After a while, Su Yun came back after arranging the equipment needed for the operation.
When he heard Zheng Ren talking about the little girl, he was not surprised. Instead, he smiled bitterly and said, "Boss, you are meddling too much."
"I saw it. Please help me." Zheng Ren asked in a deep voice, "By the way, it is said that we have to support the border every year. When should we go?"
"I definitely won't be able to go this year. You have a Nobel Prize project in hand, but you don't know about it?" Su Yun glanced at Zheng Ren and rejected the idea.
Zheng Ren nodded.
Many doctors in the imperial capital go to border areas to provide support for 1-3 months every year to improve local medical standards.
Zheng Ren only knew about this matter and did not know the specific rules and procedures. Suddenly I remembered and asked a question.
It will definitely not be possible this year. Even if I want to go, my request will be directly denied by Dean Yan.
Are you kidding me? For a project as big as the Nobel Prize, we all know that there will be no chance within a year. But who can be willing to do it without giving it a try
At the very least, you still need to show some attitude.
"Go and take a look, boss, what do you think is the problem with that little girl?"
"Her distinguishing feature is the presence of acute food refusal combined with a long-term failure to gain weight. There are multiple diagnoses that may explain this chronic and acute condition... "
"Can you please don't talk like you are giving pre-operative explanations to the patient's family?" Su Yun said unhappily, "If you are nice, you can't talk nice."
Zheng Ren was speechless, how could Su Yun have the nerve to say this!
"Her dysphagia was behavioral. The presentation was characterized by sudden food refusal and weight loss following a traumatic choking event. The two key psychiatric causes in the differential diagnosis were specific phobia of choking and anorexia nervosa."
"I think the psychological pressure is too much. Children of this age should not be exposed to this." Su Yundao.
"Well, I think so too."
"I haven't done any research on this. Do you have any ideas?" Su Yun asked.
“She believed she couldn’t eat solid food because she was afraid of choking and ‘forgetting’ how to chew and swallow.
Specific phobia of choking may cause the sufferer to avoid various situations in which choking may occur, including avoiding eating.
The fear of death leads to this situation, so I think it will be better to cure her great-grandfather's pneumothorax first, and then slowly comfort her, step by step, to cure the little girl's avoidant-restrictive food intake disorder. "
"Let's go and take a look."
It's time to get off work, and the other groups in the office have almost left, but the doctors in Zheng Ren's medical group are still working.
If the boss is capable, the people under him will naturally be busy.
Professor Rudolf Wagner is now uninterested in almost everything. He puts all his attention on the Nobel Prize.
With more than four months left, the professor worked tirelessly to sort out the materials and contacted Xibaoer in Heidelberg, where his team was assisting with various matters.
Gu Xiaoran was working honestly, but Lin Yuan kept peeking at the situation.
"You work hard and go see a patient with an eating disorder. Why are you joining in the fun?" Su Yundao said.
Lin Yuan shrugged.
"Let's go." After Zheng Ren said that, he stood up and walked out of the office with Su Yun.
Lin Yuan looked at the backs of the two people and sighed.
"Sister Lin, don't you go and take a look?" Gu Xiaoran asked.
"I won't go. Take the time to work and go home early. I have been spending too little time at home recently, and my old lady has long been unhappy." Lin Yuan sighed and said after struggling for a long time.
"If I tell my mother that I work until after 10 o'clock every night, she will definitely rush over directly." Gu Xiaoran said with a smile: "If I can't tell my family, I won't tell my family, so as not to miss me."
"Oh, you can do it. Home is far away. If I don't go home every day, my mother will probably have to rush to the hospital the next day." Lin Yuan was a little envious of Gu Xiaoran when he was away from home, remembering that he was far away from his parents in the United States. time.
"Hehe." Gu Xiaoran was a little proud, but seeing that Lin Yuan looked a little depressed, he changed the subject and comforted, "Sister Lin, Boss Zheng said that I would be allowed to have one operation in two days. It will be done in a while. Live, please tell me what I need to pay attention to during the operation."
"It seems that a group of foreign experts are coming to study this week. It's useless for you to listen to my lectures. It's better to listen to Brother Yun's lectures and look at the anatomy." Lin Yuan said.
"I've seen it twice, but I don't have any confidence in my heart." Gu Xiaoran said, "Boss Zheng has to do one operation. If it fails, I won't be able to do TIPS again in the future."
"The surgery is not that easy, and Boss Zheng will not be as harsh as you think." Lin Yuan said.
While the two were working, they talked about TIPS surgery.
Gu Xiaoran felt a little frustrated when he saw Professor Rudolf Wagner concentrating on sorting out the materials, as if he didn't hear him at all.
He knew the order of good and bad surgeries in the medical team, and he was making insinuations just to see if the professor would give him some pointers.
It's such a pity. It would be great if the foreign professor named Fuguier could give me a lecture. Gu Xiaoran was thinking about the process of going to listen to Brother Yun's lecture. He still had a fear of having surgery.
What if Boss Zheng performed an operation but couldn't do it himself... As he thought about it, his nose felt sore and he almost shed tears.
…
…
"Boss, there doesn't seem to be any medication for avoidant-restrictive eating disorder." Su Yun asked on the way.
"Well, no. Even if there is, I don't recommend taking it." Zheng Ren said, "It can be solved in a gentler way. If you can do it without taking medicine, don't take medicine."
Su Yun also knows that this is the boss's habit, but he is very cautious when it comes to mental illness.
When they arrived at the emergency department, the two began to look at the little girl's medical records.
On physical examination, the patient's temperature was 37.2°C, respiratory rate was 18 breaths per minute, and oxygen saturation was 97% when breathing ambient air; her blood pressure was 107/70 mmHg when she was in the supine position, and her pulse was 114 beats per minute when she was standing. Blood pressure 95/72 mmHg, pulse 123 beats per minute.
The little girl weighs 26.5 kg and has a BMI of 12.5 kg/m2. No oral bleeding spots.
The hemoglobin level, hematocrit, platelet count, red blood cell index and renal and liver function test results were all normal, as were the levels of glucose, calcium, magnesium, total protein, globulin and thyrotropin in the blood.
The potassium ions are slightly low, which is considered to be related to eating disorders. This has also been diagnosed by Big Pig Hoof.
An electrocardiogram revealed sinus tachycardia with a heart rate of 110 beats per minute, a PR interval of 116 milliseconds, and a corrected QT interval of 422 milliseconds.
There is nothing wrong with the examination, so avoidant-restrictive food intake disorder is more likely.