2329 Don’t You Do Differential Diagnosis (Free)
"Can……"
"Let's take a look together, Boss Xiao Zheng... by the way, are you going to Xinglin Garden?" Director Zhao asked.
Dean Wu shook his head blankly.
The psychiatric hospital has no access to this aspect, and he has changed from a clinical position to a management position. Although he knows the website of Xinglinyuan, he has never visited it.
"Even I have heard about it." Director Zhao's tone was a little blunt, "When I was eating, I occasionally heard some doctors say that they not only perform interventional operations, but also perform other surgical operations."
As he said that, his tone sank, and he emphasized: "Surgery, and it's a live surgery!"
He said he wanted to take a look, but Director Zhao didn't stand up, as if he was waiting for something.
Two minutes later, the fax machine rang. A piece of paper was spit out, Director Zhao then stood up, took the piece of paper and looked at it quietly.
Dean Wu felt more and more that something was wrong, but he couldn't tell what was wrong.
Soon, Director Zhao passed the paper to him with a "swipe", and said in a deep voice, "You have to admit what Boss Zheng says, don't talk back."
"..."
Dean Wu was stunned for a moment, took the paper, and looked at Zheng Ren's profile on the top of the list below.
Professor of Intervention Department of Imperial City 912, Chief Physician. At such a young age, he is now the chief physician, amazing! Dean Wu continued to look down.
Tenured professor at Massachusetts General Hospital...
When he saw the second line, Dean Wu felt a thunderbolt on the top of his head.
The United States...Massachusetts General Hospital, the top five hospitals in the world, he still knows about it. What is a tenured professor? Although Dean Wu has spent his whole life, even ten lifetimes, he still knows the meaning.
Looking further down, it doesn't make much sense, but the rows of Linger helped Zheng Ren get it, and the names that Boss Zheng didn't even know were really shocking.
"Let's go." Director Zhao said softly, "Let's take a look together."
He also knows that he has done something wrong. This is a great god, and he can't just pick it up.
It's all because I didn't know beforehand, who would have thought that such a great god could be drawn by lottery.
After taking the film, Zheng Ren went to the consultation room, and Zheng Ren was looking at the medical records with his arms folded. There was another person beside him, with black hair fluttering gently on his forehead.
Combined with the countless names on that piece of paper, Dean Wu sighed in his heart - he is really young!
"Boss Zheng, don't mind if I'm busy on my side and neglected." Director Zhao said with a smile.
Zheng Ren frowned, raised his head to look at Dean Wu, nodded, and then his eyes fell on the film that Dean Wu was holding in his hand.
"It's okay, let's watch the film first."
After finishing speaking, he stood up and took the film from Dean Wu's hand, went to the film viewer next to him, and inserted the film into it.
With a crisp sound of "click", Dean Wu felt that his heart had been knocked.
Zheng Ren glanced at the film and said in a low voice, "The situation should be clear."
"Yes." Su Yun replied, "The child will not be delayed."
"Looking at it now, it should be possible to save. Half a year is not too long. Moreover, the images on the MRI film show that it is only deposits, not tumors. The tumor markers in the test sheet are not high, and it is estimated that symptomatic treatment will be enough for a period of time." Zheng Ren said.
Listening to the simple but vague conversation between the two, Dean Wu felt as if he had fallen into an ice cave.
Has it been determined that it is a problem with your own hospital so quickly? !
This is not a joke.
But he remembered Director Zhao's words, respond to what he says, don't talk back.
I feel so aggrieved, isn't this putting a pot of shit on the head of my hospital, Dean Wu thought angrily. But he kept Director Zhao's words in mind and swallowed all the grievances in his stomach.
There are so many blocks, I really want to have a big drink.
"The diagnosis is relatively clear. Let's take a look at the patient." Zheng Ren then took the film out of the viewer and said while bagging it.
The light of the film reader suddenly turned on, and Dean Wu couldn't open his eyes because of the flash.
"Boss Zheng, how did you make the diagnosis?" Dean Wu squinted his eyes and asked in a low voice.
"From the initial diagnosis to the subsequent treatment, they were all wrong, which delayed the condition and caused the child's condition to worsen. However, depending on the situation, there should be room for rescue. Let's see the patient first." Zheng Ren was obviously not in a high mood, speaking The tone is slightly low.
"Uh..." Dean Wu was taken aback for a moment, and then subconsciously stopped in front of Zheng Ren.
Then he realized that what he did seemed to be provocative, and he quickly asked with a smile, "Boss Zheng, your diagnosis is..."
"Very typical hepatolenticular degeneration, the treatment was delayed for half a year, and psychotropic drugs were taken orally..." Zheng Ren looked at Dean Wu with a stern look, "The medical level of your hospital still needs to be improved."
"..."
"The imaging manifestations are already very clear, but you still can't see it?" Su Yun looked at Dean Wu, and the disdain in his tone was already strong, "It's fine if you can't diagnose it at the beginning, but the related examinations Do neither?"
Dean Wu's mouth was dry, and the air he breathed in seemed like a small knife, cutting the mucous membrane in the mouth, causing pain.
If a mental hospital sees a patient with mania, if a lot of examinations are performed after coming, it is estimated that he will have to bury himself with various complaints in a month.
Do not do too many inspections, this is a rigid rule, it is the voice of the group, and there is nothing you can do about it.
Dean Wu first defended himself in his heart, but he didn't dare to speak out. What should I do if I encounter such a thing? Count yourself unlucky, what else can you do.
"The last CT showed symmetrical low-density shadows in bilateral lenticular nuclei." Zheng Ren looked directly into Dean Wu's eyes and said softly: "MRI is more specific than CT, showing that the lenticular nucleus, caudate nucleus, middle Brain and pons, thalamus, cerebellum, and frontal cortex showed low signal on T1-weighted images and high signal on T2-weighted images, with widened sulci and enlarged ventricles."
"Combined with the B-ultrasound examination of the liver when he was hospitalized in the city hospital, it showed liver cirrhosis and portal hypertension. The patient had obvious hepatolenticular degeneration. President Wu... the patient is not hospitalized in your hospital." Zheng Ren asked .
Dean Wu shook his head a little confused.
"Director Zhao, ask the doctor in charge to do a serum ceruloplasmin test to see what's going on." Su Yun knew that his boss definitely didn't remember the director of the Health Bureau next door, so he took up the conversation.
"Isn't it mania and brain tumor?"
"It's not mania." Zheng Ren was a little annoyed, "All illnesses depend on mental illness, don't you guys do differential diagnosis!"
"us……"
"Crack~" Su Yun smashed the medical records in his hand, and fell on Dean Wu's chest, "Look at the case carefully, hurry up to drain the copper for treatment, the child may still be saved."