Director Zhou did not think Zheng Ren was making a big fuss.

With Director Kong's relationship with him, Boss Zheng would definitely not slap Zhu Liangchen in the face for no reason. If he was ten years younger and jumped out with a proud heart, he might be hit head-on.

And the patients were fine just now, so the ones who should be sent to the stage were also sent to the stage, but what happened at this time?

Judging from Zhu Liangchen's appearance, he should have thought it was the same as his own and thought it was nothing.

It's strange.

Soon, Zheng Ren and Zhu Liangchen walked back.

"Teacher Zhu, I suggest postponing this operation." Zheng Ren said, "I have watched the film on the head, and I have some questions. I want to check a few more tests and confirm the diagnosis before undergoing the operation."

"Boss Zheng, what disease do you think?" Zhu Liangchen was a little unhappy.

Negative diagnosis? This is a standard slap in the face.

Doctors are in a state of disgrace. The fatal attack is that he can also see a doctor?

Zhu Liangchen looked at Zheng Ren, and the expression on his face became colder and colder.

"The patient's head t shows a low-density symmetry of bilateral bean-shaped nucleus. This image is relatively light and can easily be ignored. The side of t is considered an artifact." Zheng Ren inserted the film of t on the film viewer.

He pointed the T-slice and said, "The RI in the head is more specific than T-specific, manifested as the bean-shaped nucleus, caudate nucleus, midbrain and pons, thalamus, cerebellum and frontal cortex T1-weighted low signals and T2-weighted high signals, or the putamen and caudate nucleus in the T2-weighted image show mixed signals, and there may also be different degrees of sulcus widening and ventricular enlargement, etc."

After saying that, Zheng Ren continued to say, "I think the patient has a rare liver-like nuclear degeneration. It is recommended to check for biochemical tests related to copper metabolism, serum ceruloplasmin, urine copper, and liver copper."

These inspections are quite unpopular. There are no places like Haicheng. Even if you hear them, you may not have heard of them.

But the Imperial Capital Hepatobiliary Hospital is a specialist hospital, and these examinations should be included.

Is liver bean-like nuclei degeneration?

Zhu Liangchen and Director Zhou were both stunned for a moment, and then began to recall this extremely rare disease.

This disease is caused by excessive free copper in the serum depositing in large quantities in the liver, causing lobular cirrhosis.

When the lysosomes of hepatocytes cannot accommodate it, copper spreads and deposits to various organs through the blood. The transport of neurons in the basal ganglia and their normal enzymes is particularly sensitive to the toxicity of inorganic copper, and the deposition of copper in the cerebral cortex and cerebellar dentate nucleus also produces symptoms.

The damage to the proximal tubules of the kidney can cause the loss of amino acids, proteins, calcium and phosphates, and the deposition of free copper in the elastic layer of the cornea produces a k-f ring.

At the same time, cirrhosis can produce a series of changes in portal hypertension.

If it is diagnosed as liver bean-like nuclei degeneration... Director Zhou showed a smile on his face.

Things are getting more and more interesting.

Zhu Liangchen's luck is not very good. The probability of this disease is generally only one in 100,000.

He also needs to receive it from him and then ask Boss Zheng for surgery.

Tsk, this luck is really no one.

Zhu Liangchen was a little embarrassed, and his face suddenly drooped.

This is the "professor" who stopped the operation... In the past, only the only one who stopped the operation by himself was, but no one had stopped the operation by himself!

"The patient's expression is strange, his speech is vague, and his muscles are spasms, but he is not as rhythmic as Parkinson's disease." Zheng Ren did not care about Zhu Liangchen's unhappiness. To be honest, "This surgery will be stopped, and the diagnosis will be clear. If the diagnosis is correct, give the patient a period of time to take d-penicillamine. After the symptoms are relieved, you can do it at any time."

Su Yun frowned while watching.

Running the flying knife in the imperial capital, let’s not talk about whether you make money or not. You must be very cautious in every step.

They are all big names in the industry. Even if they are of a poor level, they can't stand a wide range of people. This is a different concept from going to other cities to run a flying knife.

What would Director Kong think after he wiped out Zhu Liangchen's face?

But Zheng Ren said nothing wrong. If it is really degeneration of the liver bean-like nucleus, the patient's copper metabolism will have problems.

Alas, I was so unlucky that I encountered this situation.

Zhu Liangchen was silent for a few seconds, but nodded, saying, "Then the patient's surgery will be stopped."

The air in the office suddenly became a little lighter.

The remaining two patients quickly finished reading the film. Zhu Liangchen had a gloomy face and arranged for someone to communicate with the patient's family, and then took Zheng Ren to the operation.

The atmosphere is not as harmonious as when I first arrived.

Su Yun wanted to ask Zheng Ren about the situation, but Zhu Liangchen was always there and never found a chance.

When he arrived at the operating room, Hu Yanhui had already prepared the equipment for the live broadcast of the operation and was waiting for the live broadcast of the operation.

The order of the surgery on this side is not considered, but is sorted according to the age of the patient.

Because the surgery requires fasting water, the older ones are at the forefront, which Zheng Ren also agrees very much.

After changing his lead clothes, he started brushing his hands. Su Yun finally seized the opportunity and grabbed Zheng Ren and asked, "Boss, is the diagnosis clear?"

"Hmm?" Zheng Ren was stunned for a moment, then smiled and said, "It's not about sweeping Teacher Zhu's face. If this patient undergoes surgery, the venous blood will not flow in the liver and the filtration of toxins is missing, and the symptoms of acute copper poisoning are likely to occur."

Su Yun nodded. As long as he was sure, there was nothing to say.

Zheng Ren was the one who took care of Zhu Liangchen's face in the end. But he was a little puzzled and asked in a low voice, "Have you seen a patient with liver bean-like nuclei degeneration?"

"No."

"Then how did you diagnose it?" Su Yun asked.

In theory, the directors of the imperial capital see 180 patients a day, and some are difficult and complicated diseases. If they compete for talent, Zheng Ren may be stronger than everyone. But if they compete for experience, he may be a little weaker.

This is also what Su Yun has always been worried about.

But... what happened today made him feel that his three views were forcibly broken into another direction by Zheng Ren.

"Reading books, shouldn't we write down all the liver lesions and compare them all?" Zheng Ren also said to Su Yun in surprise, "Didn't you treat the doctor like this?"

"..." Su Yunzhen really wanted to beat Zheng Ren.

There are liver lesions, and there must be eight hundred. Who can remember every one that is not missed? And every time you see a patient, you have to go through it?

This guy is really not a human.

"I'm on stage, which one is the live broadcast operation?"

"Third, the sixth station." Su Yun said expressionlessly.

"Oh, contact Director Kong and see when Director Kong and Professor Pei will arrive." Zheng Ren said.

"Are you still afraid that they won't be able to get there after you finish it?" Su Yun was already a little impatient.
Chapter completed!