Lou Gehrig's disease was also known as amyotrophic lateral sclerosis.
The cause of this disease was still unknown. Twenty percent of cases could be related to hereditary or genetic defects. In addition, some environmental factors, such as heavy metal aluminum poisoning, could cause motor neuron damage.
The early symptoms were mild and could be easily confused with other diseases.
The patient might only feel some weakness, muscle pounding, fatigue, and other symptoms. Gradually, muscle atrophy and dysphagia would develop. In the end, respiratory failure would occur.
However, most patients would starve to death due to malnutrition before respiratory failure.
What was the relationship between lou Gehrig's disease and hyperemesis gravidarum?
Su Yun looked at Zheng Ren in surprise, not knowing what he meant.
Zhou Litao and the obstetrics chief resident were also confused. Were the two diseases related?
Zheng Ren said seriously, "There is no treatment for lou Gehrig's disease. The FDA in the United States has approved a drug called Rilutek for very early treatment, but the effect is not good. The rest is supportive treatment. "
"Percutaneous gastrostomy?" Su Yun immediately thought of this.
"Yes. The mechanism of hyperemesis gravidarum is not completely clear, but one thing is for sure: it is related to food intake. Some people have tried percutaneous gastrostomy and postoperative nutritional support. "
"Is it effective?"
"There are some successful cases, but no matter what, it's still a treatment method. There's no need to induce labor," Zheng Ren said with certainty.
This idea was a bit like a fairy from the heavens.
Su Yun frowned and thought for a long time. "There are not many cases of percutaneous gastrostomy for patients with hyperemesis gravidarum. It is not mature yet.
"I'm just giving a suggestion. You can do this with the patient …"
As he spoke, a loud noise came from the emergency resuscitation room.
Zhou Litao was like Pavlov's dog, rushing out the moment he heard the noise.
His speed was unparalleled.
Originally, the pregnant woman was only vomiting and there was no gastric content at all. She was also lying on her side, so there was no risk of aspiration.
It did not matter whether he stayed or not.
However, there was a loud noise, and it was a very loud noise, which meant that something had changed.
Zheng Ren could even imagine how high Zhou Litao's hormone level had soared.
In the resuscitation room, the pregnant woman, who was half dead from hyperemesis gravidarum, was screaming.
He could vaguely hear her cursing, and even the sound of her crying hysterically.
This was because she couldn't accept the fact that she was having an induced labor. Her emotions were on the verge of collapse, which was why such a situation occurred.
He said to the obstetrics chief resident, "Opinion, the one I mentioned just now. I can't guarantee that it will work. After all, it's not a mature tactic. But there are still relevant documents proving that this is a feasible method. "
The obstetrics chief resident nodded.
Having a way was always better than having no way at all.
At the very least, it would give him a choice when he was at the end of his rope.
No matter how difficult it was to traverse mountains and ridges, no matter how rugged the path was, there would always be a path to take.
As for whether to choose this path or not, it depended on the opinion of the patient and the patient's family.
"If necessary, contact the endoscopy room and consult the interventional department. It'll be safer to do it under the laparoscope, "Zheng Ren said and left with Su Yun.
"Why didn't you tell the patient's family directly?" Su Yun asked.
"I'm so tired." Zheng Ren sighed.
Su Yun was slightly startled, but immediately understood.
This man who could stand in Pengxi Village Hospital for three days and three nights wearing a lead apron also had times when he was tired.
It was not physical exhaustion, but mental exhaustion.
He did not want to see the pregnant woman scream in despair, but he did not have a foolproof solution. Su Yun understood this kind of exhaustion that came from the depths of his heart.
When he returned to the office, Chang Yue was not there. She had probably gone to the ward to chat with the patient's family. Liu Zewei was seriously writing the medical record. The oil on his head seemed to be a little heavier.
Professor Rudolf Wagner was watching the video of Zheng Ren performing the surgery. His right thumb gently twisted on his index and middle fingers. It seemed that he was learning the surgery.
"Lil Fugui, what are you doing?" Zheng Ren asked casually after he came in.
"Boss, I'm watching your surgery." Professor Rudolf Wagner raised his head with a face full of admiration. "Your old nose is good. It's so good."
"…" Zheng Ren felt that the professor was getting more and more eccentric. He ran all the way without stopping.
"I've watched it over and over again. I finally know why you knocked on me." Professor Rudolf Wagner was a little proud and showed off to Zheng Ren. "In the past, I was still too careless when I performed surgery. In some places, if I were more meticulous, I would be able to succeed in the superselection in one go. It would save me the time and effort of superselection again and again."
Zheng Ren's heart was even more tired.
He patted the professor's shoulder, indicating for him to continue learning. He sat in his usual seat and prepared to enter the System library to read.
"Lil Fugui, you don't have much surgery to do every day. Are you so free that you have five backs and six beasts?" Su Yun asked.
"Yes." Professor Rudolf Wagner nodded.
Zheng Ren looked at Su Yun in surprise.
He did not seem to be teasing the professor. It seemed that he was speaking in a northeastern dialect. His sincerity was contagious. Su Yun, this bastard, had already fallen.
"It's okay. The community hospital will be ready soon. When the time comes, there will be plenty of surgeries to do." Su Yun smiled and said, "If you do it steadily, don't be so bald. When the time comes, the TIPS surgery over there will be …"
As he said that, he saw Liu Zewei's eyes shining.
"You two do it separately." Su Yun changed his words very quickly.
"What about the source of patients?" Professor Rudolf Wagner asked.
"Go and ask. You'll know how many patients there are if the outpatient number is inflated by the scalpers. When the time comes, you can do whatever you want. "
"Okay!" Professor Rudolf Wagner was happy this time. "Boss, when the time comes, you can ask me to do the surgery. I'll cover the wind and do the surgery. Twenty a day, no less, no more. "
Zheng Ren facepalmed.
"Sister Lin, how's the situation over there?" Su Yun did not know when he had already dialed Lin Jiaojiao's number and asked, "Sister Lin, how's the community hospital? I've been busy recently and haven't had time to visit. "
"Oh, okay. I'll ask the boss." Su Yun hung up the phone.
"Boss, Sister Lin said that it's almost done," Su Yun said with a smile. "Sister Lin didn't say it clearly. It seems that she still wants to ask you about the gastric fundus artery embolization. Have you thought about it?"
"…" Zheng Ren had been busy recently and had forgotten about this matter.
In Zheng Ren's opinion, losing weight was not a problem at all. This was a need outside of survival, so the importance of it in his heart was naturally much lower.
"Su Yun, you ask … Forget it, I'll make the call myself," Zheng Ren said. "Ask Old Liu if he can come. I don't know if his wife can let him come."
"Liu Xuzhi's wife? She's a good person. She'll definitely be fine, "Chang Yue stood at the door and said leisurely.
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