Yan Feifan was baffled by Mr. Qi's sudden outburst.
But the man was a major figure at the hospital, so Yan Feifan couldn't just ask him outright.
Yan Feifan straightened up, his attitude respectful. "Mr. Qi, I assure you, I've memorized it. Please, feel free to test me."
Yan Feifan wasn't lying.
Since waking up from his coma, he'd discovered his memory had improved on a fundamental level.
If he made an effort to remember something, he could recite it perfectly after a single, focused read-through.
Yan Feifan guessed this was what people meant when they said the more you use your brain, the sharper it gets.
'During the long period when my body was comatose but my mind was awake, all that time spent delving into memories, visualizing concepts, and running mental simulations must have led to a deep development of my brain.'
Seeing Yan Feifan's nonchalant, "ask me anything" attitude only stoked Mr. Qi's anger.
His professional decorum allowed him to suppress his anger. He asked, feigning calmness, "Fine, fine..."
"You keep insisting you've memorized it all, so I'll start asking."
"Let's start with something simple..."
"Patient's age, height, and weight!"
Yan Feifan replied in a quiet voice, "Mr. Qi, the patient's name is Lehong. She is currently fourteen years and five months old, 162 centimeters, and 43.4 kilograms."
"Urinalysis?"
Yan Feifan answered, his tone even, "Mr. Qi, the urinalysis conducted at our hospital shows a pH of 6.2 and a specific gravity of 1.01."
"Other indicators such as nitrites, red and white blood cell count, bilirubin, and urine glucose were all normal."
This flawless recitation left Qee Sheng a little surprised.
He swiped his finger across the tablet screen a few times and suddenly asked, "What about the patient's liver function test results from Jinling Hospital?"
Yan Feifan answered without a moment's hesitation. "ALT 24, AST 26. Total serum protein 68, serum globulin 23, alkaline phosphatase 76..."
The look of surprise on Qee Sheng's face deepened.
He swiped the screen again and cut him off. "And the liver function results from Su Province Armed Police General Hospital?"
"ALT 26, AST 25."
"Total serum protein 62, serum globulin 21, alkaline phosphatase 71..."
"Alright, that's enough."
Qee Sheng cut Yan Feifan off again, a look of pure astonishment on his face. "I believe you. You really did memorize it all."
Sizing up Yan Feifan, he clucked his tongue in amazement. "I never would have guessed you have a photographic memory. No wonder they call you a genius."
"I'd only ever heard of people with the ability to remember everything they see. This is the first time I've witnessed it firsthand!"
"Impressive, very impressive..."
After the praise, Qee Sheng offered some guidance. "Xiaoyan, an extraordinary memory is just the foundation for success."
"To become a truly great physician, you must be adept at applying your knowledge, efficiently analyzing and distilling information and data."
Seeing Yan Feifan listening with rapt attention, Qee Sheng nodded in satisfaction. He then asked expectantly, "Xiaoyan, since you've memorized the entire patient file, do you have any thoughts on the cause of her illness?"
Qee Sheng immediately added, "Feel free to speak your mind."
"Say whatever comes to mind. Don't be afraid of being wrong, no one will laugh at you."
"When it comes to difficult cases, our approach has always been to think outside the box—hypothesize boldly, but verify meticulously."
Yan Feifan considered this for a moment before speaking. "Mr. Qi, before I share my thoughts, I'd like to speak with the patient alone to confirm a few things."
Before Mr. Qi could even respond, We Xin cut in, her voice edged with displeasure. "Mr. Yan, I was the one who took the patient's history and did the initial assessment."
"I've recorded everything in her chart."
"Are you implying my notes aren't comprehensive? That I missed something?"
Yan Feifan ignored her and looked directly at Mr. Qi. "Mr. Qi, what I need to confirm is whether the patient is sexually active."
"And did the edema and stinging pain appear after sexual activity?"
We Xin let out a sarcastic little laugh. "Mr. Yan, I thought you had a photographic memory."
"The chart clearly states she's only fourteen and has repeatedly denied ever having a boyfriend."
"And besides..."
