Chapter 2634

Dean Wu looked at the complicated medical record and was silent for a long time. When he went to bed at night, he had a strange dream, but he couldn't remember what he dreamed when he woke up. I can only vaguely remember that it seems to have something to do with the condition, but I can't remember any more specific.

It was like a fishbone stuck in his throat, which made president Wu very uncomfortable.

Two days later, he picked up the medical record again and read it.

The patient's situation is more complicated than he thought. There is thyroid cancer. The operation was performed in DIDU. But it was just a thyroid nodule, and finally a total thyroidectomy was performed.

This is a little too much. President Wu looked at the medical record and felt more and more that the patient really had a mental illness.

Although the final pathological diagnosis is thyroid cancer, it is not necessary to cut off both sides of the thyroid gland.

Seeing that the hospital for the operation was 912, President Wu thought for a long time. Finally, he couldn't get through the barrier in his heart and began to contact the doctor who operated on the patient that year.

The emperor is so busy that the operator can't remember the possibility of the patient. However, after President Wu tried to contact a doctor he knew in 912 and Professor Wei of the thyroid department, he found that Professor Wei still remembered the patient even after a long time.

According to Professor Wei, the patient was examined in DIDU because of "paranoid schizophrenia", and it was found that there were very serious iron deficiency anemia and severe vitamin D deficiency.

During the examination, a thyroid nodule was found. Professor Wei saw it in the outpatient department. He thought it was OK to go home for observation. However, the patients strongly demand surgical treatment, even at the cost of death.

The patient's parents talked with Professor Wei for a long time, and finally decided to do the operation according to the patient's own opinion.

The reason why I was impressed was that Professor Wei was worried about something wrong, so when Dean Wu called, he was quite nervous.

Professor Wei relaxed a lot when he knew that President Wu was only consulting and that there was no problem with the patient. He told President Wu that he felt that the patient's condition was wrong at that time. After more than 20 years of medical practice, he did not find anyone who took the initiative to request total thyroidectomy.

Most patients are afraid of surgery. Doctors say they go home for observation. Few people will take the initiative to ask for surgery. This patient is different. He not only needs surgery, but also bilateral total thyroidectomy.

The patient had no history of head trauma, epilepsy, or social withdrawal. Therefore, Professor Wei is not sure that the patient really has mental diseases, but his behavior is a little strange. This is his judgment.

However, Professor Wei's main thinking basis at that time was that generally speaking, mental diseases had signs from adolescence, but the patient was said to have been very normal in the past and studied until he graduated from a doctor's degree.

There was no family history, and the patient's parents were normal.

At that time, he wanted to do some related tests because he was worried about problems, but they were all rejected by the patient.

After the operation, the patient was followed up. She took levothyroxine sodium tablets orally. Strangely, if she took this drug orally to supplement thyroxine, TSH should be reduced, but there was no change.

Professor Wei made it clear what he knew. Next, the patient's symptoms became more and more serious. He even said on the phone that if he hadn't insisted at that time, the disease of thyroid cancer would have been directly delayed.

This sentence is full of mistrust and hostility. Professor Wei should be angry even if he has a good temper.

Although the patient's parents sincerely apologized after knowing this, Professor Wei didn't want to have any contact with the patient.

Dean Wu put down the phone and fell into meditation.

According to Professor Wei's narration, this is a typical case of persecuted paranoia, but Professor Wei's opinion... Seems to be worth referring to.

Is there any problem that director Jiang didn't consider? Master Wu suddenly became interested.

He then sent all the patient's test sheets to Professor Wei and asked Professor Wei to take a look.

The TSH value of the latest test sheet is 9.4pmol/l, slightly lower than the normal value. In addition, I can't see anything worthy of attention for the time being.

The professors in the imperial capital couldn't see any problems, and Dean Wu had to put things aside for the time being. He thought to himself that the biggest possibility was that the patient had mental problems.

However, President Wu wanted to stop, but director Jiang constantly wanted to consult the whole hospital. His reason was that the patient's physical condition was poor and his weight had been continuously losing weight in the past year.

No malignant tumor was found, and the patient did not have gastrointestinal symptoms such as nausea, vomiting and diarrhea.

President Wu knows that many patients with persecuted paranoia have poor diet, because they are worried that their families or restaurants will poison their diet. So deliberately reduce the amount of food to avoid being harmed by others.

It's nothing to do. Dean Wu has nothing to do. He knew what director Jiang thought. He was beating himself in the face with his own words.

Are you wrong?! He caught hold of the handle and smelled badly. With his seniority, he will retire soon, which is unreasonable.

During this time, President Wu was a little sad. Even he felt that he had depression. Or ask boss Zheng for a hand? I'm sure you won't come. Give me a hand and talk about your troubles. It's also a way to vent your troubles. By the way, I'll get familiar with boss Zheng.

President Wu brazenly opened wechat and sent a message to boss Zheng.

Boss Zheng, are you there

Without reply for a long time, the Wu court sighed and smiled. I'm not familiar with it. Now I'm a Nobel laureate, and I can't get in touch with myself.

Forget it. Don't be boring for no reason.

Until two days later, Dean Wu suddenly received a wechat.

[President Wu of Nanshan city? Hello. I just came back from going abroad these days.]

President Wu was overjoyed when he saw boss Zheng's reply. It turned out that someone else had gone abroad instead of putting on airs and forgetting himself directly.

[sorry to bother you. I have a case suspected by the clinical director. We can't make a diagnosis.]

Oh, wait a minute. I'll go back to DIDU

OK, please

……

……

Zheng Ren sent a message with his mobile phone. Xie Yi asked, "Zheng Ren, what's wrong with Corey?"

"Something, but not Corey." Zheng Ren said with a smile, "president Wu of Nanshan mental hospital probably wants to see me for consultation."

"Mental hospital?" Shea was puzzled.

"Some time ago, I went to Nanshan city for a medical appraisal. I went with Su Yun. Finally, the patient was diagnosed wrong." Zheng Rendao, "so there is the contact information of president Wu."

"Oh, what patient?"

"The information from a few days ago is not a big deal." Zheng Ren said, "when I go home, I can't stand watching my mobile phone for a long time in the car."