Zheng Ren took the film bag, took out the film first, and inserted it into the reader.
The three-dimensional reconstruction of the head is clear and clear, much clearer than ordinary CT scans.
"Director Kong, our judgment is correct." Zheng Ren said.
"Yes." Director Kong looked at the film and nodded.
Sure enough, it was not a malignant intracranial tumor, Director Kong knew it by now. As for what the disease is, I have no idea yet.
Zheng Ren looked at it carefully for a few more minutes before taking out various test sheets and flipping through them one by one.
As I had judged before, the patient's urine galactose test found that urine sugar was positive, the glucose oxidase method found that urine sugar was negative, and paper chromatography identified it as galactose.
The blood galactose concentration was measured and the normal concentration was 110-194 μmol/l. The patient's blood galactose concentration increased and reached 561 μmol/l.
Combined with other laboratory test results, Zheng Ren determined that the patient's disease was galactosemia.
Director Kong came over, took a look at the test form, then smiled and avoided it.
The interventional department is not a relevant department and cannot perform this kind of examination once every few years or even decades.
Even as the chief director of the interventional department, Director Kong is not omniscient and omnipotent. He can treat all diseases and understand all laboratory tests.
Not like the evildoer Zheng Ren.
Director Kong didn't show any timidity, he just sat in a chair and watched the film, comparing it with the previous head CT film.
After three-dimensional reconstruction, the so-called space occupation is more obvious, and it is more clearly shown that there is only edema in the brain, and there is also a small amount of crystalline material.
It's definitely not a case of occupying a seat, it was a misdiagnosis by the local hospital.
Fortunately, no surgery was performed. If the tumor was not found after opening it, it would be a big deal. By that time, the patient was severely traumatized and the doctor was paralyzed.
However, this film is indeed very easy to misdiagnose. Director Kong knew that without Zheng Ren, he could only vaguely judge that it might not be a malignant intracranial tumor. As for the specifics, he had no clue.
Of course, he would not easily judge that the local hospital's diagnosis was wrong, unlike Zheng Ren, who directly wrote down what tests needed to be done.
Is the blood galactose concentration measured? Director Kong recalled this inspection, but his mind went blank. Look at Sun Ming... Dean Sun has stopped doing clinical work a long time ago, and he doesn't even know about this.
Waiting for Boss Zheng to give the answer, Director Kong simply didn't think about it. He didn't even bother to search the Internet to find out what the blood galactose concentration measurement was.
This is not a fault of the interventional department. How old I am, there is no point in learning so much.
More than ten minutes later, Zheng Ren finally came up with a definite answer based on abdominal B-ultrasound, liver CT, head CT three-dimensional reconstruction, and many blood test results.
"Dean Sun, the patient has galactosemia." Zheng Ren said.
Sun Ming knew these words together, but he didn't understand them as a disease at all.
He still knew what galactose was, but he definitely didn't know what galactosemia was.
"Um... Boss Zheng..." Sun Ming swallowed and said vaguely: "Please explain."
"This is a toxic clinical metabolic syndrome with increased blood galactose. Congenital defects in any of the three related enzymes in galactose metabolism can cause galactosemia and related symptoms." Zheng Ren explained Said: "The patient's condition is relatively mild..."
When he said this, Sun Ming was speechless.
Judging from the patient's condition, a good young man appears to be mentally retarded. Is this relatively mild? If it is heavy, what will happen
"Generally speaking, it is common in infants and young children, and the treatment effect is not very good. However, the disease only occurs in adults, which proves that the congenital enzyme defect is very mild and can be corrected with measures such as oral sugar cubes."
"Oral candy?" Sun Ming was completely confused. What does this mean
"Now you can give a drug of high sugar to increase the sugar content in the patient's blood. Then as long as you eat more sugar, you can correct the symptoms of galactosemia. But for a complete treatment, there is no good way with existing technology."
"By the way, fresh plasma should be fine too. But there seems to be a restriction on plasma transfusion now. Just give some glucose and you will see the effect soon." Zheng Rendao.
With such a serious disease, the family is considering giving up treatment, but can it be cured by just giving some glucose? Is this a joke or serious
"Zheng... Boss Zheng, are you serious?" Sun Ming asked in surprise.
Director Kong immediately became unhappy when he heard what he said.
"Old Sun, what are you talking about?" Director Kong scolded.
Although Director Kong didn't know what galactosemia was, he believed in Zheng Ren.
This kind of trust is accumulated continuously, rather than blind trust arising from the identity of the Nobel Prize candidate.
Director Kong immediately picked up the landline, called the nursing station, and found an old nurse with good skills to come in with a sterile tray.
20ml of 50% glucose, intravenously injected.
After more than ten minutes, the young man's expression began to come alive. He seemed to have had a big dream, astonished as to why he was here.
This is the plot of an ordinary TV series, but the young people did not ask where they were, why they were here, and what happened.
When he saw the white clothes, he immediately understood that he was sick and had come to see a doctor.
"Are you feeling better?" Zheng Ren asked.
"Okay... okay..." The stuttering of young people still exists, and there are some nervous factors.
"The vision problem will not be relieved so quickly for the time being, but the cerebral ischemia and hypoxia have been initially alleviated." Zheng Ren smiled.
"Er baby, who am I?" the middle-aged man asked tentatively.
"You... you are my second... no, third uncle." The young man replied.
"Second baby!" The middle-aged man wanted to say something, but it was as if there was a mouthful of phlegm in his throat that was blocked, and he couldn't say a word.
"Uncle, I..." The young man still stumbled a bit when he spoke, but he could see that his consciousness was much better than the confused state when he came in.
"It's okay, it's okay." The middle-aged man wiped his eyes with his sleeve and touched the young man's head. Then he stood in front of Zheng Ren seriously and bowed deeply.
"You're welcome." Zheng Ren said.
"This is your kindness to survive." The middle-aged man burst into tears of gratitude.
"It's a small thing." Zheng Ren smiled and said, "When you go back, make sure to eat more sugar. But you must control the amount. Don't let this cause severe diabetes."
"Yeah, yeah, I know, I know." The middle-aged man responded hurriedly.
After a few more polite words, Sun Ming asked: "Boss Zheng, do you have time in the evening? Let's have a meal together?"
"No." Zheng Ren said with a smile: "I have to have surgery tomorrow. Go to bed early tonight. Another day, another day."
It seems that it is true that people went to the United States to do knife throwing, and Boss Zheng was very modest and did not say where he was going.
Suddenly, Sun Ming's affection for Zheng Ren greatly increased.