Chapter 2903 Ethical Issues

"What did you say?" Su Yun thought he didn't hear clearly, so he asked back immediately.

"Oh, Brother Yun, to tell you the truth, I thought I was wrong." Zhou Litao said, "But this is the second re-examination, and I was worried about other things, so I left both of their phone numbers .The rest...I don't know what to do yet."

Zheng Ren knew that this involved an ethical issue, just like the entanglement between the man and his wife just now, no matter how he judged it, it was wrong.

But doing nothing is wrong.

"Normal regulations, you still report it, and then talk to the patient's lover about it. You don't know you have AIDS? This possibility is unlikely." Su Yun said.

"Brother Yun, do you think the patient is in the window period, that is, the incubation period?"

"The AIDS that cannot be detected is mainly in the window period of AIDS infection, that is, there is a window period of 2 to 4 weeks when the HIV virus is first infected. Patients in the window period can become negative when they are tested for HIV virus antibodies. But you It is said that the woman is an old patient and has been here many times." Su Yun pondered.

"Yeah, the first time I came here was about half a year ago. After that, I often felt tired and short of breath. I had all kinds of problems, and the symptoms were like the symptoms of AIDS written in the book." Zhou Litao said strangely, "But people say no. It’s comfortable, and I’m sure I won’t check it directly. I also suddenly thought of it, so I did the check.”

"Is it possible that a woman already knew about it, but she didn't want to expose it, so she kept pretending to be sick, kept hinting, and asked the doctor to ask her lover for an examination?" Zheng Ren said with a frown.

"I'll go... Boss, your thinking is too wild and unconstrained!" Su Yun said in surprise.

Obviously, Zheng Ren's thinking was too black-bellied. The point is... there really is such a possibility.

"It's possible." Zheng Ren said seriously.

"If you want me to say that there is no such possibility." Su Yundao, "You think, in the eyes of ordinary people, AIDS is a terminal illness! Avoid it and live under the same roof every day? How can you be so big?"

"It may also be that she only has doubts, but she has no way to say it. Once the words are said, there is no way to turn them back." Zheng Ren added.

"Tsk tsk, it's almost catching up with a family ethics drama. I would say it's a coincidence. A patient with autonomic dysfunction came to the hospital repeatedly, and finally found that she was fine, but her lover happened to have AIDS."

"Well, this is indeed the most likely possibility." Zheng Ren didn't argue with Su Yun. He thought what Su Yun said was reasonable, so he directly overturned all the previous words, and then said, "There are some clues in life. She didn't even realize it, and the psychological suggestion in this aspect was lurking in the subconscious, so she always leaned on AIDS unintentionally."

"It's possible, don't worry about it, anyway, the troubles are all Mr. Zhou's fault." Su Yun said with a smile.

"I'll call the man later, I hope he won't break down when he finds out." Zhou Litao said a little sadly.

"Who knows, you just need to be careful anyway." Su Yundao, "This is the time when you are most willing to have trouble. All thoughts are hopeless. If you want to drag you to death, you will be fucked. People like this are very common."

"Who knows." Zhou Litao suddenly remembered, and asked, "I saw a maxillary sinus CT for a patient with nosebleed, why?"

"There is something growing in the nasal cavity, which is covered by mucous membrane. I can't see what it is. The boss guesses that there are teeth growing in the nose. Do you think it's possible? Mr. Zhou?" Su Yun asked.

"Uh... I read a report that the rectum had teeth." Zhou Litao said.

"Don't talk nonsense, it's because the dentures have fallen out and can't be excreted in the rectum." Su Yun scolded.

"I've seen a similar report. One was published in a radiology journal. It said that during the examination, a tooth-like object was found on the toe, and it was fine after it was pulled out." Zheng Ren said in a deep voice.

"Yeah!" Zhou Litao nodded again and again, "I saw a British patient who had frequent abdominal pain, so I did an examination and found a tooth in the rectum. The exact location of the tooth was not described in detail in the paper. The only one found. I think it might be a calcified growth?"

"It's all possible. The possibility of real teeth is unlikely, because there are no more cases that show that they are teeth." Zheng Ren said, "Actually, teeth growing in the nose, ears, and eyes should be real. Teeth in other positions are all Can't stand scrutiny."

"The tooth germ is in the wrong place. Is the tooth germ too far away from the eruption point or the position is abnormal? To put it simply, don't make it so complicated." Su Yundao, "It is basically caused by genetic factors or endocrine disorders, trauma, or local infection. But Boss, you just glanced at it and said it was an ambush tooth through the mucous membrane, I can't understand this."

"Is it just guessing? You've made bold assumptions and carefully verified. I can't speak cautiously, and I can't say casually. What do you want?!" Zheng Ren asked.

Su Yun froze for a moment, and was also amused by the weird logic.

"A few years ago, there was a CT scan in the group, and the embedded tooth had grown to the edge of the right eye socket. If one was not careful when pulling out the tooth, it would directly lead to blindness." Su Yun changed the subject quite quickly, and immediately began to talk about the case, "This is the case. The first case of heterotopic teeth I saw. As for the nose and ears, I have never seen it."

"It's amazing to see a case with my own eyes. I have never seen a case, and there are few similar reports in magazines."

"The teeth in the ear canal are probably similar to those in the eye sockets." Zheng Ren said, "The principle is the same, there is nothing to explain."

As he spoke, Su Yun's cell phone rang. The doctor in the CT room opened it, saying that the patient had finished the examination and the image data had been uploaded.

Su Yun immediately turned on the computer and found the film of the patient who just had a nosebleed.

Sure enough, the supernumerary teeth of the maxillary incisor canal grow in the nasal cavity in the supine position. The length is about 2cm, this guy is long enough!

Watching the film, Zheng Ren knew that the big pig's trotter was right again. The teeth in the nasal cavity are indeed teeth. No wonder he often has nosebleeds and nose pains.

"Let the patient come back and let him go to the dental hospital for treatment. At least a minor operation is required. 2cm, how many chisels are needed. Boss, do you think this is tooth extraction? What about the fee?" Su Yun wondered.

"If you want to pull it out completely, you need general anesthesia, and you should be hospitalized. The operation is difficult, but not too great." Zheng Ren had already simulated the operation in his mind.

There is no systematic reward for this kind of minor surgery, and Zheng Ren is unwilling to waste time on surgical training. For the dentist, it may take a little trouble, but there will never be a situation where it cannot be pulled out.