2375 Looks like a 134-year-old patient
After he finished explaining the surgical image, Zheng Ren was relieved.
This type of heart X syndrome was not rare, but it was especially easy to ignore. After all, it was difficult to find out the truth with a non-invasive examination. It was normal for the patient to not get a definite diagnosis after going to countless hospitals.
” Su Yun was suddenly startled, then said,””I’ve forgotten something!”
“Ah? What’s wrong?” Zheng Ren asked in surprise.
“Director Wang was looking for you just now.” Su Yun replied,”he asked me if you were free. When he came out, he saw a patient with heart X syndrome …”
“Oh, what does CEO Wang want from me?” Zheng Ren asked.
“He said that there’s a patient who has difficulty breathing and is unconscious when he walks. There’s nothing to diagnose, so he wants you to help him.” Su Yun said,”Haicheng is preparing for a hospital-wide consultation. It’s already time to get off work. I wonder if the consultation is over.”
“Oh?” Zheng Ren asked,”did they say it’s edema or vertigo?”
“Boss, do you need to charge for future consultations? We’re all experts in the capital, yet they’re asking us for a consultation like this. It’s like ordering a maidservant around. ” Su Yun did not answer Zheng Ren’s question. Instead, she nagged about other things.
“Don’t make it sound so bad. ” Zheng Ren smiled.”Have you sent the information over?”
“No, he’s just asking to see if you’re interested.” Su Yun said.
“Let’s take a look. If we can’t understand, we’ll get the patient to come over. ” Zheng Ren said casually.
“What are you doing here?”
Zheng Ren was stunned for a moment, then he said,””The patient needs to be seen inside for all the visual, tactile, percussion, auditory, visual, auditory, inquisitive, and incisive skills. Do you think that remote consultation can solve all difficult and complicated diseases?”
“Boss, why do you look like you’ve just been stepped on?” Su Yun asked with a smile. He was just asking casually, but he didn’t expect his boss to be so serious.
However, Su Yun didn’t mind. He just gave his boss a sarcastic remark out of habit and let it go.
“Don’t talk nonsense. Get the information from chief Wang. ” Zheng Ren said.
Su Yun took out her phone and her hands moved so fast that they left afterimages.
“The hospital-wide consultation is not over yet. It looks like it’s really troublesome,” Zheng Ren judged. Both the patient’s condition and the patient’s family would be in trouble.
Very soon, director Wang sent over the patient’s information.
The patient complained that he was weak all over and was admitted to the hospital with breathing difficulties due to fatigue.
He didn’t smoke, didn’t drink, didn’t have a pet at home, and ate normally. There were no special changes recently. He had no medical history or family history of illness. His job was a bank employee, so he had no chance to come into contact with dust and other metallic substances.
It was just that this kind of situation had suddenly appeared and could not be cured for a long time. Whether it was the patient or the doctor, they were all helpless.
A few months ago, when he first saw the doctor, he had a chest x-ray. He was diagnosed with a lower respiratory tract infection and received targeted treatment.
After anti-inflammatory and targeted treatment, his symptoms improved at first, but his condition relapsed again a month later. What was even stranger was that after the second time, his X-ray scan did not seem to have any problems.
He had done all kinds of examinations, but he still could not find any problems with the patient.
Just by looking at the examination results, he was a very healthy person. However, according to director Wang’s description, the patient’s condition was extremely serious. He could not go up the stairs now, and he was trembling when he walked on the ground. He had to take a break after a few steps.
Looking at the patient’s brief description, Zheng Ren sat on the chair in Zhou Litao’s on-call room with his arms crossed and began to ponder.
“From the brief description, he seems to have severe pulmonary heart disease. But there’s no chest scan or CT scan of his lungs.” Su Yun said.
Zheng Ren clicked on the mouse and enlarged the chest x-ray image.
“Do you want the original data?” Su Yun asked.
“No, I can see clearly.” “There’s no howling in the medical records,” Zheng Ren said.”Su Yun, do you think you can rule out asthma?”
“In the early stages of an asthma attack, it can be seen that the visibility of the lungs is increased, and they are in an overinflated state. This is not shown on the X-ray, but it is also because the patient was not in the asthma attack stage when the X-ray was taken.” Su Yun continued.”But I don’t think it’s worth considering. There was no mention of the howling sound at all. I feel that such obvious symptoms should not be overlooked.”
Su Yun then smiled.”No matter what, it’s still a tertiary Grade A hospital. If you can’t even hear the sound of roaring, director Xiao can take the blame and resign.”
“Yes, and when the asthma doesn’t act up, we don’t have to consider the symptoms of weakness in the limbs.” Zheng Ren added, ruling out the possibility of asthma.
“There’s nothing wrong with the patient’s heart. We’ve also checked the patient’s 24-hour dynamic electrocardiogram. The patient is very healthy. “
“Epilepsy?” Su Yun asked.
“It’s possible. The patient might have told us about the symptoms. If it’s convulsion … No, weakness in the limbs … Let’s keep this diagnosis for now. Although the possibility is not high, it’s possible. ” Zheng Ren said in a deep voice.
Su Yun wrote down the diagnosis of epilepsy on A4 paper. If she wanted to make a clear diagnosis, she would have to do an electroencephalogram examination when the patient had an seizure.
After all, it was a remote consultation, and it was not very possible to check if the patient had any other reactions during the activity and make a more definite diagnosis.
