After explaining the surgical images, Zheng Ren fell to the ground with a stone.

This cardiac X syndrome is not rare, but it is particularly easy to be ignored. After all, it is difficult to find out with non-invasive examinations. It is normal for patients to go to countless hospitals and finally fail to get a certain diagnosis.

"Ahhhh!" Su Yun was suddenly stunned for a moment, and then said, "I forgot something!"

"Ah? What's wrong?" Zheng Ren asked in surprise.

"Mr. Wang was looking for you just now." Su Yun said, "He asked me if you have time. When you came out, you saw a patient with heart X syndrome..."

"Oh, what did Mr. Wang ask me?" Zheng Ren asked.

"I said there is a patient who has difficulty breathing and is dizzy when walking. There is no good diagnosis. I want you to take a look." Su Yun said, "There is a side of Haicheng who is preparing for a consultation in the whole hospital. It's time to get off work, and I don't know if the consultation is over."

"Oh?" Zheng Ren asked, "Do they judge it to be emphysema or vertigo?"

"Boss, do you have to charge for consultations in the future? Why are we experts in the imperial capital? We just come to us for consultations like a big girl in the room." Su Yun did not answer Zheng Ren's words, but nagged about other things.

"Don't say it's so ugly." Zheng Ren smiled, "Have the information been passed?"

"No, he just asked if you are interested." Su Yun said.

"Let's take a look, if you don't understand, let the patient come over." Zheng Ren said casually.

"What are you doing here?"

"..." Zheng Ren was stunned for a moment, and then said, "Look at the touch, listen, look at the patient, look at the eyes, listen, ask and touch, and you need to see the patient inside. Do you think remote consultation can solve all the difficult and complicated diseases?"

"Boss, why does it feel like you're being stepped on your tail all of a sudden?" Su Yun asked with a smile. He just asked casually, but he didn't expect his boss to be so serious.

But Su Yun didn't care either. He just gave up after he habitually criticized his boss.

"Don't talk nonsense, ask Mr. Wang for information." Zheng Ren said.

Su Yun took out his cell phone, and his hands flashed back and forth on the phone screen almost like afterimages.

The whole hospital consultation has not ended yet, and it seems to be very troublesome, Zheng Ren judged. Whether it is the condition or the patient's family, there will be troubles.

Soon, Mr. Wang sent the patient's situation information.

The patient complained of general fatigue, fatigue and difficulty breathing were admitted to the hospital for three months.

He doesn't smoke, drink, doesn't have pets at home, and it's normal for him to eat normally. There has been no special changes recently. He has no previous medical history, no family history, etc. He is a bank employee and has no chance to be exposed to dust and other metal substances.

But suddenly this situation occurs and does not heal for a long time, and both the patient and the doctor are helpless.

During the first visit a few months ago, I had a chest radiograph, diagnosed as a lower respiratory tract infection, and targeted treatment was performed.

Anti-inflammatory, his symptoms improved at the beginning after symptomatic treatment, but they relapsed again a month later. What’s even more strange is that his X-rays did not appear to be any problem after the second time.

All examinations were performed, but no problems were found in the patient.

Just looking at the test results, this is a very healthy person. However, according to Mr. Wang's description, the patient's condition is extremely serious. Now he can't get up the stairs and walks tremblingly on the flat ground. He has to take a rest after walking a few steps.

Looking at the patient's condition profile, Zheng Ren sat in Zhou Litao's chair and hugged his arms and started to think about it.

"Following the medical condition, it is like severe heart disease, but there is no problem with chest X-ray and lung CT display." Su Yun said.

Zheng Ren clicked the mouse and enlarged the chest X-ray image.

"Do you want the original data?" Su Yun asked.

"No, you can see clearly." Zheng Ren said: "The wheezing sound is not written in the medical record. Su Yun, do you think asthma can be eliminated?"

"In the early stage, when the asthma attack, the translucency of the two lungs increased and was over-inflated. There was no on the film, but there was also the reason why the film was not during the asthma attack period." Su Yun continued: "But I didn't consider it, and I didn't mention wheezing at all. I think this very obvious symptom should not be omitted."

After saying that, Su Yun smiled, "No matter how it is a Grade A hospital, you can't hear the wheezing sound. President Xiao can resign."

"Well, and when asthma does not occur, it is not considered that the symptoms of limb weakness will occur." Zheng Ren added, ruled out the possibility of asthma.

"It's okay to check the heart when you look at it. I also checked the 24-hour dynamic electrocardiogram, and the patient is very healthy."

"Epilepsy?" Su Yun asked.

"It is possible, it may be that the patient complains about his own symptoms and causes convulsions... it is not right. If the limbs are weak... this diagnosis is reserved first. Although it is unlikely, it is possible." Zheng Ren said in a deep voice.

Su Yun recorded the diagnosis of epilepsy on A4 paper. If you want to make a clear diagnosis, you can do an EEG test for the patient when the attack occurs.

