After explaining the surgical imaging, Zheng Ren felt like a huge weight had been lifted off his shoulders.
This type of cardiac syndrome X was not uncommon, but it was easily overlooked. After all, it was very difficult to find out the truth through non-invasive tests. It was normal for patients to be transferred to countless hospitals and not get a definite diagnosis in the end.
"Ah ah ah!" Su Yun was suddenly startled, then said: "I forgot one thing!"
"Ah? What's wrong? "Zheng Ren asked in surprise.
"President Wang was looking for you just now." Su Yun said, "He asked me if you had time. When I came out, I saw a patient with Syndrome X …"
"Oh, why did Chief Wang look for me?" Zheng Ren asked.
"He said that there is a patient who has difficulty breathing and dizziness when walking. There is no good diagnosis, so he wants you to take a look at him." "Sea City is preparing for a full-hospital consultation. It's already time to get off work. I wonder if the consultation is over."
"Oh?" Zheng Ren asked. "Did they diagnose emphysema or vertigo?"
"Boss, do we need to charge for future consultations? We're all experts in Imperial Capital, so why are you asking us for a consultation like this? It's like ordering a maid around. "Su Yun did not answer his question. Instead, he nagged on about other things.
"Don't make it sound so bad." Zheng Ren smiled. "Has the information been sent over?"
"No, he's just asking to see if you're interested." Su Yun said.
"Take a look. If you don't understand, let the patient come over," Zheng Ren said casually.
"What are you doing here?"
"…" Zheng Ren was stunned for a moment, then said, "Visual touch, tapping, listening, looking, listening, questioning, and palpation all depend on the patient. Do you think remote consultation can solve all the difficult and complicated diseases? "
"Boss, why does it seem like your tail has been stepped on?" Su Yun asked with a smile. He was just asking casually, but he didn't expect his boss to be so serious.
However, Su Yun did not care. He just habitually rebuked his boss and let it go.
"Don't talk nonsense. Ask Chief Wang for information," Zheng Ren said.
Su Yun took out his phone, his hands flashing back and forth on the phone screen.
The consultation of the whole hospital was not over yet. It seemed to be very troublesome, Zheng Ren judged. Whether it was the patient's illness or the patient's family, there would be trouble.
Soon, Chief Wang sent the patient's information over.
The patient complained of general weakness, fatigue and dyspnea, and was admitted to the hospital for three months.
He didn't smoke, drink, and didn't have any pets at home. His meals were also normal, and there hadn't been any special changes recently. There was no previous medical history, no family history, and so on. Her job was as a bank clerk, so she had no chance to come into contact with dust and other metallic substances.
It was just that this sudden situation had not healed for a long time. Both the patient and the doctor were helpless.
During her first consultation a few months ago, she did a chest X-ray and was diagnosed with a lower respiratory tract infection. She was then given targeted treatment.
After anti-inflammatory and symptomatic treatment, his symptoms initially improved, but a month later, he relapsed again. What was even stranger was that after the second time, his X-ray did not seem to have any problems.
All kinds of tests were done, but there was still nothing wrong with the patient.
Just by looking at the results, he was a very healthy person. However, according to Chief Wang's description, the patient's condition was extremely serious. Now, he could not go up the stairs. Even when he walked on flat ground, he trembled and had to rest after every few steps.
After reading the patient's brief introduction, Zheng Ren sat on the chair in Zhou Litao's on-call room and began to ponder.
"Based on the brief introduction, it seems to be a serious pulmonary heart disease, but the chest X-ray and lung CT showed no problems," Su Yun said.
Zheng Ren clicked the mouse and zoomed in on the chest X-ray.
"Do you want the original data?" Su Yun asked.
"No, I can see it clearly," Zheng Ren said. "There's no howling sound in the medical record. Su Yun, do you think asthma can be ruled out?"
"In the early stages of asthma, there was an increase in the transparency of both lungs, showing a state of hyperinflation. It wasn't on the X-ray, but it could also be because the X-ray was not during the asthma stage," Su Yun continued. "But I didn't consider it. There was no howling sound at all. I think such an obvious symptom shouldn't be overlooked."
After saying that, Su Yun smiled. "No matter what, it's a Class Three Grade A hospital. If you can't even hear the howling sound, Director Xiao can admit his mistake and resign."
"Yes, and when asthma is not acting up, symptoms of weakness in the limbs are not considered," Zheng Ren added, ruling out the possibility of asthma.
"There's nothing wrong with the heart examination. The 24-hour dynamic electrocardiogram has also been done. The patient is very healthy."
"Epilepsy?" Su Yun asked.
"It's possible. It's possible that the patient complained about the symptoms, including the convulsions … No, the weakness in the limbs … Let's keep this diagnosis for now. Although the possibility is not high, it's still possible," Zheng Ren said in a deep voice.
Su Yun recorded the diagnosis of epilepsy on an A4 paper. If he wanted to make a clear diagnosis, he could wait until the patient had an EEG examination during the attack.
