Chapter 2637

"Flour allergy..." Song Ying heard the word for the first time.

Is it flour? If the flour is allergic, Song Ying really can't think of anything to eat.

Of course, there will be a lot of things to eat, but pasta such as dumplings for the new year will be insulated from now on.

"It's not rigorous to say flour allergy." Zheng Rendao said, "the scientific name is gluten allergy. Gluten protein is a kind of protein existing in wheat, barley and rye. Generally speaking, after entering the gastrointestinal tract, the protein will be digested into a single amino acid, and then absorbed by the small intestine to become a nutrient."

"Gluten protein can not be completely decomposed into a single amino acid, and some small fragments containing several amino acids will be retained. Such fragments are called polypeptides. Polypeptides can trigger the immune response of the human body, which is also the reason why some proteins still have some biological activities after oral administration."

"Bar essence!" Su Yun looked at Zheng Ren contemptuously and said.

If this word comes out of someone else's mouth, Zheng Ren will bear it. But from the mouth of a guy who became an essence of etc, he said he was a rod essence. Is there any reason?!

"Er... Boss Zheng, Xiao Su, can you make it easier? It's too professional for a layman to understand." Song Ying was not polite. If he didn't understand, he didn't understand, so he asked directly.

"Gluten allergy is also an overly general concept. In fact, it can be divided into three categories: celiac disease, non celiac wheat sensitivity and wheat allergy." Su Yun said, "the girl I said was finally diagnosed as wheat allergy. As long as she eats a little gluten, she will have dyspnea, which is life-threatening."

"Wheat..." Song Ying sighed, "but wheat is often eaten. Didn't she know before?"

"Many people find that they have allergic reactions to certain foods only when they are 2 or 30 years old. This is not surprising. It may be the change of body immune function or the problem of dietary regulation." Zheng Rendao said, "allergies are light and heavy. The patients in front of us highly suspect celiac disease related to gluten allergy."

Song Ying didn't ask why, but quietly looked at boss Zheng and Su Yun. They were also waiting, although they looked calm, but in fact they were a little absent-minded.

Eating is really not important for them. Judging whether a patient's condition is correct or not is the most important. Song Ying smiled bitterly. He was really not crazy or alive.

Until the beginning of the meal, Zheng Ren and Su Yun were still absent-minded.

"Zheng Ren, what do you think?" Xie Yi asked, holding Zheng Ren's hand.

"In one case, it may be flour allergy." Zheng Ren smiled and said, "don't want this, eat."

Only then did there be a glimmer of vitality on the table.

Song Ying sincerely thanked the Xie people. It seems that the old saying is right. The strongest fortresses were broken from the inside. If you want to please boss Zheng, you must first please Xie Yi.

Boss Zheng is like a stone. Except for medical problems, he doesn't seem to be interested at all. Su Yun may have more hobbies, but he is too cunning to quietly improve his favor.

It is absolutely not enough to build Maotai with iron. Especially today, after Song Ying learned some superficial things about his trip to Europe, his mind became active.

It seems that in the future, we still have to take the madam route, find our lovers, Xie people and Chang Yue, and have more contact with them. Women together, shopping, shopping, should not be difficult to get along with.

It was just a very rough idea. Song Ying chatted while letting wine. He simply asked about bota private hospital and laboratory. After listening to Su Yun's description, he had a certain concept in his heart.

This kind of laboratory can't be built with their own financial resources. Only the world's top consortia can do these things.

Song Ying sighed. Boss Zheng is playing too high-end now. It seems that he can't use his money if he doesn't pay attention.

More than an hour later, Zheng Ren received a call. He immediately asked Su Yun to open the email and see the video data sent.

Song Ying looked at the light of the screen shining on their faces and felt strange in his heart.

"The middle and distal jejunum showed enlargement of intestinal cavity, effusion and barium deposition." Su yundao.

"Well, the intestinal flexure is distributed in snow flakes; the mucosal folds are thickened or the intestinal wall is smooth, showing the" wax tube "sign; The delay of barium can basically indicate that the patient has celiac disease from imaging. " Zheng Ren said in a deep voice.

"TSH value has been wrong, and there are explanations. It is caused by poor gastrointestinal absorption."

"I suggest you go to the city to do relevant examinations. Many examinations can't be done in mental hospitals." Su Yun said, "boss, your clinical experience is not rich enough this time."

Zheng Ren smiled and nodded without any thought of winning or losing.

"Can't you be a little depressed? Or... You make me feel like I don't win. Can you take dessert, I'll ask you if you can!" Su Yun said contemptuously.

"What's up?" Chang Yue asked.

"There is a patient with persecuted paranoia and progressive weight loss in Nanshan mental hospital. After reading the medical record, the boss doesn't know what the problem is. I happened to have seen a patient with wheat allergy before and have studied this aspect."

Su Yun said proudly.

For him, this is a major victory. The boss who looks like a stone is actually a paper tiger!

Chang Yue frowned and asked, "mental problems and weight loss are not caused by poor eating. How can they be related to allergies?"

"What do you know?" Su Yun said, But then when Chang Yue raised his hand to push his glasses, he smiled and said, "celiac disease is an autoimmune systemic disease, which can involve multiple organs. The main affected part is the gastrointestinal tract, causing gastrointestinal symptoms such as diarrhea, abdominal pain, anorexia, vomiting and abdominal flatulence. In addition to the involvement of the digestive system, it can also involve nerve cells, skin, bones, liver and other parts."

"It sounds like diarrhea. It's not as serious as wheat allergy, but once there are mental symptoms, it's scary." Su yunbibi explained to Chang Yue, "who can think that the persecuted delusion is to eat flour."

"No, if there's a problem, don't you have to eat flour every day." Chang Yue asked with some doubts, "I don't think it's very rigorous."

"How come you've learned how to stand up?" Su Yun said contemptuously, "I remember saying that I was allergic to antihypertensive drugs all my life. Did you study medicine?"

Chang Yue pushed her glasses, but picked up a bottle of iron covered Maotai.

……

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Note: an article published in NEJM magazine in 2016.