Well…
Huang Liang was startled.
Are your legs numb? What does it mean? Boss Zheng is so young and energetic, could he have any new tricks up his sleeve
It was really fun, and countless thoughts surged out of Huang Liang's heart.
he,
for a moment,
Evil.
The twin sisters looked at each other, what is the problem...
"Boss, do you suspect homogentisa?" Su Yun asked.
"Very typical blue ears. The posture they walked in just now was a bit weird." Zheng Ren said, "Looking at their age, the feeling of numbness should not be very serious at this age."
Huang Liang was stunned.
What is black acid in urine? Is it the posture
Boss Zheng is young, but he has many tricks up his sleeve. He drives just as he opens his mouth. The speed is so fast that even an experienced driver like himself cannot keep up.
It seems that he is also a sweetheart, and he can come and go often in the future, Huang Liang thought in his heart.
"I have a question for you." Su Yun said, looking at the twin sisters standing aside stupidly.
"Sometimes I feel a little numb after sitting for a long time." The two said in unison.
This telepathy is much closer than that of Da Chu and Xiao Chu. They must be identical twins to speak so identically.
"Manager Huang?" Su Yundao said.
"Brother Yun, tell me." Huang Liang responded immediately.
"Take a urine sample and use... any cup." Su Yun said with a smile.
"..." Huang Liang was speechless.
This method of playing is really cool and informal, but isn't it a bit dirty? Although Huang Liang thought of it in an instant... Forget it, it's better not to think about it. Boss Zheng can play whatever he wants, as long as he is happy.
"Put it aside and talk about it after we finish eating." After Su Yun finished speaking, he glanced at Zheng Ren.
Zheng Ren nodded.
"By the way, don't let others touch it or contaminate the sample." Su Yun added.
Although Huang Liang didn't understand, Song Ying and Song Ge made a special call and told him that he must serve Boss Zheng well.
As long as he doesn't kill people and set fires, he can do whatever he wants.
Again, educated people talk about things differently. You can play dirty, but you can't help but use elegant words.
Sample, yes, I will call it that from now on.
"Then I'll put the sample in my manager's office. I'm sure no one can contaminate it." Huang Liang said, patting his chest.
"You guys can go together. We can eat and chat as much as we want. No one needs to stay here." Zheng Ren said calmly.
Huang Liang saw that he was really not polite, so he immediately left with his twin sisters.
"Boss Zheng, Brother Yun, what's wrong with you?" Lao He was almost bursting with curiosity.
The graceful, charming, charming, and touching twins turned out to be patients, and it wasn’t Boss Zheng who was so good at this!
After learning the truth of the matter, Lao He was extremely excited.
But first, it must be a patient.
My ears are blue, and I just heard Brother Yun talking about alkapsis acidosis. Are the two related
I have vaguely heard of this disease, but I can’t remember it.
Lao He was particularly afraid that he had heard wrongly and was overjoyed.
"Alkapsis acidosis." Zheng Ren said with certainty.
“…”
Lao He and Lin Yuan looked confused.
Chang Yue didn't care at all and chatted quietly with Xie Yiren.
As for Feng Xuhui and Liu Xiaojie, they had no idea what Boss Zheng was talking about. However, Feng Xuhui had already taken out his mobile phone and started searching online to see if this disease could be treated with interventional methods.
If it can be cured, does it require special consumables
Feng Xuhui is very concerned about this.
"It is a metabolic hereditary disease caused by the lack of homogentisinase in tyrosine metabolism. The urine of this patient contains homogentisic acid, which is oxidized and polymerized into a substance similar to melanin when exposed to oxygen under alkaline conditions. Make the urine turn black." Zheng Ren said.
"It's a hereditary disease. 80% of patients are the result of consanguineous marriage and childbirth." Su Yundao said, "Boss, I don't think the situation is serious."
"Usually surgery is required. The condition is not serious, but they are still young."
"Surgery? How to do it?" Lao He continued to ask.
"Generally, homogentisia will cause changes in the bone quality of the spine. These two girls have some curvature in their waists, which is probably a spinal deformity." Zheng Rendao.
"..." Lao He was speechless.
"If an MRI is done, the lumbar spine sequence is straight, the signal of each intervertebral disc is generally reduced, and there are varying degrees of protrusion, especially lumbar 4-5 and lumbar 5-sacral 1, the intervertebral space is obviously narrow, and there is no thickening of the ligamentum flavum."
"Zheng...Boss Zheng, take a look, have you even made an MRI?" Lao He asked stammering.
No wonder Brother Yun had joked before, saying that Boss Zheng had clairvoyant eyes and was still spying on the little widow taking a bath in Haicheng.
Not only X-rays, but also MRI can be done.
But fluoroscopy is just a matter of looking at it. It’s still a bit of fun to see what the MRI is for.
"That's what it says in the book." Zheng Ren said lightly, "That's most likely the case."
Lao He was sweating profusely, wondering what his dirty thoughts were.
You can't let Boss Zheng know what you're thinking, or you can be killed and silenced.
"Boss Zheng, it's because the homogentisic acid decomposed from tyrosine cannot be further decomposed into acetoacetate, causing too much homogentisic acid to be excreted in the urine and oxidized to black in the air." Lin Yuan asked.