After all, it was a remote consultation. It was unlikely to check if the patient had any other reactions during the activity and make a clearer diagnosis.
"What about pneumonia?" Su Yun said. "There was a faint image of inflammation on the X-ray during the first examination. Although it was not in the later stages, it can't be easily ruled out.
"The anatomical classification is lobar pneumonia, lobular pneumonia, and interstitial pneumonia. Based on the patient's condition, I think the possibility of interstitial pneumonia is higher.
"The causes are divided into bacterial pneumonia, viral pneumonia, mycoplasma pneumonia, other pathogen pneumonia, fungal pneumonia, and other pneumonia caused by non-infectious factors, such as radiation pneumonia, aspiration pneumonia, allergic pneumonia …"
The two of them checked the patient and began to make various differential diagnoses.
Zhou Litao watched silently from behind. The patient was only 34 years old. His limbs were weak and he had difficulty breathing. Many examinations had failed to make a clear diagnosis. It was simply too strange.
The first thing he thought of was that the patient's age was wrong.
34 years old! The patient looked like he was 134 years old.
…
…
Sea City General Hospital.
Although it was already after work, the doctors were still working like worker ants.
Chief Wang was participating in a hospital consultation.
As the support specialist from Imperial Capital, Sea City General Hospital would now ask for his help during the consultation.
However, this time, Chief Wang had no other choice but to use his ultimate skill — summoning Boss Zheng.
"The patient's family is very dissatisfied. There is no diagnosis after so many examinations." Chief Zhou of the medical administration division tapped his fingers on the table and said in a deep voice, "If there is still no clear diagnosis, the patient will be transferred to a higher hospital."
The chief of respiratory medicine nodded.
She had wanted to transfer the patient for a long time, but she was still a little worried because the first diagnosis was pneumonia in the respiratory medicine division.
No one would have thought that an ordinary pneumonia patient would not recover for a long time and eventually become a huge problem.
However, there was no other way. They really could not understand it. If they did not go to a higher hospital soon, the patient's condition would worsen.
Based on the degree of difficulty in breathing, it was not impossible for him to be put on a ventilator in a few days.
If that was the case, once he entered the ICU …
Chief He of the respiratory medicine division began to think about the patient's transfer. It was not important whether they could understand the disease or not. No one could guarantee that they could understand all diseases.
As long as the patient did not 'fall' into their hands.
Chief He began to think about how she would communicate with the patient's family later. Should they go to Provincial City or Imperial Capital? It seemed that Provincial City was more acceptable to the patient's family. After all, it was closer.
However, she did not think that Provincial City could solve this case. Such a strange situation … She was a little distracted as she thought about it.
The next few chief physicians who came for consultation also expressed their opinions. They were all very simple, and they did not have anything special to say.
What was there to investigate? What was normal? What was there to say?
No matter what he said, it was just repetitive words that were completely meaningless.
Chief Wang repeatedly recalled the patient's condition but still had no clue. Autonomic dysfunction? Or hysteria? It did not look like it either.
It was quite difficult for a 34-year-old man to be hysterical to the extent that he was panting while walking.
Just as he was thinking, his phone vibrated.
Chief Wang took a look. It was Su Yun's call. He smiled at Chief Zhou in embarrassment and went out to answer the call with his head lowered.
Fortunately, this was not the 912. If Chief Wei was sitting here, or if Chief Lin was presiding over the consultation of the whole hospital, he would be scolded. As for Chief Ye, Chief Wang did not dare to think about it.
To ordinary doctors, Chief Ye Qingqiu of the medical administration division was the commander-in-chief of the Brocade-clan Guards. If he really appeared, he would probably be skinned even if he did not die.
Chief Zhou shook his head and looked around at the chief physicians of the relevant departments of the General Hospital. He could already guess a thing or two from the expressions on their faces.
No one could do anything.
While handling the referral procedures, they were sent to the Provincial City by the first-aid ambulance. As for who to contact in the Provincial City, Chief Zhou felt that it was better to let the patient's family contact them first.
If this kind of thing was done too often, the patient's family would definitely think that there was something wrong with the hospital's treatment. If they were not in the wrong, why would they be so attentive?
The main thing was that there was a limit. Chief Zhou gradually had an idea on how to grasp it. Clinical work was really troublesome. As he thought about it, Chief Zhou felt a sense of annoyance. When could he go to the logistics work?
"Then it's settled. Chief He, go and communicate with the patient's family," Chief Zhou said. "This disease …"
"Chief Zhou." Chief Wang came back with his phone and interrupted Chief Zhou.
"Chief Wang, what do you think?" Chief Zhou asked.
"I just consulted Boss Zheng. He said that he suggested checking an EEG when the patient has difficulty breathing. In addition, we also need to check an enhanced CT scan of the lungs, "Chief Wang said very seriously.
He did not change his expression because it was Boss Zheng's consultation opinion. He just calmly stated a fact.
Chief Zhou was stunned. Zheng Ren? Why did he suggest checking the enhanced CT scan of the lungs?
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