Chapter 1548 Menopause
The next morning, they arrived at the hospital.
“Boss Zheng, someone is looking for you. He has arrived early in the morning.” The doctor on duty told Zheng Ren.
“Where is he?” Zheng Ren asked.
“He said he’s from your hometown, so I told him to wait in the office.”
After changing his clothes, Zheng Ren came to the office.
Liu Zewei arrived early. He had to get discharged and receive patients today, so he was extremely busy.
Moreover, it was very likely that this batch of patients would have to go to the community Hospital after a day of observation after the first stage of surgery.
Therefore, he came early to welcome a bright future and witness a huge leap in boss Zheng’s career.
Although there were countless things waiting to be done, he was chatting with an ordinary – looking middle – aged man. The man was carrying a thick film bag in his hand, and it was obvious that he was the person old Department Director pan had mentioned.
“Hello, you must be the patient’s family member that the Department Director mentioned.” Zheng Ren entered and asked directly.
“This is boss Zheng.” Liu Zewei introduced.
The middle – aged man looked very ordinary and honest, both in appearance and clothing.
Although he was surprised by Zheng Ren’s young age, he still bowed obediently to show his respect for boss Zheng.
After being introduced to the Imperial City by others, those who came to see a doctor were basically in a nervous mood to ask for medical treatment. Since he was here to ask for help, he had to correct his attitude first.
Zheng Ren smiled and asked,”the patient is your lover?” Tell me about the situation. “
As he spoke, he took the scans from the patient’s family members.
“President Zheng, the patient is my wife. She’s 42 years old this year. A month ago, she said that there was pain around her belly button, but it immediately subsided after the initial pain. She thought it was diarrhea or something, so she didn’t care. ” The middle – aged man said.
Zheng Ren nodded, indicating that he understood. He then started to look at the time on the x – ray.
By looking at the patient’s condition from the beginning in chronological order, one could have a better understanding and cognition of the patient’s condition.
“The first time it acted up, it didn’t last long, so I didn’t take it seriously. But two or three days later, she had another stomachache. The frequency of the pain was getting higher and higher, and I was worried that something serious had happened, so I took her to the hospital to have a look. “
Zheng Ren found the scan from 23 days ago, took it out, and inserted it into the film reader.
It had not been a month, but it was normal for the patient’s family members to have some deviations in their narration.
It was a vertical abdominal plain film, and there was no free gas shadow under the two rejections. There was a slight Hoggle in the left colon, and two small “irregular” vapor and water planes could be seen in the right abdomen. There were no other obvious changes.
The “small” liquid Qi level in the lower right abdomen was highly likely to cause incomplete intestinal obstruction. The diagnosis of the First People’s Hospital of Haicheng City was not wrong at all.
“At that time …” The middle – aged man started to look at the x – ray bag. After comparing the time, he said,””This is the film. The diagnosis is that it’s an incomplete intestinal obstruction, and we’re recommended to go back for further observation. “
There were many trigger factors for incomplete intestinal obstruction, and he could be admitted to the hospital for observation or at home for observation.
Zheng Ren made this suggestion after considering that the doctors from Haicheng’s emergency department did not find any trigger factors after consulting him.
At most, he could use some enema and that was enough.
He was very familiar with the doctors in the emergency department of Haicheng.
Although there was a small problem, without special treatment, it was difficult for the patient and the patient’s family to accept hospitalization.
“What happened after that?” Zheng Ren took the test sheet and started to flip through it as he asked casually.
“After we go home, the pain will be better. After that, it would hurt for a while almost every day, and he would be fine after about 20 minutes. ” “He’s like a good person when he’s not in pain, so my wife and I don’t mind,”the middle – aged man said.
“Three days ago, I had another stomachache. This time, it’s not getting better. It’s so painful that I’m breaking out in a cold sweat.” “We had no choice but to call the ambulance and take her to the hospital,” the middle – aged man said.
“The emergency department diagnosed it as ‘acute abdominal pain’ and said that it needs to be observed in the emergency department. I didn’t think it was a big deal, so I asked someone to look for Department Director sun and have him be admitted to the second Department of General Surgery. “
Zheng Ren laughed, picked up the examination report, and looked at it carefully.
According to the x – ray scan, it was indeed still an incomplete intestinal obstruction, but the symptoms were much more serious than the last time.
This could also be determined when the patient’s family members described the medical history.
It was the same for blood tests and other tests, which were in line with the judgment of medical imaging.
According to the routine blood test, white blood cells were slightly higher, and so were the neutroids. The blood cell count was low, and it was not uncommon for middle – aged women to suffer from anemia.
Zheng Ren muttered to himself as he read through the test sheets one by one.
Liver function … A little high in the levels of enzymes? It didn’t seem to be a big problem. His levels of blood glucose were normal, and nothing else was enough to make a diagnosis change.
After he was admitted, the second Department of General Surgery provided him with corresponding support treatments such as fast, gastrointestinal decompression, laxative, fluid replacement, and somotains inhibiting intestinal secretion and anti – Infection.
The diagnosis was clear, and the treatment was quite standard, which was in line with director sun’s style. It was stable, extremely stable.
However, the patient’s abdominal pain was not relieved even after treatment. Later, an oral colonoscopy was performed, and the report was: Duodenostomy, non – atrophy gasterism with bile reflux.
The patient was also diagnosed with atrophy gastritis.
This is not very common. A 42 – year – old with such a condition?
But it wasn’t a big deal. However, it was rare, not even rare.
Zheng Ren looked at the test report as he made his own judgment in his mind.
He flipped through the test report. There were many problems, but they were not major issues, so he could not give a clear diagnosis. In other words, director sun’s diagnosis was correct. Zheng Ren had no objections to this for the time being.
Zheng Ren inserted the abdominal CT scan into the MRI scanner, supported his chin with his right hand, and read the film carefully.
“Boss, there seems to be a problem here. It’s a pretty obvious intestinal obstruction, why isn’t it better?” Su Yun stood by the side and pointed at the location of the obstruction on the x – ray.
Zheng Ren nodded and continued reading the scans.
After the reconstruction, there were many places in the image that looked wrong.
The kidney tubular structure had shrunk. It did not look like a 42 – year – old middle – aged woman ‘s. It looked more like an x – ray image of a woman in her seventies.
Excessive aging?
Zheng Ren recalled a few clinical case reports, but the diagnosis was directly denied by him.
“What medicine does your wife usually take? Are you feeling any other discomfort other than your stomach?” Zheng Ren asked as he looked at the x – ray.
“I’m over 40, and I’m going through menopause, so I’m a little hot – tempered,” The middle – aged man thought for a moment and said,”they always say that I’m not promising and can’t make money.” He used to cook for me, but he hasn’t been cooking for the past few years. He only grumbles every day. Otherwise, I’ll dress up and go to a class reunion. “
Zheng Ren quickly stopped the middle – aged man from continuing the topic.
If this continued, it might turn into a family ethics drama.
Seven years … Eight years … It was an itch of more than ten years. They held each other’s hands and started to pay attention to their appearance. Then, they went out to find their classmates.
“I’m asking if you feel any discomfort and if you’ve taken any medicine.” Zheng Ren asked again.