This doctor has a system

Chapter 148 146. I don't want to pretend to be B

Before she opened her mouth, Director Wang was not happy, "This child is less than 1 year old, and the liver, kidney, and muscles will be fiddled with by you all?!"

"Do you need to do a brain biopsy next?"

"That's not necessary, just do an MRI." Director Hua of the Department of Neurology said, "This is very necessary. The child has been suffering from hypoglycemia and developmental delay. It must be checked to see how the brain is developing."

The few remaining people also expressed their opinions in one go, but none of them had anything substantial.It seems that this is the case today, Director Wang sighed in his heart, "Everyone, go back and think about it, and talk to Dr. Yunping if you have any considerations."

The doctor in charge of this little patient is Zhu Yunping, who is about 30 years old and looks like a very capable female doctor.

"Then how about today." Director Wang stood up.

At this moment, Gao Feng stood up from behind Director Zhao, "Director Wang, I'm thinking about it, and I want to report to the directors."

Director Wang has seen Gao Feng a long time ago, he is a very outstanding young man, he has not been in the hospital for long, and he has done a lot of things.Some time ago, it was said that someone synthesized something and sold it for a lot of money, and now people in the administrative floor still mention it from time to time.

"I don't want to pretend to be B either, it's all forced by the system." Gao Feng thought to himself.

"Gao Feng, tell me what you have." Director Wang smiled, "This is Dr. Gao Feng from the Respiratory Department. Everyone must have heard of his name. He is a celebrity in our hospital."

"Dr. Gao Feng participated in two serious surgical operations during the emergency rotation, and played a very important role. Now the patient's prognosis is very good."

"There was another medical record discussion. I remember it was him... and the diagnosis was finally confirmed!"

"I know, I earned 2000 million yuan!" Director Ma of the Department of Cardiology stood up suddenly, "No wonder you use Littmann stethoscopes, so you are really rich."

The directors all looked at Gao Feng appreciatively. He looked very handsome. Is he really so good?
Gao Feng was a little embarrassed, "I think this patient may have a glycogen storage disease."

Glycogen storage disease is a rare group of autosomal recessive genetic diseases. Patients cannot metabolize glycogen normally, which makes the synthesis or decomposition of glycogen hindered. Therefore, a large amount of glycogen is deposited in tissues and causes disease.

The disease mainly manifests as hepatomegaly and hypoglycemia, including type Ia (glucose-6-phosphatase deficiency) and more rarely type Ib (G-6-P microsomal transferase deficiency), types III, VI, and X-linked and autosomal recessive phosphatase b kinase deficiency.Muscle-energy disorder glycogen storage disease mainly manifests as muscle atrophy, hypotonia, and dyskinesia.

"The symptoms of this patient are relatively typical. He has hypoglycemia since birth, ketone bodies in the urine, xanthelasma on the buttocks, enlarged liver, and growth retardation, and"

"I think type [-] glycogen storage disease is the most likely!"

After Gao Feng finished speaking, the scene was quiet for a while, and then everyone started discussing again.

"Director Cao, is it a disease of your endocrinology department? I haven't even heard of the name." A director picked up his mobile phone and started Baidu, "Is it a rare disease?"

Director Cao's expression was very complicated, "It is indeed a disease of our department. According to the statistics in Europe, the incidence rate is about one in 2."

"To be honest, I have been working for so long, and I have only seen one case. It was a middle-aged man. His symptoms were not serious, but he always suffered muscle damage after strenuous exercise."

"Type I glycogen storage disease is even rarer, because after birth, children experience hypoglycemia, convulsions and even coma. Long-term hypoglycemia affects brain cell development, mental retardation, and death within 2 years of age."

After listening to Director Cao's words, everyone was silent for a while.

"What do you mean? There is no cure?" Director Wang couldn't accept it, "No way, the technology is so advanced now."

"We still need to make a diagnosis first." Director Cao glanced at Gao Feng, "We need to do a liver biopsy. The diagnosis is based on the fact that the patient's liver glycogen often exceeds 6% of the normal value."

"Yunping, communicate with the family members quickly." Director Wang said, "No matter what, first make a clear diagnosis, treat everyone and then think of a solution."

Zhu Yunping hurried out, "Actually, I think it can still be treated." Gao Feng said again.

"If it is type I glycogen storage disease, what Director Cao just said about preventing and treating hypoglycemia, acidosis, and infection is completely correct. In addition, this hyperuricemia also needs to be treated with medication."

"It seems that Director Cao still has a level. Although he didn't see anything at first, he still said a lot of dry things by accident." Director Zhao habitually put eye drops on Director Cao.

Director Cao felt better after listening to Gao Feng's words, but now he is very angry.

"I said, Director Cao, you still need to work hard to train talents. You can't cover everything even if you're exhausted." Director Zhao kept talking, "We do a better job of subdividing the respiratory department. Everyone has a focus. Some rare diseases have been covered, and they can be used at critical times."

"Look at you coming to participate in the multidisciplinary discussion this time, and you don't even bring any students with you. How can they grow up?"

"The students are all taking the exam today!" Director Cao said coldly through gritted teeth.

I don't listen, I don't listen——Director Zhao.

"The family members are very active. I will ask the director to make one for him in the afternoon." Dr. Zhu came back soon.

"That's fine, let's talk about it today. You will cooperate with Gao Feng and Director Cao in a while, and make a temporary plan for the patient first. Let's wait for the test results." Director Wang announced the end of the meeting.

"Look at you, it's almost done." On the way back, Director Wang said to Director Zhao, "I'll make Director Cao angry."

"Director Cao's psychological quality is very strong, you don't have to worry about her at all." Director Zhao said cheerfully, "Where are you going? If Doctor Zhu didn't come back, I'll give her a few more words."

Director Wang.

Gao Feng and Director Cao stayed. Director Cao's originally fair face would turn red now. It seemed that he was really annoyed by Director Zhao, and Gao Feng felt a little distressed.

"I'll count how much the patient weighs." Director Cao asked, "How do you measure your blood sugar? When do children usually have hypoglycemia a few days ago? You?"

"Doctor Gao, do you think this is okay?"

Gao Feng was a little distracted, and reacted to Dr. Zhu's words, "It's pretty good."

"I heard that you studied gastroenterology as a graduate student." When taking the elevator, Director Cao suddenly asked, "How come you also know about rare diseases in the Department of Endocrinology?"

"Blind." Gao Feng didn't know how to explain, "But I have always been interested in endocrine diseases, and I almost reported this direction when I was in graduate school."

Director Cao's eyes lit up when he heard these words, "That's a pity. The endocrinology department still has an advantage over the respiratory department. Yours is dirty and tired. Look at that Zhao, who looks much older than me."

Gao Feng didn't know how to answer these words, so he could only keep silent.

　What should I do if I feel dissatisfied after writing?These chapters want to overthrow and start over.

　　
　
(End of this chapter)