The Godfather of Surgery

The next day, Wei Danian was completely out of danger.

The blood pH value returned to the normal range, 7.40; the blood lactic acid also dropped to the normal range, 1.0 mmol/l, and the other electrolytes potassium, sodium, chloride, calcium, and calcium all returned to the normal range.

As long as the acid-base imbalance and electrolyte imbalance are corrected, and the patient returns to a stable internal environment, life is out of danger.

The internal environment of human cells, like the living environment of human beings, must be maintained at certain parameters, otherwise survival will be threatened.

Wei Danian's tracheal intubation was successfully removed, but for safety reasons, he still needed to be monitored in the ICU for a day before being transferred to the general ward.

The ICU ward is full of critically ill patients. At any time, patients who cannot be rescued die. Wei Danian can only lie on the bed, with various tubes and lines connected to his body. He is naturally afraid. Yelling.

The doctors and nurses kept persuading him that a 25-year-old man, like a child, was reluctant to let him go. There was no way for him to do so. Dr. An contacted Dr. Jin and planned to transfer him to the Department of Traumatology.

But before the phone hung up, Wei Danian fell asleep again, snoring like thunder, and snoring for a while. Suddenly, there was no movement again. The ECG monitor actually showed that he had stopped breathing. Dr. An quickly came close to his nose and listened to his breathing, really breathing. Stop, for a moment, Wei Danian opened his eyes, took a dazed look, snored like thunder again, and his breathing resumed.

Obstructive Sleep Apnea Hypopnea Syndrome, which is a rare occurrence, is common in obese men, often at night because the upper airway collapses and blocks, causing apnea, and then the patient wakes up and resumes breathing.

Record the course of the disease. After transferring to the Department of Orthopedics, it is recommended to ask the Department of Respiratory Medicine for consultation and sleep breathing monitoring. Dr. An instructed Gui Pearson beside him.

Dr. Jin asked Wei Danian's parents in detail about the number and specific months of the disease each year, and drew a statistical chart. According to the statistical rules of the statistical chart, there will be no seizures for the time being within three months.

Before the internal law is found, this apparent law can also play a role in predicting, at least giving guidance to the patient as to which season and month are the most dangerous each year.

Wei Danian's inspection results, Dr. Jin will report in the group once a day, so that everyone can analyze and discuss how to inspect the next step.

Blood sugar control is very good, and the increase in blood lactate caused by diabetes can be ruled out. According to the test results, acquired diseases are also ruled out one by one. Everyone focuses on hereditary diseases. Although they have been checked in other hospitals, it is very important to check again. necessary.

Wei Danian's parents agreed to investigate the cause, and the dead horse should be treated as a living horse doctor. The doctors are so enthusiastic, of course they are willing to cooperate. He is such an only child who is worried every day. This hoop curse.

Can I contact the genetic laboratory of Nandu Medical University for gene sequencing? Yang Ping suggested to Dr. Jin.

When considering hereditary diseases, it is necessary to carry out gene sequencing to find the cause from the gene level, to investigate the family medical history, and to map the family genetic pedigree.

Contacting the genetic laboratory of Nandu Medical University? It's a little difficult! Dr. Jin responded.

I'll contact you! Yang Ping responded.

There is a problem with the conversion of pyruvate, an enzyme defect or abnormal mitochondrial function in the base camp of lactic acid processing, which can only be understood by genetic sequencing. Yang Ping analyzed.

Congenital lactic acidosis is a deficiency of the enzymatic structure or activity of pyruvate conversion. It was first reported by Hartmann et al. in 1962. It is transmitted by X-linked inheritance. He also has hepatomegaly, enlarged heart, cataract, etc. It is recommended to use an intelligence test scale to test intelligence and evaluate motor function. It is strange that this patient has no hepatomegaly, no cataract, and the size of the heart matches the body shape. A doctor of endocrinology Views.

Contact Nandu Medical University, looking for Su Nanchen is the best way. Yang Ping contacted Su Nanchen on WeChat, explained his thoughts, and sent him the medical records. Su Nanchen was very interested and immediately recommended a young female doctor from the genetic laboratory of Nandu Medical University- - Wen Yulin.

The efficiency of the Internet age is high. Soon, Su Nanchen and Dr. Wen were pulled into the group. Dr. Jin re-posted Wei Danian's information so that they could see it. He also posted the screenshot of the discussion just now to the group. Let them know how the discussion is going.

Dr. Wen was very interested in the case and responded quickly: Our laboratory can test gene fragments and can detect whether there is a mutation in Xpz.

How is the specimen collected and stored, does it need ethical approval? Also, the cost?

