After a while, Su Yun returned after arranging the necessary equipment for the surgery.
When he heard Zheng Ren talk about the little girl, he was not surprised. Instead, he smiled bitterly.””Boss, you’re being a busybody.”
“I saw it, so I gave it a hand.” Zheng Ren asked in a low voice,”Oh right, I heard that they have to support the border every year. When are we going?”
“You definitely won’t be able to go this year. You have a Nobel Prize project in your hands, don’t you know that?” Su Yun shot a glance at Zheng Ren and denied this thought.
Zheng Ren nodded.
Many doctors in the capital would go to the border areas to provide support for one to three months every year to improve the local medical standards.
Zheng Ren only knew about this, but he didn’t know the specific rules and procedures. He suddenly thought of it and asked.
He definitely couldn’t go this year. Even if he wanted to go, his request would be rejected by director Yan.
What a joke. The Nobel Prize was such a big project, and they all knew that they didn’t have a chance within a year. But if they didn’t try, who would be willing?
At the very least, he still had to show some attitude.
“I’m going to take a look. Boss, what do you think is wrong with that little girl?”
“Her distinctive features are acute food rejection and long-term failure to gain weight. There are many diagnoses that can explain the chronic and acute symptoms …”
“Can you not talk like you’re giving a pre-operation briefing to the patient’s family?” Su Yun said unhappily,”can’t you just say it nicely?”
Zheng Ren was speechless. How did Su Yun have the face to say that!
“Her swallowing difficulty is a natural occurrence. The symptoms were sudden food rejection and weight loss after traumatic choking. The two key psychiatric causes in the differential diagnosis are specific phobia and anorexia. “
“I think it’s because he’s under too much psychological pressure. Children of this age shouldn’t be exposed to such things.” Su Yun said.
“Yes, I’m thinking the same thing.”
“I haven’t done any research in this area. Do you have a way?” Su Yun asked.
“She believes that she can’t eat solid food because she’s afraid of choking and ‘forgetting’ how to chew and swallow.
“Choking” certain phobia may cause the patient to avoid all kinds of situations that may cause choking, including avoiding eating.
The fear of death led to this situation, so I think we should first treat her great-grandfather’s pneumothorax, then slowly comfort him. Step by step, the little girl’s spinal cord avoidance, limited eating disorder, and then it will be better. “
“Let’s go and take a look. “
It was already after work, and most of the other groups had left the office. However, the doctors from Zheng Ren’s medical team were still working.
The boss was capable, so the people under him were naturally busy.
Professor Rudolf Wagner was not interested in anything. He put all his attention on the Nobel Prize.
There were still more than four months left. The professor worked tirelessly to sort out the information and contacted Baby Joy, who was far away in Hyde Castle. His team was still there to help him deal with various things.
Gu Xiaoran was doing her work obediently, but Lin Yuan kept peeking at the situation.
“Work hard and go see a patient with eating disorder. What are you doing here?” Su Yun said.
Lin Yuan shrugged his shoulders.
“Let’s go,”he said. After Zheng Ren finished speaking, he stood up and walked out of the office with Su Yun.
Lin Yuan looked at the back view of the two people and sighed.
“Sister Lin, aren’t you going to go with them?” Gu Xiaoran asked.
“I’m not going. Hurry up and work so you can go home early. I’ve been spending too little time at home recently, and my old lady has long been unhappy. ” Lin Yuan sighed and said after hesitating for a while.
“If I tell my mom to work until 10 at night, she’ll definitely rush over.” “I won’t tell my family if I can,” Gu Xiaoran said with a smile.”I don’t want them to miss me.”
“Sigh, you’re good. Your home is far away. If I don’t go home every day, my mom will probably rush to the hospital the next day. ” Lin Yuan was a little envious of Gu Xiaoran, who was away from home and recalled the time when he was away from his parents in the United States.
“Hehe.” Gu Xiaoran was a little proud, but when she saw Lin Yuan’s depressed expression, she changed the topic and comforted him,”sister Lin, boss Zheng said that he’ll let me have an operation in two days. After we’re done with the work, can you tell me about the things I need to pay attention to during the surgery?”
“I think there’s a group of foreign experts coming to learn this week. It’s useless for you to listen to my lecture. You should listen to Brother Yun’s lecture and watch anatomy.” Lin Yuan said.
“I’ve seen it twice, but I’m not confident. ” Gu Xiaoran said,”boss Zheng, if you perform a surgery, you won’t be able to do TIPS in the future.”
“The surgery isn’t that easy, and boss Zheng won’t be as strict as you think.” Lin Yuan said.
As they worked, they talked about TIPS.
