Dr. Rudy knew very well how arrogant and rude the people of the Bruch family were.
They looked elegant on the surface, but deep down, they were extremely dark. They were like snakes hiding in the corner, not knowing when they would jump out and bite him.
Rudy did not dare to offend the Bruch family. This was a fear that came from the bottom of his heart.
However, Dr. Rudy could not understand why Christian, who was cold and moody most of the time, would be so respectful to this young Eastern doctor.
"As long as he's fine," Zheng Ren said perfunctorily. "After Ms. Fandi can move, she has to supervise the patient's rehabilitation training. She has to suffer a lot."
"Please rest assured, I will supervise her." Christian smiled. The wound on his face had healed, leaving only a dark spot.
Zheng Ren sighed at the powerful self-healing ability of this race.
Perhaps people with slightly weaker self-healing abilities would have died long ago.
"Doctor Zheng, I heard from Womer that you have your own diagnosis? I'm really lucky for Lord Roche, "Christian said.
"Yes, I have a diagnosis," Zheng Ren said casually. Zheng Ren said casually, "Mr. Chris, in the family … Is everyone who wants to know about Mr. Roche's condition here?"
Christian smiled. "All six branches will be here in a few minutes. We will listen carefully to your opinion about Lord Roche's consultation. I think Lord Roche will get better soon. "
Su Yun sighed in his heart.
This time, Su Yun was a little nervous. The boss was like a spring that had been squeezed tightly by strong pressure in the country. After coming out, he seemed to have changed into a different person.
Sigh, great pressure had to be released.
But was it really okay to do so? Whether it was in the Mayo Clinic or John Hopkins Hospital, it did not matter if the boss went crazy. At most, it would be embarrassing. It was not a big deal.
But here … The risk was great, and it could even be said to be huge.
Su Yun was very nervous.
A few minutes passed in the blink of an eye.
A few pale people with dark spots on their faces, necks, and hands came into the room.
Christian introduced everyone to Zheng Ren.
The internal relationship of such a huge and ancient family was as complicated as an equally ancient circuit board.
Zheng Ren was not in the mood to listen. He just needed to make sure that they were all here.
Wormel looked at Christian standing beside Zheng Ren and did not say anything. Instead, he walked to the front and said, "The medical expert for today's consultation is from China. He's the youngest tenured professor in the history of Massachusetts General Hospital."
Sparse applause sounded.
Wommel bowed gracefully, raised his hand, and made a gesture of invitation.
Zheng Ren came to the front of the stage. There was the corresponding equipment there. After clicking on it, the image immediately appeared on the large LED screen.
After finding the picture he needed, he said in English with a London accent, "Ladies and gentlemen, I'm very happy to be here to analyze Mr. Roche's condition."
It was quiet down below.
"I just thought about it. Chronic variant Crohn's disease was just a joke I made with Mr. Wommel," Zheng Ren said. "Now, I'll start to express my opinion."
There was some commotion, but it was not loud.
"The first thing that will appear in front of everyone is the image of the gastrointestinal endoscope. Zheng Ren clicked on the video on the computer and said in a clear voice, "Perhaps I thought the same as everyone at first. Mr. Luo Che's illness was just because he was old, but in the end, all his organs failed."
"But when I saw this image, I suddenly changed my mind."
Wommel was a little surprised. There was nothing special about the gastrointestinal endoscope. It was just chronic atrophic gastritis and enteritis.
The doctors began to whisper to each other.
"Gastric mucosal epithelium and glands atrophy, decrease in number, gastric mucosal thinning, mucosal base thickening, or accompanied by pyloric gland metaplasia and intestinal gland metaplasia, or a chronic digestive system disease characterized by atypical hyperplasia. It often manifests as dull pain in the upper abdomen, bloating, belching, loss of appetite, weight loss, anemia, and so on. There is no specificity, "Zheng Ren said." It's a very standard manifestation of chronic atrophic gastritis. "
Su Yun felt that the boss seemed to have changed into a different person. What nonsense was he talking about here?
As long as he took a look at the patient and gave an ordinary diagnosis, the mission would be over.
And Zheng Ren was leading the mission into an unpredictable abyss.
"We are doctors. A kind of appearance can only provide support for a certain diagnosis. We still need a differential diagnosis," Zheng Ren said. "Since this is not a public teaching class, I won't let everyone speak. I'll talk about my differential diagnosis."
"The most important differential diagnosis is —" Zheng Ren dragged out his voice and looked around. Finally, his gaze fell on Wommel's pale face.
"Lead poisoning!"
Zheng Ren's diagnosis was like a stone thrown into a calm pond, causing an uproar!
In Bruch Castle, saying that Rocher Bruch had lead poisoning …
Was this a death wish?
Su Yun's face instantly turned pale, just like Christian who was standing next to him.
Wommel looked at Zheng Ren coldly, without a trace of expression on his face.
"This is just a differential diagnosis, not a diagnosis." Zheng Ren knocked on the table. "It's just a medical discussion. Please remain quiet!"
"The mucosa of the digestive tract has the ability to secrete lead. During the process of lead secretion, lead has a direct effect on the gastric mucosa, destroying the regenerative ability of the gastric mucosa and causing inflammatory changes in the gastric mucosa.
Studies have shown that the detection rate of pathological damage to the gastric mucosa in patients with chronic lead poisoning is as high as 96.7%, and atrophic gastritis with hyperplasia may appear. Patients with chronic moderate to severe lead poisoning are initially diagnosed with superficial gastritis, but after three years, 91% turn into atrophic gastritis. "
"Some people say that this is just a guess." Zheng Ren clicked on the next radiographic film and continued, "Let's look at the CTA image of the kidney.
"We can see that the patient's renal tubules have degenerative changes. Regarding this, it can be considered as a chronic change in the elderly, but it can still be considered a manifestation of lead poisoning!
In addition, the patient's CTA can see progressive interstitial fibrosis in both kidneys, beginning around the renal tubules and gradually expanding outwards. Renal tubules atrophy and cell proliferation coexist at the same time.
"Lead can affect the function of mitochondria in renal tubular epithelial cells.
Na +, K +, ATP, etc.
Enzyme activity, causing renal tubular dysfunction and even damage.
Acute poisoning mainly affects the proximal convoluted tubules, which can appear cell membrane damage, cell swelling, mitochondrial swelling, rupture, and reduction of stromal particles. There is often an inclusion body in the nucleus of the glomerular cells, which is a compound of lead and protein.
However, Mr. Rocher did not have similar changes, so the differential diagnosis mainly involves chronic lead poisoning. "
The audience was in an uproar.
Wommel looked at Zheng Ren coldly, and Zheng Ren also looked at him.
Their eyes met, and Zheng Ren revealed an honest smile, gentle and without any aggression.
"Differential diagnosis, just differential diagnosis."
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