Xueba is also open

Chapter 429
Bai Ye originally thought to go directly to Gao Yueyang, but suddenly thought, Puze Hospital does not have orthopedics, and the history of orthopedics is not short.

So Bai Ye found Li Jianwei, he didn't say anything directly, but chatted: "Director Li, you have been in Puze Hospital for a long time, I would like to ask, have you ever encountered that kind of anxious patient in the orthopedics department?" patients, or patients with obvious anxiety tendencies."

Li Jianwei frowned. He really hadn't thought about this question: "Which patient has a fracture and doesn't feel anxious?"

When Bai Ye heard it, he was speechless and couldn't think of words to refute.

That's right, how can anyone be happy with a broken bone, and who is not anxious and depressed for fear of something going wrong?
Bai Ye smiled awkwardly: "I don't mean that. I'm talking about the recovery period. After a long time, do you have this kind of anxiety? For example, do patients with a history of orthopedic diseases have such a manifestation?"

This made Li Jianwei couldn't help recalling: "It's rare, orthopedic disease...is there a big difference from anxiety and depression?"

When the two were chatting, Liu Xiaogang hurriedly knocked on the door: "Director, it's not good, that patient is here to make trouble!"

When Li Jianwei heard it, he couldn't help cursing inwardly: "I'm really going to be made into an anxious person by this guy!"

"Hey? By the way, Xiao Ye, I think orthopedic doctors are more likely to be anxious. Do you want to do a survey?"

Bai Ye shook his head helplessly: "Director, let me go to the medical records room and check the cases in our department?"

Li Jianwei didn't turn his head: "Go, go~!"

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Such disputes in surgery are very common, and Bai Ye is not in the habit of joining in the fun, so he naturally left the orthopedics department and went straight to the medical record room.

After Bai Ye went to work the next day, Zhao Xiaojun personally sent a patient up, and said to Bai Ye, "Xiao Ye, this is sent to our department for treatment by the medical department, please be careful."

Bai Ye raised his head curiously and asked, "Medical Department?"

Zhao Xiaojun nodded: "Well, this patient had hip replacement surgery in the orthopedics department in the early years, and the treatment was very successful at that time, but later the patient always felt uncomfortable in the hip joint, and always came to the orthopedics department for examination and treatment, once a year .”

"Director Li Jianwei is also helpless, because there is no problem at all after the inspection. In the end, the medical department decided to let the patient go to the fifteenth floor for rehabilitation treatment. It is suspected to be in a state of anxiety. Be careful, this patient is noisy, don't Make trouble."

At this time, Li Jianwei came up with the patient. After seeing Bai Ye, he greeted Bai Ye with a dark face, and then left.

Bai Ye saw that this was a 60-year-old man, wearing sportswear, running shoes, and a baseball cap on his head. How could he be seen as a patient?
After greeting him, Bai Ye came to his senses. This patient was probably suffering from anxiety disorders and had a history of orthopedic diseases.

I can completely find some reasons from him.

After thinking of this, he began to conduct a detailed examination and analysis on the patient. On the same day, Bai Ye sent all the norepinephrine and dopamine to the testing center for examination.

The hospital couldn't test these items, and even Bai Ye opened up all the relevant test items and inspection items for insurance.

Because the patient is paid for by the hospital, this treatment does not need to cost a penny. Similarly, Bai Ye did not let the hospital undertake these examination items, but paid for it at his own expense.

Even the nurse was dumbfounded, usually only about three tubes of blood were drawn, but now seven or eight tubes of blood were drawn, and then a lot of inspections were done, which is totally unreasonable.

But the patient didn't care at all, pulled the nurse and said, "Little girl, my uncle is in good health, it doesn't matter if you smoke more, that...all those who can be checked will be checked, but don't let it go, I know my body well." .”

The nurse couldn't help but smile, on the one hand, she wanted to take this opportunity to do some tests without spending more money, for fear that the nurse would not draw blood.

But Bai Ye fit the patient's mood very well, because Bai Ye prescribed all kinds of tests and ordered all kinds of tests, even syphilis, infectious diseases, sexually transmitted diseases and other tests were ordered by the doctor next to each other.

Bai Ye finally met such a patient, so he slipped away without thinking.

The matter of Bai Ye's examination of the patient's body was naturally known by the hospital. The director of the medical department was about to say something, but when he learned that Bai Ye was doing the examination at his own expense, he swallowed the words abruptly. .

Until a week later!
When Bai Ye got all the inspection reports, he started research and analysis.

Patients have abnormal data, and there are many of them. The most obvious is the abnormal increase of 5-HT. This index is high, which means that the evaluation index of anxiety disorder in patients.

Just why?

Bai Ye began to analyze, the reasons for the high data of each item were there.

Blood lipids?
Blood lipids are indeed abnormal, but it has nothing to do with this indicator!
These are verified by statistical analysis results.

So, among so many abnormal items, which one is the reason for the increase of serotonin?
Bai Ye wanted to figure it out, figure it out!

Therefore, he began to study various abnormal indicators, which should preferably be linked to orthopedic diseases.

He couldn't figure it out by himself, so he found Moore and studied with him, and found the reasons for many abnormal indicators. In the end, Bai Ye and Moore looked at the results of a trace element report in front of them, and suddenly frowned.

"In this trace element, the cobalt content obviously exceeds the standard. Is it related to the patient's usual diet?"

What are trace elements?
Trace element is a kind of substance with very little content in the human body, accounting for less than 0.01% of the total mass of the organism, and is some elements necessary for the organism.

Such as iron, silicon, zinc, copper, iodine, bromine, selenium, manganese, etc.Trace elements are some elements that are necessary for plants but in small amounts.

When these elements are lacking in the soil or cannot be used by plants, the plants will not grow well, and if they are too much, they will easily cause poisoning.At present, most scientists agree that there are 28 kinds of elements necessary for life. Among the 28 kinds of life elements, they can be divided into macro elements (or constant elements) and trace elements according to the content in the body.Trace elements account for about 0.03% of the total mass of the human body.Although the content of these trace elements in the body is small, their role in the process of life activities is very important.

When trace elements exceed the standard, plants will be poisoned, and so are people!
Moldo looked at the patient's case, and when he saw the patient's past history, he suddenly asked: "Could it be related to the prosthetic joint implanted in the human body?"

Bai Ye also came to his senses!

Because this patient has undergone hip replacement surgery, and the prosthetic joints of the human body are generally made of alloys.

Cobalt alloy material is a commonly used alloy material for implanting prosthetic joints in the human body. The hardness, compressive strength and other indexes of this material are very high, and the safety is still guaranteed to a certain extent.

Therefore, it is widely used in clinical practice!

Is it really related to prosthetic joints?

Or is it related to the prosthesis implanted in the human body with this cobalt alloy metal?

After thinking of this, Bai Ye got up and went directly to Xiehe to find Gao Yueyang.

He asked directly: "Dean Gao, have you ever met this kind of patient, that is, a patient with prosthetics in his body, who suddenly develops a mental illness such as anxiety and depression?"

Gao Yueyang was taken aback: "Why are you asking this question?"

Bai Ye explained, not saying everything, but selectively saying some things.

It's not that I don't trust it, but that I don't think it's necessary. Now I'm just a guess, and there's no need to spread it everywhere.

After hearing Bai Ye's explanation, Gao Yueyang thought about it in recollection: "It seems that there are, but there are not many patients, and the probability is not very high, but there are some records. You should go to the psychiatrist to have a look."

(End of this chapter)