2288 Avoidant-restrictive eating disorder
After a while, Su Yun came back after arranging the equipment needed for the operation.
When he heard Zheng Ren talk about the little girl, he was not surprised, but smiled bitterly: "Boss, you are too meddling in other people's business."
"I saw it, 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 will we go?"
"I will definitely not be able to go there this year. You have the Nobel Prize project in your hand, so I don't know what to do?" Su Yun glanced at Zheng Ren and denied this idea.
Zheng Ren nodded.
Many doctors in the imperial capital have to go to the border areas for 1-3 months every year to improve the local medical level.
Zheng Ren just knew about this, and didn't know any specific rules and procedures. Suddenly he remembered it and asked by the way.
This year is definitely not possible. Even if you want to go, your request will be directly denied by Dean Yan.
What a joke, there is no chance for such a Nobel Prize in front of you. But if you don’t give it a try, who will be willing to be content?
At the very least, you still have to have a posture.
"Go and take a look, boss, what's the problem with that little girl?"
"Her distinctive feature is the presence of acute food refusal and long-term weight gain failure, and there are multiple diagnoses that can explain this chronic and acute condition..."
"Can you usually speak like you do preoperative explanations with the patient's family?" Su Yun said unhappily, "If you are good, you can't say it well."
Zheng Ren was speechless, how could Su Yun have the face to say this?
"Her dysphagia was behavioral. The manifestation was characterized by sudden food refusal and weight loss after traumatic choking events. The two key psychiatric causes in the differential diagnosis were choking specific phobia and anorexia nervosa."
"I think it's because of the excessive psychological pressure. Children of this age shouldn't have been exposed to these things." Su Yun said.
"Well, I think so too."
"I haven't studied this, do you have any solutions?" Su Yun asked.
"She thought she could not eat solid food because she was afraid of choking and "forgot" how to chew and swallow.
Choking specific phobia may cause patients to avoid various possible choking conditions, including avoiding eating.
The fear of death leads to this situation, so I think that first curing her great-grandfather's pneumothorax, then slowly soothing, and gradually proceeding, the little girl's avoidance-restrictive eating disorder will be cured."
"Let's go, go and take a look."
I have already gotten off work, and the people from other groups in the office have almost gone, while the doctors in the medical team under Zheng Ren are still working.
If the boss is capable, his subordinates are naturally very busy.
Professor Rudolf Wagner is now not interested in almost everything, and he focuses on the Nobel Prize.
With more than four months left, the professor was organizing the information day and night, contacting Xibaoer, who was far away in Heidelberg, where his team was assisting in handling various things.
Gu Xiaoran was working honestly, but Lin Yuan kept peeking at the situation.
"You work hard and go see a patient with eating disorders. Why do you join in the fun?" Su Yun said.
Lin Yuan shrugged.
"Let's go." Zheng Ren said, 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 go and have a look?" Gu Xiaoran asked.
"I won't go anymore. Take the time to work and go home early. I have been staying at home for too little time recently, and my old lady is unhappy early." Lin Yuan sighed, and said after a while.
"If I told my mother that she would work until after 10 o'clock in the evening every day, she would definitely rush over." Gu Xiaoran said with a smile: "If you can talk to your family, don't talk to your family, so as not to worry about it."
"Oh, you can, your home is far away. If I don't go home every day, my mother will probably have to rush to the hospital the next day." Lin Yuan was a little envious of Gu Xiaoran's staying out, remembering his time away from his parents in the United States.
"Hehe." Gu Xiaoran was a little proud, but when he saw Lin Yuan's expression was a little depressed, he changed the topic and comforted him, "Sister Lin, Boss Zheng said that I would be given a surgery in two days. After finishing my work, you can tell me what to pay attention to in the operation."
"It seems that a foreign expert group came to study this week. It's useless to listen to my lectures. It's better to listen to Brother Yun'er's lectures and take a look at the anatomy." Lin Yuan said.
"I've seen it twice, but I'm not sure about it." Gu Xiaoran said, "Boss Zheng has an operation. If he is terrified, he won't even think about tips in the future."
"The operation is not that easy, and Boss Zheng will not be as strict as you imagined." Lin Yuan said.
While working, the two of them were talking about tips surgery.
Gu Xiaoran was a little depressed when she saw Professor Rudolf Wagner concentrating on sorting out the materials, as if she hadn't heard her speak.
He knew the order of the surgery in the medical team, and he just wanted to see if the professor would give him some advice.
It's a pity that if only a foreign professor named Fuguier could teach him. Gu Xiaoran was thinking about the process of listening to Yun Geer's lecture, he was still afraid of the operation.
If Boss Zheng had a surgery on his own, he couldn't do it well... As he thought about it, his nose felt sore and his tears almost fell.
...
...
"Boss, avoidance-restricted eating disorders doesn't seem to be treated with any medication." Su Yun asked on the way.
"Well, no. Even if there is, I don't recommend it." Zheng Ren said, "It can be solved in a more gentle way. If you can, don't take medicine."
Su Yun also knew that this was the boss's habit, and he was very cautious whenever it involved mental illnesses.
When they arrived at the emergency department, the two began to read the little girl's medical records.
During the physical examination, the patient's body temperature was 37.2, the breathing rate was 18 times per minute, and the oxygen saturation was 97% when breathing 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 mmhg, and her pulse was 123 times per minute.
The little girl weighs 26.5 kg, bmi 12.5 kg/m2. There are no oral bleeding points.
The hemoglobin level, hematocrit, platelet count, red blood cell index, kidney and liver function test results were all normal, and the glucose, calcium, magnesium, total protein, globulin and thyrotropin levels in the blood were also normal.
The potassium ions are slightly lower, which may be related to eating disorders. This is also a diagnosis of the big pig's hooves.
Electrocardiogram showed sinus tachycardia, heart rate 110 times per minute, PR interval was 116 milliseconds, and the corrected qt interval was 422 milliseconds.
Chapter completed!