This doctor has a system

Chapter 408 473. I dare not drink
High concentrations of barium chloride were detected in the patient's blood samples.

Although this result was expected by Gao Feng, it was obviously unreasonable.

That means things get tricky.

"I think it's better to call the police." Gao Feng said to the focus hall, "There is a high probability that someone poisoned you."

"He has so many girlfriends, wouldn't it be normal for someone to poison him?" Jiao Ting was furious, "I even want to give him some dichlorvos."

high wind
The police arrived soon, and anyone with a discerning eye could tell that the girlfriend who had last contact with the patient was obviously the biggest suspect.

The suspect did not ask for leave from her work unit, and her friends suddenly couldn't contact her. After a little investigation, the police quickly found this beautiful girl and she returned to her hometown alone.

"The suspect's mental state is not very good. He looks foolish and foolish." Ma Xiaohu said to the focus hall, "He must have been greatly stimulated."

The interrogation lasted for two days, but they didn't say a word, and they couldn't use any tricks.

Jiao Ting was having a headache, so his son was extubated and transferred to the general ward.

"No wonder you were poisoned!"

"Dad, where is Ruoruo?" Jiao Chengxi asked, covering his face. He almost fainted from the big fight just now, but he recovered now.

"Who is Ruoruo?" she asked, "Also, what are those 75, 59, and 7?"

"Please let her go quickly." Jiao Chengxi said anxiously to his father, "Ruoruo is the cowardest of all, stay at the police station and don't scare others!"

The term "time management master" was coined by Li Youliang. When he saw Jiao Ting sighing, he couldn't help but tremble a few times.

Spider spirit?
Jiao Chengxi's mother suddenly thought of this monster in her mind.

As soon as she finished speaking, Jiao Ting walked up and gave her son a big blow.

"What do you know?" Jiao Ting said in an impatient tone, "It must have been a love affair. People must have discovered that you were cheating on you."

"Aren't you tired?" Jiao Ting scolded his son, "I asked you why you can't see anyone every day. You just went out to do this."

Jiao Ting felt much better after hearing this. Yes, he also has a progressive eldest son.

Jiao Ting couldn't help but want to go up and slap him again.

"Why don't someone have time to poison you?"

"It's a pity for such a young girl, because you may go to jail." He glared at his son fiercely, "It's all your fault."

"Lao Jiao, don't be angry." Jiao Chengxi's mother saw him breathing heavily and quickly comforted her, "Chengxi is a bit unreliable, but our boss is trying his best, so don't get so angry."

"How can you talk?" she said dissatisfiedly, "Is it reasonable for her to poison our son?"

"Stop talking, the child finally saved his life, why don't you look happy." Jiao Chengxi's mother rolled her eyes at him.

"The police have arrested her," Jiao Ting said. "Although I haven't admitted it yet, there is a high probability that it is her."

Now Jiao Chengxi's mother was unhappy.

Jiao Ting felt that the slap was too light, and such a capable person should be beaten to death.

But Jiao Ting hasn't said anything yet, and his son is unwilling.

Then Jiao Ting remembered it.

Ruoruo glanced at him with a complicated expression.

Jiao Chengxi's mother was a little confused.

"What a bullshit code name, these are the measurements of this girl!" Jiao Ting was so angry that his liver ached, "Your son has used all his cleverness on this!"

"Who else could it be? Those girlfriends of yours." Jiao Ting mocked, "75, 59, 71."

"Is this Ruoruo's codename?" She was a little confused.

"Okay, okay" Jiao Chengxi nodded quickly, "This is a little bit of my thoughts." He took out a bank card, "The password is your birthday."

Wrong day!

"Why don't you die in there?" Jiao Ting felt refreshed when he said this, "I never noticed it before, you are also a master of time management!"

"Ah? How could it be Ruoruo?!" Jiao Chengxi couldn't believe it, "She has always been the best behaved."

孽 孽!
Jiao Ting felt mixed emotions. He had worked hard all his life, but he ended up giving birth to such a useless thing.

"Poisoned?" Jiao Chengxi was shocked, "Who poisoned me?!" When he just found out about this, he was so frightened that sweat broke out on his forehead.

