After a while, Su Yun returned after arranging the equipment needed for the surgery.
When he heard Zheng Ren talk about the little girl, he was not surprised. Instead, he smiled bitterly and said, "Boss, you're too nosy."
"I saw it and helped," Zheng Ren asked in a deep voice. "By the way, I heard that we have to go to the border every year. When are we going?"
"We definitely won't be able to go this year. You have the Nobel Prize project in your hands. Don't you know?" Su Yun glanced at Zheng Ren and denied this idea.
Zheng Ren nodded.
Many doctors in the Imperial Capital had to go to the border areas to support them for one to three months every year to improve the local medical standards.
Zheng Ren only knew about this. He did not know the specific rules and procedures. Suddenly, he thought of something and decided to ask.
He definitely could not go this year. Even if he wanted to go and make a request, Director Yan would directly reject it.
What a joke. With such a big project like the Nobel Prize in front of him, he knew that he would not have a chance within a year. However, if he did not try, who would be willing?
At the very least, he had to show some attitude.
"Let's go take a look. Boss, what do you think is wrong with that little girl?"
"Her notable characteristics are acute refusal to eat and long-term failure to gain weight. There are many diagnoses that can explain this chronic and acute condition …"
"Can you not talk like you're explaining to a patient's family before the operation?" Su Yun said unhappily. "Can't you just say it nicely?"
Zheng Ren was speechless. How did Su Yun have the face to say that?!
"Her dysphagia is behavioral. The characteristics are sudden refusal to eat and weight loss after a traumatic choking incident. The two key psychiatric causes in the differential diagnosis are specific phobia of choking and anorexia nervosa. "
"I think it's because she's under too much psychological pressure. Children at this age shouldn't be exposed to these things," Su Yun said.
"Yes, I think so too."
"I haven't studied this area. Do you have a way?" Su Yun asked.
"She thinks that she can't eat solid food because she's afraid of choking and 'forgetting' how to chew and swallow.
Specific phobia of choking may cause patients to avoid all kinds of situations that might cause them to choke, including avoiding eating.
The fear of death causes this situation to happen. Therefore, I think we should first cure her great-grandfather's pneumothorax and then slowly appease him. Step by step, the little girl's avoidance of restrictive food intake disorder will be fine. "
"Let's go and take a look."
It was time to knock off. Most of the other teams in the office had left, but the doctors in the medical team were still working.
The boss was very capable, so his subordinates were naturally very busy.
Professor Rudolf Wagner was not interested in anything at the moment. All his attention was on the Nobel Prize.
There were still more than four months to go. The professor worked tirelessly to sort out the information and contact Xi Bao'er, who was far away in Heidelberg. His team was also there to help with various matters.
Gu Xiaoran was working obediently, but Lin Yuan kept peeking at the situation on this side.
"Work hard. Go and see a patient with an eating disorder. Why are you joining in the fun?" Su Yun said.
Lin Yuan shrugged.
"Let's go." Zheng Ren stood up and walked out of the office with Su Yun.
Lin Yuan looked at the backs of the two and sighed.
"Sister Lin, aren't you going to take a look?" Gu Xiaoran asked.
"I'm not going. Hurry up and work, and go home early. I've been spending too little time at home recently. My old lady has been unhappy for a long time, "Lin Yuan sighed and said after hesitating for a long time.
"If I tell my mother that I work until ten o 'clock every day, she'll definitely rush over," Gu Xiaoran said with a smile. "If I can avoid telling my family, I won't tell them so that they won't worry."
"Sigh, you're good. Your 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 being away from home. He remembered the time when he was far away from his parents in the United States.
"Hehe." Gu Xiaoran was a little proud, but when she saw Lin Yuan's depressed expression, she changed the topic and comforted him. "Sister Lin, Boss Zheng said that he'll let me have a surgery in two days. After I'm done, can you tell me about the things to pay attention to during the surgery? "
"There seems to be a group of foreign experts coming 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 look at the anatomy," Lin Yuan said.
"I've seen it twice, but I'm not confident," Gu Xiaoran said. Gu Xiaoran said, "Boss Zheng, let go of the surgery. If he does it, he can forget about doing TIPS in the future."
"Surgery isn't that easy, and Boss Zheng isn't as strict as you think," Lin Yuan said.
The two of them talked about TIPS surgery as they worked.
Gu Xiaoran saw that Professor Rudolf Wagner was so focused on organizing the materials as if he did not hear her at all. He felt a little depressed.
He knew the order of good and bad surgeries in the medical group. He was just beating around the bush to see if the professor would give him a few pointers.
It was a pity. It would be great if the foreign professor called Lil Fugui could give him a lecture. Gu Xiaoran thought about the process of listening to Brother Yun's lecture. He still had a fear of surgery.
If Boss Zheng gave him a surgery and he could not do it well … As he thought about it, his nose turned sour and tears almost fell.
…
…
"Boss, there doesn't seem to be any medication for Avoidance — Restricted Eating Disorder, right?" Su Yun asked on the way.
"Well, there isn't. Even if there is, I don't recommend taking it, "Zheng Ren said." You can solve it in a gentler way. Don't take medicine if you can. "
Su Yun also knew that this was the boss's habit. He was very cautious when it came to mental illnesses.
When they arrived at the emergency department, the two of them began to look at the little girl's medical record.
During the physical examination, the patient's body temperature was 37.2 ℃, her breathing rate was 18 times per minute, and her oxygen saturation was 97% when she breathed in ambient air. When she was in the supine position, her blood pressure was 107/70.
MmHg, her pulse was 114 times per minute, and her blood pressure was 95/72 in the standing position.
MmHg, her pulse was 123 times per minute.
The little girl weighed 26.5
kg，BMI
12.5
kg/m2。 There was no oral bleeding.
The hemoglobin level, blood cell specific volume, platelet count, red blood cell index, and kidney and liver function tests were normal. The glucose, calcium, magnesium, total protein, globulin, and thyrotropin levels in the blood were also normal.
The potassium ion was slightly low. Considering that it might be related to food intake disorder, this was also the diagnosis made by the System.
The electrocardiogram showed sinus tachycardia. The heart rate was 110 beats per minute, and the PR interval was 116 milliseconds. The corrected QT interval was 422 milliseconds.
There was nothing wrong with the examination. The possibility of Avoidance — Restricted Eating Disorder was higher.
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