Chapter 2288

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

When he heard Zheng Ren say something about the little girl, he was not surprised, but said with a bitter smile: "boss, you're too busy."

"See, give me a hand." 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 I can't go this year. You have a Nobel Prize project in your hand and don't count it in your heart?" Su Yun glanced at Zheng Ren and denied the 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 just knows this, but he doesn't know the specific rules and procedures. Suddenly, by the way.

This year is definitely not good. Even if you want to go, your request will be directly denied by Dean Yan.

Are you kidding? A project as big as the Nobel Prize is ahead. Everyone knows that there should be no chance within a year. But if you don't try, who can be reconciled.

The minimum attitude is still necessary.

"Go and have a look, boss. What do you think is the problem with the little girl?"

"Her salient feature is the failure of acute food refusal combined with long-term weight gain. There are many diagnoses that can explain this chronic and acute condition..."

"Can you talk at ordinary times and don't explain it to the patient's family before operation?" Su Yun said unhappily, "if it's good, you can't say it well."

Zheng Ren is speechless. How dare Su Yun say this!

"Her dysphagia is behavioral. It is characterized by sudden refeeding and weight loss after traumatic choking. The two key psychiatric causes in differential diagnosis are choking specific phobia and anorexia nervosa."

"I think it's too much psychological pressure. Children of this age shouldn't have been exposed to these." Su yundao.

"Well, I think so, too."

"I haven't studied this aspect. Do you have any way?" Su Yun asked.

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

Choking specific phobia may cause the patient to avoid various possible choking conditions, including avoiding eating.

The fear of death has led to this situation, so I think it will be better to cure her grandfather's pneumothorax first, and then comfort her slowly and step by step. The avoidance restrictive feeding disorder of the little girl will be better. "

"Let's go and have a look."

After work, the other groups in the office are almost gone, while the doctors of Zheng Ren's medical group are still working.

If the boss is capable, his people are naturally busy.

Professor Rudolph Wagner is not interested in almost everything now. He pays all his attention to the Nobel Prize.

In more than four months, the professor spent all his time sorting out materials and contacting xibao'er in Heidelberg. There was also his team helping to deal with all kinds of things.

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

"You're good at work. Go to see a patient with feeding disorder. What fun will you join in?" Su yundao.

Lin Yuan shrugged.

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

Lin Yuan looked at their backs and sighed.

"Sister Lin, won't you follow me?" Gu Xiaoran asked.

"No. hurry up and go home early. I haven't spent much time at home recently. My old lady has long been unhappy." Lin Yuan sighed and said after struggling for a long time.

"If I tell my mother to work until more than 10 p.m. every day, she must rush over directly." Gu Xiaoran said with a smile: "if you can't talk with your family, you can't talk with your family, so you don't have to worry about it."

"Oh, you can. It's far from home. If I don't go home every day, it's estimated that my mother will have to rush to the hospital the next day." Lin Yuan envied Gu Xiaoran and thought of his time away from his parents in the United States.

"Hey, hey." Gu Xiaoran was a little proud, but he saw Lin Yuan's look a little depressed, so he changed the topic and comforted, "sister Lin, boss Zheng said to let me have an operation in two days. After I finish my work in a while, you can tell me the matters needing attention in the operation."

"It seems that a foreign expert group is coming to study this week. It's no use listening to me. I'd better listen to Brother Yun's lecture and have a look at anatomy." Lin Yuandao.

"I've seen it twice, but I don't have a bottom in my heart." Gu Xiaoran said, "boss Zheng has an operation. If you do it, you won't want to do tips in the future."

"The operation is not so easy, and boss Zheng will not be as harsh as you think." Lin Yuandao.

While working, they talked about tips surgery.

Gu Xiaoran was a little depressed when he saw Professor Rudolph Wagner concentrating on sorting out the materials, as if he hadn't heard what he said at all.

He knew the order of good or bad operations in the medical group, just to see if the professor would give him some advice.

It's a pity. If only a foreign professor named Fuguier could give himself 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 had an operation, but he couldn't do it well... Thinking about it, his nose was sour and his tears almost didn't fall down.

……

……

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

"Well, No. even if there is, I don't recommend it." Zheng Ren said, "you can solve it in a more gentle way. If you can't take medicine, you can't take medicine."

Su Yun also knows that this is the boss's habit. He is very cautious when it comes to mental diseases.

When they came to the emergency department, they began to look at the little girl's medical records.

During physical examination, the patient's body temperature was 37.2 ℃, the respiratory rate was 18 times per minute, and the oxygen saturation when breathing ambient air was 97%; When she was in the supine position, her blood pressure was 107 / 70 mmHg and her pulse was 114 times per minute. When she was in the standing position, her blood pressure was 95 / 72 mmHg and her pulse was 123 times per minute.

The little girl weighs 26.5 kg and has a BMI of 12.5 kg / m2. No bleeding spots in the mouth.

Hemoglobin level, hematocrit, platelet count, erythrocyte index and renal and liver function test results were normal, and the levels of glucose, calcium, magnesium, total protein, globulin and thyrotropin in blood were also normal.

Potassium ion is slightly low, which may be related to feeding disorder, which is also diagnosed by pig hoof.

ECG showed sinus tachycardia with a heart rate of 110 beats per minute, a PR interval of 116 milliseconds and a corrected QT interval of 422 milliseconds.

There is nothing to check. It is more likely to consider avoidance restrictive feeding disorder.