Chapter 2285 Avoidance-Restrictive Eating Disorder

After a while, Su Yun came back after arranging the equipment needed for the operation.

When he heard what Zheng Ren said about the little girl, he wasn't surprised, but smiled wryly, "Boss, you meddle too much."

"I see, 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 shall we go?"

"I'm sure you won't be able to go this year. You have a Nobel Prize project in your hand, so you don't know?" Su Yun glanced at Zheng Ren, denying this idea.

Zheng Ren nodded.

Many doctors in the imperial capital go to the border areas to support for 1-3 months every year to improve the local medical level.

Zheng Ren only knew about this matter, but he didn't know the specific rules and procedures. Suddenly remembered, by the way.

This year is definitely not going to work, even if you want to go, you will be directly denied by Dean Yan if you make a request.

Are you kidding me, a project as big as the Nobel Prize is ahead, and we all know that there should be no chance within a year. But if you don't give it a try, who can be reconciled.

There is still a minimum attitude.

"Go and see, boss, what do you think is wrong with that little girl?"

"Her distinguishing feature is the presence of acute food refusal combined with chronic failure to gain weight, a chronic and acute condition that can be explained by multiple diagnoses..."

"Can you not talk like you are explaining to the patient's family before the operation." Su Yun said unhappily, "If you are good, you can't talk well."

Zheng Ren was speechless, how did Su Yun have the face to say this!

"Her dysphagia was behavioral. It was characterized by sudden food refusal and weight loss following a traumatic choking event. The two key psychiatric etiologies in the differential diagnosis were a specific choking phobia and anorexia nervosa."

"I think it's because of too much psychological pressure. Children of this age shouldn't be exposed to these things." Su Yun said.

"Well, I think so too."

"I haven't studied this aspect, do you have a solution?" Su Yun asked.

"She thought she couldn't eat solid food because she was afraid of choking and 'forgetting' how to chew and swallow.

Specific choking phobias may cause patients to avoid various situations in which choking might occur, including avoiding eating.

The fear of death led to this situation, so I think that her great-grandfather’s pneumothorax should be cured first, and then slowly appease, step by step, the little girl’s avoidance-restrictive eating disorder will be cured. "

"Let's go, take a look."

It was already off work, and the other teams in the office had almost left, while the doctors in Zheng Ren's medical team were still working.

If the boss is capable, the people under him are naturally busy.

Professor Rudolf Wagner is not interested in almost everything now, and he puts all his attention on the Nobel Prize.

There are still more than four months to go, the professor spent sleepless nights sorting out the materials, and contacted Xi Baoer in Heidelberg, where his team was helping to deal with various matters.

Gu Xiaoran was working honestly, but Lin Yuan kept peeking at the situation here.

"Work hard and go see a patient with an eating disorder. Why are you joining in the fun?" Su Yun said.

Lin Yuan shrugged.

"Let's go." After Zheng Ren finished speaking, he stood up and walked out of the office with Su Yun.

Lin Yuan looked at the backs of the two and sighed.

"Sister Lin, don't you want to follow along?" Gu Xiaoran asked.

"I won't go. Hurry up and work and go home early. I haven't spent too much time at home recently, and my old lady has been unhappy for a long time." Lin Yuan sighed and said after a long while.

"If I tell my mother to work until after 10 o'clock in the evening every day, she will definitely rush over directly." Gu Xiaoran said with a smile: "If you can not tell the family, don't tell the family, so as not to worry about it."

"Oh, you can do it, my home is far away. If I don't go home every day, my mother will probably rush to the hospital the next day." Lin Yuan was a little envious of Gu Xiaoran's going out, and remembered that he was far away from his parents in the United States time.

"Hey." Gu Xiaoran was a little smug, but seeing Lin Yuan's dejected expression, he changed the subject and comforted him, "Sister Lin, Boss Zheng said he would let me have an operation in two days. I'll finish it in a while." Live, tell me about the things to pay attention to during the operation."

"It seems that a group of foreign experts came to study this week. It's useless for you to listen to my lecture. It's better to listen to Brother Yun's lecture and watch the anatomy." Lin Yuan said.

"I watched it twice, but I don't know what to do in my heart." Gu Xiaoran said, "Boss Zheng has performed an operation. If this is done, I won't even think about doing TIPS in the future."

"The operation is not that easy, and Boss Zheng will not be as harsh as you imagined." Lin Yuan said.

While working, the two talked about the TIPS operation.

Seeing Professor Rudolf Wagner concentrating on sorting out the materials, Gu Xiaoran felt a little depressed as if he didn't hear himself speak at all.

He knew the order of good and bad surgeries in the medical team, and he was just making insinuations to see if the professor would give him some pointers.

It's really a pity, if only the foreign professor named Fu Guier could give me lectures. Gu Xiaoran thought about the process of listening to Brother Yun's lecture, but he still had a fear of surgery.

If Boss Zheng performed an operation but couldn't do it himself... Thinking about it, his nose was sore, tears almost fell down.

...

...

"Boss, there seems to be no drug treatment for avoidant-restrictive eating disorder." On the way, Su Yun asked.

"Well, no. Even if there is, I don't recommend taking it." Zheng Ren said, "It can be solved in a milder way. If you can't take medicine, don't take medicine."

Su Yun also knew that this was the boss's habit, but he was very cautious when it came to mental illness.

When they came to 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, her respiratory rate was 18 breaths per minute, and her oxygen saturation was 97% while breathing ambient air; her blood pressure was 107/70 mm Hg 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 weighed 26.5 kg and had a BMI of 12.5 kg/m2. No oral bleeding points.

The hemoglobin level, hematocrit, platelet count, red blood cell index, and kidney and liver function test results were all normal, as were the levels of glucose, calcium, magnesium, total protein, globulin, and thyrotropin in the blood.

Potassium ions are slightly low, and it may be related to an eating disorder, which was also diagnosed by Big Pig's Hoof.

An electrocardiogram revealed sinus tachycardia with a heart rate of 110 beats per minute, a PR interval of 116 msec, and a corrected QT interval of 422 msec.

There is nothing to check, and the possibility of avoidance-restrictive eating disorder is considered relatively high.