"Director, what should we do now?"

Xiaoxiao, standing nearby, couldn’t help but ask upon seeing the woman’s painful expression.

"Administer a dose of diazepam first, and wait for the test results to come out."

Qin Feng thought for a moment and said.

Xiaoxiao nodded and then began to carry out the procedure.

"Director Qin, then we..."

The doctors from the gastroenterology and obstetrics departments exchanged a glance.

"Hehe~ Please wait a moment, let’s check the results together."

Qin Feng replied with a smile.

About ten minutes later, a doctor from the laboratory hurried over, holding a report with a rather delighted expression.

"Director Qin, here is the report you requested, there is indeed a problem."

Upon hearing this, Qin Feng immediately took the report to examine the test results.

The next second, his gaze softened significantly, and a smile appeared on his lips.

Aha!

"Alright, we’ve got the results."

He then handed the examination report to Xiaoxiao and the others.

Xiaoxiao took it, looked at the indicators on it, and paused, followed by a look of realization.

Acute intermittent porphyria!

No wonder the hospitals below couldn’t diagnose it despite repeated tests; it turned out to be this disease!

Porphyria, also known as hematoporphyria, is a group of disorders characterized by porphyrin metabolism disturbance due to a deficiency or reduced activity of certain enzymes in the heme synthesis pathway.

It can be a congenital disease or acquired later. The main clinical symptoms include photosensitivity, gastrointestinal symptoms, and neuropsychiatric symptoms.

Acute intermittent porphyria is one of the more common types among porphyria.

Clinical features include abdominal cramps, stubborn constipation, psychiatric symptoms, and a large excretion of ALA and porphobilinogen in the urine.

The main symptoms of acute intermittent porphyria are acute abdominal pain, stubborn constipation, abnormal or reduced sensation in the lower limbs, paralysis or quadriplegia, facial nerve paralysis, difficulty swallowing, nervous exhaustion, personality changes, abnormal urine color, etc.

The most common is acute abdominal pain, and the pain location varies; it can be around the navel, in the upper right abdomen, lower right abdomen, or even the entire abdomen, often misdiagnosed as intestinal spasm or colic.

This disease is a rare condition among complex diseases, generally seldom seen.

The most important thing is that the patient herself is pregnant, which increases the difficulty of examination and diagnosis.

That’s why, after transferring three hospitals, they couldn’t get results!

"Are the patient’s family members here?"

With the cause confirmed, the remaining tasks became easier.

After the three other department doctors left, he met the woman’s husband.

"You’re the patient’s husband, right?"

Qin Feng looked at the man and asked.

"Yes, yes, doctor, what is wrong with my wife?"

The man asked anxiously, sweating profusely with dry lips.

"Here’s the situation, don’t worry, we’ve identified the cause of your wife’s illness, but there’s something we need to ask."

Qin Feng nodded and reassured him,

"I want to ask if there’s any history of consanguineous marriage in the patient’s family?"

Consanguineous marriage?

The man was taken aback upon hearing this question.

He hadn’t expected Qin Feng to ask this, clearly beyond the scope of normal thinking.

Yet, the man furrowed his brow and carefully recalled before shaking his head.

"Not that I’m aware of, her parents and grandparents weren’t in consanguineous marriages, that I can assure you. They’re not even from the same place, so there shouldn’t be that possibility."

The man said,

"Doctor, is my wife suffering from some hereditary disease?"

"For the moment, it’s still uncertain; it’s just a possibility, a speculation we need to rule out."

Qin Feng explained.

If it’s not due to consanguineous marriage, then it might be acquired later.

"Alright, we’ll start treating the patient now, rest assured."

After saying this, Qin Feng took Xiaoxiao back to the emergency room.

Xiaoxiao looked at Qin Feng’s back right in front of her, her eyes lighting up involuntarily.

"The patient is in the 16th week of pregnancy now, so we must be cautious with the medication."

Qin Feng began to make arrangements,

"Administer 500g of glucose via drip, 25mg of chlorpromazine, 4 times a day, manage the pain, transfer to observation, and pay close attention to breathing and heart rate..."

"Okay, I understand, Director Qin."

After a series of procedures, the now calmer woman was wheeled out of the emergency room and delivered to a ward.

In the office, Xiaoxiao filled out the prescription and asked the man to pay before starting the treatment.

With the cause identified, conducting treatment naturally became smooth.

Especially since Qin Feng personally arranged it, it was like a stabilizing force.

"Director Qin, how did you identify this rare disease so suddenly?"

Xiaoxiao was still a bit puzzled, ran up to him, and asked with curiosity, her eyes blinking.

"Haha~ Initially, I wasn’t sure either, but the test results from three hospitals were remarkably consistent, with no issues, and that was the biggest issue.

