“Boss Zheng, big brother Yun, are you two considering whether the young patient has a pylorus closure disorder or something else?” Zhou Litao asked.
Zheng Ren and Su Yun shook their heads at the same time. Su Yun said,”director Zhou, you have to observe the situation carefully. You’re so clumsy. You should be a chief resident for another year.”
Zhou Litao’s face was bitter, and he didn’t know what to say.
Zhou Litao could even point at his nose and scold him as long as he did not curse his mother. He was not willing to be a chief resident for another year.
“General manager Zhou, we observed him just now. The child vomited feces and a small amount of gastric juice. We didn’t see any signs of bile reflux.” Zheng Ren gave a simple explanation.
Zheng Ren stopped there as if there was something he could not understand. Su Yun was the same. Zhou Litao saw their expressions and hesitated for a moment. He then whispered to Su Yun,””Big brother Yun, what are you and boss Zheng thinking about?”
“I’m thinking about the feces that the child vomited just now. I guess the boss is also thinking about this. ” Su Yun blew on it and said helplessly,””What’s the matter? look at the time. If I continue to think about it, I won’t even be able to eat dinner.”
Zhou Litao was stunned for a moment and immediately went out. Seeing that the nurse had diligently cleaned up the patient’s vomit, he could only recall the shape of the vomit he had seen in the panic.
That thing had a stench, what was there to see? Although fecal reflux was not common, it could also be considered that the child was still young and the pylorus was not completely closed. Coupled with the stimulation of acute gastrointestinal inflammation, it was reasonable to have reflux.
In the end, they still had to check.
Zhou Litao returned to his office and turned on his computer.
Under boss Zheng’s gaze, he turned on the image system and called the radiology department. He asked them to upload the image as soon as possible after the examination.
No doctor would delay the emergency department’s urgent need as long as they had the means.
In the office, Zheng Ren and Su Yun were deep in thought. Su Yun, in particular, was usually a Chatterbox, but she was unusually quiet today. He wasn’t playing with his phone, nor was he dissing this and that. Instead, he was looking at the yellow leaves outside the window with a focused gaze.
Zheng Ren’s eyes were fixed on the screen as Zhou Litao kept refreshing the video in a very awkward position. After nearly 10 minutes, the video was finally uploaded.
The first thing he did was to watch the video. There was no sign of intestinal obstruction on the vertical abdominal X-ray film …
Zhou Litao was immediately confused.
“There’s nothing to see. It can’t be intestinal obstruction. ” Su Yun said,”I saw his mother pressing her hand on her stomach when she was carrying him. I don’t think his stomach feels bloated.”
His eyes were fixed on the leaves outside the window, without even looking at the video.
Zheng Ren, on the other hand, picked up the mouse and zoomed in and out of the video, watching it repeatedly for a few minutes.
The consultation room remained silent. Zhou Litao held it in for a few minutes and finally couldn’t help but ask,”Boss Zheng, Brother Yun, what are you two thinking about?”
“Let’s do a colonoscopy to check the stomach wall. ” Zheng Ren said indifferently.
“It’s meaningless. I think we should go to the patient’s house and take a look. “
“That’s illegal. It’s different from the last time I went to cui Heming’s company.” Zheng Ren shook his head.”If we get caught, this will be the biggest scandal.”
“Tsk, you’re so cold.” Su Yun said in disdain.
The two of them were talking in a mess, and Zhou Litao still didn’t understand a word.
In fact, it wasn’t that he didn’t understand. He knew what every sentence meant, but when put together, he couldn’t understand what boss Zheng and Brother Yun were trying to do.
“Let’s do a gastroscopy to see if there are any chronic changes to the mucous membrane, such as ulcers, hemorrhages, and erosions. ” Zheng Ren said.
“Alright,” he said. Zhou Litao nodded and went out to explain the condition to the patient’s mother.
“Boss, do you think it’s possible?”
“There is.” Zheng Ren said,”there’s no other explanation.”
“I didn’t expect to really run into one.” “Could it be a rare illness?” Su Yun frowned.
“Medical imaging doesn’t support it. Come and take a look. You didn’t even look at the X-ray, you’re too careless. ” Zheng Ren said.
“I’m afraid I’ll lose confidence in this world after watching the film. “
“You’re the one who said I’m like an ostrich. You’re also the one who thinks I’ll lose confidence in the world.” Zheng Ren said,”this kind of thing will happen regardless of whether you know it or not. There was nothing new under the sun. There would be things in the past, there would be things in the present, and there would be things in the future. Even if a human evolved into a higher consciousness form, this would probably still happen. “
“Boss, you’re so long-winded.” Su Yun blew out a breath of air. The black hair on her forehead fluttered, and she seemed to be more energetic.
He went to the computer, took over the mouse from Zheng Ren’s hand, and started to read the scans.
After examining the situation in the abdominal cavity, Su Yun smiled and said,””Agent-type menjoson syndrome, what else is there to explain? What’s important now is the evidence and the intervention of the law. “
“If we call the police before we get to the bottom of this, it’ll be very embarrassing if we make a mistake.” Zheng Ren shook his head and said indifferently.
“You’re still considering the problem of the pylorus? We can’t rule out the possibility that the child’s pylorus isn’t completely closed. “
“Where’s the bile?”
“The bile has almost been used up during the vomiting. We can only see the stool with reflux.” Zheng Ren said,”although I can’t explain it completely, I still have to do the necessary examination.”
“Boss, I saw that you opened the door very quickly in Haicheng last time. Do you often use half a packet of instant noodles to unlock the door of a small community?” Su Yun chuckled and asked.
“I’ve never done it. ” Zheng Ren said,”I don’t recommend you to go to the patient’s house. That’s considered burglary and illegal.”
“This is the simplest.”
“That won’t do either. When general manager Zhou comes back later, ask him and see if there are any clues. “
The two fell silent again.
Agent-type menjoson syndrome was a symptom of fabricating others, especially their children, juniors, siblings, and other people who needed to be taken care of.
Strictly speaking, they were a kind of performance-type personality, but they were willing to act as people who took care of others.
After the child vomited feces, Zheng Ren and Su Yun observed and pondered about the related diseases, but they could not diagnose the child according to diagnostic studies. In addition to Zhou Litao’s medical history, they all thought of agent-type Meng qiaosen syndrome.
After a few minutes, Zhou Litao returned.
“General manager Zhou, do you know anything about the mother of the child?” Su Yun asked.
“Uh …” Zhou Litao was stunned for a moment, then he said,””I know a little, but not much. Her husband was a crew member who worked overseas for a long time. He comes back twice a year and is usually not at home. “
“I didn’t ask you that. What are you thinking about?” Su Yun asked,”do you have her social account number?” WeChat moments, Weibo, and so on. “
“Both.” Zhou Litao said,”but … I don’t see anything different. She’s just willing to show off her baby.”
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