Chapter 1818

"Please be quiet." Zheng Ren knocked on the table again. "We can't distinguish between congenital porphyria and lead poisoning in the above two points. Then let's take a look at the next point."

"Long term lead exposure can lead to elevated blood pressure, toxic myocarditis and myocardial damage. Lead can increase oxygen free radicals in the body and produce lipid peroxidation damage, including myocardial cell membrane and myocardial microsomal membrane.

It can also affect the cation transporter enzyme of myocardial microsomal membrane, overload Ca2 + ions in vascular cells such as aorta, and accumulate Ca2 + in cardiomyocytes, resulting in abnormal membrane ion transport and dysfunction of cardiomyocytes. "

"I don't know the patient's family history, and there is no relevant literature report to explain what the heart function of patients with congenital porphyria will look like after a certain age. However, the change of the patient's heart function has nothing to do with congenital porphyria. It looks like lead poisoning."

This is what Zheng Ren wants to do.

The mechanism of lead poisoning is related to porphyrin metabolism. It can cause anemia, and its mechanism is closely related to hemoglobin synthesis disorder and hemolysis.

Acute lead poisoning is still easy to distinguish, but the differential diagnosis between chronic lead poisoning and porphyria is not generally difficult.

Only laboratory inspection can clearly distinguish the difference between the two.

The patient did not do the relevant laboratory examination of lead poisoning. Zheng Ren just wanted to bury a thorn in the Bruch family.

yes!

Just a thorn.

It may not work, but it may also cause mutual suspicion among members of the family.

Anyway, there's no cost. All it consumes is its "reputation" in the Bruch family. In the face of womel's threats, threats, arrogance and arrogance, Zheng Ren doesn't think he has any reputation in the Bruch family.

This is Zheng Ren's counterattack.

For this counterattack, Zheng Ren even drank a bottle of energy potion without hesitation.

At this time, his mind was very clear, his thinking was almost flat, and he thought of countless things in an instant.

From the stomach to the kidney, to the heart, brain and nervous system, Zheng Ren made a detailed analysis of every suspicious point.

The most professional terms, the most careful analysis, the most in-depth differential diagnosis.

Gradually, all the doctors in the field were silent.

How did this young doctor's judgment make a decisive and fundamental change to the condition that seemed natural before?

At first I thought it was ridiculous, but after listening to it for ten minutes, no one spoke except Dr Rudy who was still in a hurry to return to London.

Su Yun stared at Zheng Ren.

Did you think so at the beginning?

Zheng Ren was so confident that at first a little hesitation dissipated, and all that remained was self-confidence.

Every word pointed to lead poisoning, not congenital porphyria and the strange written diseases of at least ten people present.

Although Zheng Ren is talking nonsense, everything is decent in front of his strong theoretical knowledge.

……

In the huge bedroom, old Roche was half lying on the bed.

He stared at the image on the projection screen.

It is so clear that Zheng Ren in the middle of the screen is so firm and provocative in every expression and action.

Zheng Ren's charm given by the big pig hoof was maximized at this moment.

Incite

From the initial disdain to the later doubt, and then to the moment, the defense line in Lao Roche's heart has been broken.

Although his reaction is much slower than before, he is still quick compared with ordinary people.

"Is he the young man who made an exception to become a lifelong professor at Massachusetts General Hospital some time ago?" Asked old Roche.

The young man beside him respectfully replied, "yes, sir."

"Is it for him to see the King three times?" Old Roche murmured, "what the young man said is very provocative. I almost believed it."

"..." the young man beside old Roche was silent.

What happens around him seems to have nothing to do with him. Just take good care of old Roche. That's all he has to do.

"Go and see him." Old Roche said.

"Your body..."

"Nothing." Lao Roche smiled. "I still have the strength to sit in a wheelchair."

The young man was silent, prepared a wheelchair, covered it with a layer of soft wool pad, and dressed old Roche in black and hooded clothes, which carried him to the wheelchair.

"Sandy, what do you think of this young man?" Asked old Roche.

"Young, but very professional. But I don't know why he aimed at lead poisoning. Your food has been strictly reviewed. There is no possibility of lead poisoning." Sandy pushed old Roche and said faintly.

"Do you think my appearance will scare the young man?"

"Yes, my Lord." Sandy smiled. "Your great figure is enough to crush everything. No one can tell a lie under your authority."

Lao Roche smiled. He tried to block the black hood more tightly. His hand was like a deformed animal claw, constantly shaking slightly, and it was difficult to do a simple action.

"My Lord, let me help you." Sandy stopped at once.

"No." Lao Luo chewen smiled peacefully. The scars and blisters on his face twisted. The smile did not make him kind, but became more ferocious and terrible.

"Your Excellency, in fact, you don't have to see that little doctor." Sandy said: "he may know that he won't win the Nobel Prize this year and is taking crazy revenge."

"He is a smart young man. Every word he says is just making a differential diagnosis. But if this thorn stays in his heart, the struggle and friction within the family will become more and more intense." Old Roche said slowly, "it seems that he has just come to the castle. He doesn't know what kind of person I am. He should teach him a lesson."

"I can go."

"It's important that I'm still alive. Not only this young doctor, but also all the stupid guys who are ready to move." Old Roche finally covered his face with a black hood to prevent a trace of sunshine.

Under the dark shadow, his eyes radiated a strange light.

Instead of dissuading, sendi quietly pushed Lao Luo to the elevator and came to the room where Zheng renzheng was analyzing his condition.

The doctors whispered, and even Rudy was silent at the moment.

He didn't believe it was lead poisoning, but Zheng Ren, who stood on the stage as if he were giving a speech, couldn't refute every word.

At the moment, old Roche's wheelchair quietly pushed in, like a ghost.