1981 Hiding her medical history
A non-existent diagnosis?
Lin Yuan was stunned. What was going on?
She was just about to ask when she saw that Zheng Ren and Su Yun did not explain at all and just left.
“Hello, boss Zheng!” Lin Yuan shouted from behind.
“What?” Zheng Ren did not even turn his head.
“Why would you say that if you didn ‘t? Aren’t you afraid that other people will point out your mistakes during the consultation in the hospital?” Lin Yuan said anxiously.
“You mean to slap my face?” Su Yun’s lips curled into a disdainful smile as she turned her head and looked at Lin Yuan with an evil charm.
Uh …
Lin Yuan suddenly had a case of sinus rhythm and turned into atrial fibrillation.
“Boss Zheng, do I really have to say that?” Vice President Yu asked carefully.
“Of course.” “But, Vice President Yu, do you know why?” Su Yun said with a chuckle.
Vice President Yu shook his head.
“The patient’s heart has calcifications. Considering that he has a medical history that he did not mention before, he might have deliberately not mentioned it. Or maybe I’ve forgotten about it after so long. ” Zheng Ren said.
“I think it’s more likely that he didn’t say it on purpose.” Su Yun said.
President Yu was dumbfounded. Boss Zheng and big brother Yun’s diagnosis were so unanimous, even saying that the patient had a hidden medical history with such certainty.
This … Was too terrifying.
“Why do you say that?” Lin Yuan followed behind and asked very seriously.
“How old are you? why are you still biting your fingers? It’s not wrong to call you a brat. ” Su Yun saw Lin Yuan biting his fingers while pondering over his illness and immediately started scolding.
After enduring it for an entire day yesterday, Su Yun felt that the little beast in the depths of her heart was already starting to stir.
“Don’t bite your fingernails too much in the hospital. It’s unhygienic. ” Zheng Ren took a look and said with a smile.
“Boss Zheng, why are you so sure that the patient is hiding her condition?” Lin Yuan wasn’t embarrassed. All her thoughts were on the patient’s condition.
“Because there was no supplementary examination, it was clearly pointed out that the patient may have hemorrhaging.” Zheng Ren said casually.
“Boss Zheng, can you be more specific?” President Yu frowned and said,”it’s a hospital-wide consultation. You can say that, but I can’t say that.”
What he said was the truth. Since Zheng Ren had said this, everyone had to take it seriously. However, if President Yu were to introduce the patient’s medical history, he would be scolded.
“After comprehensive consideration, the patient’s pericardium is narrow. This can be confirmed. Although it was not very serious, the intermittent induction of limited expansion of the heart during the dilapidation period would reduce the filling of the heart during the dilapidation period, which would reduce the amount of heart blood output. At the same time, the superior and inferior vena cava’s flow is also obstructed due to pericardium coarsening. Hence, the venous pressure will rise, causing the cervical vein to expand and the liver to enlarge. “
“…” President Yu still didn’t understand.
“You mean to use the constrictive perinocardium Univeral theory to explain all the patient’s clinical symptoms?” Lin Yuan frowned.
“Heh, still talking about the unitary theory?”
“Isn’t it?” Lin Yuan asked.
“Of course not. It’s just to scare the patient.” Su Yun blew on it, her black hair fluttering in the wind.
“Why?” Lin Yuan was even more confused.
“Because the patient has a hidden medical history,” Zheng Ren said,”let’s go, President Yu. Let’s go to your on-call room and talk about it in detail.”
President Yu heaved a long sigh of relief. He was really afraid that boss Zheng and Brother Yun would just let it go without making things clear.
Lin Yuan followed him back to President Yu’s on-call room, full of doubts. Zheng Ren sat down and said,””President Yu’s judgment is correct. The patient is hiding his medical history in order to hide the truth about the hemorrhaging.”
“But why do you want to do this?” Vice President Yu asked in confusion.
“Why? it’s the answer you’re looking for. It has nothing to do with the boss.” Su Yun said.
“But …”
“Didn’t I just say that the patient has a slight change in the pericardium? we can diagnose him as constrictive pericardium, but there won’t be any serious consequences. ” Zheng Ren said as he pointed at the chest CT scan.
President Yu and Lin Yuan looked at the film silently.
“With the changes in the body’s external and internal conditions, such as the increase in pressure in the chest and diaphragm, it’s equivalent to the sudden deterioration of constricting perocardiums.”
Zheng Ren spoke with fervor and assurance, and Vice President Yu gradually understood Zheng Ren’s meaning. However, Lin Yuan frowned and didn’t say a word.
“Previously, Lin Yuan also said that the clinical symptoms of constricting perinocarditis include increased pressure on the veins in the lower limbs, which leads to diseases such as swelling of the lower limbs. When the portal vein pressure increases, the pressure on the kidney vein will also increase. The rupture of the small vein of the kidney may be related to hemorrhaging. “
After hearing Zheng Ren tell him everything from the beginning, President Yu clapped his hands in excitement and said,””I knew something was wrong!”
“Well, you can tell director Liu about it.” Zheng Ren smiled.”There shouldn’t be any mistakes. The chest pressure was very easy to control, mainly because the patient’s heart had slight changes. Once the chest pressure was high, signs of severe constrictive perinocarditis would appear. This also explains why the patient refused to ask about his medical history in detail. As for why he wanted to do so, you have to ask him yourself. “
“What if the patient refuses to accept the surgery?” President Yu asked.
“There’s no need for surgery anyway. I’m just scaring him so that you can get the truth out of him. ” Su Yun said,”or scare his son and get the truth out of him.”
President Yu let out a long breath and nodded.
“Then we’ll go down now. If there’s any progress on your side, keep in touch.” Zheng Ren made a phone call gesture.
“Alright!” Vice President Yu sent Zheng Ren off in high spirits.
Even when he went downstairs, Lin Yuan still didn’t understand.
“Boss Zheng, why are you so sure that the patient is pretending to be sick?” Lin Yuan asked.
“Do you know why the boss came to the capital?” Su Yun retorted.
“It’s because of the Nobel Prize project. ” Lin Yuan still knew about this.
“No, it’s because he has X-Ray Eyes. He peeked at the little widow taking a bath in Haicheng and was kicked out.”
“……”
“Don’t mess around,” Zheng Ren quickly stopped Su Yun from spouting nonsense.”You’ve seen the X-ray and the other tests just now. Is there any definite diagnosis?”
Lin Yuan shook his head.
“That’s right. All the clinical tests and signs don’t support the symptoms, so there must be other factors involved.” “When you were in the United States,” Zheng Ren said,”have you never encountered a situation where you pretended to be sick to get a full physical examination and cheat your insurance before you lost your job?”
Lin Yuan was a little embarrassed. She shook her head blankly.”I’m just a PhD student. I’m cooperating with BOSS’s work. I haven’t become an intern doctor to interact with patients. Doctor’s certificate …”
“Boss, I told you she’s a rookie.” Su Yun said in disdain.
“They were all rookies.” Zheng Ren walked down the stairs.”This is very common in clinical medicine. For example, when I was in Haicheng, I left the emergency department.”
“When you’re not a chief resident?”
“No, it happened when I took turns in the exam.” “One day, a female patient with abdominal pain came,” Zheng Ren said.”I did the relevant tests, including a urine test report for early pregnancy, and the results were positive. If the patient can’t take it anymore, she’ll have to be re-examined. “
“What happened after that?” Lin Yuan asked, puzzled.
The results were already out, so what was the point of re-examining? There were indeed errors in clinical testing, but they were extremely rare.