After all, it is a remote consultation. It is unlikely that the patient will have any other reactions during activities and make a more clear diagnosis.

"Where is pneumonia?" Su Yun said, "You can see vague inflammation on the X-ray that was examined for the first time. Although it did not appear in the later stage, it cannot be simply ruled out."

"The anatomical classification is lobular pneumonia, lobular pneumonia, and interstitial pneumonia. The patient's status is more likely to consider interstitial pneumonia."

"The causes are divided into bacterial pneumonia, viral pneumonia, mycoplasma pneumonia, other pathogenic pneumonia, fungal pneumonia and other non-infectious factors, such as radiopneumonia, aspiration pneumonia, allergic pneumonia..."

Zheng Ren and Su Yun investigated and began to do various differential diagnosis.

Zhou Litao looked at the back silently. The patient was only 34 years old, with weak limbs and difficulty breathing. He had many tests but no clear diagnosis. It looked so strange.

The first thing he thought of was that the patient had written his age incorrectly.

34 years old! This patient looks like he is 134 years old.

...

...

Haicheng, the first courtyard of the city.

Although he has already gotten off work, the doctors are still working like worker ants.

Mr. Wang is attending a hospital-wide consultation.

As a support expert in the imperial capital, the First Hospital of the City now asks him for help when consulting the entire hospital.

But this time, Mr. Wang had no idea, so he had no choice but to use the ultimate skill - summon Boss Zheng.

"The patient's family is very dissatisfied. After so many tests, they have not been confirmed." Director Zhou of the Medical Department tapped the table with his finger and said in a deep voice: "If there is no clear diagnosis, the patient will be referred to the higher hospital."

The director of the respiratory department nodded.

She had long wanted to transfer the patient away, but because the first time she was given symptomatic treatment for pneumonia diagnosed in the respiratory department, she was still a little worried.

No one expected that an ordinary patient with pneumonia would not be cured for a long time, and eventually became a huge trouble.

But there is nothing I can do, I really can't understand. If I don't go to the higher hospital, I'm afraid the patient's condition will become worse and worse.

Judging from the degree of difficulty in breathing, even if you have to go to the ventilator in a few days, this is not impossible.

If that is the case, once you enter the ICU...

Director He of the Department of Respiratory Medicine has begun to think about the patient's referral. It doesn't matter if you can't understand the disease. Who can guarantee that you can understand all the diseases?

As long as the patient does not "smash" it in his own hands.

Director He began to think about how to communicate with the patient's family for a while. Is it better to go to the provincial capital or the imperial capital? It seems that if the provincial capital is, the patient's family will be more acceptable, after all, the journey is closer.

But she didn't think that the provincial capital could solve this case, such a strange situation... Thinking of it, she was a little distracted.

The next few directors who came to the consultation also expressed their opinions. They were all very simple, and they had nothing special to say.

What to check, what is normal, what is there to say.

It's all about car talk and it's completely meaningless.

Mr. Wang repeatedly recalled the patient's illness, but he still had no idea. The autonomic nervous system dysfunction or hysteria did not look like it.

It is quite difficult for a 34-year-old man to be so hysterical that he is out of breath when walking.

Just as I was thinking, my phone vibrated.

Mr. Wang took a look and it was Su Yun's phone call. He smiled at Director Zhou embarrassedly, lowered his head and went out to answer the phone.

Fortunately, it is not 912. Director Wei is asked to sit here, or Director Lin is the one who presides over the consultations of the whole hospital. He is afraid of being scolded. As for Director Ye, President Wang doesn’t dare to think about it at all.

For ordinary doctors, Director Ye Qingqiu of the Medical Department is the governor of the Jinyiwei. If he really comes forward, he will probably lose his skin even if he doesn't die.

Director Zhou shook his head and looked around at the directors of various relevant departments of the First Hospital of the City. He could guess the expressions on their faces.

No one can do anything about it.

While completing the referral procedures, he used a 120 ambulance to take it to the provincial capital. As for whom to contact the provincial capital, Director Zhou thought it would be better to let the patient's family contact themselves first.

If you do too much of this kind of thing, the patient's family will definitely think that there is something wrong with the hospital's diagnosis and treatment. How could he be so attentive if he ignores the fault?

The main reason lies in one degree. How to grasp Director Zhou gradually gains flaws. Clinical work is really troublesome. As he thought about it, Director Zhou felt bored. When can he go to logistics work?

"Then it's settled. Director He will communicate with the patient's family." Director Zhou said, "This disease..."

"Director Zhou." Mr. Wang came back with his cell phone and interrupted Director Zhou's words.

"Mr. Wang, what do you think?" Director Zhou asked.

"I just consulted Boss Zheng, and he said it is recommended to check an EEG when the patient is having difficulty breathing. In addition, check for a lung enhancement CT." Mr. Wang said seriously.

He did not change his expression because he was Boss Zheng’s consultation opinion, but just calmly stated a fact.
Chapter completed!