So, I eliminated all common causes of abdominal pain, considering the patient is pregnant, some tests couldn’t be conducted.

Moreover, the patient’s abdominal pain showed clear transferability, didn’t you notice the position where the woman clutched her stomach kept changing?

The most crucial aspect was her behavior, which was noticeably different from normal people."

Qin Feng heard this, smiled, and raised his head to explain to her,

"I understand that the first reaction in obstetrics may be the pelvis or uterus, and in gastroenterology, it might be the digestive tract or bile duct, which are all prone to causing abdominal pain.

However, the subtle symptoms are not obvious and cannot be easily checked.

Aside from these, there really isn’t much we can do with what we have now.

Acute intermittent porphyria is one of the possibilities, so I ordered these tests.

There’s a bit of a gamble in this, just lucky, really."

"Luck..."

After listening, Han Xiaoxiao felt enlightened, but the last sentence made her look at him with a peculiar expression.

Is this a matter of luck?

Doctors don’t rely on luck!

Because every decision made concerns the patient’s safety.

So even if sometimes doctors feel it’s luck, it’s really countless experiences built up!

"Actually, if we couldn’t diagnose this disease, then the patient’s situation would indeed be dire."

Qin Feng took a deep breath, his voice somewhat low as he spoke.

As these words fell, Han Xiaoxiao was momentarily stunned, then her expression became serious.

Indeed!

Qin Feng’s words echoed in her mind, bringing her back to calmness.

If it weren’t for Qin Feng diagnosing the cause, the patient’s family might not have agreed to transfer again, especially since this is the Peking Union Medical College Hospital.

What kind of check-up will they give the pregnant woman next?

Will it affect the fetus?

But if all the tests are done, and the result is acute intermittent porphyria.

...

Thinking of this, Han Xiaoxiao suddenly broke into a cold sweat.

Though this technically wouldn’t count as a medical malpractice, it would definitely leave a hurdle in one’s mind!

Because this disease could have been diagnosed before undergoing those risky tests for the fetus.

In the next moment,

Han Xiaoxiao looked at Qin Feng with changed eyes, seemingly filled with more respect and amazement.

No wonder the hospital appointed him as the Deputy Director of the Emergency Department!

Just this one skill alone is enough to overshadow them!

Incredible!!!

....

Late at night,

The woman who received medication gradually felt her abdominal pain disappearing, regaining her clarity and calmness as she drifted into deep sleep.

The next morning, Qin Feng led the doctors through the shift handover.

As he just reached the observation ward, the woman’s husband immediately stood up, greeting him with a wide smile, and took the initiative to shake Qin Feng’s hand.

"Director Qin, thank you so much!"

"It’s nothing, nothing. Is your stomach still hurting?"

"No, it’s all fine now!"

The man nodded vigorously with joy, and the woman on the bed also gently stroked her belly with a smile.

"Director Qin, I really don’t know what to say. If it weren’t for you, who knows what would have happened to my wife and child last night.

Thank you so much!"

"It’s my duty. Later in the afternoon, we’ll do another check-up to see how the baby is doing.

If everything is normal, you can be discharged."

Qin Feng nodded with a smile, explaining the situation,

"After you go home, make sure to keep a balanced diet and exercise, especially maintaining a good mood, okay?"

"I understand, thank you, Director Qin."

The woman nodded repeatedly in agreement.

After the ward rounds, Qin Feng drove away from the hospital; he could rest today.

But this incident quickly spread in the emergency department.

"Hey, did you hear about the pregnant patient under observation this morning?"

"I heard about it, she was transferred from several hospitals last night without a diagnosis before coming here."

"Not to mention the other hospitals, Xiaoxiao and the gastroenterology and obstetrics departments couldn’t figure it out last night."

"I heard it was our Deputy Director Qin, who walked in there, and in less than 5 minutes, ordered a set of tests, directly diagnosing a rare disease!"

"Yeah, I couldn’t believe it when I heard, I only believed it when Old Chen showed me the test list!"

"I saw the test results too, all aimed at porphyria, it’s practically magical!"

"No wonder he’s so young and already our Deputy Director, I admit I don’t have that ability."

"Hahaha! Our Director Qin is a genius who broke so many records at the Peking Union Medical College Hospital, makes you envious by comparison!"

....

In the office, listening to everyone’s excited discussion, Zhang Qingquan, sitting nearby, showed a complicated expression.

He turned his head to look at the empty desk, and a faint sense of loss rose in his heart.

He also reviewed this case and understood the whole process.

He had to admit, even he wouldn’t have thought of this disease, most likely ending up with a CT scan.

And Qin Feng?

Effortlessly dealt with it!

Perhaps, I’m really not suited for the Deputy Director position?