Midnight, Imperial Capital, Women's and Children's Hospital.
A medical record is placed in front of everyone. The patient, female, 24 years old, suffered from menopause for 38+5 weeks and upper abdominal pain accompanied by redness for 2+ hours. The patient has a history of anemia since childhood and denies any related family genetic history.
Everyone present had read the thick examination report and already had a clear understanding of the patient's condition.
There was fluid accumulation in the patient's abdominal cavity, which was 4.6cm thick and had poor sound transmission. The mother's liver and spleen were found to be enlarged. An abdominal puncture was performed, and 2 ml of non-coagulable blood was extracted.
The patient's condition was not right, and the test results proved contradictory to each other, but the unified understanding was that the patient needed emergency surgery and could not give birth normally.
Director Han looked at the list silently. She had an idea in her mind, but she couldn't confirm it. Seeing that everyone agreed to the emergency surgery, as for the hepatosplenomegaly in the abdominal cavity, no one gave a definite answer, and Director Han was a little anxious.
If the surgery was rushed, she was worried that there would be bigger problems during the operation.
"Wait a moment." Director Han said in a deep voice, "I will mention another possibility."
"how?"
"I think it's possible that it's slow-onset Gaucher's disease, also known as Gaucher's disease."
Gaucher's disease is rare in patients across the country. Now the treatment base for Gaucher's disease in China has unknowingly become 912. Almost all patients with Gaucher's disease will be recommended by doctors across the country to go to 912 to see Boss Zheng for treatment.
Starting from the live broadcast of the first Gaucher's disease surgery, Boss Zheng has performed 32 similar surgeries so far.
"Gaucher's disease is caused by the reduction or deficiency of β-glucocerebrosidase, which prevents the decomposition of glucocerebroside into galactocerebrosid or glucose and N-acyl sphingosine. Glucocerebroside is massively deposited in the monocyte-macrophage system, causing massive proliferation of tissue cells."
"Director Han, we have considered this possibility, but the blood test did not detect Gaucher cells."
"Gaucher's disease is an autosomal recessive inheritance. Due to different degrees of enzyme deficiency, symptoms can vary greatly. It is classified into: adult or chronic type; infantile or acute type; juvenile or subacute type."
"My consideration is that the patient belongs to the adult type, that is, the chronic type. The progress was originally slow, and if she had not been pregnant, it could have been delayed until at least the age of 40. As long as splenectomy was performed, there would not be much of a problem. But pregnancy changed Everything, leading to hepatosplenomegaly.”
"The patient's condition is very urgent, and the fetal heart rate is very fast." Another director said.
The Women's and Children's Hospital rarely faces the situation of protecting the adult or the child, but if the possibility of Gaucher's disease is ignored, the countdown to death of the pregnant woman will begin when the caesarean section is completed.
The reason why a hospital-wide consultation is required is because the pregnant woman has some problems with her coagulation function. But no one expected that Director Han would mention a rare disease, and he seemed to be very determined.
"I'll ask Boss Zheng to pass the information to him and let him look at it for his help." Director Han said, "We can prepare for the surgery first, let's not waste time."
Everyone looked at each other in shock, and finally agreed with Director Han's statement.
Isn't it too rude to call for consultation just at midnight? Director Han hesitated for a moment, but the patient's condition was more urgent and there were no conditions to talk to, so she still made the call.
"Boss Zheng, I'm sorry to disturb your sleep."
"Uh... That's good, that's good... No, you are in Sweden?!"
At this time, Director Han remembered that today is already 1 a.m. on December 9th. What time is it in Sweden? It should be around 18:00 on the 8th.
I don't want to disturb, but Boss Zheng is not here. Once a pregnant woman is diagnosed with Gaucher's disease, who will do the surgery? !
Director Han knew that time was tight, so he explained the situation without thinking too much.
Then she hung up the phone and started to explain to the patient's family before the operation. She also called people from the medical office to video record the operation to avoid disputes.
With or without surgery, patients will face extremely serious consequences - death. Now it is no longer a question of protecting adults or children, the focus is how to survive.
Director Han was a little sad. Gaucher's disease was rare. The reason she could think of it was because the death of a patient after surgery 7 years ago left an indelible psychological shadow on her.
Just ask Boss Zheng, he is still the most professional in the diagnosis and treatment of Gaucher's disease.
…
…
In Stockholm, in a Western restaurant, everyone was talking and laughing.
The fish bone was taken out and everything returned to its normal state. Xie Ning's happiness came from the bottom of his heart. The fishbone that had troubled him for 24 hours had disappeared. It was just a nightmare. Having solved this problem, Xie Ning now feels that his cheap son-in-law looks pretty good.
"Boss, Gaucher's disease?" Su Yun heard some clues and asked immediately when his boss hung up the phone.
"Well, we called from the Women's and Children's Hospital. A pregnant woman was suspected of having adult-onset Gaucher's disease. Due to the increased burden during pregnancy, it resulted in hepatosplenomegaly and poor coagulation function." Zheng Rendao, "After reading the specific information Say it again."
Su Yun quickly took out his notebook, before he could ask his boss why he wanted to go abroad with a laryngoscope, as if everything was foreseen.
In fact, Su Yun had a weird idea - the boss is a human being who has reversed growth.
Every day for him is yesterday not tomorrow! This also explains why my boss always seems to have divine help.
Nowadays, there is a popular term among women called "reverse growth", which means that they are 30 this year and 29 next year, which means they are getting younger and younger. If Su Yun talks too much, he will naturally have all kinds of weird associations.
When applied to his boss, he felt that everything fell into place, perfectly explaining the purpose of this weirdo's existence.
But there are also problems. For example, his technical level should be at its peak when he meets him, and then it will decline every day, until decades later, he becomes a child and knows nothing.
There was always something strange in Su Yun's mind. Before he could ask about it in detail, Emperor Du called.
Su Yun's attention was drawn to it again. This was a serious matter of killing two people!
Open your laptop and see that an email has been sent to your mailbox.
Zheng Ren and Su Yun started reading the medical records at the dining table without any scruples.
Xie Ning looked at Zheng Ren and Su Yun with a smile. Zheng Ren's honest face seemed to be more and more pleasing to the eye.
I originally thought that I would communicate with each other in tears, drooling from the corners of my mouth, and show everyone what I will look like 50 years later when I have Alzheimer's disease. But I didn't expect that Zheng Ren completed the operation while telling the story. His level was really too high.
He was not displeased because Zheng Ren was immersed in medical records. He smiled slightly and said to Xie Yiren, "Yiren, do you often have midnight consultations?"