We Xin stressed, "A gynecological exam clearly indicated her hymen is perfectly intact."
"Did you happen to miss that test result?"
"Or perhaps you just couldn't memorize it?"
Ignoring her taunts, Yan Feifan stated calmly, "Non-penetrative sexual acts, or even masturbation, can cause enough mental and physical arousal to lead to pelvic congestion."
He turned his gaze back to Qee Sheng and stated his theory plainly. "Mr. Qi, I suspect the patient has Pelvic Congestion Syndrome, caused by underdeveloped pelvic vein valves!"
Just then, the large doctor spoke up, questioning, "Mr. Yan, as far as I know, Pelvic Congestion Syndrome has never been diagnosed in a patient this young, has it?"
Pelvic Congestion Syndrome resulting from the malformation of pelvic vein valves is a relatively rare gynecological condition.
When a woman is sexually stimulated, her pelvic region becomes engorged with blood.
The valves within the veins act as one-way gates to prevent the backflow of blood.
When pelvic vein valves are underdeveloped or absent, arousal causes a rise in abdominal pressure, which can obstruct blood flow in the pelvic veins and even cause it to reverse.
This local congestion then impedes overall circulation, causing systemic edema and pain, particularly in the abdomen and thighs.
Once the pooled blood in the pelvis gradually dissipates and overall circulation returns to normal, the edema and pain subside.
At this, Qee Sheng said slowly, "If the pelvic vein valves have been malformed since birth, the congestion syndrome can be triggered by external factors at any age."
He looked at Yan Feifan and asked, "Edema and stinging pain... There are dozens of conditions associated with those two symptoms."
"Why did you single this one out, Xiaoyan?"
Facing the stares of Mr. Qi, We Xin, the large doctor, and the others, Yan Feifan remained composed. "Any patient who makes it to the diagnostics department," he said, "has already had at least ninety-nine percent of common and uncommon diseases ruled out."
"That leaves three possibilities: a rare and difficult-to-diagnose illness, a complex composite of conditions that is hard to identify, or a new disease not yet discovered or documented by the medical community."
After a brief pause, Yan Feifan continued his analysis. "The patient presents with too few symptoms, making a composite disease highly unlikely."
"As for a novel, undiscovered disease, that's beyond the scope of my current diagnostic capabilities."
"So, I focused on the limited list of rare diseases known to cause edema and stinging pain, and I compared them one by one."
Yan Feifan went on, "The patient stated that her symptoms, including the edema, first appeared in mid-February of last year."
He added, with a touch of emphasis, "There's a major holiday in mid-February. Valentine's Day."
"Systemic edema is a sign of a rather severe case of Pelvic Congestion Syndrome."
"Furthermore, none of the patient's test results point specifically to any other condition."
"Therefore, I hypothesize that this is a sudden flare-up of a congenital defect, triggered by external stimuli."
"Taking all that into account..."
Yan Feifan concluded confidently, "I am making a bold hypothesis: the patient is suffering from Pelvic Congestion Syndrome caused by malformed pelvic vein valves."
Qee Sheng nodded, chuckling lightly. "Not bad, not bad at all! That fits our mantra of 'hypothesize boldly, verify meticulously'..."
Just then, a cell phone on the desk suddenly rang urgently.
Qee Sheng got up, walked over to the desk, and answered his phone.
"What?"
"How is she now?"
"Okay, I'm on my way!"
His face etched with worry and urgency, Qee Sheng ended the call and pocketed his phone. He gave a command to Yan Feifan and the others: "I need to step out."
"Xiaoyan, We Xin, you two question the patient again. And run a pelvic venography."
"The rest of you will wait for the test results and continue the discussion..."
As for the reason for Mr. Qi's hasty departure, Yan Feifan and We Xin learned it from a nurse on their way to the patient's ward.
Stunned by the news, Yan Feifan couldn't help but marvel at how quickly the hospital grapevine worked.
Mr. Qi's student, the famous Dr. Qin Ying, an expert in limb reattachment surgery, nicknamed the "Abbess of Extinction"... had attempted suicide by taking pills...