“What about pneumonia?” Su Yun said,”during the first examination, I could see vague signs of inflammation on the X-ray. Although there weren’t any in the later stages, it can’t be easily ruled out. “
“The anatomical classifications are lobular pneumonia, lobular pneumonia, and thorumatical pneumonia. Based on the patient’s condition, I think that the possibility of him suffering from pneumonia is higher. “
“The causes are divided into bacterial Pneumonia, Viral pneumonia, bacterial pneumonia, bacterial pneumonia, pneumonia caused by other pathogens, bacterial pneumonia, and other pneumonia caused by non-infectious factors, such as radiation pneumonia, inhalation pneumonia, allergic pneumonia …
Zheng Ren and Su Yun checked the patients as they walked and started to do various diagnostic tests.
Zhou Litao watched silently from the back. The patient was only 34 years old. Her limbs were weak and she had difficulty breathing. She had done a lot of examinations but still could not make a clear diagnosis. It was simply too strange to look at.
The first thing that came to his mind was that the patient’s age had been written wrong.
34! The patient looked to be 134 years old.
……
……
Haicheng, first People’s Hospital of Yun Hua city.
Although it was already time to get off work, the doctors were still working like worker ants.
Chief Wang was participating in a hospital-wide consultation.
As an expert in support from the imperial capital, the First People’s Hospital of Yun Hua city would now ask him to help take a look at the patient during consultations.
However, this time, CEO Wang didn’t have any other ideas. He had no choice but to use his ultimate skill to summon boss Zheng.
“The patient’s family members are very dissatisfied. They have done so many tests, but they still haven’t made a definite diagnosis.” Director Zhou of the medical Affairs Department tapped the table with her fingers and said in a deep voice,””If there’s still no clear diagnosis, we’ll transfer the patient to a high-level hospital.”
The director of the Respiratory Medicine Department nodded.
She had wanted to transfer the patient away for a long time, but because the first time was in the Respiratory Medicine Department, she was diagnosed with pneumonia and was given the right treatment, so she was still a little worried.
No one would have thought that an ordinary patient with pneumonia would not recover for a long time and eventually become a huge problem.
However, he had no choice. He really couldn’t understand it. If he did not go to a high-class hospital, the patient’s condition would probably get worse.
According to the degree of difficulty in breathing, it was not impossible to be put on a ventilator in a few days.
If that was the case, once they entered the ICU …
Department Director he from the Department of Respiratory Medicine had already started to think about the patient’s transfer. It was not important that he could not understand the disease. Who could guarantee that he could understand all the diseases?
It would be fine as long as the patient did not “smash” into his own hands.
Director he started to think about how he should communicate with the patient’s family. Should he go to the provincial capital or the capital? It seemed that the patient’s family members would be able to accept it more if it was in the provincial city. After all, it was closer.
However, she didn’t think that the provincial capital could solve this case. Such a strange situation … She was a little distracted as she thought about it.
Next, a few directors who came for the consultation also expressed their opinions. Their opinions were very simple, and they did not have anything special to say.
What was there to investigate? what was normal? what was there to say?
It was all over the place and completely meaningless.
CEO Wang repeatedly recalled the patient’s condition, but he still had no clue. ‘Vegetative nerve disorder?’ Or hysteria? They didn’t look like it.
It was quite difficult for a 34-year-old man to be so hysterical that he would be panting even when he walked.
Just as he was thinking, his phone vibrated.
Director Wang took a look and saw that it was a call from Su Yun. He smiled at director Zhou in embarrassment and went out to answer the phone with his head lowered.
Fortunately, this wasn’t 912. If director Wei were to sit here, or if the person hosting the hospital consultation was director Lin, wouldn’t he be scolded badly? As for director ye, director Wang didn’t even dare to think about it.
For ordinary doctors, the hospital administration department’s director ye Qingqiu was the commander of the Imperial Secret Service. If he really stepped in, he would probably be severely injured even if he didn’t die.
Director Zhou shook his head and looked around at the directors of the related departments in the First People’s Hospital of chasu city. He could already guess what was going on just by looking at their expressions.
Everyone was at their wit’s end.
They went through the transfer procedures while they sent the patient to the provincial capital in the ambulance. As for who to contact in the provincial city, Division Chief Zhou felt that it was better to let the patient’s family members contact them first.
If this kind of thing was done too often, the patient’s family would definitely think that there was a problem with the hospital’s treatment. If they were not in the wrong, why would they be so attentive?
The measure was mainly a measure, and he gradually had a rough idea of how to grasp director Zhou. Clinical work was really troublesome. As director Zhou thought about it, she felt annoyed. When can I start working in the logistics department?
“Then, it’s decided. Dean he, you can go and communicate with the patient’s family.” Director Zhou said,”this illness …”
“Director Zhou.” Director Wang came back with his phone and interrupted director Zhou.
“Chief Wang, what do you think?” Director Zhou asked.
“I just asked boss Zheng, and he suggested that we check an electrocardiography on the patient when he has difficulty breathing. Also, you need to get an enhanced CT scan of your lungs. ” Director Wang said very seriously.
He didn’t change his expression even though it was boss Zheng’s consultation opinion. He just calmly stated a fact.
Director Zhou was stunned. Zheng Ren? Why did he suggest an enhanced CT scan of the lungs?