2901 Ethical Issues (Leader Menggu Doctor 4)
"What did you say?" Su Yun thought he didn't hear it clearly, so he immediately asked back.
"Oh, Brother Yun, I'm going to tell you that I thought I was wrong." Zhou Litao said, "But this is the second re-examination. I'm worried that something else is going to happen, so I left both of them. The rest... I don't know what to do."
Zheng Ren knew that this involved an ethical issue, just like the entanglement between the man and his wife just now, no matter how you judge it, it was wrong.
But it is even more wrong to do nothing.
"On normal regulations, you should report it and then talk to the patient's lover about this. If you have AIDS, you don't know? It's unlikely." Su Yun said.
"Brother Yun, do you think the patient has a window period, that is, an incubation period?"
"The AIDS that cannot be detected is mainly in the window period of AIDS infection, that is, there is a window period of 2 to 4 weeks when the first infection with the Hiv virus is coexisting. During the window period, patients can become negative when they test the Hiv virus antibodies. But you said that woman is an old patient and has been here many times." Su Yun pondered.
"Yes, the first time I came was about half a year ago, and I often felt weak and shortness of breath. I had all kinds of problems, and the symptoms were like the symptoms of AIDS written in the book." Zhou Litao said strangely, "But people say they feel uncomfortable, so they will definitely not check it directly. I suddenly thought of it, and then I had the examination."
"Is it possible that women have known things long ago and don't want to expose them, so they keep pretending to be sick and suggesting to ask the doctor to find her lover for examination?" Zheng Ren said with a frown.
"I'll go... Boss, your idea is too imaginative!" Su Yun said in surprise.
It is obvious that Zheng Ren's idea is too dark. The key is... there is really a slight possibility.
"It's possible." Zheng Ren said seriously.
"I want to say there is no possibility at all." Su Yun said, "You think, in the eyes of ordinary people, AIDS is a terminal illness! I am afraid that I can live under the same roof every day? Why is my heart so big?"
"It may be that she has only suspicion, but she has no way to say it. Once she says this, she can't turn back." Zheng Ren added.
"Tsk tsk, it's almost a family ethics drama. I'm going to say it's a coincidence that a patient with autonomic nervous system dysfunction came to the hospital to see a doctor repeatedly, and finally found out that she was fine, but her lover happened to be AIDS."
"Well, it's true that this is the most likely." Zheng Ren did not argue with Su Yun. He thought Su Yun's words made sense, so he overturned all the previous words, and then said, "There are some clues in life that I don't realize. The psychological hints in this aspect are lurking in the subconscious, so she always unintentionally leans on AIDS."
"It's possible, no matter what, it's all Mr. Zhou's trouble anyway." Su Yun said with a smile.
"I'll call the man later, hoping that he won't break down after knowing it." Zhou Litao said with a little sadness.
"Who knows, you'll be careful anyway." Su Yun said, "This is the time when you are most willing to have something wrong. You'll be fucked if you want to kill you. This kind of person is very common."
"Who knows?" Zhou Litao suddenly remembered and asked, "I saw a maxillary sinus ct when I saw a patient with nosebleed. Why?"
"There is something growing in the nasal cavity, covered with mucous membranes, so what is it invisible. The boss guessed it was toothed in his nose. Do you think it's possible? Mr. Zhou?" Su Yun asked.
"Uh... I've read a report that I have teeth in rectum." Zhou Litao said.
"Don't talk nonsense, it's because the dentures have fallen out and cannot be discharged in the rectum." Su Yun scolded.
"I have also read similar reports. One piece was published in the journal Radiology. It was said that during the examination, I found an object similar to a tooth on my toe, and it was removed later." Zheng Ren said in a deep voice.
"Yeah, yeah!" Zhou Litao nodded repeatedly, "I was looking at a British patient with frequent abdominal pain. So I had an examination and found a tooth in the rectum. Where exactly is it growing, the paper described it in detail. It is said that it is the only article I found. I think it may be a calcified growth?"
"It's possible, and the possibility of real teeth is not high, because there are no more cases that it is teeth." Zheng Ren said, "In fact, teeth in the nose, ears, and eyes should be real. The teeth in other places cannot withstand scrutiny."
"The in-situ germ is wrong. Is the tooth germ too far away from the eruption point or abnormal? To put it simply, don't make it so complicated." Su Yun said, "It's basically caused by genetic factors or endocrine disorders, trauma, and local infection. But boss, you can't see it and say it's ambushing teeth through the mucosa. I can't understand this."
"Just guess? You have made bold assumptions and be careful to prove it. I can't speak carefully, and I can't just say it casually. What exactly do you want?!" Zheng Ren asked.
Su Yun was stunned for a moment and was also amused by the strange logic.
"A few years ago, there was a ct in the group. The ambushed teeth grew to the edge of the right eye socket. If you accidentally extracted the teeth, it would lead to blindness." Su Yun changed the topic very quickly, and he immediately started talking about the case, "This is the first case of an ectopic tooth I have seen. As for the nose, I have never seen it."
"It's amazing to have seen one case with my own eyes. I haven't seen a single case, and there are few similar reports in magazines."
"The teeth in the ear canal probably also appear in the eye sockets." Zheng Ren said, "The principle is the same, there is no explanation."
As he said that, Su Yun's cell phone rang. The doctor in the ct room opened it and said that the patient had finished the examination and the image data had been uploaded.
Su Yun immediately turned on the computer and found the film of the patient who had just had a nosebleed.
Sure enough, the multiple teeth in the maxillary incisor tube grow in the nasal cavity. The length is about 2cm, which is long enough for this guy!
Looking at the movie, Zheng Ren knew that the big pig's hooves were right again. The teeth in his nose were indeed, no wonder he often had nosebleeds and his nose hurt.
"The patient comes back and asks him to go to the oral hospital for treatment. At least one minor operation is required. 2cm, how much does it take to chisel the chisel? Boss, do you think this is a tooth extraction? What should I do if I charge a fee?" Su Yun was amazed.
"If you want to remove it completely, you need to be hospitalized for general anesthesia. The operation is difficult, but not very high." Zheng Ren had already simulated the operation in his mind.
Chapter completed!