The footsteps were very chaotic, and occasionally there were anxious inquiries from the patient's family members mixed together.
Zhou Litao turned around and left without any hesitation. As usual, he threw the key over and left a message - Brother Yun, lock the door for me.
"Boss, why do you like the emergency department so much?" Su Yun asked as they walked out and locked the door.
"I don't like it." Zheng Ren said what he meant.
"You say you don't want it, but your body is very honest." Su Yun looked at Zheng Ren with disdain and said coldly.
Zheng Ren thought for a moment and said, "Maybe it's because as soon as I came to the emergency department, I felt like I was back in Haicheng. Maybe..."
Su Yun glanced at Zheng Ren and said, "Let's go. Yes, I'm going to the Medical University to attend classes these days."
"What class are you going to teach?" Zheng Ren asked.
"Can't you just say whatever you want?" Su Yun's perfunctory tone was not too serious, and Zheng Ren didn't care. Zheng Ren can also give lectures, but he doesn't have Su Yun's obsession with showing off in front of others.
Zheng Ren had no interest in having a top-notch player take care of a newbie village's trumpet. It was clearly a waste of time.
The key is that the children cannot understand what you are saying.
Just as I was thinking about it, there was an extremely violent sound of vomiting coming from the emergency room.
In the southern dialect, he vomited so violently that he even vomited out the last night's meal. But there was a sound of vomiting not far away, as if he was about to vomit out his intestines.
When vomiting, Zheng Rendu felt that the person who vomited would suffocate at any time, and the patient himself was in great pain.
It's so uncomfortable. You don't have to feel the same way. Listening to it from a distance makes me feel sick to my stomach.
"If you use a gastric lavage machine to lavage your stomach, it won't be so severe. What kind of disease is it?" Zheng Ren muttered to Su Yun while leaning over and taking a look.
There was a young woman lying on the rescue bed inside. She looked to be about 23 or 4 years old. The bulging belly indicates a pregnant woman.
She turned sideways, her body twitching. Subconsciously, I have not forgotten to protect the child in my belly. It just made her posture even weirder.
The system panel was slightly red, and there was only one diagnosis on it—hyperemesis gravidarum.
Well…
Zheng Ren recalled that he met a female student in Haicheng who imagined that she was pregnant and also suffered from hyperemesis gravidarum.
That patient tricked her into having an abortion, and then she was fine.
Hysteria is completely different from true hyperemesis gravidarum. It is a particularly painful disease.
According to the Fairweather criteria, hyperemesis gravidarum refers to severe vomiting that occurs in the first 16-20 weeks of pregnancy. In many patients, vomiting symptoms continue until after 20 weeks of pregnancy.
Hyperemesis gravidarum may lead to premature birth and the birth of a newborn with a very low Apgar score.
Regardless of the suffering, if the vomiting is too severe, the only option is to have a forced abortion.
Otherwise, the child will not be in good condition when born, and may even have some congenital diseases.
The young woman was vomiting violently, but could not spit out any stomach contents. She was just hunched over and twitching on the emergency bed.
"What a misfortune." Su Yun said: "In the future, women don't have to get pregnant. All fertilized eggs can be cultivated artificially."
"That's at least 50 years away."
"If you want to, you can do it now. But according to a survey, if this method is used, there will be no intimacy between parents and children, leading to a large number of abandoned babies." Su Yundao.
Zheng Ren thought about it for a long time, but he never thought that he had seen similar reports.
Zhou Litao's side has already begun to deal with it, and has called the obstetrics and gynecology hospital chief to come down for emergency consultation.
Hyperemesis gravidarum, the emergency department has no good solution.
The next step is to admit the patient to the hospital, and then see how the obstetrics department explains it to the patient and the patient's family.
The most important thing depends on the pregnant woman's own intention - whether to endure the severe vomiting or to terminate the pregnancy and induce labor.
After Zhou Litao finished dealing with it, he hurriedly walked out.
"Why don't you guard?" Su Yun asked.
"It's so uncomfortable to watch, I can't stand it." Zhou Litao's face looked a little ugly and said: "In addition to hyperemesis gravidarum, there is also the little boy removing his foreskin. He screamed at the top of his lungs, and his bones felt cold when he heard it." (Note 1)
There is something that a person is afraid of.
Zhou Litao could face the bloody rescue, but he could not see the hyperemesis gravidarum and the crying child.
This is also human nature.
"What medicine was used?"
"Metoclopramide, ondansetron." Zhou Litao walked a little further, and then he felt better. He used words to cover up his discomfort, "But I guess it's useless. The condition is too serious, and I guess I will have an abortion."
"Well, if this continues, it doesn't seem to work. The child's symptoms of hypoxia and other symptoms will cause serious problems."
"Many patients have symptoms that persist beyond 30 weeks."
Zhou Litao was talking nonchalantly, as if he could no longer hear the sound of the pregnant woman vomiting violently while he was talking.
Soon, the obstetric resident trotted all the way to the emergency department.
She examined pregnant women, but the diagnosis was nothing new, just typical hyperemesis gravidarum.
Soon, the obstetrics resident called out the patient's immediate family members. Zhou Litao quickly arranged a room for her to explain.
Zheng Ren and Su Yun also followed in.
The resident in the obstetrics department knew Su Yun, smiled as a greeting, and then explained the condition to the patient's family.
There is no particularly good solution for hyperemesis gravidarum, other than terminating the pregnancy.
After saying this, the patient's lover, a young man, covered his face and cried.
The room of more than ten square meters was filled with his cries, and everyone felt sad.
"Then let's stop it. It looks so painful." A woman in her forties or fifties sighed and said, "Doctor, can I ask if this situation will happen again if Xiao Min gets pregnant next time?"
"The possibility is very high," said the resident in the obstetrics department. "There is no particularly good method. There is no definite statement in the world about the pathogenesis of hyperemesis gravidarum."
"..." The family members were silent.
If this is the case, it means that young women will no longer be able to get pregnant and give birth to children.
Zheng Ren also felt very sorry and started looking for relevant case reports in the system library.
Because he rarely comes into contact with obstetrics and gynecology, he usually doesn't read similar articles.
Medical journals around the world, even those with impact factors above 5, have an outrageous number of articles.
The family members went out one after another, preparing to explain the actual situation to the pregnant woman.
The room gradually became empty.
The resident in the obstetrics department sighed and said: "There is no way. I once met a patient who reluctantly gave birth to a child, and the child was not in good condition."
Su Yun nodded, his black hair floating feebly on his forehead.
Zheng Ren suddenly raised his head and asked, "Do you know anything about people with ALS?"
…
…
Note 1: In the past, when I went to the outpatient department, the opposite door was the Department of Urology. The little boy was crying hoarsely. He couldn't bear it. Every time I hide far away and cannot hear the sound.