Chapter 1957

"I'll see the patient." Zheng Rendao.

"Let's go together. I just took a brief look at the patient in the outpatient department. I didn't see it in detail when I wanted to be admitted to the hospital for dozens of days in the morning." Director Luo followed Zheng Ren out of the office.

The patient's family members followed carefully. He didn't understand why the doctor would look like a great enemy when it came to eating snails.

"Have you ever eaten snails in the United States?" Su Yun walked at the end and asked Lin Yuan without any solemnity.

"No, there are Chinese restaurants on that side occasionally, but I rarely have time to go out." Lin Yuan answered casually.

"Eat French snails." Su Yun, see you.

"..." Lin Yuan already knew what the goods were going to say.

"Well, if you have diarrhea, you have to risk contracting Trichinella spiralis." Su Yun said with a smile: "I suggest you go to the physical examination center for examination and at least draw blood. If eosinophils increase, there may be related diseases. Of course, this is just a suggestion. It's free."

"Impossible!" Lin Yuan was uneasy, but he replied firmly, "I don't eat raw food."

"Tut Tut, all the doctors taught by Harvard are at this level?"

"You..."

"The larvae of Trichinella spiralis are highly resistant to low temperature. The larvae in the sacs of pork need to be stored at - 15 ℃ for 20 days to die, and can survive in rotten meat for 2 ~ 3 months. Drying, pickling, cleaning, roasting and rinsing can not kill the larvae, but they can be killed at 70 ℃." Su Yun said leisurely.

Lin Yuan really didn't want to take care of the goods. She quickened her pace and followed boss Zheng.

But Su Yun's words hovered in his mind like a magic spell.

Do you need a check? Lin Yuan hesitated. Don't check. What if you are really infected with Trichinella spiralis?

He had diarrhea during the operation... Lin Yuan shivered at the thought of this possibility.

When he came to the ward, Zheng Ren began to examine the patient. The most serious disease is not Trichinella spiralis, but complicated Loffler endocarditis.

Loffler endocarditis, also known as eosinophilic endocarditis, is a stress change in the body due to the increase of eosinophils in the body.

No wonder the patient's family said that the patient could not get up in the last two or three months.

At the beginning of hearing this medical history, you will certainly think that it is the electrolyte disorder caused by diarrhea. But Zheng Ren was a little depressed when he saw the patient's system panel.

In addition to Loffler endocarditis, the patient also had secondary thrombosis of the left ventricle.

Zheng Ren felt a little regretful. Although he said he didn't delay anything, he now has a very bad tendency.

After meeting patients, they always want to make a correct diagnosis with their own strength.

It takes time to keep asking medical history and investigating various abnormalities.

Although the analysis and diagnosis just now will not aggravate the patient's situation at present, Zheng Ren still keeps this matter in mind and is ready to reflect on it after he is busy.

"Want an echocardiography." Zheng Ren put down the stethoscope and said with certainty.

Director Luo asked a nurse to go to the doctor for medical advice and call the ultrasound department. When he came back, he asked in surprise, "Loffler endocarditis?"

"It's not just this." Zheng Ren didn't say too much in detail. After all, he said too much in front of the patient. What if he scared the patient out of good or bad.

Director Luo frowned.

Increased eosinophils complicated with Loffler endocarditis, which he considered. But more serious diseases, heart complications, this is more difficult.

Zheng Ren had another physical examination, and soon the ultrasonic machine was pushed in.

Sitting at the head of the bed, Zheng Ren began to give the patient echocardiography.

"How about boss Zheng's echocardiography?" Lin Yuan whispered to Su Yun.

"It's like you have a high level of echocardiography." What she got from Su Yun was always a sarcastic answer.

"Can you say something good?" Lin Yuan was a little disgusted with the man around him.

This is because he is really good-looking. If he had changed, Lin Yuan would have been too lazy to talk to him.

"Well, the boss said that." Su Yun said, "just look at it. I'm going to have an operation later."

"Surgery?" Lin Yuan was dumb.

It's just diarrhea. Even if there is Loffler endocarditis, it won't be operated on.

"Loffler endocarditis, complicated with thrombosis. Life is hard. Lao Liu has to go. Fuguier is still making Nobel Prize materials. I can only follow." Su Yun is ready.

Lin Yuan tried to recall Loffler endocarditis, a rheumatic immune disease, even if it was only diagnosed at a high level.

Say surgery is surgery? How so much confidence!

"It's all right. I can go if you don't want to." Lin Yuan whispered.

"It's really the practice of American doctors. Interventional angiography is just a routine."

When Lin Yuan was about to show off, Zheng Ren suddenly said.

"A substantial strong echo attachment, irregular shape and suspicious thrombus can be seen at the apex of the left ventricle. Loffler endocarditis is considered; the ventricular wall at the apex of the left ventricle is thickened, the local echo is enhanced, and the ventricular septal pulsation is weakened; the left ventricular systolic function is slightly reduced, and the mitral and tricuspid valves are moderately regurgitated."

The echocardiography doctor hurried to record.

Director Luo frowned and saw Zheng Ren doing echocardiography. It's terrible to analyze the images one by one.

Director Luo is not very good at echocardiography. Simple can see, really more serious, he is vague.

After all, it's not his specialty.

As for boss Zheng... There is no comparison. Director Luo knows it well.

After the inspection, Zheng Ren asked, "when was the last time to eat and drink water?"

The patient's lover hesitated and said, "I just ate something."

Zheng Ren didn't speak. He stood up and went out.

"Boss Zheng, what are you going to do?" Director Luo asked after Zheng Ren.

"Interventional thrombectomy, I looked carefully. It's not eosinophilia complicated with granuloma, but left ventricular thrombosis and induced left heart failure." Zheng Ren whispered, "director Luo, you are going to transfer the patient."

Director Luo sighed.

This is a patient with endocarditis complicated with thrombosis.

Out of sight in the clinic

I can't help it. I've complained of diarrhea for five years. I don't have the ability of boss Zheng... No!

Thinking of this, director Luo suddenly woke up.

How can I habitually judge boss Zheng's level to such a high level!

This is not a good habit.

"Is the operation difficult?" Director Luo asked.

"Fortunately, take the thrombus operation. Just be careful not to have complications." Zheng Ren said, "if the circulatory department finds it difficult, you can ask them to call me."

"..." director Luo was speechless.