The discussion speeches in the group began to swipe like snowflakes. The discussion has been upgraded from clinical to genetic testing level, and everyone was very excited.

This is a challenging collaboration. Clinicians and basic medical researchers rarely meet each other. When doctors are studying and doing postgraduate research, they may also deal with basic medical researchers. Once they enter the clinic, they will never communicate with each other.

I'll send you the detailed specimen collection and ethical procedures later-- Dr. Wen was very positive.

From the clinical symptoms of a patient, follow the clues, gradually deepen, and enter the level of genetic testing. All kinds of knowledge that are usually isolated are connected in series.

This is not destined to be an ordinary case. Yang Ping vaguely feels that this case will create a new diagnostic model, and it is very likely to find an unknown disease.

Because, none of the existing known diseases can match Wei Danian's condition.

Medicine requires this group of passionate and courageous people to challenge the unknown, without paranoia, without madness, and it is difficult to move forward on the road of overcoming obstacles.

As the Spring Festival is approaching, the festive atmosphere is getting stronger and stronger, and the hospital has begun to hang red lanterns in advance.

Usually at this time, everyone is discussing the Spring Festival holiday or robbing tickets, but the doctors and nurses are very calm, because everyone has no vacation, there is no such thing.

Zhang Lin put out the shift schedule for everyone to see. There is no special thing, and the Spring Festival will be implemented according to this schedule.

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Luo Jin participated in the recording of the hospital's promotional video, and also participated in the recording of a comprehensive orthopaedic documentary. The TV station specially added an episode to him to record the process of his injury, surgery and recovery.

Hermes was discharged from the hospital, and he went to the outpatient clinic for further treatment. The thin dead camel was bigger than a horse. He sold a house near the hospital, a duplex house of more than 200 square meters, and received more than 10 million in cash after the sale.

This guy is very financially minded. He bought another 140 square meter house near the hospital with cash to live in for himself. With the remaining 4 million in cash, he bought a small house near the Nandu high-speed rail station. Investing in real estate, and finally holding one million in cash in hand to treat illnesses, looking for opportunities to make a comeback.

With such an operation, although the house has become smaller, there is still a house, cash, and a small house that can appreciate in value.

While Hermes was in hospital, it was at the peak of the price increase in the community next to the hospital. Unexpectedly, when she made a move now, she not only earned back the medical expenses, but also earned a lot of money.

Luckily, Hermès just went bankrupt, and other worries, such as jail time, did not happen for the time being.

I just heard that he is bankrupt and there is still a risk of prison. Those relatives and friends have lost contact with Hermes, including relatives who are often helped by Hermes.

The rich live in the mountains and have distant relatives, and the poor live in the busy city without anyone asking.

In the past, although he went to G City to seek medical treatment, his relatives and friends kept calling for condolences, there were occasional messages of concern on WeChat, and people often sent various precious medicinal materials to the hospital.

Now, overnight, it seems that the mobile phone is disconnected from the Internet, and there are no calls. It is surprisingly quiet. Occasionally, Hermes wants to inquire about news, calls relatives and friends, and sends WeChat, but there is no response, and some simply block it.

After this accident, the eldest brother went to the oncology department for a walk, and had a deeper understanding of life. He no longer struggled with the huge gap, and faced life calmly.

As Yang Ping told him: There is no obvious abnormality on your checklist, which is your greatest happiness.

Hermès bought a good set of stereos. Every day I have nothing to do and let my wife push it to the overpass next to the hospital and sing an old song The Sea and the Sky at the top of my voice. My eldest brother may have experienced ups and downs and sang this song with sincerity and touching heart. .

All the passers-by burst into tears. Although there was no pot in front of him to ask for money, kind passers-by still generously donated and threw a yuan or ten yuan in change in front of him.

But they were all picked up by Hermes and handed back to passers-by. The elder brother sang, just to find some peace. Although he was down, he was not bad for this amount of money.

Holding the cash to sell the house, going in and out of the stock market on the mobile phone every day, and earning money to support the family, the investment mind is also a survival skill at this time.

Sisi's surgery has entered the third stage, dealing with tumors in the lungs. Because of the obstruction of the ribs in the lungs, it is very difficult to focus on high-frequency ultrasound. Ultrasound can only pass through the narrow space between the ribs.

However, Yang Ping has repeatedly simulated in the system space and obtained accurate data, which can be used to complete the operation.

Medicine, iron and fire! The energy represented by fire will surely shine in the future.

Perhaps one day, many surgical procedures will not require minimally invasive small incisions, and the use of these energy will be able to carry out lesion removal.

That will be a brand new era.