Chapter 1493 One More Choice when the Mountains and Rivers Are Exhausted

Gradual freezing, also known as amyotrophic lateral sclerosis.

The etiology of this disease is still unclear. 20% of cases may be related to heredity and genetic defects. In addition, some environmental factors, such as heavy metal aluminum poisoning, may cause motor neuron damage.

Early symptoms are mild and easily confused with other diseases.

Patients may only feel some symptoms such as weakness, muscle jumping, and easy fatigue, and gradually progress to systemic muscle atrophy and difficulty swallowing. Until the end, respiratory failure finally occurs.

But the patients are basically unable to survive respiratory failure, and starve to death because of malnutrition.

Is ALS and hyperemesis gravidarum related?

Su Yun looked at Zheng Ren in surprise, not knowing what he meant.

Zhou Litao and obstetrics are always in a trance. Is there a connection between these two diseases?

Zheng Ren said very seriously: "There is no cure for people who are gradually freezing. The FDA in the United States has approved a drug called Rilutek for very early treatment, but the effect is not good. The rest are supportive care."

"Percutaneous gastrostomy?" Su Yun immediately thought of this.

"Well." Zheng Ren said: "The mechanism of action of hyperemesis gravidarum is not completely clear, but it is certain that it is related to eating. Some people have tried percutaneous gastric and jejunostomy, and given nutritional support after surgery."

"Does it work well?"

"There are some successful cases, but no matter how you say it, it is also a method of treatment, and there is no need to induce labor." Zheng Ren said with certainty.

This idea is a bit out of place.

Su Yun frowned and thought for a long time, and said, "There are not many cases of percutaneous gastro-jejunostomy for patients with hyperemesis gravidarum, and it is still immature."

"I just put forward an opinion, I can talk to the patient like this..."

Just as he was talking, a huge noise came from the emergency room.

Zhou Litao, like Pavlov's dog, rushed out immediately when he heard the noise.

The speed is unparalleled.

Originally, pregnant women just vomited, and there was no stomach content at all, and people were lying on their side, so there was no risk of aspiration.

It doesn't matter if he stays there or not.

But there is a noise, or a very violent noise, which means that things have changed.

Zheng Ren could even think of the extent to which the hormone levels in Zhou Litao's body had soared.

In the emergency room, the half-dead pregnant woman, already suffering from hyperemesis gravidarum, screamed.

She could vaguely hear her cursing and even crying hysterically.

This is the fact that it is unacceptable to induce labor, and the mood is almost collapsed, so this happens.

Zheng Ren didn't want to go to see it, so he said to the obstetric hospital chief: "The opinion is what I said just now. I can't guarantee whether it will work or not, after all, it is not a mature surgery. But there are still relevant literatures proving this. It is a feasible way.”

The obstetric hospital total nodded.

A way is better than no way at all.

At least when the mountains and rivers are exhausted, there is still a choice.

No matter how rough the road is, there is always a way to go, no matter how rough the road is.

As for whether or not to choose this path, it depends on the opinions of the patient and the patient's family.

"If necessary, contact the endoscopy room and seek consultation with the interventional department. The insurance factor will be higher if it is done under the endoscopy." Zheng Ren finally finished and left with Su Yun.

"Why don't you tell the patient's family directly." Su Yun asked.

"I'm so tired." Zheng Ren sighed.

Su Yun was slightly startled, and then understood.

This man who can stand in a lead coat for three days and three nights at Pengxi Township Hospital also has times when he is tired.

Not physical fatigue, but mental fatigue.

He didn't want to see the desperate roar of the pregnant woman, but he didn't have a foolproof way. This feeling of exhaustion from the bottom of his heart, Su Yun understands.

When he returned to the office, Chang Yue was not there. It was estimated that he went to the ward to chat with the patient's family. Liu Zewei was writing the medical records seriously, and the top of his head seemed to have a little oil.

Professor Rudolf Wagner is watching the video of Zheng Ren's surgery. His right thumb is gently twisting on the index and middle fingers, and it seems that he is learning surgery.

"Fuguier, what are you doing?" Zheng Ren asked casually after entering.

"Boss, I'm watching your surgery." Professor Rudolf Wagner raised his head with a look of admiration: "The old nose has been done, and it's terrific."

"..." Zheng Ren felt that the professor was getting more and more biased, and he ran all the way without stopping.

"I read it over and over again, and finally I know why you knocked me." Professor Rudolf Wagner was a little proud, showing off with Zheng Ren, "I used to have surgery, but it was still too rough. If the election is successful, it will save you from over-election over and over again."

Zheng Ren felt even more tired.

He patted the professor on the shoulder, motioned for him to continue his studies, then sat down where he usually sat, preparing to enter the system library to read.

"Fugui'er, you don't have any surgery to do this day, are you an idle five-backed six beasts?" Su Yun asked.

"Well." Professor Rudolf Wagner nodded.

Zheng Ren glanced at Su Yun in surprise.

He doesn't seem to be teasing the professor, but he seems to be speaking Northeastern dialect, which is really contagious. This fellow Su Yun has already fallen.

"It's alright, the community hospital will be done soon, and some operations will be performed at that time." Su Yun smiled and said: "If you do it well, don't be bald and turn the stick, then the TIPS operation on that side will be... "

Saying that, he saw Liu Zewei's shining eyes.

"You two share your writings." Su Yun changed his words very quickly.

"What about the source of the patient?" asked Professor Rudolf Wagner.

"You go and ask, how much the outpatient number is fired by scalpers will tell you how many patients there are. At that time, you can do whatever you want."

"Yeah!" Professor Rudolf Wagner became happy this time. "Boss, you will knock me out for surgery. I will cover the Howling Wind and perform the surgery. Twenty a day is more or less."

Zheng Ren covered his forehead.

"Sister Lin, how's that side going?" Su Yun didn't know when she had called Lin Jiaojiao and asked, "Sister Lin, how's the community hospital doing? I've been busy lately and haven't had time to see it. Look."

"Oh, okay, I'll ask the boss." Su Yun hung up the phone.

"Boss, Sister Lin said that it's almost the same." Su Yun said with a smile: "Sister Lin didn't say it clearly. It seems that she still wants to ask you about fundus artery embolization. Have you thought about it?"

"..." Zheng Ren was busy recently, and forgot this matter to the back of his head.

Weight loss, in Zheng Ren's view, is not a problem at all. This is a need other than survival, and its importance in his heart will naturally decrease a lot.

"Su Yun, you ask... Forget it, I'll call myself." Zheng Ren said, "Ask if Lao Liu can come, and I don't know if his wife can let him come."

"Liu Xuzhi's daughter-in-law? She's a good person. She must be fine." Chang Yue stood at the door and said leisurely.