It's possible, but the incidence of cerebral cysticercosis is too low. After everyone leaves, let's stay and look at the radiographic films on the computer, "Zheng Ren said.
Lin Yuan smiled happily when he saw that Boss Zheng did not deny his diagnosis. Out of the corner of his eye, Department Director Wei caught a glimpse of the swaying ponytail and a smile that was as bright as the first rays of dawn. He was stunned.
Look at Boss Zheng's style, tsk tsk.
When he was young … Even now, he didn't dare to bring Quan Xiaocao out to participate in the hospital's consultation.
It had to be said that Boss Zheng had a true temperament.
"Boss Zheng, do you have any other considerations?" Lin Yuan asked softly when he saw that Zheng Ren was still looking at the radiographic films.
"Tuberculosis is also possible. We need to continue to identify it in detail. But I remember that Chief Mao didn't have a history of tuberculosis before, "Zheng Ren said as he recalled the previous medical records.
"I don't remember that either," Director Wei added.
"Well, there's no history of low fever, night sweats, loss of appetite, general tiredness, or mental malaise. We can basically rule out tuberculosis," Zheng Ren said.
"Why don't we start with cysticercosis?" Lin Yuan asked.
She didn't understand. Since she had found a direction, shouldn't she continue researching it?
Boss Zheng only said one sentence and stopped talking about this matter. It looked so strange.
"Because if it's epilepsy caused by cysticercosis … There's only one head CT. If we do a head MRI, we'll find that there's a well-defined low-signal area on the T1-weighted imaging and a high-signal area on the T2-weighted imaging," Zheng Ren explained simply. "I think the diagnosis of cysticercosis is unlikely."
"…" Lin Yuan was stunned.
What kind of skill was it to analyze an MRI from a CT scan? She did not understand what Boss Zheng said at all.
Lin Yuan's eyes widened. He waited for Boss Zheng to continue explaining, but Zheng Ren did not say anything. He was still thinking about the condition.
In the past, when only Su Yun was by his side, he did not feel that he was strong in any way.
But people, without comparison, there would be no harm. After Lin Yuan, a Harvard PhD, came, the contrast was simply too obvious.
For example, the possibility of cerebral cysticercosis could be reconstructed using CT images and converted into nuclear magnetic resonance data. The possibility was not high, and it was not worth investigating further.
Su Yun could do this, although he was slower than him.
However, Lin Yuan couldn't do it.
Zheng Ren was too lazy to explain. He looked at the CT image and continued to think.
"Boss Zheng, the hospital is really anxious this time," Director Wei gossiped in a low voice.
"Hmm?"
"Director Mao's at home … Her mother came to the hospital today and sat in Director Yan's office and made a scene … It's not really a scene," Chief Wei said in a low voice.
"What's there to argue about?" Zheng Ren was puzzled.
"Director Mao's mother has started to lay out the facts and reason with Director Yan because of his recent relapse, so Director Mao's mother started to reason with Director Yan. The pressure of work was too great, and it was inhumane. In the end, it caused the body's immune system to weaken, which led to so many things that happened next. "
Zheng Ren did not comment on it.
Was there anything more stressful than working as a chief resident? For half a year to a year, he had been living and eating in the hospital every day. He didn't even have a girlfriend. What kind of life was that?
There were no chief residents who could not endure it.
At the thought of this, a few freckles danced in front of Zheng Ren's eyes. Zhou Litao was already gearing up to find a girlfriend. I hope it goes well for him.
However, he quickly shifted his attention to Chief Mao's condition.
"Chief Wei, have you done a physical examination on Chief Mao?" Zheng Ren asked.
"We've done a simple neurological examination. The endocrinology and rheumatology departments wanted to do something else, but it might have taken too long, and coincidentally, she had a seizure. Her family was unhappy."
"Chief Mao's mother?"
"Yes. Tell me about it." Chief Wei was also a little unhappy.
He had known Chief Mao for many years and hoped that she would be safe. Although Chief Wei would not think too much about promotions in the future, he still instinctively hoped for her to be healthy.
However, he was not even allowed to do a physical examination. This was very annoying.
Zheng Ren could vaguely imagine the situation at the time. The patient's family roared and the endocrinology and rheumatology doctors were kicked out.
It was fine if they gave up treatment, but they were not allowed to do anything and wanted a clear diagnosis. This was very difficult.
Seeing Chief Zheng start to think, Chief Wei suddenly had an idea and asked, "Boss Zheng, have you thought about it?"
Zheng Ren nodded and looked at Chief Feng from the Department of Rheumatology and Immunology.
"Chief Feng is right. I also think it might be some kind of disease caused by low calcium," Zheng Ren said.
There were too many diseases that could be thought of when blood calcium was low. There was no clear direction for this.
Chief Feng was talking about his judgment. He did not say the specific diagnosis. He only suggested doing an ultrasound and checking the thyroid.
"Boss Zheng, thyroid? What disease is it? "Chief Wei asked.
The disease of rheumatology immunity was extremely difficult.
That was a matter of another dimension. In other departments, even a chief like Chief Wei did not get involved.
In ordinary small hospitals, rheumatology immunity only looked at rheumatology. However, the rheumatology immunity of 912 was just like what Su Yun said. These words meant difficult and complicated diseases.
"Pseudohypoparathyroidism. I think Chief Feng is thinking about this disease," Zheng Ren said.
"Boss Zheng, the possibility of this diagnosis is not high," Lin Yuan said while biting her fingers.
Zheng Ren turned around and saw that she was biting her nails. He reached out and picked up a pen on the table. Like a hemostatic forceps, he pulled it on her radial process.
"Ah …" Lin Yuan cried out in pain.
"Huh?" Deputy Director Yuan looked at Chief Feng's diagnosis while glancing at Lin Yuan from time to time.
Chief Lin? Deputy Director Yuan felt that this matter was particularly interesting. He would have to report it to Chief Yan later.
The habit of biting her fingernails was exactly the same as when she was young. How old was she now, but she still had not gotten rid of this habit.
However, when he saw Boss Zheng hit Lin Yuan's radial process with the pen without hesitation, he was also shocked.
If something really happened, Old Lin would have to go to Chief Yan's door and fight it out!
"Boss Zheng." Deputy Director Yuan coughed and stopped Chief Feng. Just as he was about to say something, he saw Boss Zheng stand up.
"Director, I agree with Chief Feng's point of view."
Chief Feng was also stunned for a moment. He only had a vague judgment and suggested perfecting the relevant examination. Boss Zheng had already begun to agree with his point of view?
The main reason was that he did not know what his own point of view was. There were still a few situations that needed to be differentiated.
"I think it's pseudohypoparathyroidism. Let's do a thyroid ultrasound," Zheng Ren said. "We'll have a relevant judgment after we're done."
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