Chapter 2330 Early detection, early diagnosis and ear
Dean Wu was smashed and suddenly looked at Su Yun.
“Don’t make trouble.” Zheng Ren stepped and stopped in front of Su Yun. He didn’t laugh, his face was cold and his voice was low. “Let’s go and see the patient.”
Dean Wu’s heartfelt grievances, why the emperor’s experts are so hot-tempered.
However, the rows of famous names still flashed in front of him, each of which made him frightened. Such people can’t offend themselves. Director Zhao is right. Hear what others say.
But this thunder … .
The scene was a little awkward, and Director Zhao quickly arranged to go to the city hospital.
Soon, the two cars were ready. Zheng Ren and Su Yun were accompanied by Director Zhao on one of the cars.
“Boss Zheng, is the patient’s misdiagnosis serious?” Director Zhao asked softly after getting on the bus.
“Rare diseases, can’t completely say mental hospital …”
“The level is not enough,” Su Yun said coldly. “Hepatolenticular degeneration is one of the few treatable neurogenetic diseases so far. The key is early detection, early diagnosis and early treatment.” Su Yundao, “If the most A diagnosis can be made at the beginning of the onset, and the effect will be much better. ”
“I mean that the parents of the patients did not take them to the top three hospitals, but went to the psychiatric hospital, which also had a certain impact on this matter.” Zheng Rendao, “Specifically, I do n’t see the patient, I do n’t check the body, temporarily Not diagnosed yet. ”
“If …”
“You can’t expect every doctor to diagnose a rare disease of 1 / 30000-100000.” Zheng Ren interrupted Su Yun’s words.
“Don’t you think so?” Su Yun’s mouth raised, but not with a smile, but with endless scorn and ridicule.
“Yes.” Zheng Ren admitted frankly, “Maybe that’s why I agreed to open a live studio in Xinglinyuan in the beginning.”
“There are many rare diseases. After seeing them, I have the impression that they will not appear, or that there will be as few misdiagnosis and mistreatment as possible. Now that it has just begun, when the remote consultation system is opened, let’s do a demonstration first. It will start quickly. ”
The dew heard by Director Zhao, why is it involved in the live broadcast again?
“Boss Zheng, Professor Su, you two said … what’s going on with that hepatolenticular degeneration?”
“It is an autosomal recessive inherited disease of copper metabolism. It is characterized by cirrhosis and basal ganglia damage caused by copper metabolism disorders. It is characterized by the pathogenesis of hepatolenticular degeneration. At the molecular level, “Zheng Ren explained,” It is more common in China, and 1 in 30 people carry this recessive gene. ”
“But the incidence is not high, nearly one in 100,000. When I was in Haicheng, I just started to study tips surgery and met a misdiagnosed patient with hepatolenticular degeneration. But his clinical manifestations were cirrhosis. , Ascites, portal hypertension. ”
“…” Director Zhao is really speechless. Boss Zheng said that this disease called liver degeneration is still a lot of ways of expression, and they are very different, even the opposite.
I’m afraid it’s hard to diagnose even if you go to the best hospital in the city.
Otherwise, it ’s dazzling to look at the rows below the heads of others, which is true.
“At that time, the patient had no mental symptoms, but the child in front of him was the first to develop mental symptoms. From the very beginning, the irritability may evolve into suicide.” Zheng Rendao, “Still early detection, early diagnosis, early treatment. Now … … Confirm the diagnosis first, then arrange for copper treatment. ”
“Is the effect good?” Director Zhao asked carefully.
“It should be good, some patients need long-term copper treatment, but it is not necessary for the lighter ones. It depends on the situation, and it is difficult to say now.” Zheng Ren said, and began to habitually explain to the patient’s family. It was the same time, speaking vague words.
“There are also types of kidney damage, bone and joint muscle damage, or hemolytic anemia.” Su Yun added.
“That’s another typing, and it won’t be considered for now.”
“You don’t speak so precisely.”
Director Zhao looked at the two young experts in front of him and began to argue, and he remained silent.
I quietly took out my phone, but thought about it and put it back.
I went online to find information in person, not to mention what the two professors thought, and I went to the doctor to ask for a degree, which was also a shame.
Early detection, early diagnosis, and early treatment are no wonder that Professor Su will get angry. If the child had a clear diagnosis six months ago, it should be heavier than the uncle.
Director Zhao thought and sighed. Parents of patients treat their children as symptoms of withdrawal from internet addiction and send them to a psychiatric hospital for medical treatment … forget it, there are different reasons for each.
It is best to cure your child. Fortunately, the diagnosis should be clear. If this is delayed, the consequences will be disastrous.
Zheng Ren and Su Yun talked about the degeneration of hepatolenticular nucleus for a while, and explained it in simple terms. After listening, Director Zhao felt that after seeing similar patients, he could make a diagnosis.
I came to the hospital where the child was, and the relevant director and other relevant staff greeted them at the inpatient department early in the morning.
Seeing Zheng Ren and Su Yun getting off the bus, the dean shook hands and greeted him enthusiastically, and said a lot of things about Xinglin Garden. Zheng Ren barely listened, wearing a standard smirk on his face, perfunctory.
He came to the ward, Zheng Ren looked at the patient’s system panel and did a physical examination, then went to the classroom with the director and others.
It is also a clinical practice to not call the patient’s family members this time.
Diagnosis of difficult cases, especially the diagnosis of difficult cases with family members’ opinions, must come up with a confirmed diagnosis and explain to the family.
Otherwise, repeatedly overturning the diagnosis will increase the distrust of family members of patients, and even lead to more serious things.
When I came to Shi classroom, Zheng Ren stood in the forefront and started holding the medical record, telling her analysis of the entire condition and future treatment plans.
The whole conference room was quiet, only Zheng Ren’s voice was echoing.
Hepatic bean-shaped degeneration, such a cold and lonely disease, came out of Mr. Zheng’s mouth and became easy to understand. Many people have the illusion of embarrassment, as if the disease is like appendicitis, it is all over the street, if it is misdiagnosed, it is a shame.
“Row copper for treatment first.” Zheng Ren said: “D-penicillamine is the first choice. If there is no effect or the effect is not good, take the time to send the child to the imperial capital.”
After he finished speaking, he looked around the audience, and when no one questioned, he slowly put the medical record on the table.
“After the boss said, I will add a few words.” Su Yun said in a deep voice while sitting in a chair.
He has a medical record in his hand, and the smile on the corner of his mouth is slightly cold.