ALS, also called amyotrophic lateral sclerosis.
The cause of this disease is still unclear. 20% of cases may be related to inheritance and genetic defects. In addition, some environmental factors, such as heavy metal aluminum poisoning, may cause damage to motor neurons.
Early symptoms are mild and easily confused with other diseases.
Patients may only feel some symptoms such as weakness, throbbing, and easy fatigue, and gradually progress to systemic muscle atrophy and difficulty swallowing. Until the end, respiratory failure occurred.
But patients rarely survive respiratory failure and starve to death due to malnutrition.
Is there a relationship between ALS and hyperemesis gravidarum
Su Yun looked at Zheng Ren in surprise, wondering what he meant.
Zhou Litao and the obstetrician are always confused. Is there a connection between these two diseases
Zheng Ren said seriously: "There is no treatment for people with ALS. The US FDA has approved a drug called Rilutek for very early treatment, but the effect is not good. Others are supportive treatments."
"Percutaneous gastrostomy?" Su Yun immediately thought of this.
"Yes." Zheng Ren said: "The mechanism of hyperemesis gravidarum is not completely clear, but one thing that is certain is that it is related to eating. Some people have tried to perform percutaneous gastrostomy and jejunostomy, and provide nutritional support after surgery."
"Is it effective?"
"There are some successful cases, but after all, it is a treatment method and does not require induction of labor." Zheng Ren said with certainty.
This idea is a little out of this world.
Su Yun frowned and thought for a long time, then said: "There are not many cases of percutaneous gastrojejunostomy for patients with hyperemesis gravidarum, and it is not yet mature."
"I just want to make an opinion, and you can talk to the patient like this..."
Just as he was talking, a huge noise came from the emergency room.
Like Pavlov's dog, Zhou Litao rushed out immediately when he heard the noise.
The speed is unparalleled.
Originally, the pregnant woman only vomited, and there was no stomach content at all. She was lying on her side, so there was no risk of aspiration.
It doesn't matter whether he stays there or not.
But there was a noise, a loud noise, which meant that something had changed.
Zheng Ren could even imagine how high the hormone levels in Zhou Litao's body had soared.
In the emergency room, the half-dead pregnant woman who had been tortured by hyperemesis gravidarum screamed.
She could vaguely be heard cursing, and even hysterically crying.
This was because she couldn't accept the fact that she would induce labor, and she almost collapsed emotionally, so this happened.
Zheng Ren didn't want to go see it, so he said to the obstetrics resident: "The opinion is what I just said. I can't guarantee whether it can be done. After all, it is not a mature surgery. But there are still relevant documents proving this. It’s a feasible approach.”
The obstetrics resident nodded.
Having a way is much better than having no way at all.
At least when the odds are against you, you can still have a choice.
Even if there are many dangers and obstacles over mountains and ridges, and no matter how rugged the road is, there is always a way to go.
As for whether to choose this path, it depends on the opinions of the patient and his family.
"If necessary, contact the endoscopic department and seek consultation from the interventional department. If done under endoscopic surgery, the insurance factor will be greater." Zheng Ren finally finished and left with Su Yun.
"Why don't you explain it directly to the patient's family?" Su Yun asked.
"So tired." Zheng Ren sighed.
Su Yun was startled for a moment, then understood.
This man who could stand in Pengxi Township Hospital for three days and three nights wearing a lead suit also got tired sometimes.
It's not physical fatigue, but mental fatigue.
He didn't want to see the pregnant woman scream in despair, but he didn't have a foolproof solution. Su Yun understood this feeling of exhaustion coming from deep within.
Back in the office, Chang Yue was not there, probably going to the ward to chat with the patient's family. Liu Zewei was writing medical records seriously, and the top of his head seemed to be a little heavier.
Professor Rudolf Wagner was watching a video of Zheng Ren performing surgery. He gently twisted his right thumb on his index and middle fingers. It seemed that he was learning surgery.
"Fugui son, what are you doing?" Zheng Ren asked casually after coming in.
"Boss, I'm looking at your surgery." Professor Rudolf Wagner raised his head with admiration on his face: "The old nose is healed, awesome."
"..." Zheng Ren felt that the professor was getting more and more biased, running all the way without stopping.
"I read it over and over again, and finally I know why you hit me." Professor Rudolf Wagner was a little proud, and showed off to Zheng Ren, "I used to do surgery, but it was still too rough. In some places, if it is more precise, it can be surpassed in one go. If you choose successfully, you won’t have to worry about being over-selected again and again.”
Zheng Ren felt even more tired.
He patted the professor on the shoulder, indicating that he should continue studying, then sat down at his usual seat, preparing to go into the system library to read.
"Fugui'er, you are working every day and don't have much surgery to do. Are you just doing the five spines and six beasts?" Su Yun asked.
"Yes." Professor Rudolf Wagner nodded.
Zheng Ren glanced at Su Yun in surprise.
It's not like he's teasing the professor, he seems to be speaking in Northeastern dialect, and his sincerity is contagious. Su Yun has already fallen.
"It's okay, the community hospital will get it done soon, and there will be many surgeries to be done by then." Su Yun said with a smile: "If you do it steadily and don't be too bald, then the TIPS surgery on that side will be..."
As he spoke, he saw Liu Zewei's shining eyes.
"You two write separate works." Su Yun changed his tune quickly.
"Where are the patient sources?" Professor Rudolf Wagner asked.
"You can find out how many patients there are by asking how much a clinic number is sold by scalpers. When the time comes, you can do whatever you want."
"Okay!" Professor Rudolf Wagner became happy this time, "Boss, when the time comes, you will ask me to do surgery again. I will cover my head and do the surgery. Twenty surgeries a day, just a lot more."
Zheng Ren covered his forehead.
"Sister Lin, how's it going there?" Su Yun didn't know when he dialed Lin Jiaojiao's phone and asked: "Sister Lin, how's the community hospital doing? I've been busy lately and haven't had time to go see him. look."
"Oh, okay, I'll ask the boss." Su Yun hung up the phone.
"Boss, Sister Lin said that side is almost done." Su Yun said with a smile: "Sister Lin didn't say it clearly, but it seems that she still wants to ask you. Have you thought about the gastric artery embolization?"
"..." Zheng Ren has been busy recently and forgot about this matter.
Losing weight, in Zheng Ren's opinion, is not a problem at all. This is a need other than survival, and its importance in his heart will naturally be reduced a lot.
"Su Yun, ask... Forget it, I'll make the call myself." Zheng Ren said, "Ask Lao Liu if he can come. I don't know if his wife can let him come."
"Liu Xuzhi's wife? She's a very nice person. She must be fine." Chang Yue stood at the door and said leisurely.