A diagnosis that doesn't exist at all?

Lin Yuan was stunned for a moment, what's going on?

She was about to ask, but when she saw that Zheng Ren and Su Yun had no explanation at all, she left directly.

"Hey, Boss Zheng!" Lin Yuan shouted from behind.

"Hmm?" Zheng Ren didn't even look back.

"Why do you say this if there is no diagnosis? Aren't you afraid that someone else will point out the mistake during the hospital consultation?" Lin Yuan said anxiously.

"What do you mean is a slap in the face?" Su Yun turned his head and looked at Lin Yuan with a contemptuous smile on his lips.

Well……

Lin Yuan suddenly suffered from sinus tachycardia, which turned to atrial fibrillation.

"Boss Zheng, do I really want to say that?" Mr. Yu asked cautiously.

"Of course." Su Yun said with a smile: "But Mr. Yu, do you know why?"

Mr. Yu shook his head.

"The patient's heart has calcification. Considering that he had never mentioned the medical history before, it may have been intentional not to say it; it may have been forgotten because it took too long," said Zheng Ren.

"I think it's very likely that I won't say it on purpose." Su Yun said.

Mr. Yu was stunned when he heard this. Boss Zheng and Yun Geer's diagnosis was so consistent, and even the patient had a hidden medical history so sure.

This...is too scary.

"Why do you say that?" Lin Yuan followed behind and asked seriously.

"How old is this person? Why are you still gnawing your fingers? You're right to say you're a little brat." Su Yun saw Lin Yuan biting his fingers while thinking about the condition and started spraying directly.

After enduring it for a day yesterday, Su Yun felt that the little beast deep in his heart was ready to move.

"Don't chew fingernails in the hospital, it's not hygienic." Zheng Ren glanced at it and said with a smile.

"Boss Zheng, why are you so sure that the patient is hiding his condition?" Lin Yuan was not embarrassed. She devoted all her thoughts to the patient's condition.

"Because there is no auxiliary examination, it is clearly pointed out that the patient may experience hematuria." Zheng Ren said casually.

"Boss Zheng, you said more in detail." Mr. Yu said with a frown, "You can say that when you consult in the whole hospital, I can't say that."

What he said was the truth. Zheng Ren said this, and everyone should pay attention to it. But if Mr. Yu said it out, he would be scolded.

"That is certain that the patient has pericardial stenosis. Although it is not very severe, it is intermittently induced by limited dilation during the ventricular diastolic period, and reduced filling during the ventricular stretch, which reduces cardiac blood volume. At the same time, the return of the superior and inferior vena cava is also blocked by the constriction of the pericardial, resulting in increased venous pressure, causing jugular vein to vent and enlarge the liver."

"..." Mr. Yu still didn't understand.

"You mean using the monism of constrictive pericarditis to explain all the clinical manifestations of patients?" Lin Yuan frowned.

"Hey, there's still monism?"

"Isn't it?" Lin Yuan asked.

"Of course not, just to scare the patient." Su Yun blew, and the black hair on his forehead floated proudly.

"Why?" Lin Yuan suddenly felt even more confused.

"Because the patient has a hidden medical history," Zheng Ren said, "Let's go, Mr. Yu, let's go to your duty room to talk in detail."

President Yu breathed a sigh of relief. He was really afraid that Boss Zheng and Brother Yun would not say it clearly.

Lin Yuan followed him back to Mr. Yu’s duty room with confusion. Zheng Ren sat down and said, “Mr. Yu’s judgment is correct. The patient is hiding his medical history in order to conceal the truth about hematuria.”

"But why do you do this?" Mr. Yu asked in confusion.

"Why, it's the answer you are looking for, it has nothing to do with the boss." Su Yun said.

"But……"

"Didn't you just say that the patient has mild pericardial stenosis changes, which can be diagnosed as constrictive pericarditis, but there will be no serious consequences." Zheng Ren said, ct on his chest just now.

Mr. Yu and Lin Yuan both watched the movie silently.

"As the changes in the external and internal conditions of the body, such as the increase in the pressure of the chest cavity and mediastinum, it is equivalent to the sudden aggravation of constrictive pericarditis."

Zheng Ren talked happily, and President Yu gradually understood what Zheng Ren meant, but Lin Yuan frowned and said nothing.

"Lin Yuan also said before that the clinical symptoms of constrictive pericarditis include increased venous pressure in the lower limbs, which leads to edema in both lower limbs. While the portal pressure increases, the renal vein pressure will also increase, and rupture and bleeding in the renal pelvic vein may be related to hematuria."

When Mr. Yu clapped his hands excitedly and said, "I'll say something is wrong!"

"Well, you should say this to Director Liu." Zheng Ren smiled, "There should be nothing wrong. The chest pressure is easy to control, which also explains why the patient refuses to ask about the medical history in detail. But why he did this, you have to ask yourself."

"What if the patient firmly disagrees with the operation?" asked Mr. Yu.

"There was no need for surgery at first, I just scared him so that you could ask the truth." Su Yun said, "or scared his son and asked the truth."

Mr. Yu breathed a sigh of relief and nodded.

"Then we're going down. If you have any progress on this side, please contact us at any time." Zheng Ren said in a phone call.

"Okay!" President Yu happily sent Zheng Ren away.

Until the time I went downstairs, Lin Yuan hadn't figured it out.

"Boss Zheng, why are you so sure that the patient is pretending to be sick?" Lin Yuan asked.

"Do you know why the boss came to the imperial capital?" Su Yun asked back.

"It's because of the Nobel Prize project." Lin Yuan still knew about this.

"No, it's because he has a perspective eye and peeks at the little widow in Haicheng to take a bath and is driven out."

“…”

"Stop making trouble." Zheng Ren quickly stopped Su Yun and said nonsense, "You have also seen the films and other tests just now. Is there any clear diagnosis?"

Lin Yuan shook his head.

"Yes, all clinical examinations and signs do not support the symptoms, so there must be other factors involved." Zheng Ren said: "When you were in the United States, have you ever encountered a case of pretending to be sick to have a comprehensive physical examination and cheating of insurance while you were not unemployed?"

Lin Yuan felt a little embarrassed, she shook her head blankly, "I am just a doctoral student and haven't been intern yet to contact patients."

"Boss, look at me and just say she is a rookie." Su Yun said contemptuously.

"It's all from rookies." Zheng Ren walked down the stairs. "This is very common in clinical practice. For example, when I was in Haicheng, I went to the emergency department."

"Not the time for hospitalization?"

"No, it happened during my rotation department." Zheng Ren said: "The gynecologist went to have dinner. I prescribed a test form for early pregnancy in urine, and the result was positive. The patient stopped doing it and had to check again."

"What happened later?" Lin Yuan asked in confusion.
Chapter completed!