In ancient times, there was a saying that people should not hold officials accountable. Although it is no longer applicable, sometimes it is really hard to say.

He can actually remember the measurements of all the girls he dated!

"I told you not to go to work. It turns out you are." Jiao Chengxi's mother looked at her son complicatedly.

This was Jiao Chengxi's request. He made a lot of noise and Jiao Ting couldn't control him.

But in the end the girl named Ruoruo was released.

Now Jiao Chengxi's mother couldn't open her mouth anymore. Poisoning is certainly a crime, but cheating on her son seems a little bit...
He didn't cheat on one person, he cheated on dozens of people, and his legs were much older.

"Anyway, you must pay the legal price for committing a crime." She finally said to Jiao Ting.

"You deserve it!"

"I'm going to Shanghai. The teacher found me a job there." The girl named Ruoruo said to Jiao Chengxi expressionlessly, "Let's not contact him again in the future."

"Drink some water." She stood up and poured a glass.

"Can you not drink it?" Jiao Chengxi said with a bitter face, "I'm afraid."

"You still know how to be afraid?" Ruoruo stared at her and said, "You have deceived so many girls, and you still have the nerve to be afraid."

Jiao Chengxi was really scared. It was not that he had never been exposed before, but at most he only received a few slaps or bites.

But this time I almost lost my life.

He didn't even understand that such a weak and delicate girl could really attack her.
"It's better not to come into contact with such dangerous things in the future." He said with lingering fear, "You are too extreme."
-
"Director Xu from the Anorectal Department wants to ask you to see a patient." Li Youliang reported to Gao Fenghui, "Will I go to the department to see you in the afternoon?"

Gao Feng is not outpatient today, it is already 11: noon.

"Let's go directly to him." Gao Feng said. Anyway, there is nothing going on in the ward at the moment.

Director Xu of the Anorectal Department is treating relatives in his hometown. He is considered to be the most capable person in the village in recent years. Many people in his hometown will come to him for medical treatment, even if it is not anorectal disease.

"The child has hemorrhoids and eczema." The junior doctor reported to him.

"If conditions permit, we can choose surgery to remove it." Director Xu said to his relatives in his hometown, "The child's hemorrhoids are still serious."

"But the erosion in his anal canal is a bit strange." He frowned and said, "Generally speaking, the broken parts on the outside are understandable, but the structure inside doesn't look very flexible."

"Do you have any regular irritants?" he asked a young man next to him.

"No." The latter answered simply.

That's very strange. Director Xu thought for a moment. The patient said before that he did not suffer from constipation.

Normally, for such a young boy, the anal canal is usually relatively red, and the surface mucous membrane should look very elastic.

"Have you ever used anything special? Is there any special stimulation?" he asked again. "No." The young man replied.

"Could it be complicated by hemorrhoids?" the lower-level hospital said, and at the same time he winked at Director Xu. But the latter was still thinking and didn't notice at all.

"It has nothing to do with hemorrhoids." Director Xu said, "His anal canal is so rough. Even if the hemorrhoids grow into the anal canal, it is relatively soft."

"Could it be that he ate hot pot two days ago?" the patient's mother asked.

"No, under normal circumstances, local acute injuries are obviously different from this." Director Xu said immediately.

"What's going on?" The patient's mother was still worried.

"It should be caused by long-term friction of something." Director Xu thought for a while and said, "Young man, let me ask you."

Before he finished speaking, he saw the patient's eyes were a little evasive, and he also noticed the eyes of the subordinate doctor.

What the hell!

What's wrong with today's young people?
Director Xu was startled. Is it popular for boys to play with boys now?
What's the point of this?

He really couldn't understand it.

"It's not a big problem." He finally said, "It's best to change your living habits."

"Well, eat less hard food."

When Gao Feng arrived, Director Xu sent the young man and his family away with a complicated expression.

Seeing him coming, Director Xu came up to greet Gao Feng enthusiastically.

"Why did you come in person?" he complained, "I was planning to take the patient to visit you in the afternoon."

