Director Wu looked at the complicated medical record in silence for a long time. He had a strange dream last night, but he couldn’t remember what it was after he woke up. She could only vaguely remember that it seemed to be related to her illness, but she couldn’t remember any more details.
Director Wu felt like he had a Fishbone stuck in his throat, and it made him very uncomfortable.
Two days later, he picked up the medical record again and flipped through it.
The patient’s condition was more complicated than he had imagined. He had scorpionus cancer, and the surgery was done in the capital. However, it was only a thyroid nodules, and in the end, he had to undergo a total thyroid resection.
This was too much. Director Wu looked at the medical record and felt that the patient really had a mental illness.
Although the final pathological result was that it was thyroid gland cancer, it was not to the extent of removing both thyroid glands.
Director Wu saw that the hospital he was in was 912. He thought about it for a long time, but he still couldn’t get over it. He started to contact the doctor Who had operated on the patient.
The imperial capital was so busy that there was a high possibility that the patient could not be remembered at all. However, after director Wu tried to contact a doctor that 912 knew and professor Wei, the leader of the thyroid Department, he found that professor Wei still remembered the patient even after a long time.
According to professor Wei’s introduction, the patient was diagnosed with “delusion-type schizophrenia” in the capital. The result was that he had severe iron-deficient anemia and severe vitamin D deficiency.
During the examination, he discovered that there were nodules in the thyroid gland. Professor Wei saw the patient in the outpatient department and thought that it would be fine to just go home for observation. However, the patient strongly requested for surgical treatment, even at the risk of death.
The patient’s parents chatted with professor Wei for a long time before they finally decided to perform the surgery according to the patient’s own opinion.
The reason why he had a deep impression of director Wu was because professor Wei was worried that there would be a problem, so when director Wu called him, he was very nervous.
Professor Wei was relieved when he found out that director Wu was just asking for advice and that there was nothing wrong with the patient. He told director Wu that at that time, he felt that the patient’s condition was not right. He had been a doctor for more than 20 years, but he had never seen anyone take the initiative to ask for a full thyroid removal.
Most patients were afraid of surgery. The doctor said to go home for observation, and almost no one would take the initiative to ask for surgery. However, this patient was different. Not only did he need surgery, but he also needed to undergo a bilateral thyroid resection.
The patient did not have a history of head trauma, epilepsy, or social withdrawal. Therefore, professor Wei wasn’t sure if the patient really had a mental illness, but his behavior was a little strange. That was his judgment.
However, professor Wei’s main basis for thinking was that generally speaking, mental illnesses would have signs in adolescence, but this patient was said to have been normal in the past, studying until he graduated with a doctorate.
There was no family history, and the patient’s parents were normal.
At that time, he was worried that there would be problems and wanted to do some related tests, but the patient refused.
The patient was followed up after the operation. She took left thyroid sodium tablets orally. The strange thing was that if she took this medicine to supplement her thyroid hormone, her ts should be reduced, but there was no change.
Professor Wei explained everything he knew clearly, and the patient’s symptoms became more and more serious. He even said on the phone that if he had not insisted at that time, the goitre cancer would have been delayed.
This sentence was full of distrust and hostility. No matter how good-tempered professor Wei was, he would still be angry.
Although the patient’s parents apologized sincerely after learning about the incident, professor Wei didn’t want to have any more contact with the patient.
Director Wu put down the phone and fell into deep thought.
According to professor Wei’s description, this was a typical case of a patient with persecutory delusion, but professor Wei’s opinion … Seemed to be worth considering.
Was there any problem that director Jiang had not considered? Director Wu’s interest was piqued.
He then sent all the patient’s test results to professor Wei for him to take a look.
The most recent blood test results showed that the TS value was 9.4 PA.o.mo/L, which was slightly lower than the normal value. Other than that, he couldn’t see anything else worth paying attention to.
The professor in Beijing couldn’t see anything wrong with it, so director Wu had to put it aside for the time being. He pondered in his heart that the biggest possibility was that the patient’s mental state had problems.
Director Wu wanted to give up, but director Jiang kept asking for a consultation with the whole hospital. He said that the patient was in poor health and had been losing weight for the past year.
No malignant tumor was found in the examination, and the patient did not have any gastrointestinal symptoms such as nausea, vomiting, and diarrhea.
Director Wu knew that many people with persecutory delusions didn’t eat well because they were worried that their families or restaurants would put poison in their food. Therefore, he deliberately reduced his food intake to avoid being harmed by others.
Director Wu felt helpless. He knew what director Jiang was thinking. He was using his own words to slap himself in the face.
Was he wrong? Du Jian, who was trying to defend himself, had his weakness caught by him and was being criticized. Just because he was experienced and was about to retire, he was unforgiving.
Director Wu had been suffering these days. He even felt like he had depression. Or should I ask boss Zheng for help? He definitely couldn’t invite him, so he just wanted to help out and talk about his troubles. It could also be considered as venting his troubles and getting to know boss Zheng.
Director Wu shamelessly opened his WeChat and sent a message to boss Zheng.
[Boss Zheng, are you there?]
Director Wu didn’t reply for a long time. He sighed and smiled. He wasn’t familiar with her to begin with, and she was now a Nobel Prize winner, so he couldn’t even contact her.
Forget it, don’t ask for trouble for no reason.
Two days later, director Wu suddenly received a WeChat message.
[Nanshan city’s director Wu? Hello. [I’ve been overseas for the past few days and just rushed back.]
Director Wu was overjoyed when he saw boss Zheng’s reply. It turned out that boss Zheng had gone abroad instead of being so arrogant that he had forgotten about him.
[I’m sorry to disturb you, but I have a case that the clinical Director suspects has a problem. We can’t make a diagnosis.]
[Oh, please wait a moment. I’m going back to the capital.]
[Alright, sorry to trouble you.]
……
……
As Zheng Ren was sending a message on his phone, Xie Yiren asked,””Zheng Ren, what’s up in the Department?”
“There’s something, but it’s not from Keli. ” “Director Wu of Nanshan mental hospital,” Zheng Ren said with a smile.”He probably wants to have a consultation with me.”
“Mental hospital?” Xie Yiren didn’t understand.
“Didn’t I draw lots a while ago and go to Nanshan city for a medical evaluation? I went with Su Yun, but in the end, the patient made a wrong diagnosis. ” Zheng Ren said,”that’s why I have director Wu’s contact number.”
“Oh, what patient?”
“It’s been a few days. I don’t think it’s a big deal.” Zheng Ren said,”we’ll talk about it when we get home. My vestige nerves can’t take it if I look at my phone in the car for too long.”
