Vol 3 Chapter 2634: Persecution delusion

Dean Wu watched the complicated medical record for a long time, and had a strange dream when he slept at night, but he couldn't remember anything when he woke up. I can only vaguely remember that it is related to the condition, but I can't remember it any more specifically.
It was like a fishbone stuck in his throat, which made Dean Wu uncomfortable.
Two days later, he picked up the medical record again and read it.
The patient's condition was more complicated than he thought. He had thyroid cancer and had surgery in Didu. But it was just a thyroid nodule, and a total thyroidectomy was performed at the end.
This is a bit too much. Dean Wu looked at the medical records, and increasingly felt that this patient really had a mental illness.
Although the final pathological diagnosis is thyroid cancer, it is not necessary to cut off both thyroid glands.
Looking at the hospital where the operation was performed was 912, Dean Wu thought for a long time, but finally couldn't get over the hurdle in his heart, and began to contact the doctor who had performed the surgery on the patient.
How busy the Emperor is, the surgeon is unlikely to remember the patient. However, when Dean Wu tried to contact a doctor he knew in 912 and contact Professor Wei with the Department of Thyroidology, he found that Professor Wei still remembered the patient even after a long time.
Professor Jingwei said that at the time, the patient was examined in the Imperial City because of "paranoid schizophrenia", and it was found that there was a serious iron deficiency anemia and a severe vitamin D deficiency.
During the examination, nodules were found in the thyroid gland. Professor Wei was a patient seen in the clinic, and he thought it would be sufficient to go home and observe. However, patients are strongly demanding surgical treatment, even at the expense 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 he was impressed was that Professor Wei was worried about the problem, so when Dean Wu called, he was quite nervous.
When it was known that Dean Wu was only consulting, and it was not that there was something wrong with the patient, Professor Wei was relaxed a lot. He told Dean Wu that at the time, he felt that the patient's condition was wrong. After more than 20 years of medical treatment, he had not found anyone who had requested to remove the whole thyroid.
Most patients are afraid of surgery. Doctors say that when they go home and observe, few people will ask for surgery themselves. This patient is not the same, not only surgery, but also bilateral total thyroidectomy.
The patient had no history of head trauma, epilepsy, and no social withdrawal. Therefore, Professor Wei is not sure if the patient really has a mental illness, but his behavior is a little weird. This is his judgment.
However, the main thinking basis of Professor Wei at that time was that generally speaking, mental illnesses had symptoms from adolescence, but this patient was said to have been normal in the past, studying for a doctoral degree.
There was no family history, and the patient's parents were normal.
At that time, because he was worried that something might go wrong, he wanted to do some related tests, but he was rejected by the patient.
The patient was followed after the operation. She took levothyroxine sodium tablets orally. The strange thing was that TSH should be reduced if the drug was taken orally to supplement thyroxine, but nothing changed.
Professor Wei made clear what he knew, and then the patient's symptoms became more and more serious. He even said on the phone that if he didn't insist on it, the disease of thyroid cancer would be directly delayed.
This sentence was full of distrust and hostility, and Professor Wei would get angry even if his temper was good.
Although the patient's parents sincerely apologized after knowing this, Professor Wei did not want to have any more contact with the patient.
Dean Wu put down the phone and lost his thoughts.
According to Professor Wei's narrative, this is a very typical patient with persecuted paranoia, but Professor Wei's opinion ... seems worthy of reference.
Are there any issues that Director Jiang did not consider? Dean Wu suddenly became interested.
He then sent all the patient's test sheets to Professor Wei for a look at it.
The latest test sheet TSH value is 9.4 pmol / L, which is slightly lower than the normal value. Beyond that, I don't see anything worthy of note for the time being.
The professors of the Imperial Capital did not see any problems, and Dean Wu had to put things aside for the time being. He wondered in his mind that the biggest problem in this case was probably the patient's mental state.
However, President Wu wanted to succumb to this, but Director Jiang kept looking for consultations in the hospital. His reason was that the patient's physical condition was not good, and he had continued to lose weight for more than a year.
No malignant tumors were found on examination, and the patient did not experience gastrointestinal symptoms such as nausea, vomiting, and diarrhea.
Dean Wu knows that many patients with persecuted delusions have a bad diet because they are worried that their families or restaurants will poison their diet. So intentionally reduce the amount of food to avoid being harmed.
This is nothing to do. Dean Wu is a little helpless. He knew what Director Jiang thought, and he hit his own face with his own words.
Is there something wrong with you? !! Fang Weidu gradually, but he was stinked by holding the handle. Relying on his qualifications, he is about to retire soon.
During this period, Dean Wu had some sadness, and even he felt that he had depression. Or ask Boss Zheng for a glance? Please be sure not to come, give me a glance, and talk about your own distress, it can be regarded as venting the distress and by the way familiar with Boss Zheng.
Dean Wu opened his WeChat cheekily and sent a message to Boss Zheng.
[Boss Zheng, are you there? 】
There was no reply for a long time. Dean Wu sighed and smiled. I wasn't familiar with it anymore. Now that he is the Nobel Prize winner, he is even more unreachable.
Forget it, don't be boring for no reason.
Until two days later, Dean Wu suddenly received a WeChat.
[President Wu of Nanshan City? Hello. I have gone abroad these days and just rushed back. 】
Dean Wu was overjoyed when he saw the reply from Boss Zheng. It turned out that they had gone abroad, not just forgetting themselves.
[Sorry to bother you. I have a case where the clinical director suspects a problem. We can't make a diagnosis. 】
[Oh, wait a minute, I'm back to the Imperial City. 】
[Okay ~ EbookFREE.me ~ Thank you. 】
...
...
Zheng Ren held a mobile phone to send a message, and Xie Yi asked, "Zheng Ren, is there something wrong with Corey?"
"It's something, but it's not Corey." Zheng Ren smiled. "President Wu of Nanshan Psychiatric Hospital is probably trying to find me for a consultation."
"Psychiatric hospital?" Shei people were puzzled.
"Isn't I drawn by lottery some time ago and went to Nanshan City for a medical evaluation. I went with Su Yun and the patient was diagnosed wrong." Zheng Rendao, "So there is the contact method of Dean Wu."
"Oh, what patient?"
"The information was a few days ago, and it is probably not a big deal," Zheng Rendao said. "Go home and say that it took me a long time to watch my phone in the car. My vestibular nerve can't stand it."
(End of this chapter)