Chapter 2896 Good teacher
Sun Chao felt a little bored. It was indeed ridiculous for boss Zheng to leave him, the director, aside and ask the patient’s family about the details of the child’s birth thirty years ago.
However, before sun Chao could get distracted, he saw boss Zheng stand up and shout,”professor Zhao, please come over for a moment.”
“Hey!” A voice came from the other side of the corridor, followed by a series of hurried footsteps.
Zhao Wenhua rushed over and was stunned when he saw Sun Chao in the room. He didn’t even greet Sun Chao when he saw that he wasn’t familiar with him, and he just stood beside boss Zheng.
“The patient’s initial consideration is that she might have sighan’s syndrome. She suffered from massive bleeding when she gave birth 32 years ago, and this problem occurred after that. You can check the three Jia skills, then check the head’s MRI scan. After the diagnosis is clear, you can stay for treatment or transfer to the Endocrinology Department. “
“Boss Zheng, slow down. What kind of syndrome is this?” Zhao Wenhua immediately asked.
“Xinghan’s syndrome. Old Zhao, your basic skills aren’t good enough. ” Su Yun laughed.
“Hey, you’ve forgotten all the stuff you learned in school.” Zhao Wenhua did not get angry at Su Yun’s sarcasm. Instead, he laughed as he lay down.
Sun Chao looked on in silence. No matter how mean professor su was, Zhao Wenhua would smile and act like he was used to it.
Was he the cheap one? It definitely wouldn ‘t. No matter what the problem was, boss Zheng would solve it. Over time, he would treat the harsh words he said as a joke between bad friends.
But what the hell was xinghan syndrome? Sun Chao vaguely remembered that it should be a clinical syndrome caused by massive bleeding, shock, and thrombosis, which caused most of the pituitary gland to lack blood and undergo necrosis and fiber, resulting in the malfunction of the pituitary gland, and the emergence of placenta premature separation, placenta retention, and weak contractions during the prenatal period.
However, he did not know anything more than that. He was even more clueless about the relationship between this and hypoglycemia after splenic embolism.
“Alright, I’ll look into it now. I’ll report to you once I have the results, boss Zheng.” Zhao Wenhua accepted the order and left. He did not have any doubts at all.
Sun Chao was also very speechless. Boss Zheng actually asked him to check the head’s MRI and Jia skill for someone who had low blood sugar all year round.
Forget it. It had nothing to do with him. What if it really was xinghan syndrome?
However, it seemed that boss Zheng was very interested in this. Why don’t I ask him for advice? Sun Chao suddenly had such a thought.
Seeing that Zhao Wenhua was busy, Sun Chao walked to boss Zheng’s side and asked,”boss Zheng, why do you think it’s Xi Han’s syndrome?”
“For a woman who suffers from frequent hypoglycemia all year round, if her pancreas and glucose level are fine, the first thing we have to consider is xinghan’s syndrome. Although the probability of the disease is not high, the condition is quite serious. The early diagnosis and treatment are better. “
Zheng Ren said with a smile. It was obvious that he was more interested in explaining the illness, at least more than chit-chatting.
“You’re unfamiliar with the Sihan syndrome, right?” Zheng Ren saw Sun Chao’s dumbfounded expression and immediately realized that this was the Department Director of the vascular Department who did not treat xinghan’s syndrome.
“The patient in front of us has a history of hepatitis C cirrhosis, and the amount of glucose synthesis and storage in the cirrhosis liver is reduced. The liver’s inactive function of insulin is reduced, and hypoglycemia will occur. Therefore, the patient has been misdiagnosed by other hospitals for many times as cirrhosis and hypoglycemia.”
“The patient has a medical history of postpartum hemorrhage. She has clinical symptoms of gonads, thyroid, and adrenal cortex dysfunction. Her nail skill and aldosterone levels are reduced. If we were to check her head MRI scan, we’d probably show that the volume of her pituitary gland is reduced, and part of her sepia is empty …”
“Boss Zheng, wait a moment.” Sun Chao didn’t understand. He immediately interrupted boss Zheng and asked,”there’s a problem with the head MRI? Is this your estimate?”
“Oh, no, it’s a statistical probability problem. I’ve studied it very thoroughly.” Zheng Ren smiled and said,”due to postpartum hemorrhage, especially when it’s accompanied by prolonged hemorrhagic shock, the anterior pituitary tissue will lack oxygen, undergo degeneration, necrosis, and then undergo fiber, eventually leading to the syndrome of the anterior pituitary gland’s dysfunction. The occurrence rate of this is about 25% of patients with postpartum hemorrhage and hemorrhagic shock.”
“To put it simply, xinghan’s syndrome is a major hemorrhage during delivery, which will lead to hemorrhagic shock, or even dick. The sympathetic nerve reflex excitement will cause arterial spasms or even occurance.
“It will reduce or cut off the blood supply to the pituitary artery, cause the tissues and cells of the anterior pituitary gland to undergo degeneration and necrosis, and drastically reduce the secretion of various hormones by the anterior pituitary gland and the target organs it controls. This will cause the function of the target organs affected by various hormones to degenerate prematurely and cause a series of symptoms.
As he listened to boss Zheng’s endless explanation of the ins and outs of Sinhan’s syndrome, director Sun Chao recalled that this was how boss Zheng had explained the characteristics of ultrasound scans to him in the neurosurgery department.
One, two, three, four, five, these were the iconic features of a technical dog.
Liver cirrhosis and hypoglycemia can actually bring out so many things. It’s really … Sun Chao sighed softly.
“Professor Zhao,” Zheng Ren suddenly shouted.
“Hey, boss Zheng, I’m done with the medical advice.” Zhao Wenhua replied immediately.
“Next time, ask about the patient’s medical history in more detail. If you can find out that this patient had massive bleeding during labor, I think it won’t be so dangerous.” Zheng Ren said softly.
Zhao Wenhua scratched his head in embarrassment, but he did not refute.
Sun Chao didn’t think that it would disappear without a trace, and he only had a vague impression of the so-called xinghan syndrome.
The probability of postpartum hemorrhage was not high to begin with, and there was even a probability within the probability. If all these factors were added together, he had not encountered many similar patients over the years.
Boss Zheng was really a good teacher. He was like the director of a Department, scolding his team’s professor whenever he wanted to.
However, he had the ability to do so. Sun Chao did not doubt at all that the test results could not confirm boss Zheng’s diagnosis.
After seeing a patient, it was already time for work. Sun Chao knew that the morning was the busiest time, so he thanked boss Zheng a few more times before leaving. She didn’t sleep last night, and it was like riding a roller coaster, almost breaking her heart.
The teenager looked at Zheng Ren helplessly. Zheng Ren had no choice but to leave Liu Xiaomei’s contact information and make an appointment to go to the community Hospital in the afternoon. Only then did the yellow-toothed man leave in satisfaction. Su Yun frowned as she watched him leave.”Boss, do you think the yellow-toothed man would be so kind?”
“Definitely not,” Zheng Ren said,”I think he just wants to plant someone in the community Hospital so that he can act according to the situation in the future. But this time, I owe the yellow-teeth a favor, and I’ve gained some knowledge. It’s fine for that girl to stay in the community Hospital. “
“Hey, don’t be careless.” Su Yun laughed.”If we really fail in such an easy task like the yellow-toothed man, where can we go to reason?”
“It’s not that dark. With old fan around, she won’t be able to cause any trouble.”