnosis, and differential diagnosis in his memory according to the patient's situation.
The first feeling was that this kind of syncope was closely related to gastrointestinal diseases, including esophageal hiatal hernia, esophageal stenosis, achalasia, and esophageal cancer.
However, the imaging data denied all of the above possibilities. There was no need to think about it anymore.
Then there was the problem of the heart.
Atrioventricular block was the most common electrophysiological problem, followed by sinus node dysfunction, including sinus bradycardia, sinus arrest, and cardiac arrest.
However, the patient's electrocardiogram, echocardiogram, and coronary CT denied these diagnoses.
He was already 72 years old, but there was not even a small amount of tricuspid regurgitation on the echocardiogram. This old man's body was really too good.
But what was the problem?
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