"Boss Zheng, Brother Yun, do you think the young patient has a pyloric dysfunction or some other problem?" Zhou Litao asked.
Zheng Ren and Su Yun shook their heads at the same time. Su Yun said, "Chief Zhou, you need to be more observant. You should really be a chief resident for another year with your clumsy hands and feet."
Zhou Litao did not know what to say.
Zhou Litao could tolerate scolding as long as it was not a curse. He did not want to be the chief resident for another year.
"Chief Zhou, we observed that the vomit was feces and a small amount of gastric juice. There was no sign of bile regurgitation," Zheng Ren explained briefly.
Zheng Ren paused as if there was something he could not understand. Su Yun was the same. Zhou Litao saw their expressions and hesitated. He asked Su Yun in a low voice, "Brother Yun, what are you and Boss Zheng thinking about?"
"I'm thinking about the child's vomit. I think the boss is thinking about it too," Su Yun said helplessly. "What's going on? Look at the time. If I keep thinking about it, I won't even be able to eat dinner."
Zhou Litao was startled. He immediately went out and saw that the nurse had diligently cleaned up the vomit. He could only recall the shape of the vomit he had seen in the panic.
That thing had a stinky smell. What was there to look at? Although fecal regurgitation was uncommon, it could be considered that the child was still young and the pyloric closure was incomplete. Coupled with the acute gastrointestinal inflammation, it was reasonable to have regurgitation.
In the end, it all came down to the examination.
Zhou Litao returned to his office and turned on the computer.
Under Boss Zheng's gaze, he turned on the imaging system and called the radiology department to upload the images after the examination.
No doctor would delay the urgent needs of the emergency department as long as the conditions were met.
In the office, Zheng Ren and Su Yun were thinking about something. Su Yun, who was usually a chatterbox, was unusually quiet today. He did not play with his phone or argue. Instead, his eyes were focused on the yellowing leaves outside the window.
He stared at the screen. Zhou Litao kept refreshing in an awkward posture. After nearly ten minutes, the image was finally uploaded.
Zhou Litao clicked on it immediately and saw the video. There was no sign of intestinal obstruction on the upright abdominal radiograph …
Zhou Litao was immediately confused.
"There's nothing to see. It can't be intestinal obstruction." Su Yun said, "When his mother was holding him, she pressed her hand on his stomach. I guess the child's stomach didn't feel bloated."
His eyes were fixed on the leaves outside the window. He didn't even look at the video.
Zheng Ren picked up the mouse and zoomed in and out for a few minutes.
There was still silence in the consulting room. Zhou Litao endured it for a few minutes and finally asked, "Boss Zheng, Brother Yun, what are you thinking about?"
"Do an gastroscope to examine the stomach wall," Zheng Ren said calmly.
"It doesn't make sense. I think we should go to the patient's home to take a look."
"That's illegal. It's different from the last time you went to Cui Heming's company." Zheng Ren shook his head. "If you get caught, it'll be the biggest scandal."
"Tsk, you're really cold." Su Yun said in disdain.
Zhou Litao still couldn't understand a single word of what the two were talking about.
In fact, it was not that he did not understand. He knew what each sentence meant, but when put together, he could not understand what Boss Zheng and Brother Yun were trying to do.
"Do an gastroscope first to see if there are chronic changes in the gastric wall, such as ulcers, hyperemia, edema, erosion, and other symptoms," Zheng Ren said.
"Okay." Zhou Litao nodded and walked out to explain the condition to the patient's mother.
"Boss, do you think it's possible?"
"Yes," Zheng Ren said, "Otherwise, there's no way to explain it."
"I didn't expect to encounter it." Su Yun frowned and said, "Could it be a rare disease?"
"The imaging doesn't support it. Take a look. It's too careless not to look at the radiograph, "Zheng Ren said.
"I'm afraid I'll lose confidence in this world after watching the radiograph."
"You're the one who said I'm like an ostrich, and you're also the one who thinks I'll lose confidence in the world," Zheng Ren said. "Whether you know it or not, this kind of thing will always happen. There's nothing new under the sun. It happened in the past, it will happen now, and it will happen in the future. Even if humans evolve into consciousness, this kind of thing will probably happen. "
"Boss, you're very long-winded." Su Yun blew at his forehead, and the black hair on his forehead fluttered. He looked more energetic.
He came to the computer, took the mouse from Zheng Ren's hand, and began to look at the radiograph.
After looking at the situation in the abdominal cavity from top to bottom, Su Yun smiled and said, "Surrogate Meng Chaosen syndrome. What else is there to explain? What's important now is evidence and judicial intervention. "
"If we call the police before we figure it out, it'll be very awkward if we make a mistake," Zheng Ren shook his head and said lightly.
"You're still considering the problem of the pylorus? We can't rule out the possibility that the child's pylorus is not completely closed. "
"What about the bile?"
"The bile has been almost consumed during the vomiting. We can only see the regurgitated feces," Zheng Ren said. "Although there's no way to explain it completely, we still have to check it."
"Boss, last time in Sea City, I saw that you opened the door very quickly. Do you often use half a bag of instant noodles to open the door of a residential area?" Su Yun asked with a smile.
"I've never done it before," Zheng Ren said, "I don't recommend you go to the patient's home. It's considered burglary and illegal."
"This is the simplest."
"That won't do. When Chief Zhou comes back later, ask him if there are any clues. "
The two of them fell silent again.
Surrogate Meng Chaosen syndrome was a kind of fake illness in other people, especially children, juniors, sisters-in-law, and other people who needed to be taken care of.
Strictly speaking, it was a type of performative personality, but they were willing to act as caregivers.
After vomiting feces, Zheng Ren and Su Yun observed and pondered about the related diseases, but they could not diagnose the child according to diagnostics. Coupled with Zhou Litao's medical history, they simultaneously thought of surrogate Meng Chaosen syndrome.
After a few minutes, Zhou Litao returned.
"Chief Zhou, do you know anything about the patient's mother?" Su Yun asked.
"Uh …" Zhou Litao was stunned for a moment, then said, "I know a little, but not much. Her husband is a crew member and works overseas for a long time. He comes back twice a year and is usually not at home. "
"I didn't ask you about that. What are you thinking about?" Su Yun said. "Do you have her social media accounts? Wechat Moments, Weibo or something? "
"Both," Zhou Litao said, "But … I don't see anything unusual. She just likes to show off her children."
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