“This patient should go to the Hematology Department, not the Circulatory Department.” Zheng Ren compared dozens of case reports and guessed that it might be a rare disease, so he told Chief Chu.
“Boss Zheng, what kind of disease do you suspect?” Chief Chu was not surprised. He looked at the radiographic films and asked faintly.
He was also thinking about the possibilities of various diseases in his mind, but he did not pay too much attention to Zheng Ren’s words.
“The information is incomplete, so we can’t diagnose it for the time being,” said Zheng Ren.
Chief Chu was a little dissatisfied. He glanced at Zheng Ren and said, “Boss Zheng, you’re being too cautious. Read the film and speak freely. No one will blindly believe your words and misdiagnose the patient because of it.”
Zheng Ren said, “Can we find the patient’s ECG?”
“Let me ask.” Chief Chu took out his cell phone and made a call. Less than a minute later, a notification sounded on WeChat.
The doctor on the other side sent a photo of the electrocardiogram.
With the rapid development of instant messaging, the mode of in-hospital and out-of-hospital consultation had also undergone a fundamental change.
In the past, such information needed to be sent by email for remote consultation. At that time, the First People’s Hospital of Sea City General Hospital even established a remote consultation center, preparing to work with the top-tier hospitals in the Imperial Capital and Sorcery Capital to improve medical standards.
Unfortunately, the construction speed of this remote consultation center was very slow. With the rapid progress of mobile communications, the quality of WeChat and QQ Pictures was improved. While the consultation center was built, it also lost its original purpose and was directly scrapped.
After sending the radiographic films, the clarity of WeChat and QQ was enough. There was no need for a higher-level professional equipment at all. After all, there was no need for a graduate to send the radiographic films.
“Boss Zheng, take a look,” Chief Chu said with the phone in his hand.
“Chief Chu, let’s add each other on WeChat.” Zheng Ren had an idea and added Chief Chu to his WeChat.
Other people who would do that were all beautiful girls, but Zheng Ren was in a hurry to ask for the WeChat of all kinds of senior chiefs.
People were indeed different.
If Su Yun were here, he would definitely give Zheng Ren a taste-filled evaluation.
After adding him on WeChat, Chief Chu sent the electrocardiogram photo to Zheng Ren.
Downloading and zooming in, Zheng Ren looked at it carefully bit by bit.
The patient’s electrocardiogram showed changes in T-waves and ST segment depression. It was indeed a standard electrocardiogram change for myocardial infarction.
However, Zheng Ren noticed that while these changes were happening, the patient’s limb conduction had low voltage and the R-wave leading to the chest had increased inappropriately, accompanied by arrhythmia.
This…was becoming more and more similar to the electrocardiogram changes of primary light amyloidosis. Of course, Zheng Ren was only guessing. This kind of disease was very rare. Moreover, according to the dozens of case analyses and reports, other examinations were needed to prove it.
As for the electrocardiogram before his eyes…
The typical electrocardiogram change of a heart attack was only a ‘side effect’, and the R-wave change that did not seem to be important was the main point!
Zheng Ren asked, “Chief Chu, I’m sorry. I have to trouble you to ask for the results of the related examination for the patient.”
While he was pondering over the patient’s condition, Zheng Ren did not speak so politely. However, Chief Chu did not mind. After asking around, he asked for all the results of the examination.
Most of the patients who came to 912 for treatment were given local examinations. The family members of the patients came with all the examination reports and radiographic films. If necessary, the doctors of 912 would make a list for examinations. However, in most cases, the various examinations of the patient’s origin were enough.
After a full five to six minutes, all the information on the patient’s side was transmitted.
Zheng Ren examined each of them one by one. There was protein in the urine. There was an early sign of nephrotic syndrome. The echocardiography was just like what he had reconstructed. The left ventricular ejection fraction was slightly decreased, and the entire heart muscle was thickened. There was a standard ‘snowflake-like’ echo in the heart muscle.
“Did you check the liver?” Zheng Ren asked.
“No, I didn’t.” Chief Chu saw Zheng Ren’s serious face. Although he was surprised, he held it in and answered directly.
“I want to take a look at the patient,” Zheng Ren said.
Chief Chu nodded. Dr. Liang packed up the radiographic films and handed them to the doctor who gave the report. Chief Chu took out his cell phone and dialed the number.
The phone rang for a long time before it was picked up. It seemed that the doctor was very busy at the moment and did not even have time to answer the phone.
“Is the patient at your place?” Chief Chu asked directly when the phone was picked up.
“Okay, then we’ll go over immediately.”
“There are some problems with the radiographic films. I want to take a look at the patient.”
After Chief Chu finished speaking, he hung up the phone and left. Zheng Ren immediately followed Chief Chu out of the reading room and went all the way to the outpatient clinic.
“By the way, Boss Zheng, why were you looking for me?” Chief Chu asked at this moment.
“It’s like this, Chief Chu.” Zheng Ren hurriedly took a few steps and came to Chief Chu’s side. “Chief Luo from the Department of Digestive Medicine introduced me to a patient with portal hypertension and advanced cirrhosis. I’m thinking of performing the surgery tomorrow, but the patient hasn’t had have a nuclear MRI examination, so there’s no way to determine the puncture point.”
When Zheng Ren said this, all his thoughts were clearly expressed.
“Oh, about that. Can you do it after work?” Chief Chu asked.
“Yes, I can,” Zheng Ren answered with a smile.
“Little Liang, you can do this for Boss Zheng,” Chief Chu immediately arranged.
Zheng Ren thought it would be a difficult task, but for Chief Chu, it was just a matter of words.
“Okay,” Dr. Liang replied immediately.
Zheng Ren was a little ashamed. When he came to the Imperial Capital, Dr. Liang had helped him a lot. However, he had not even asked for his WeChat or phone number. It seemed that he would have to pay more attention to interpersonal matters in the future.
Humans were social animals. They had to communicate with others.
If he did not want to get involved in the Nobel Prize project, it did not matter. However, in the current situation, he needed someone and a lot of help to complete it.
Zheng Ren thought this to himself as he followed Chief Chu. However, it was a good thing that Chief Chu agreed to it. Zheng Ren immediately contacted Chief Liu from the Department of Digestive Medicine and asked the patient to fast on water and rehydrate properly. He also asked the patient to do a magnetic resonance diffusion at around 7 p.m.
Although it was a little early to fast on water, it was still better than not being able to do it.
It was rare for a foreign patient to come to the Imperial Capital to see a doctor, but a family that lived on horses was known to be not poor.
If he could get out of the hospital one day earlier, he would save a lot of money.
When he arrived at the outpatient clinic corridor, there were rows of patients waiting outside. There were security guards to maintain order.
Looking at the countless red and light red background boards, Zheng Ren let out a long sigh.
No matter how powerful the System was, he could not solve too many problems by himself.
Entering the consultation room and arriving at the Circulation Department’s Room 3, Zheng Ren saw a 30-year-old patient standing at the door with a terrified expression.
His System panel showed a faint red color. The diagnosis was very clear: primary light-chain amyloidosis.
