Chapter 509: Boss Peed
Hearing what Chief Xia said, the patient’s family also showed a puzzled expression.
It did not seem like he was talking nonsense and was just going through routine procedures. However… He took a look at Zheng Ren again. He was indeed a young doctor.
This was strange.
Many ordinary citizens in Sea City knew about Chief Xia’s reputation. She was one of the top experts in the gastroenterology department within Sea City.
How could she hold this young doctor in such high regard?
“Chief Zheng, the amylase in the patient with acute severe pancreatitis has basically returned to normal ” Chief Xia mentioned the patient from two days ago to Zheng Ren while looking at the film.
“Well, it’s because of your expertise that you were able to treat it well.” Zheng Ren gave a standard response. His mind was preoccupied with information about the relevant and differential diagnosis methods that could be used.
“It’s all thanks to you.” Department Chief Xia did not mind Zheng Ren’s reply. With a smile, she asked, “What’s your diagnosis of the patient, Chief Zheng?”
“It looks like a large abscess in the abdominal cavity but I don’t think that’s the case. Right now, I’m leaning more toward colonic diverticulum.”
“Diverticulum?” Department Chief Xia was stunned.
“Yes.” Zheng Ren picked up the test the patient had done in the emergency department and said, “Chief Xia, look at the patient’s blood routine. There aren’t any major abnormalities. If there was a large abscess in the abdominal cavity, there should be some relevant changes in the blood test.”
Chief Xia gave it some thought.
“Of course, I still have my doubts. The patient is an elderly person, so it’s possible that the body wouldn’t be able to react to it like it normally would. But if colonic diverticulum was the diagnosis, then the other symptoms could be logically explained.” Zheng Ren pointed at the film and using professional imaging terminology, he began to say what was on his mind then for about a full three minutes.
Su Yun’s eyebrows furrowed tightly, his head slightly lowered. Through the black hair resting on his forehead, he looked at Zheng Ren’s side profile as he spoke with such confidence.
The originally dull face was now brimming with confidence. It was a little ostentatious but not too much.
What had given him such confidence?
Su Yun was a little confused.
This kind of differential diagnosis required skill but more importantly, experience.
In terms of skill, Su Yun did not think that… He did not think that Zheng Ren was that much better than him. However, how could he be so confident?
The same question appeared in Chief Xia’s mind.
It was so strange!
“Chief Zheng, I think what you’ve said just now is because the patient is older. It’s more likely that the blood image won’t be able to react in a short amount of time.” Chief Xia and Su Yun shared the same opinion. It was more likely that it was a large abscess in the abdominal cavity.
Zheng Ren smiled and said, “I haven’t seen similar cases in Sea City General Hospital but it has been mentioned in certain articles. The last article published by Doctor Molière’s mentioned a similar case, which shares comparisons with the current patient.”
Su Yun was suddenly enlightened. It turned out that Zheng Ren had read similar reports before, which was why he was able to confirm the possibility of this being the case.
From the looks of it, the road ahead of him had become much longer.
However, it was strange. He had never seen Zheng Ren read periodicals and magazines. Could it be that he had read them while he was still in school?
Chief Xia still insisted on her own opinion and said, “Similar cases cannot prove…”
“Chief Xia, look here.” Zheng Ren’s face was filled with confidence. He recalled a case report he had just read. He tried to recall it and suddenly, everything made sense.
Zheng Ren took out a pen and used it to point at a location on the CT scan of the patient’s lower abdomen. “Here. The image of the liquid level has changed slightly. The information from the CT scan has been calculated to obtain the x-ray attenuation coefficient or absorption coefficient of each voxel. After that, it’s arranged into a digital matrix. The changes here, according to the law of the digital matrix’s attenuation and judging by its density…”
Chief Xia was completely confused by the endless technical terms Zheng Ren was using.
Although Chief Xia was famous in Sea City as the Department Chief of the gastroenterology department and had a wealth of clinical experience, it did not mean that she was familiar with CT scans at Zheng Ren’s level.
“Boss! Boss peed! The patient has successfully urinated!” Professor Rudolf Wagner’s excited voice was like a lion’s roar from the other end of the corridor.
“Su Yun, tell Lil Fugui to shut up!” Zheng Ren frowned and said unhappily.
Soon, the professor rushed to the office with uncontrollable excitement.
“Boss! Boss peed!” the professor whispered excitedly.
“Fu it’s not the boss who peed, it’s the patient who urinated normally after the surgery.” Zheng Ren was a little unhappy and corrected him. “Isn’t peeing normal? You’re making such a fuss about it.”
Zheng Ren then said calmly, “Chief Xia, let’s continue.”
Professor Rudolf Wagner glanced at the scan and casually said, “Boss, it’s due to an abdominal abscess… No, the density doesn’t look like an abscess.”
“Lil Fugui, what do you think?” Zheng Ren could not stand the professor’s nonsense and decided not to explain things to Chief Xia. Instead, he asked the professor.
“Boss, I think it might be a colonic diverticulum or an abscess. This identification…”
“I think it’s a colonic diverticulum. You extrapolate the digital matrix from the image and then add a reconstruction. From the perspective of transmission and absorption, it’s more obvious that way,” Zheng Ren said.
“Boss, you’re amazing!” Professor Rudolf Wagner made an exaggerated expression and pointed at the CT scan. “I understand what you mean. It’s indeed a diverticulum. There’s no doubt about it!”
Chief Xia could not understand the conversation between Zheng Ren and Professor Rudolf Wagner at all. Her face was full of confusion.
Su Yun’s brows were tightly knitted. After more than ten seconds, he revealed an expression of sudden realization.
The patient’s family members were at even more of a loss. They did not know why there was a foreigner who was so fluent in Mandarin at Sea City General Hospital.
“Boss, I feel that God didn’t just kiss your hands, but he also gave you such a unique brain.” Professor Rudolf Wagner continued to praise him. He did not feel embarrassed by his words at all. “The patient has urinated. I’ll leave the urine sample for you to take a look at. It looks like the best beer in Munich.”
Uh…
Zheng Ren could not understand the professor’s excitement. He looked at the professor with disdain and kept a distance from him.
“I have something to do here. Go and do your work,” Zheng Ren said with disdain.
The professor was about to defend himself. However, when he saw Zheng Ren’s awe-inspiring expression, he cowered and left in embarrassment.
“Chief Xia, the diagnosis is clearer now. I think we’ll need surgery to treat it. I don’t recommend doing an endoscopy because the diverticulum is too big. It’s still safer to operate,” Zheng Ren said.
Chief Xia did not understand what Zheng Ren was talking about when he mentioned digital matrix or reverse extrapolation. She just felt that it made sense. She stared blankly at the CT scan of the patient’s lower abdomen that was inserted into the scanner. She thought that perhaps only Philips’ engineers who had started to study medicine could comprehend this.
“Chief Xia?” Zheng Ren asked again.
“Hmm?” Director Xia came back to her senses and smiled. “The younger generation is truly talented. Since the professor and you have the same idea, let’s operate then.”