Chapter 2328 Early Detection, Early Diagnosis, Early Treatment

Dean Wu was stunned all of a sudden, he stared at Su Yun in a daze.

"Don't make trouble." Zheng Ren stepped sideways and stopped in front of Su Yun. He didn't smile, his face was a bit stern, and his voice was very low, "Let's go, go and see the patient."

Dean Wu is full of grievances, why are the experts in the imperial capital so hot-tempered.

However, rows of names still flashed in front of his eyes, and each of them made him tremble with fear. This kind of person can't be offended by himself. Director Zhao is right, he just listens to what people say.

But this thunder... Sigh.

The scene was a bit embarrassing, Director Zhao hurriedly arranged to go to the city hospital.

Soon, two cars were ready, and Zheng Ren and Su Yun boarded one of them accompanied by Director Zhao.

"Boss Zheng, is the patient's misdiagnosis serious?" Director Zhao asked softly after getting into the car.

"Rare diseases can't be called mental hospitals..."

"It's just that the level is not enough." Su Yun said coldly: "Hepatolenticular degeneration is one of the few neurogenetic diseases that can be cured so far. The key is early detection, early diagnosis, and early treatment." Su Yun said, "If the most If the diagnosis can be made at the beginning of the disease, the effect will be much better.”

"What I mean is that the patient's parents did not take him to a tertiary hospital, but went to a mental hospital, which has a certain influence on this matter." Zheng Ren said, "Let's talk about the specific situation. I didn't see the patient, and I didn't have a physical examination. For the time being Can't diagnose yet."

"if……"

"You can't expect every doctor to be able to diagnose 1/30000-100000 rare diseases." Zheng Ren interrupted Su Yun.

"Isn't that what you think in your heart?" The corners of Su Yun's mouth rose, but it wasn't a smile, but filled with endless disdain and ridicule.

"Yes." Zheng Ren admitted frankly, "Perhaps this is also the reason why I agreed to open a live broadcast room in Xinglin Garden in the first place."

"Many rare diseases, if you have an impression after you have seen them, they will not appear, or misdiagnosis and mistreatment will be minimized. It is just the beginning. When the remote consultation system is opened, let's do a demonstration first. The imperial capital and the magic city will definitely It will develop rapidly.”

Director Zhao's hair was dripping when he heard it, why did it get involved in the live broadcast again?

"Boss Zheng, Professor Su, what the two of you are talking about...the hepatolenticular degeneration?"

"It is an autosomal recessive disorder of copper metabolism, characterized by liver cirrhosis and basal ganglia damage caused by copper metabolism disorder. The understanding of the pathogenesis of hepatolenticular degeneration has reached Molecular level." Zheng Ren explained, "It is relatively common in China, and 1/30 people carry this recessive gene."

"But the incidence rate is not high, nearly one in 100,000. When I was in Haicheng, when I first started to study TIPS surgery, I met a patient with hepatolenticular degeneration who was misdiagnosed. It's just that his clinical manifestation was liver cirrhosis. , ascites, portal hypertension."

"..." Director Zhao was really speechless. The hepatolenticular degeneration disease that Boss Zheng mentioned had many manifestations, and they were quite different, even diametrically opposite.

This kind of disease is probably difficult to diagnose even if you go to the best hospital in the city.

Otherwise, there are rows and rows of people's names that look dazzling, which is a real skill.

"At that time, the patient had no mental symptoms, but the child in front of me had the first episode of mental symptoms. From the initial irritability, it may evolve into suicide." Zheng Rendao, "Early detection, early diagnosis, and early treatment are still needed. Now... …Let’s make a diagnosis first, and then treat it with copper drainage.”

"Is it working well?" Chief Zhao asked cautiously.

"It should be good. Some patients need long-term copper removal treatment, but those who are milder don't need it. It mainly depends on the situation, and it's hard to say now." Zheng Ren began to habitually explain to the patient's family as he spoke. As always, he spoke vaguely.

"There are also types of kidney damage, bone and joint muscle damage, or hemolytic anemia." Su Yun added.

"That's another type, and it will not be considered for the time being."

"You're not serious about speaking like that."

Director Zhao watched the two young experts in front of him starting to argue, so he fell silent.

Quietly took out the phone, but put it back after thinking about it.

When I searched for information on the Internet, not to mention what the two professors thought, I went to see a doctor and asked a certain degree. This is also a very shameful thing.

Early detection, early diagnosis, early treatment, no wonder that Professor Su got angry. If the child had been diagnosed six months ago, it should not be so heavy.

Director Zhao thought about it and sighed inwardly. The parents of the patients regarded their children as symptoms of Internet addiction withdrawal and sent them to a mental hospital for treatment... Forget it, right and wrong have their own reasons.

It is best to be able to cure the child. Fortunately, the diagnosis should have been clear. If this delay continues, the consequences will be disastrous.

Zheng Ren and Su Yun chatted for a while about hepatolenticular degeneration, which was simple and easy to understand. After listening to it, Director Zhao felt that he could make a diagnosis when he saw similar patients in the future.

Arriving at the hospital where the child is located, the dean in charge and other relevant personnel greeted him at the entrance of the inpatient department early in the morning.

Seeing Zheng Ren and Su Yun getting off the car, the dean here shook hands and greeted them warmly, and talked a lot about Xinglin Garden. Zheng Ren basically didn't listen much, with a standard smirk on his face, perfunctory.

When he came to the ward, Zheng Ren looked at the system panel of the little patient and did a physical examination, then went to the demonstration classroom with the dean and others.

This time, the patient's family members were not called, which is also a clinical routine.

For the diagnosis of difficult cases, especially the diagnosis of difficult cases where the patient's family members have opinions, one must come up with a confirmed diagnosis before explaining to the family members.

Otherwise, repeatedly overturning the diagnosis will increase the distrust of the patient's family members, and even lead to more serious things.

When he came to the demonstration classroom, Zheng Ren stood at the front without hesitation, and began to take the medical records and talk about his analysis of the entire condition and the future treatment plan.

The entire conference room was quiet, only Zheng Ren's voice echoed.

Hepatolenticular degeneration, such a remote disease, became easy to understand when Boss Zheng said it. Many people have a trance illusion, as if this disease is like appendicitis, which is everywhere in the street. It would be a shameful thing to misdiagnose.

"Let's treat the copper first." Zheng Ren said: "D-penicillamine is the first choice. If it doesn't work or the effect is not good, hurry up and send the child to the imperial capital."

After he finished speaking, he looked around the room and saw that no one questioned him, so he slowly put the medical records on the table.

"The boss finished speaking, let me add a few words." Su Yun sat on the chair and said in a deep voice.

He held the medical records in his hand, and the smile on the corner of his mouth was a little cold.