Hello, I'm the chief resident of the emergency department. My name is Zheng Ren. " Zheng Ren smiled and introduced himself first. Then, he said, "Have you been feeling unwell recently?"
The man had been looking at Zheng Ren and Su Yun. Seeing that both of them were very young, he was not very willing to communicate with them.
"My wife is feeling uncomfortable all over. I can't see what's wrong with her even after coming here many times. Every time, it's just a check-up," the man complained softly.
The reason why he was whispering was not because he was afraid of offending Zheng Ren, but because of a kind of disdain from the bottom of his heart.
Zheng Ren did not care about his complaints and carefully observed the female patient.
She was dressed very simply. She did not wear any rings, necklaces, or any metal accessories.
Could it be that she had a problem with her teeth like Cui Heming's mother?
That was possible!
Zheng Ren smiled slightly and said, "How long has your wife been so uncomfortable?"
"Three years!" The man's tone was very bad. It was stiff and full of resentment.
"Was she fine before this? Did she have any experience with dental implants? "Zheng Ren asked again.
"Yes, yes, how many times have I asked! Young doctor, we're already preparing to go to the Imperial Capital. Can you stop bothering me? Dental implants? You don't know shit. "The man was very annoyed.
Zheng Ren had no other choice. The patient's family's medical compliance was particularly poor … Actually, the patient's family could not be blamed. After all, they had seen the patient so many times, but they had not found the cause of the illness.
Who would be happy if it were them?
However, blaming the doctor for this matter? Metal allergy was a very rare … No, it was an extremely rare disease. Ordinary metal allergies would cause local ulcers and other symptoms.
If it was so simple, it would have been diagnosed long ago.
The patient's condition was manifested in periodic discomfort. Without rich clinical experience or a pig trotter, it really could not be solved. (Note 1)
Seeing that the patient's family's attitude was not good, Su Yun snorted coldly.
Although Zheng Ren knew that this guy rarely scolded patients, he was still afraid that he did not rest well and would be angry when he woke up and quarrel with the patient's family.
He gently bumped Su Yun with his shoulder, then smiled and said, "Then, what tests has your wife done? Can you let me take a look?"
One would not hit a smiling person.
Zheng Ren's attitude was very good. It could be said that he did not fight back.
Although the patient's family was unhappy, they still hesitated for a moment before picking up a bag of scans and handing it to Zheng Ren.
Zheng Ren took out the various test reports and looked through them. One by one, he looked at them very seriously.
The tests were very comprehensive, covering almost all the common blood tests in the clinic, and the results were also normal.
From the test results, the patient was considered a healthy person.
The other tests … Zheng Ren glanced at them and found a place with sunlight. He took out the radiographic films and began to read them.
CT, X-ray, and all kinds of films were available.
"These films were taken in your hospital a few months ago when my wife complained of leg pain." The patient's family member pointed at an X-ray scan of the knee joint and began to complain. "We've done countless tests and all of them said nothing."
"What were the symptoms at the time that required an X-ray of the knee?" Zheng Ren asked casually.
"It's muscle and joint pain," the family member answered without realizing it.
"Have you done an MRI on the knee joint?"
"I can't do it. Why are you so annoying? Do you know how to treat illnesses? Asking all sorts of questions! "
'Something's not right.' Zheng Ren sensed something unusual in the patient's family's words. Zheng Ren pretended not to hear those unpleasant words. After filtering out the invalid information, all that was left was the information that Zheng Ren needed.
Generally speaking, this kind of pain did not rule out tendon damage or meniscus damage. It should be done with an MRI, not an X-ray.
But the patient's family said that they could not do it?
Could it be that they had done surgery with metal embedded in it?
Zheng Ren's eyes suddenly lit up!
"Has your wife had surgery to fix a fracture?" Zheng Ren continued to ask, "Or surgery to leave a metal fixture in the body."
"No, you're the one with a f * cking fracture." The patient's family member became more and more impatient.
It was strange. The sudden enlightenment just now disappeared and turned into darkness again.
The System was very annoying. Zheng Ren cursed in his heart. It only said that he was allergic to metal. It did not clearly say where he was allergic to!
Zheng Ren put the X-ray scans of both knees in. At this moment, Su Yun finally could not help but say, "What's so strange about it? I can't do an MRI. Isn't it just using a contraceptive ring …"
These words were like a bolt of lightning that passed through Zheng Ren's mind. The darkness was torn apart!
Zheng Ren immediately began to search in the bag of radiographic films.
"How can you say that!" The patient's family member spoke loudly.
Su Yun, on the other hand, had a disdainful look on his face. He blew at the black hair on his forehead.
Zheng Ren did not pay attention to the conflict between the two. He seized the time to find the radiographic films he needed — chest and abdomen examination.
Sure enough, just as Su Yun had said, he could see a contraceptive ring in the patient's pelvic cavity.
Moreover, there was no metal image on the radiographic films of the chest and abdomen examination. Combined with Zheng Ren's observations, he had a high probability of determining where the patient's illness came from.
"Stop arguing," Zheng Ren said in a deep voice. "I know what the problem is."
Su Yun was stunned for a moment. He knew? It could not be. Should he directly suggest that the patient go to a mental hospital to see an anxiety disorder or …
Looking back, Su Yun wanted to find Fan Tianshui.
This was the rhythm of a fight.
Although Su Yun was agile, it was necessary to have more people to bully the few in a fight.
Wouldn't it be stupid not to use a person like Fan Tianshui?
Zheng Ren saw that the patient's wife's face was full of anger, so he did not keep her in suspense. He immediately said, "Your wife has a very rare metal allergy. It's caused by this metal contraceptive ring. You just need to go to the gynecology department to remove the ring and you'll be fine. "
After saying that in one breath, the patient's family was stunned. However, he then spat and scolded, "Bullsh * t diagnosis! There are many people wearing rings. Why don't they come to the hospital? "
"There are many people on the road. Why don't I see them coming to the hospital?" Su Yun immediately scolded.
This … Made sense.
The patient's family was stunned for a moment.
"It's like this." Zheng Ren quickly stood between the two of them and tried to make his tone as gentle as possible. He said, "It won't take much effort to remove the ring. If you don't believe me, that's fine. I have nothing to say. However, it's always right to give it a try. "
The patient's family hesitated.
"It's always right to give it a try. If you go to the Imperial Capital, whether it's Concorde, 301, or the Peking University Affiliated Hospital, a specialist number is three to five thousand. Not to mention spending money, the key is that your wife's health is not good. If she suffers from some other illness, it would be terrible. "
These words were reasonable. The patient's family's mind was moved.
..
..
Note 1: Similar cases could not be found no problem no matter how they were checked. Later, the patient went to Concorde and was diagnosed. Indeed, it required a very rich clinical experience and knowledge!
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