When the Doctor Uses A Hack

Chen Cang was a bit curious!

Why does optic disc edema occur?

Looking at the vacant expression of Deng Yu, Chen Cang wanted to ask some questions but quickly dismissed the idea!

It would be strange to get an answer!

Sometimes, diagnosis is really like solving a case.

Every clue needs to be carefully collected by the attending physician.

Those difficult and complicated cases are like unsolved mysteries, often requiring details to be collected from inconspicuous places.

Thinking of this, Chen Cang gave Li Yue a look: "I'll go back to ask some questions first, you... keep an eye on him."

Li Yue nodded: "Go on."

Actually, depression is mostly episodic as well.

Patients aren't always in that state; it's only during an episode that suicidal thoughts occur.

It's just like a cycle in the human body.

In fact, come to think of it, whether it's the blood, bodily fluids, endocrine system, nervous system, etc... all are cyclical.

The human body is a complex machine, truly too complex!

The physiological functions of just one liver have over 1,500 kinds. Laying out those functions would cover a city.

As he spoke, Chen Cang had already returned to the emergency room.

It was 3:30 in the morning, and the emergency room was very quiet, with the hall feeling a bit chilly.

Secretary Deng sat on a chair, holding his wife in his arms. She had cried herself to sleep.

Secretary Deng couldn't sleep; the child's matter seemed to be his mental burden.

In his career, Deng Gaoyuan felt as ambitious as his name, but in life, he felt like a complete failure.

Not even being able to properly educate his child, who had developed depression!

It's truly humiliating!

Currently, the organization is giving him more and more work, and the leaders have hinted several times about moving him up.

Regarding this, Deng Gaoyuan has always refrained from expressing his stance.

Such a move is not a simple matter.

He is currently at a vice-ministerial level; any move now implies preparing for ministerial rank, a position of great power!

Can he handle such a position? Deng Yu, as his greatest mental burden, honestly made Deng Gaoyuan quite emotional.

He had discussed this matter with Director Xiao Runze several times. Xiao Runfang also hinted that Deng Gaoyuan might replace him in the future.

Xiao Runfang is not young, and it's just a matter of two years.

Deng Gaoyuan estimates that his most probable route is to concurrently serve as deputy director of the Health Commission for two years, then smoothly take over two years later.

For a civil servant, who wouldn't be tempted by such a future?

Today, the leader talked to him again, and they even drank a bit.

The matter was brought up once more.

Sometimes, Deng Gaoyuan wonders, what have I lived my life for?

He looked at the ceiling, thinking all night, unable to help but let out a long sigh.

The advantage of the Chinese Medicine Administration is its easiness; if he moves, he must invest his fastest speed and maximum energy to adapt to the new job.

After all, the stage gets bigger!

There's also more to learn.

With this, he definitely wouldn't be able to juggle his child's matters again.

Sigh...

At this moment, Chen Cang hurriedly ran over.

"Secretary Deng! I have a question for you."

Seeing Secretary Deng's wife asleep, Chen Cang couldn't help but lower his voice, "Should we take her to the duty room?"

Deng Gaoyuan shook his head: "No need, once the surgery is done, we'll go back."

"Professor Chen, is the surgery completed?"

Chen Cang nodded: "Yes, the surgery is completed."

"But... there's something I need to ask you and your wife about."

Upon hearing this, Deng Gaoyuan didn't ask why, and just woke his wife.

In the hospital, you have to listen to the doctor; Deng Gaoyuan had this awareness.

After waking up and seeing Chen Cang, the woman quickly asked: "How is it, Professor Chen? Was the surgery successful?"

Chen Cang nodded: "The surgery was very successful, but rehabilitation training is still needed."

"However, there's another matter that needs to be confirmed."

"Has Deng Yu recently shown any sign of visual decline?"

Hearing this, the woman's eyes suddenly brightened: "Yes! Yes, a little!"

"The child recently can't see things clearly, gets upset reading or watching TV, prefers to hide under the covers alone without speaking..."

"I thought his condition had worsened. After visiting the psychiatric hospital, we were told to increase sertraline intake, and then today's incidents happened."

After hearing this, Chen Cang was about eighty percent certain in his mind!

He continued to ask:

"Has Deng Yu ever had meningitis or any head injuries... those kinds of illnesses?"

Hearing Chen Cang's question, the woman hurriedly shook her head.

"No, this child... though foolish, rarely resorts to head-banging or jumping off buildings, mostly injuring his arms..."

The woman couldn't continue, as mentioning these made her heartache unbearably, it seemed as though the numerous scars were cuts on her own heart.

The pain was excruciating!

Hearing the woman's words, Chen Cang frowned as well.

No injury, no intracranial infection, what could it be?

Consult an ophthalmologist?

"Professor Chen, is there something wrong?"

Chen Cang nodded: "Yes, during the surgery just now, I noticed something unusual with Deng Yu's eyes, which could likely be optic disc edema."

"This condition generally, aside from ophthalmic diseases, is mainly caused by intracranial infection, head injury, or intracranial tumor!"

While speaking about intracranial tumors, Chen Cang suddenly had a flash of inspiration...

Yes!

Could it be an intracranial tumor?

Thinking of this, Chen Cang felt a bit excited; it's very possible!

Seeing this, Deng Gaoyuan also frowned.

"Professor Chen... what should we do now?"

Chen Cang quickly said: "Let's do a scan first. Deng Yu should have had intracranial examinations before, right?"

Deng Gaoyuan nodded, of course, he had done them.

He himself was in the medical circle, having known countless renowned doctors.

In the past two years, they had run around for quite some time, even making two trips to Mayo Clinic.

But it was useless; they couldn't find the problem.

However, the longer the examination yielded no results, it more resembled a mental illness.

This depression itself is difficult to diagnose properly.

"A few years ago, we did various examinations, nothing was wrong intracranially, nor could they find any organic lesions in the body."

"So, we gave up back then, relying on medication instead, but over the years, the situation seemed to worsen, and medication doses increased!"

"Even... sometimes medication doesn't work; he even developed tolerance to citalopram previously."

"Sigh..."

Chen Cang simply consoled: "Let's do an examination first; perhaps the situation has changed somewhat."

Deng Gaoyuan thought it through, seriously looking at Chen Cang and saying thank you. Then he immediately said, "Professor Chen, I won't stand on ceremony. Please keep an eye on Deng Yu's matter. As parents, we will actively cooperate."