"Yeah." Zheng Ren nodded.
Lin Yuan's morale was greatly boosted.
"Tyrosine can be catalyzed by tyrosine aminotransferase to generate p-hydroxyphenylpyruvate, which is regenerated into homogentisate and further converted into acetoacetate and fumaric acid, which participate in glucose metabolism and lipid metabolism respectively."
“Without homogentisate oxidase, homogentisic acid cannot be oxidized and is excreted from the urethra, making the urine black, so it is called homogentisic acidosis.”
"The memorization of the book is quite solid." Su Yun said disdainfully, "Is it useful?"
"Yes." Lin Yuan said with certainty, "Teacher He didn't even expect it."
Lao He once again became a negative example.
"Anesthesiologist, there is a point in learning about alkaptic acidosis. Compared with anesthesiologists, you are really promising." Su Yun retorted directly.
"Then..." Lin Yuan was about to say something, but immediately swallowed it back.
If you take Sister Yue as an example at this time, you will die miserably.
She still had some idea.
"Wait, let's eat first, it will take at least 3 hours, maybe longer." Zheng Ren said.
"Yes, patients with homogentisia usually have normal urine color when they first urinate. Who would observe that the urine changes color after a few hours." Su Yun said with a smile, "Unless the pipe is connected to the wrong pipe."
“…”
"Boss Zheng, why did your ears turn blue?" Lin Yuan asked.
"Pigmentation generally appears in adipose tissue, under the intima of large blood vessels, heart valves, chordae tendineae, prostate, tonsils, kidneys, etc. The body surface mainly appears in the auricles. Blue ears are a sign of alkaptisolemia. A typical performance.”
Lin Yuan carefully wrote down this "knowledge point".
But I don’t know when it will be used next time.
"Boss Zheng, they walk a little strangely. Is it caused by spinal problems?"
"Well, everyone expresses this in different ways." Zheng Ren said, "Most of it is pain. Maybe the changes in the two girls' walking just now are a way of adapting to the pain."
The food and drinks came quickly. Su Yun looked at Chang Yue and asked, "You're on a ketogenic diet for a sample?"
"Inevitable." Chang Yue adjusted her glasses and said.
"Boss, take a look." Su Yun held the wine bottle in his hand and smiled at Zheng Ren: "No matter how sensible a woman is, she will become like this when summer comes."
"Bullshit." When Chang Yue saw Jasmine, the anger in her heart burst out. She looked at Su Yun coldly and said, "Do you think you are sane?"
"Oh? Then tell me, why am I irrational?"
"Watching wine with me, are you doing it right or are you going to die? Have you forgotten that time you ate crayfish in Haicheng?"
"Beer, that stuff doesn't taste good." Su Yun said, "I heard people say that beer is mixed with diuretics, so it's not strong enough. Just drink it after you drink it, so you can drink more bottles."
"Normal promotional methods." Zheng Ren didn't care.
"Boss, your three views are really amazing!" Su Yun said disdainfully, "I don't have any friends in the winery, so I don't know if this is true or not."
"I want you to care whether it's true or false." Chang Yue's sharp eyes were projected from behind his glasses, stabbing into Su Yun's face like an awl, "I'm drinking Maotai today. You shouldn't say that Maotai is also a diuretic."
"Yousu..." Zheng Ren only said two words, and then he swallowed the rest of his words automatically.
So uninteresting.
Zheng Ren knew what Su Yun was going to do. Chang Yue doesn't want to eat, so let's drink first.
Wine is a good thing. Don’t eat anything if you drink too much.
Judging from Su Yun's demeanor, it definitely didn't look like he was just having a few drinks and eating some peanuts at home. Today he made a show of trying to make Chang Yue drink too much, and then he would not care what she ate, but he would break her power first.
only…
Su Yun was desperate. What appeared in front of Zheng Ren were the wet footprints left by Chang Yue's bare feet on the marble floor of Haicheng's emergency room.
But Su Yun's method was more or less a solution, and he couldn't let Chang Yue eat.
If you want to die, just do it. It is considered a sacrifice for love.
It should be considered love, who knows. Zheng Ren was too lazy to think about these things. He held Yi Ren's little hand, and the emptiness and anxiety in his heart disappeared like smoke.
Even if you can't find a liver source that matches your liver type and blood type, or even if you don't give me a task, you will do whatever you say.
Give it a try!
Didn't Su Yun already say that in 2008, even patients with inconsistent blood types in Australia underwent liver transplantation and recovered after the operation
Believe in your teammates and the power of the collective.
Zheng Ren smiled and watched as Su Yun carried the iron-topped Maotai, bumped it against the bottle in Chang Yue's hand, and started to blow on the bottle.
It’s really desperate. If those girls who are desperately trying to check their existence knew that their Brother Yun had this kind of hobby, would they not look at him every time
In an instant, after drinking two bottles of Maotai per person, Chang Yue became obviously excited.
She threw the ketogenic diet aside, picked up a few bites of vegetables with chopsticks and ate them, then unscrewed two bottles of Maotai and handed one to Su Yun.
"I eat too, so don't drink in such a hurry." Su Yun said with a smile, "Drink slowly, in case you get drunk too fast and you won't be able to eat."