Gu Xiaoran saw that professor Rudolph Wagner was so focused on sorting out the materials that he didn’t seem to hear her at all, and she felt a little depressed.
He knew the order of good and bad surgeries in the medical treatment group, and he only beat around the bush to see if the professor would give him a few pointers.
It was such a pity. If only the foreign professor named Fu Gui [ 1] could give him a lecture. Gu Xiaoran was thinking about the process of listening to Brother Yun’s lecture, but he still had a fear of surgery.
What if boss Zheng gave him an operation but he couldn’t perform it well … As he thought about it, his nose twitched, and tears almost fell.
……
……
“Boss, I don’t think there’s any medication for bone-limited eating disorder, right?” Su Yun asked on the way.
“Mm, No. Even if there is, I don’t recommend it. ” Zheng Ren said,”we can use a gentler method to solve it. If we can avoid taking medicine, we can avoid taking it.”
Su Yun also knew that this was the boss’s habit. As long as it involved mental illnesses, he would be very careful.
When they arrived at the emergency department, the two of them started to look at the little girl’s medical record.
During the physical examination, the patient’s body temperature was 37.2 degrees Celsius, his breathing rate was 18 times per minute, and the oxygen saturation level was 97% when he breathed in the surrounding air. When she was in a reclining position, her blood pressure was 107/70 mmHg, and her pulse was 114 beats per minute. When she was standing, her blood pressure was 95/72 mmHg, and her pulse was 123 beats per minute.
The little girl’s weight was 26.5 kg, and her body weight was 12.5 kg/m2. There was no oral bleeding point.
The hemoglobin level, blood cell ratio, platelet count, red blood cell index, kidney and liver function test results were all normal. The levels of glucose, calcium, magnesium, total protein, hemoglobin, and thyroid-stimulating hormone in the blood were also normal.
His potassium was slightly low, which might be related to eating disorder. This was also diagnosed by the big pork trotter.
The electrocardiography showed that he had sinus rhythm, with a heart rate of 110 beats per minute, a PR interval of 116 milliseconds, and a corrected QT interval of 422 milliseconds.
Since there was nothing wrong with the examination, it was more likely that he would consider avoiding the bone-restricted eating disorder.
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After a while, Su Yun returned after arranging the necessary equipment for the surgery.
When he heard Zheng Ren talk about the little girl, he was not surprised. Instead, he smiled bitterly.””Boss, you’re being a busybody.”
“I saw it, so I gave it a hand.” Zheng Ren asked in a low voice,”Oh right, I heard that they have to support the border every year. When are we going?”
“You definitely won’t be able to go this year. You have a Nobel Prize project in your hands, don’t you know that?” Su Yun shot a glance at Zheng Ren and denied this thought.
Zheng Ren nodded.
Many doctors in the capital would go to the border areas to provide support for one to three months every year to improve the local medical standards.
Zheng Ren only knew about this, but he didn’t know the specific rules and procedures. He suddenly thought of it and asked.
He definitely couldn’t go this year. Even if he wanted to go, his request would be rejected by director Yan.
What a joke. The Nobel Prize was such a big project, and they all knew that they didn’t have a chance within a year. But if they didn’t try, who would be willing?
At the very least, he still had to show some attitude.
“I’m going to take a look. Boss, what do you think is wrong with that little girl?”
“Her distinctive features are acute food rejection and long-term failure to gain weight. There are many diagnoses that can explain the chronic and acute symptoms …”
“Can you not talk like you’re giving a pre-operation briefing to the patient’s family?” Su Yun said unhappily,”can’t you just say it nicely?”
Zheng Ren was speechless. How did Su Yun have the face to say that!
“Her swallowing difficulty is a natural occurrence. The symptoms were sudden food rejection and weight loss after traumatic choking. The two key psychiatric causes in the differential diagnosis are specific phobia and anorexia. “
“I think it’s because he’s under too much psychological pressure. Children of this age shouldn’t be exposed to such things.” Su Yun said.
“Yes, I’m thinking the same thing.”
“I haven’t done any research in this area. Do you have a way?” Su Yun asked.
“She believes that she can’t eat solid food because she’s afraid of choking and ‘forgetting’ how to chew and swallow.
“Choking” certain phobia may cause the patient to avoid all kinds of situations that may cause choking, including avoiding eating.
The fear of death led to this situation, so I think we should first treat her great-grandfather’s pneumothorax, then slowly comfort him. Step by step, the little girl’s spinal cord avoidance, limited eating disorder, and then it will be better. “
“Let’s go and take a look. “
It was already after work, and most of the other groups had left the office. However, the doctors from Zheng Ren’s medical team were still working.
