Chapter 1549 It's All because of Hair Dye
Liu Zewei grimaced and looked at Su Yun with a look of help.
Several pennants, like runes of urging life, were held in the hands of the patient's family members behind them, two meters away, and Liu Zewei could also feel the heat from above.
"Have you had any illness before?" Zheng Ren continued to ask, completely ignoring Liu Zewei's embarrassment.
"No." The patient's family also felt very strange when they saw the pennant and the old director of the province standing beside the young doctor in embarrassment.
What's all this about? The interpersonal relationship in the imperial capital seems to be very complicated.
"Do you have high blood pressure, coronary heart disease, or diabetes?" Zheng Ren continued to ask.
"No." The patient's family was a little distracted, and said, "I just want to spend money. I think she fell ill when the family was tight recently. Oh, Mr. Zheng, to tell you the truth, spending more than 3,000 a day in the city's first hospital. .Although it can be reimbursed, it is also very stressful."
More than 3,000 should be included in the cost of various examinations and intravenous high nutrition after fasting water.
This amount of money is not much.
"Fortunately, it should be the medicine that can be reimbursed." Zheng Ren comforted.
"Well, after the reimbursement is over, it's a few hundred a day. My daughter-in-law says every day that she spends all her money on treating her illnesses." The middle-aged man muttered.
There is nothing serious to say.
"One bottle of fairy water for three days." Su Yun habitually stabbed in the side.
"No, a day is enough for her to bake once, a week's mask can be sold in two days, and a bottle of fairy water in three days." The middle-aged man said sadly.
It seems that he has calculated this economic account more than once.
Zheng Ren was watching the film seriously, but Chang Yue and Liu Zewei invited him to take a photo, but he was directly rejected.
Seeing Liu Zewei's bald head standing among the family members of the patient, he really looked like the director. The style is just like, especially the baldness, which is even more old. Although it is old, doctors are getting more and more valuable.
Zheng Ren smiled, and suddenly his heart moved.
An idea was fleeting, and Zheng Ren was stunned. This inspiration comes from the subconscious. If you can't catch it the first time, I'm afraid you won't be able to remember it for the rest of your life.
Can……
what exactly is it?
What Zheng Ren can be sure of is that it must have something to do with the condition of the patient in front of him.
His eyes were stagnant, and he didn't watch Liu Zewei and Chang Yue take photos with the patient, nor did he watch the film. Staring at the medical record car, he didn't even know what to think.
"Boss, what are you thinking?" Su Yun asked.
"Don't talk." Zheng Ren seemed to be about to catch that ray of inspiration when he was interrupted for a moment and floated away again.
"Sick." Su Yun said contemptuously, "Fuguier, watch the movie!"
Professor Rudolf Wagner is happily taking a group photo with the patient's family. He doesn't care if his name is written on it, he focuses on the process.
Moreover, a blond foreign professor stood beside Liu Zewei, making him look much taller.
International medical group, this is a veritable international medical group.
"Yeah." The professor responded, made a gesture, and after taking the photo, he came to Su Yun's side, "Brother Yun, this is incomplete intestinal obstruction, nothing to see. The whole wave is blocked, and there is nothing to see. Saw intestinal polyps."
"Fugui'er, don't talk about it, you're going to that stop, and your hair is so cool." Su Yun joked with a smile: "In the future, you will go back to Heidelberg, and this side will be a wax figure. A wig for taking pictures..."
Halfway through the words, Zheng Ren suddenly made a fist with his right hand and smashed it on his left hand.
A muffled sound.
"Boss, what's wrong?" Su Yun said in surprise.
"Here, look." Zheng Ren pointed at the patient's kidney and said excitedly.
Su Yun watched the film carefully, and there was no major problem with the kidneys. If it is reluctant to say anything, the performance of interstitial fibrosis around the renal tubules is the biggest problem.
"Interstitial fibrosis? What can it prove?" Su Yun asked in surprise.
This is what the professor wanted to ask.
The patient's interstitial fibrosis is not obvious, and it is necessary to check carefully to see the faint clues.
"Lead poisoning! The patient has anemia in the blood routine, liver problems, and interstitial fibrosis around the renal tubules. It can be judged!" Zheng Ren regained his calm and began to talk.
Su Yun's eyebrows slanted into his temples, his brows were furrowed, and he pondered.
"When lead poisoning occurs, an inclusion body often appears in the glomerular nucleus, which is a complex of lead and protein, the nature of which is not fully understood.
It is generally considered to be the defense function of cells, so that lead in cells is stored in inclusion bodies, preventing the direct toxic effect of lead on cells. "
"Acute poisoning mainly affects the proximal convoluted tubules, which can cause cell membrane damage, cell swelling, mitochondrial swelling, rupture, and reduction of granules in the matrix."
"In addition to damage to the renal tubules, chronic poisoning is mainly manifested as progressive interstitial fibrosis, which begins around the renal tubules and gradually expands outwards. The tubular atrophy and cell proliferation coexist."
Zheng Ren said: "It's lead poisoning, there's no doubt about it. Your lover dyes her hair once a month?"
Saying that, he looked sideways at the patient's family.
This is what Liu Zewei said when we were chatting just now.
Everyone just took it as a rant, and no one took it seriously.
But now Zheng Ren first laid out a bunch of pathophysiological change mechanisms, and then asked about hair dyeing, and some problems were revealed.
"Yeah." The patient's family was a little confused, not knowing why the intestinal obstruction was related to hair dyeing.
"How much is it?" Zheng Ren immediately asked.
"..." The patient's family was stunned.
What is this all about?
"It is estimated to be about 100 yuan." Su Yun said: "Yes."
"Ah? Ah!" The middle-aged man responded subconsciously.
"Hair dye, especially inferior hair dye, has a relatively high lead content. Once a month, long-term hair dyeing leads to lead poisoning, which is normal." Zheng Ren smiled, his face full of joy.
"What is lead poisoning?" the middle-aged man asked in a low voice.
He felt that the doctor on this side was so unreliable? Although there are provincial directors and foreign professors, they are not reliable.
Zheng Ren didn't answer the patient's family, but picked up the phone and dialed out.
"Director Sun, hello."
"Well, I'll go back when you're ready." Zheng Ren said: "Let's talk about the serious business first. For the patient named Li Liangfen, you'll have a blood lead and blood porphyrin test on your side."
"I remember that it seems that the Provincial Occupational Disease Monitoring Institute can do it, Lao Liu, please help me get in touch." Zheng Ren said to Liu Zewei.
Liu Zewei nodded.
"Director Sun, I'll call you Professor Liu from the Affiliated Hospital of Medical University, and you can contact me. The patient should do these two tests first. I guess it's an incomplete intestinal obstruction caused by lead poisoning."
"Let's talk about the diagnosis, the lead excretion therapy of calcium and sodium edetate to promote lead excretion can be cured in a few courses."