"Uh......"

"This is a test sheet, and I don't see anything unusual for the time being. Director Luo didn't laugh, but directly handed over the test sheet he had seen to Zheng Ren.

Zheng Ren saw that Director Luo was open, so he smiled, took the test sheet and looked through it.

The values of the test sheet are normal, and nothing unusual is observed.

Zheng Ren began to ponder the symptoms described by the patient's family members—general weakness, and what to consider? Is it fatigue and weakness caused by the tumor, electrolyte imbalance, or something else?

Then there is the diagnosis of intestinal obstruction, but a detailed examination excludes the diagnosis.

Is this a pseudo-intestinal obstruction, or is there a problem with the diagnosis of the local hospital? Zheng Ren soon discovered that seeing a doctor in the imperial capital was indeed different from Haicheng.

In Haicheng, the patient's family will not trust the local doctor very much, as long as there are some incurable diseases, it is unlikely that they will stay for treatment.

However, when they arrived in the imperial capital, the patient's family members generally came first with the film and examination report, and could not see the patient himself. And the patient's family is full of expectations, as if no matter what the disease, they can see it in the imperial capital.

Faced with this expectation, Zheng Ren felt great pressure.

In Haicheng, patients and their families can be advised to go to a higher-level hospital. But now I am standing in a higher-level hospital, which is almost the last stop for all kinds of incurable diseases.

Zheng Ren looked through the test sheets and felt the new environment and new problems.

Director Luo looked very carefully, and did not casually glance at the list and draw conclusions because there were many people lined up outside.

He asked some detailed questions from time to time, which seemed very casual, but Zheng Ren could judge Director Luo's true intentions.

It's not a matter of diet, it's not a problem of ion disorder. Intestinal obstruction, which can be judged as pseudo-intestinal obstruction for the time being.

Intestinal pseudoobstruction is a dysfunction of the muscles of the intestinal wall due to nerve suppression, toxin stimulation, or lesions of the smooth muscles of the intestinal wall itself.

Clinically, it has symptoms and signs of intestinal obstruction, but there are no mechanical intestinal obstructive factors inside and outside the intestine, so it is also called dynamic intestinal obstruction, which is a syndrome without intestinal lumen obstruction.

To put it simply, there is a problem with intestinal peristalsis.

There is no special cure for this kind of intestinal obstruction, as long as you pay attention to your diet.

It should be like this, but the diagnosis can't be easily given, Zheng Ren quietly took the various materials that Director Luo had read.

Suddenly, an inspection report appeared in Zheng Ren's field of vision.

In the electromyography examination, the bottom report results are written - no abnormalities in the electromyography.

Is there no anomaly?

Zheng Ren had never seen electromyography before, which was a kind of examination in the field of medical kinesiology, which was basically needed in neurosurgery, orthopedics, and traumatology. Even if they do, they don't do much with electromyography.

However, in Nanchuan Town and the subsequent surgeries and diagnoses day and night, Zheng Ren's auxiliary examinations have been comprehensively improved.

An electromyography list caught his attention. In the electromyography spectrum, Zheng Ren read out countless information.

He was in the system space, not noticing the branching skill tree of the EMG. But at the moment, it seems that it is estimated that it is also improving with the improvement of skills such as CT and MR.

The diagnosis given by the local hospital was wrong.

"Director Luo, take a look at the electromyography. Zheng Ren whispered.

"Huh?" Director Luo was stunned for a moment, he didn't know about electromyography, after all, he was a doctor in the Department of Gastroenterology, and he never looked at electromyography.

Director Luo glanced at the report and was a little puzzled, "Boss Zheng, what do you think?"

"The local diagnosis was wrong. Zheng Rendao.

"......" Director Luo was speechless.

His speechlessness was not due to the fact that the local diagnosis was wrong. Because in the imperial capital, it is common to see incorrect diagnoses in lower-level hospitals. Even seeing dozens or hundreds of patients every day, if he didn't encounter an incorrect diagnosis, Director Luo himself would feel amazing.

But...... This is an electromyography, Boss Xiao Zheng also understands?

Director Luo didn't speak, just looked at Zheng Ren, and his eyes showed the meaning of inquiry.

Zheng Ren nodded slightly, and said, "According to the performance of the electromyography, I think it may be ......."

"Huh?" Director Luo sensed Zheng Ren's hesitation. Could it be a rare disease?

"It's mitochondrial encephalomyopathy. Zheng Ren whispered.

The patient's family froze, mitochondria -- what the hell is that? It sounds weird.

Not only her, but even Director Luo was stunned.

Director Luo was very cautious, he didn't answer Zheng Ren's words directly, and after a few seconds of silence, he picked up his mobile phone and dialed a call to go out.

"Hey, I'm Luo Shan. ”

"I have a patient here who came with a local electromyography, and now I suspect that there is an error in the local diagnosis, please take a look. ”

"Okay, I'll tell the patient's family to come to you. You write down your diagnosis, thank you. ”

After speaking, Director Luo instructed the patient's family to go to the EMG room to find a certain director, and then come back.

The patient's family was puzzled, but they still followed Director Luo's instructions and left with the electromyography. While walking, I recalled the name of mitochondrial encephalomyopathy, but now I can't remember it clearly, but I vaguely remember the word mitochondria.

Director Luo didn't let me bring other information, saying that it was troublesome.

But Zheng Ren knew that he might have to ask himself a lot of questions.

When the patient's family went out, Director Luo deliberately went outside the door to say a few words and appease several other people who came to see the doctor, then closed the door, looked at Zheng Ren, and asked, "Boss Zheng, how did you diagnose it?"

Director Luo's tone was not heavy, but he was serious and full of academic energy.

Zheng Ren knows that if he wants to be recognized by Director Luo, now is the key.

The previous diagnosis of Crohn's disease patient, his judgment was the same as that of Director Luo, and he could show part of his ability, but it was not enough.

Academics are only close to academics. Of course, there is such a thing as a peer being an enemy, and the probability of occurrence is greater than that of being close to each other.

In other words, if you don't have two brushes, let alone do scientific research in the imperial capital, it will be difficult to gain a firm foothold.

You can't really rely on the beds given by Director Kong to win the Nobel Prize.

Of course, you can also apply to the above and get support from the health department. Only then will the timeline be extended indefinitely. Moreover, 912 Hospital is not affiliated with the Ministry of Health.

Jung in didn't want that.

He cheered up, smiled, and said, "Because the patient has a problem with the electromyography and, according to the patient's family, the patient gets tired easily. If I'm not mistaken, I guess it's extremely easy to get tired. ”

"How do you guess?" Director Luo lifted his glasses, stared at this young man with a blue nose and swollen face, and looked a little funny, and asked unceremoniously.

"Because of intestinal obstruction. Zheng Ren said: "I came from the hospital below, and there are not many local hospital doctors who know about mitochondrial encephalomyopathy. Belch...... I'm sorry, I digress as I talked. ”