The boss was capable, so the people under him were naturally busy.
Professor Rudolf Wagner was not interested in anything. He put all his attention on the Nobel Prize.
There were still more than four months left. The professor worked tirelessly to sort out the information and contacted Baby Joy, who was far away in Hyde Castle. His team was still there to help him deal with various things.
Gu Xiaoran was doing her work obediently, but Lin Yuan kept peeking at the situation.
“Work hard and go see a patient with eating disorder. What are you doing here?” Su Yun said.
Lin Yuan shrugged his shoulders.
“Let’s go,”he said. After Zheng Ren finished speaking, he stood up and walked out of the office with Su Yun.
Lin Yuan looked at the back view of the two people and sighed.
“Sister Lin, aren’t you going to go with them?” Gu Xiaoran asked.
“I’m not going. Hurry up and work so you can go home early. I’ve been spending too little time at home recently, and my old lady has long been unhappy. ” Lin Yuan sighed and said after hesitating for a while.
“If I tell my mom to work until 10 at night, she’ll definitely rush over.” “I won’t tell my family if I can,” Gu Xiaoran said with a smile.”I don’t want them to miss me.”
“Sigh, you’re good. Your home is far away. If I don’t go home every day, my mom will probably rush to the hospital the next day. ” Lin Yuan was a little envious of Gu Xiaoran, who was away from home and recalled the time when he was away from his parents in the United States.
“Hehe.” Gu Xiaoran was a little proud, but when she saw Lin Yuan’s depressed expression, she changed the topic and comforted him,”sister Lin, boss Zheng said that he’ll let me have an operation in two days. After we’re done with the work, can you tell me about the things I need to pay attention to during the surgery?”
“I think there’s a group of foreign experts coming to learn this week. It’s useless for you to listen to my lecture. You should listen to Brother Yun’s lecture and watch anatomy.” Lin Yuan said.
“I’ve seen it twice, but I’m not confident. ” Gu Xiaoran said,”boss Zheng, if you perform a surgery, you won’t be able to do TIPS in the future.”
“The surgery isn’t that easy, and boss Zheng won’t be as strict as you think.” Lin Yuan said.
As they worked, they talked about TIPS.
Gu Xiaoran saw that professor Rudolph Wagner was so focused on sorting out the materials that he didn’t seem to hear her at all, and she felt a little depressed.
He knew the order of good and bad surgeries in the medical treatment group, and he only beat around the bush to see if the professor would give him a few pointers.
It was such a pity. If only the foreign professor named Fu Gui [ 1] could give him a lecture. Gu Xiaoran was thinking about the process of listening to Brother Yun’s lecture, but he still had a fear of surgery.
What if boss Zheng gave him an operation but he couldn’t perform it well … As he thought about it, his nose twitched, and tears almost fell.
……
……
“Boss, I don’t think there’s any medication for bone-limited eating disorder, right?” Su Yun asked on the way.
“Mm, No. Even if there is, I don’t recommend it. ” Zheng Ren said,”we can use a gentler method to solve it. If we can avoid taking medicine, we can avoid taking it.”
Su Yun also knew that this was the boss’s habit. As long as it involved mental illnesses, he would be very careful.
When they arrived at the emergency department, the two of them started to look at the little girl’s medical record.
During the physical examination, the patient’s body temperature was 37.2 degrees Celsius, his breathing rate was 18 times per minute, and the oxygen saturation level was 97% when he breathed in the surrounding air. When she was in a reclining position, her blood pressure was 107/70 mmHg, and her pulse was 114 beats per minute. When she was standing, her blood pressure was 95/72 mmHg, and her pulse was 123 beats per minute.
The little girl’s weight was 26.5 kg, and her body weight was 12.5 kg/m2. There was no oral bleeding point.
The hemoglobin level, blood cell ratio, platelet count, red blood cell index, kidney and liver function test results were all normal. The levels of glucose, calcium, magnesium, total protein, hemoglobin, and thyroid-stimulating hormone in the blood were also normal.
His potassium was slightly low, which might be related to eating disorder. This was also diagnosed by the big pork trotter.
The electrocardiography showed that he had sinus rhythm, with a heart rate of 110 beats per minute, a PR interval of 116 milliseconds, and a corrected QT interval of 422 milliseconds.
Since there was nothing wrong with the examination, it was more likely that he would consider avoiding the bone-restricted eating disorder.
If you find any errors ( broken links, non-standard content, etc.. ), Please let us know so we can fix it as soon as possible.
Tip: You can use left, right, A and D keyboard keys to browse between chapters.
