Sleepless Doctor

"It's okay to do gastrectomy. It is a surgical procedure for patients with obstinate obesity and poor blood sugar control." Wu Mian said.

"Oh, no way. Girls are like this nowadays." Guo Ruming said, "especially female stars. If they are slightly fatter, they are said to have problems with their body management. They are really out of fans. Many people talk about it, Mr. Wu, you know. of."

"Isn't there a surgical resection? This is a joke about health." Wu Miandao, "Also, if you are not a special patient, the best choice is interventional therapy, embolizing the fundus of the stomach and the left gastric artery." Wu Mian said, "Minimally invasive surgery, postoperative...Forget it, it has been cut anyway, and it can't be repaired. Let's see the patient's condition first."

Guo Ruming took heart, and he firmly remembered what teacher Wu said about embolizing the gastric artery, and he would consult someone when he returned.

The two came to the rescue room and saw that Zhou Guohui was doing a physical examination on Sun Meng.

"What's the origin of Director Zhou?" Guo Ruming asked in a low voice in surprise, seeing that Zhou Guohui was very old, raising his hands and feet in the manner of an old expert.

"It's the director of the Department of Neurology of Imperial Capital Hospital, who came to me on vacation." Wu Mian said.

On vacation, is there anything special to get up in the middle of the night for vacation? Guo Ruming thought to himself.

"I happened to see Director Zhou when I came over. He hasn't gone to bed in the dormitory yet." Wu Mian said.

"Can the body stand it so late?"

"He is studying the positioning principle of the brain pacemaker in Alzheimer's disease." Wu Miandao, "Director Zhou is also a person who admits to death. If he doesn't know the principle, he doesn't feel relieved when he sits up. Even if the patient is cured, he will Think it's a coincidence."

Wu Mian didn't enter the rescue room either, but looked outside with her hands behind her back.

The rescue room was in order, like an extremely sophisticated machine in motion.

This is completely different from the emergency room of the hospital in Guo Ruming's impression. There is no noise, no shouts of exhaustion from medical staff, and no noise or crying from family members of patients.

Everything was quiet, even the nurse trot all the way without making a sound.

Zhou Guohui asked about his medical history while checking his body.

A young doctor stood beside him, holding a PAD in his hand to record the language of the patient and the patient's family.

Fifteen minutes later? Someone pushed Sun Meng out, and Zhou Guohui came to Wu Mian? Said, "Mr. Wu, the patient suddenly suffered from consciousness disturbance without obvious inducement 4 days ago? It is manifested as a loss of concentration, which confuses the day and night? Not in your own bedroom? It is accompanied by hearing loss. These symptoms have gradually worsened in the past 4 days, and somnambulism appeared 2 hours ago."

Wu Mian nodded.

"The patient had no fever, headache, tinnitus, dizziness and other discomfort before the illness, and had never been to the epidemic area or forest area. She underwent a laparoscopic sleeve gastrectomy 3 months ago, and sustained vomiting after the operation? About 1 -3 times/day? I have poor appetite, and my weight has dropped 10kg over the past 3 months."

"After admission, the nervous system physical examination revealed: time, place, disorientation of the person, bilateral bidirectional horizontal and vertical nystagmus, Weber and Rinne test showed bilateral sensory hearing loss. Extremities muscle strength and deep and shallow sensory examinations were normal , The tendon reflexes of the extremities are all active, and there is no obvious abnormality in the physical examination of the nervous system."

"Waiting for the results of laboratory tests, preliminary considerations? It may be Wernicke encephalopathy caused by vitamin B1 deficiency."

"Well, I think so too? Hard work Director Zhou." Wu Mian said, "Now it is sent for CT and NMR."

"Yes? You rest first? I'll go take a look on the machine."

"The network in our hospital is transmitted in real time."

"..." Zhou Guohui was taken aback? With a smile, "I'm used to it, I'm used to it."

Of course, Wu Mian knew that Zhou Guohui would have to go for CT when he was a serious patient in the emergency department when he was young, first, to see the film as soon as possible, and second, to worry about what happened to the patient in the middle of the examination.

Although Sun Meng is not that serious, it is natural to get used to it, and he feels uncomfortable if he doesn't follow.

Doctors more or less have similar obsessive-compulsive disorder.

"It is estimated that there is nothing wrong with the patient's CT. The magnetic resonance phase of the head shows symmetrical hyperintensity shadow of the bilateral thalamus, and there should be no obvious abnormalities in MRA and MRV."

Before the inspection, Zhou Guohui had already made his own prediction.

"Almost, it should be like this, then you are busy." Wu Mian smiled, "I will accompany Director Guo."

"Okay." Zhou Guohui smiled, "Mr. Wu, for treatment..."

"Director Zhou, you can do it yourself." Wu Mian said, "You are too polite."

Guo Ruming heard a dew.

When Zhou Guohui went to chase the wheelchair, he asked, "Ms. Wu, will the treatment be troublesome?"

"The treatment is very simple. Director Zhou and I are polite. After all, he is just a guest. Is he on vacation? It's not good to ask anything." Wu Mian smiled, "After confirming, it is enough to give intravenous thiamine supplementation and nutritional support treatment. Sun Meng found out earlier, there should be no sequelae. But..."

Guo Ruming's heart sank suddenly when Wu Mian said the word "but" and then pondered.

"Guo, have you noticed that Sun Meng has hearing problems?"

Without Wu Mian, Guo Ruming didn't notice. But after listening to him say this, thinking about it carefully, there is indeed a problem.

"Sun Meng always can't hear others?" Guo Ruming asked.

"Well, everything else is fine, but the hearing is estimated to be damaged to a certain extent and cannot be recovered." Wu Mian said, "Considering her condition and age, it is estimated that the damage will not be so severe that she will not be able to wear a hearing aid."

Guo Ruming nodded.

"This kid was fooling around and only lost 10 kilograms...Why should I go for a laparoscopic sleeve gastrectomy~www.wuxiaspot.com~ Wu Mian said with some regret, "After all, it is an irreversible trauma, it really looks like A certain agent is also obese, she was not fat before. "

"It's not that I was hurt by the breakup." Guo Ruming also sighed and said, "Mr. Wu, what brain disease did Director Zhou just say?"

Wu Mian glanced sideways at Guo Ruming, without explaining, but with a smile, "Wernicke encephalopathy was generally prone to alcoholics in the past, and it is also a type of alcoholic encephalopathy. Now more and more Wernicke encephalopathy in our country occurs in Girls who are losing weight."

"Isn't it foolish?" Wu Mian seemed to be particularly disgusted with this, and said in a heavy tone.

"Oh, there is no way." Guo Ruming shook his head, "Mr. Wu, I will look back on the minimally invasive treatment you mentioned. If someone really wants to cut their stomach, I recommend it."

"From the cause of the disease to the ratio of males to females, there are obvious changes. This is a new change in the new era, and doctors' cognition will also change."

Listening to Wu Mian talking to herself, Guo Ruming wondered as long as people are fine. Sun Meng doesn't know if it's lucky or unlucky, but it's fine if it's fine, it's fine.