Chapter 2636 Persecuted Delusion

Dean Wu looked at the complicated medical records in silence for a long time, and had a weird dream when he went to bed at night, but he couldn't remember what he dreamed of after waking up. I can only vaguely remember that it seems to be related to the illness, but I can't remember the specifics.

This incident was like a fishbone stuck in his throat, which made Dean Wu very uncomfortable.

Two days later, he picked up the medical records again and flipped through them.

The patient's condition was more complicated than I imagined. He had thyroid cancer, and the operation was performed in the imperial capital. But it was just a thyroid nodule, and in the end a total thyroidectomy was performed.

This is a bit too much. Dean Wu looked at the medical records and felt more and more that this patient really had a mental illness.

Although the final pathological result was diagnosed as thyroid cancer, it is not necessary to remove both thyroid glands.

Seeing that the hospital where the operation was performed was 912, Dean Wu thought about it for a long time, but finally he couldn't get over that hurdle, so he contacted the doctor who performed the operation on the patient back then.

The imperial capital is so busy, there is a high possibility that the surgeon can't remember the patient at all. But after Dean Wu tried to contact a doctor he knew in 912 and Professor Wei, the leader of the thyroid department, he found that Professor Wei still remembered the patient even after a long time.

According to Professor Wei, the patient was examined in Imperial Capital because of "delusional schizophrenia", and it was found that he had severe iron deficiency anemia and severe vitamin D deficiency.

During the examination, it was found that there were nodules in the thyroid gland. Professor Wei saw the patient in the outpatient clinic. He thought it was enough to go home and observe. But the patient strongly demanded surgery, even at the cost of death.

The patient's parents talked with Professor Wei for a long time, and finally decided to perform the operation according to the patient's own opinion.

The reason why I was so impressed was that Professor Wei was worried about problems, so when Dean Wu called, he was quite nervous.

Professor Wei relaxed a lot when he knew that Dean Wu was just consulting and not having any problems with the patient. He told Dean Wu that he felt that the patient's condition was not right at the time. He had been a doctor for more than 20 years, but he had not found anyone who actively asked for total thyroidectomy.

Generally, patients are afraid of surgery. Doctors say to go home and observe, and almost no one will ask for surgery on their own initiative. But this patient is different, not only surgery, but also bilateral total thyroidectomy.

The patient had no history of head trauma, seizures, or social withdrawal. Therefore, Professor Wei is not sure that the patient really has a mental illness, but the behavior is a little weird, this is his judgment.

But at that time, Professor Wei's main thinking basis was that generally speaking, mental illnesses have symptoms from adolescence, but this patient was said to be normal before, and he studied until he graduated with a doctorate.

There was no family history, and the patient's parents were normal.

At that time, he wanted to do some related examinations because he was worried about problems, but they were all rejected by the patients.

The patient was followed up after the operation, and she took levothyroxine sodium tablets orally. The strange thing is that TSH should be lowered if the drug is taken orally to supplement thyroxine, but there is no change.

Professor Wei explained everything he knew, and then the patient's symptoms became more and more serious. He even said on the phone that if he hadn't insisted on it at that time, the disease of thyroid cancer would have been directly delayed.

This sentence is full of distrust and hostility, Professor Wei will be angry no matter how good-tempered he is.

Although the patient's parents sincerely apologized after learning about the incident, Professor Wei did not want to have any contact with the patient.

Dean Wu put down the phone and fell into deep thought.

According to Professor Wei's narration, this is a typical case of persecuted delusional patients, but Professor Wei's opinion... seems to be worthy of reference.

Could there be any problems that Director Jiang didn't consider? Dean Wu suddenly became interested.

He then sent all the test sheets of the patient to Professor Wei and asked Professor Wei to take a look.

The most recent laboratory TSH value is 9.4pmol/L, which is slightly lower than the normal value. Other than that, there is nothing worth noting for the time being.

The professors in the imperial capital couldn't see any problem, so Dean Wu had no choice but to put the matter aside for the time being. He thought to himself that the most likely cause of this matter was the patient's mental state.

However, Dean Wu wanted to die down, but Director Jiang kept asking the whole hospital for consultation. His reason was that the patient's physical condition was not good, and his weight had continued to lose weight over the past year or so.

No malignant tumor was found in the examination, and the patient did not have any gastrointestinal symptoms such as nausea, vomiting, or diarrhea.

Director Wu knows that many patients with delusions of persecution do not eat well, because they are all worried that their family members or restaurants will poison their food. So intentionally reduce the amount of food you eat, so as not to be harmed by others.

This is looking for trouble when there is nothing to do, and Dean Wu is a little helpless. He knew what Director Jiang was thinking, he was slapping himself in the face with his own words.

Is what I said wrong? ! To prevent the erroneous progress, but he seized the handle and gave him a bad meal. Because of his seniority, he is going to retire soon, and he will not forgive others.

During this time, Dean Wu lived in a bit of distress, and he even felt that he was suffering from depression. Or ask Boss Zheng to help me take a look? Please, I will definitely not be able to invite you, give me a helping hand, and talk about my distress, which can be regarded as venting my distress and getting acquainted with Boss Zheng by the way.

Dean Wu cheekily opened WeChat and sent a message to Boss Zheng.

【Boss Zheng, are you there? 】

After a long time of no reply, Dean Wu sighed and smiled. I was not familiar with it at first, but now that he is a Nobel Prize winner, I can't even get in touch with him.

Forget it, don't be boring for no reason.

Until two days later, Dean Wu suddenly received a WeChat message.

[Dean Wu from Nanshan City? Hello. I have been abroad for a few days and just came back. 】

Dean Wu was overjoyed when he saw Boss Zheng's reply. It turned out that he had gone abroad, rather than putting himself on airs and forgetting himself.

[Sorry to bother you, I have a case where the clinical director suspects something wrong, and we can't make a diagnosis. 】

【Oh, wait a minute, I'm going back to the imperial capital. 】

【Okay, excuse me. 】

...

...

Zheng Ren took the phone to send a message, and Xie Yiren asked from the side: "Zheng Ren, what's the matter with Corey?"

"It's something, but it's not Corey." Zheng Ren smiled and said, "President Wu of Nanshan Mental Hospital probably wants to consult me."

"Psychiatric hospital?" Xie Yi was a little puzzled.

"Didn't you get selected by lottery a while ago, and went to Nanshan City for a medical appraisal. I went with Su Yun, and the patient was diagnosed wrong in the end." Zheng Ren said, "That's why we have President Wu's contact information."

"Oh, what patient?"

"The information came out a few days ago, so it's probably not a big deal." Zheng Ren said, "I'll talk about it when I get home. My vestibular nerves can't take it after spending too much time on the phone in the car."