2915 One Corpse, Two Lives
Midnight, imperial capital, women's and children's hospital.
A medical record was placed in front of everyone. The patient, female, 24 years old, had 38+5w menstrual cessation, and had upper abdominal pain and 2+h redness. The patient had a history of anemia since childhood and denied that he had a related familial genetic history.
Everyone present had read the thick examination report and had already understood the patient's condition.
The patient had effusion in the abdominal cavity, 4.6 cm thick and poor sound transmissive. He found that the mother's liver was enlarged and the spleen was enlarged. Abdominal puncture was performed and 2 ml of non-coagulated blood was withdrawn.
The patient's condition is wrong. Those test forms prove each other but are different. However, the unified understanding is that the patient needs emergency surgery and cannot give birth normally.
Director Han looked at the list silently. She had an idea in her mind, but she was unable to confirm. Seeing that everyone agreed to the emergency surgery, as for the liver and spleen enlargement in the abdominal cavity, no one gave a definite answer, Director Han was a little anxious.
If she is in a hurry to operate, she is worried that there will be bigger problems during the operation.
"Wait a moment." Director Han said in a deep voice, "I'll mention another possibility."
"how?"
"I think it may be caused by slow-hair Gaucher's disease, also known as high snow disease."
Gaucher's disease is rare in the country. Now the treatment base for Gaucher's disease in China has become 912 without realizing it. Almost all patients with Gaucher's disease will be advised by doctors from all over the country to go to 912 to find Boss Zheng.
Since the first live broadcast of the surgery for Gosher's disease, Boss Zheng has undergone 32 similar operations so far.
"Gausher's disease glucose cerebroside deposition is caused by the decrease or lack of β-glucocerebroside, which makes glucose cerebroside unable to decompose into galactose cerebroside or glucose and n-aphedrine. Therefore, glucose cerebroside is deposited in the mononuclear macrophage system, causing large-scale proliferation of tissue cells."
"Director Han, we have considered this possibility, but blood tests did not detect Gosher's cells."
"Gauche's disease is autosomal recessive. Due to the degree of enzyme deficiency, the symptoms may vary greatly. The classification is: adult or chronic; infant or acute; juvenile or subacute."
"My consideration is that the patient is an adult type, that is, a chronic type. The progress was slow, but if he did not get pregnant, he could be delayed until at least 40 years old. As long as he had splenectomy, there would not be too much problem. But pregnancy changed everything, causing liver and spleen enlargement."
"The patient's condition is very urgent, and the fetal heart rate is very fast." Another director said.
Women and children's hospitals rarely face the situation of protecting adults or children. However, if the possibility of Gaucher's disease is ignored, the time when the caesarean section is completed is the countdown to the death of pregnant women.
The reason for consultation in the whole hospital was that there were some problems with the blood coagulation function of pregnant women. But no one expected that Director Han would mention a rare disease, and it seemed to be very determined.
"I'll ask Boss Zheng, pass the information to him and let him help you see it." Director Han said, "You can prepare the operation first, so we won't waste time."
Everyone looked at each other and finally agreed with Director Han’s statement.
It was just midnight to call for consultation. Isn’t it too rude? Director Han hesitated for a moment, but the patient’s condition was even more urgent and there was no need to say anything, so she still called.
"Boss Zheng, I'm so sorry to disturb you to sleep."
"Uh...that's good, that's good...no, are you in Sweden?!"
At this time, Director Han remembered that it was already 1 a.m. on December 9th. What time is the Swedish side? It should be around 18 a.m. on the 8th.
Not disturbing means not disturbing, but Boss Zheng is not here. Once the pregnant woman is diagnosed with Gaucher's disease, who will have the surgery?!
Director Han knew that time was tight and didn't think too much about it, so he explained the situation on this side.
Then she hung up her cell phone, and she had already started to make preoperative explanations with the patient's family, and called everyone from the medical department to record videos to avoid disputes.
Patients have to face extremely serious consequences when undergoing surgery or not, death. Now it is no longer a problem of protecting adults or children. The key is how to survive.
Director Han was a little worried. Gosher's disease was rare. The reason she could think of it was because a postoperative death of a patient seven years ago left her with a psychological shadow that was still indelible.
Ask Boss Zheng, he is the most professional in the diagnosis and treatment of Gotse's disease.
...
...
In Stockholm, everyone was talking and laughing in a Western restaurant.
The fish bones were taken out and everything returned to their original position. Xie Ning's happiness came from the bottom of his heart. The fish bones that had bothered him for 24 hours had disappeared, and those were a nightmare. After solving this problem, Xie Ning now felt that his cheap son-in-law looked pretty good.
"Boss, Gosher's disease?" Su Yun heard some clues and asked immediately when he saw the boss hung up the phone.
"Well, the call came from the Women's and Children's Hospital. A pregnant woman suspected that she had adult Gaucher's disease. Because the burden was increased during pregnancy, it caused liver and spleen enlargement and coagulation function was not good." Zheng Ren said, "I will talk about it after reading the information in detail."
Su Yun took out his notebook quickly and before he could even ask the boss why he went abroad with a laryngoscope, it seemed that everything was predicted.
In fact, Su Yun had a strange idea - the boss is a human who grew up against the growth.
Every day of his life is yesterday, not tomorrow! This also explains why his boss always feels like God’s help.
Nowadays, a popular word for reverse growth among women is to praise the meaning of 30 this year and 29 next year, and getting younger and younger. If Su Yun says too much, he will naturally have all kinds of strange associations.
When it was put on his boss, he felt that all this was natural and perfectly explained the purpose of this weird person's existence.
But there are also problems. For example, the technical level should be at its peak when you meet him, and then you will regress every day until decades later, he becomes a child and can't do anything.
Su Yun always had strange things in his mind. Before he could ask in detail, the imperial capital called.
Su Yun's attention was once again attracted, this was a big deal of one corpse and two lives!
Open the notebook and an email has been sent from the email address.
Zheng Ren and Su Yun started the medical records without any scruples at the dining table.
Xie Ning looked at Zheng Ren and Su Yun with a smile. Zheng Ren's honest face seemed to be more and more pleasing to the eye.
I originally thought I would cry and communicate with tears, and water flowed from the corner of my mouth, showing everyone what I looked like when I was Alzheimer's disease in 50 years. However, I didn't expect that Zheng Ren completed the operation while telling a story, and his level was really too high.
Chapter completed!