Director Wu looked at the complicated medical record and was silent for a long time. He had a strange dream that night, but he couldn't remember what it was when he woke up. He could only vaguely remember that it seemed to be related to his illness, but he couldn't remember anything else.
This matter was like a fishbone stuck in his throat, making Director Wu feel very uncomfortable.
Two days later, he picked up the medical record again and flipped through it.
The patient's condition was more complicated than he had imagined. He had thyroid cancer and had undergone surgery in the capital. However, it was only a thyroid nodule. In the end, a total thyroidectomy was performed.
This was too much. Director Wu looked at the medical record and felt that the patient really had a mental illness.
Although the final pathological diagnosis was thyroid cancer, it was not necessary to remove both thyroid glands.
Seeing that the hospital where the surgery was performed was 912, Director Wu thought for a long time. In the end, he still could not get over it. He began to contact the doctor who performed the surgery on the patient back then.
The Imperial Capital was so busy that the possibility of the surgeon not remembering the patient was very high. However, after Director Wu tried to contact a doctor he knew from the 912 and Professor Wei, who was in charge of the thyroid department, he found that Professor Wei still remembered this patient even after a long time.
According to Professor Wei, at that time, the patient had been examined in the Imperial Capital because of "delusional schizophrenia". The results showed that he had severe iron deficiency anemia and vitamin D deficiency.
During the examination, there was a thyroid nodule. Professor Wei had seen the patient in the outpatient clinic, so he thought it would be fine to observe it at home. However, the patient strongly requested for surgery and even threatened to commit suicide.
The patient's parents chatted with Professor Wei for a long time. In the end, they decided to perform the surgery according to the patient's wishes.
The reason why it left a deep impression was because Professor Wei was worried that something might go wrong. Therefore, when Dean Wu called, he was quite nervous.
When Professor Wei found out that Director Wu was just asking for advice and that there was nothing wrong with the patient, he relaxed a lot. He told Director Wu that he felt something was wrong with the patient at that time. He had been a doctor for more than 20 years, and he had never seen anyone voluntarily ask to have their thyroid removed.
Most patients were afraid of surgery. When the doctor said to go home and observe, almost no one would take the initiative to ask for surgery. However, this patient was different. Not only did he need surgery, but he also needed a bilateral thyroidectomy.
The patient had no history of head injury, epilepsy, or social withdrawal. Therefore, Professor Wei was not sure if the patient really had a mental illness, but his behavior was a little strange. That was his judgment.
However, at that time, Professor Wei's main thinking basis was that generally speaking, mental illness had symptoms from adolescence, but this patient was said to be very normal in the past and had studied until he graduated with a doctorate.
There was no family history, and the patient's parents were normal.
At that time, because he was worried that there would be a problem, he wanted to do some related examinations, but the patient refused.
The patient was followed up after the surgery. She was given levothyroxine sodium tablets. The strange thing was that the TSH should be reduced if she took this medication orally to supplement her thyroid hormone, but there was no change.
Professor Wei told them everything he knew. Then, the patient's symptoms became more and more serious. He even said on the phone that if he had not insisted, the thyroid cancer would have been delayed.
This sentence was filled with distrust and hostility. No matter how good-tempered Professor Wei was, he would still be angry.
Although the patient's parents apologized sincerely, Professor Wei did not want to have any contact with the patient anymore.
Director Wu put down the phone and fell into deep thought.
According to Professor Wei's description, this was a typical patient with persecutory delusions, but Professor Wei's opinion … seemed to be worth considering.
Could there be any problems that Director Jiang had not considered? Director Wu suddenly became interested.
Then, he sent all the patient's test results to Professor Wei and asked him to take a look.
The most recent test result showed that the TSH value was 9.4pmol/L, slightly lower than the normal value. Other than that, there was nothing worth paying attention to for the time being.
Since the professors in Imperial Capital could not see any problems, Director Wu could only put the matter aside for now. He thought to himself, the most likely reason for this was that there was something wrong with the patient's mental state.
However, Director Wu wanted to give up, but Director Jiang kept asking the whole hospital for consultation. His reason was that the patient's physical condition was not good. She had been losing weight for more than a year.
The examination did not find any malignant tumors, and the patient did not have any gastrointestinal symptoms such as nausea, vomiting, or diarrhea.
Director Wu knew that many patients with persecutory delusions did not eat well because they were worried that their family or restaurants would poison their food. Therefore, they deliberately reduced their food intake to avoid being harmed by others.
This was looking for trouble, and Director Wu was helpless. He knew what Director Jiang was thinking. He was using his own words to slap himself in the face.
Was there anything wrong with what he said?! He wanted to nip the problem in the bud, but he found out that he could use it against him. Relying on his seniority and about to retire, he was unforgiving.
During this period of time, Director Wu had been a little worried. He even felt that he had depression. Should he ask Boss Zheng to help him? He would definitely not be able to invite him. He would help him take a look and talk about his troubles. It could be considered as venting his depression and getting to know Boss Zheng at the same time.
Director Wu shamelessly opened WeChat and sent a message to Boss Zheng.
[Boss Zheng, are you there?]
After a long time without a reply, Director Wu sighed and smiled awkwardly. He was not familiar with him to begin with. Now that he was a Nobel Prize winner, he could not contact him even more.
Forget it, don't ask for trouble for no reason.
Two days later, Director Wu suddenly received a WeChat message.
[Director Wu from Nanshan City? Hello. I've been abroad for a few days. I just rushed back.]
Director Wu was overjoyed when he saw Boss Zheng's reply. It turned out that the other party had gone abroad, and not that he was so arrogant that he had forgotten about him.
[I'm sorry to disturb you. I have a case that the clinical director suspects has a problem with. We can't diagnose it.]
[Oh, wait a moment. I'll go back to the Imperial Capital.]
[Okay, sorry to trouble you.]
…
…
Zheng Ren took his phone and sent a message. Xie Yiren asked, "Zheng Ren, is there something in the department?"
"There's something, but it's not the department." Zheng Ren smiled and said, "Director Wu from Nanshan City's mental hospital probably wants to ask me for a consultation."
"Mental hospital?" Xie Yiren was a little puzzled.
"Didn't I draw lots some time ago and go to Nanshan City for a medical evaluation? I went with Su Yun. In the end, the patient was diagnosed wrongly, "Zheng Ren said." That's why I have Director Wu's contact information. "
"Oh, what patient?"
"It's a message from a few days ago. It's probably not a big deal," Zheng Ren said. "We'll talk about it when we get home. My vestibular nerves can't take it if I look at my phone for too long in the car."
(End of this chapter)
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