"It will be fine." Gao Feng said with a smile, "I heard Li Youliang said that the patient is a child."

"Yes, the child of a distant relative of mine is just 7 years old." Director Xu's face became a little solemn when he talked about this, "The doctor in my hometown said that he is mentally retarded."

Patient A is 7 years and 6 months old. Logically speaking, children of this age are already in elementary school, but Little A has not gone to school.

He was different from other children since he was a child. Other children could tremble and walk away as early as one year old, but he could not walk independently until he was four years old.

At that time, the family thought he had cerebral palsy.

He also speaks later than others and looks demented. He is now over 7 years old and can only do some simple interactions and communication.

"I checked in my hometown and found nothing wrong with him," Director Xu said. "The doctor there finally said it was an intellectual disability."

But I can’t say specifically.

The child's parents felt that this was not going to work anymore, so they came to see him.

"People from rural areas have very poor family economic conditions." Director Xu said.

Gao Feng could understand that if his family had money, he wouldn't show it to his children until they are so old.

Soon he was seeing patients.

Gao Feng frowned at the first sight. Otherwise, the child seemed to have a big problem, his eyes were dull, like a puppet on strings.

There were many wounds on his face and mouth, and some places were still bleeding.

"Did you fall?" Gao Feng asked.

"No, he caught it himself." The child's mother replied, her belly looking pointed.

"My wife is more than three months pregnant." Noticing Gao Feng's gaze, the patient's father explained.

"Caught it yourself?" Gao Feng said in surprise.

"Yes." The child's mother said, "He has been like this since he was a child. He always likes to bite his lips and scratch his face with his hands."

"This symptom is quite strange." Director Xu said to Gao Feng, "I am always afraid that it is a rare disease, so I thought of asking you to come over and take a look."

The patient had a cranial magnetic resonance imaging, and no major problems were found.

Gao Feng took another look at the patient's recent test results and made some discoveries.

"The patient's blood uric acid level is high."

"It seems to have always been high." Little A's mother said, "Every time I checked before, it was always high."

Other test results were unremarkable.

"Let's go to the hospital for a detailed check-up." Gao Feng said, "Our company can do some genetic screening, and we can check him for free at that time."

Director Xu was very happy when he heard this, and Little A's parents quickly thanked him.

Even though he was still wearing clothes, Little A looked very thin after taking off his clothes. The nurse who drew blood only frowned.

She has been working for 5 years. This is the first time she has seen such a thin child. She can't even draw blood.

The test results came back the next day. The patient's blood uric acid result was high, but the urine uric acid result was even higher.

"Purine metabolism disorder?"

"Glycogen storage disease type I?"

When most people think of uric acid, the first thing that comes to mind is gout.

This disease is caused by hyperuricemia, which causes joints to become red, swollen, hot, and painful, and even affects movement. The soreness that occurs when an attack occurs is really beyond description in words.

Presumably gout patients have the most say.

When seeing high uric acid clinically, most doctors will think of purine metabolism disorder.

Generally speaking, the synthesis of purine bases in the body proceeds along the nucleotide synthesis pathway from the beginning, and its precursors are simple substances-amino acids, carbon dioxide, formyl groups from tetrahydrofolate, etc.

When there is a problem with this synthesis pathway, patients will experience high uric acid.

But for this patient to be so young, it would be unusual to have high uric acid.

Gao Feng tried hard to think about it, but he really didn't expect a more suitable disease.

Back home, my wife was making her son laugh.

"Look how cute he is. He will definitely be a handsome guy when he grows up." Li Xinyao said to Gao Feng with a smile.

Gao Feng chuckled a few times, but for some reason, he suddenly thought of the little patient with scars all over his face.

Likes to scratch his face and bite his lips
Isn’t that self-harm?
I have self-mutilation behavior, but my uric acid is still so high. Could it be that?
Gao Feng's eyes lit up, he seemed to know what the patient's disease was.

"It should be Ray-Nee syndrome." He called Director Xu. "Tomorrow I will have someone check his xanthine-guanine phosphoribosyltransferase activity."

Ray-Nee syndrome is also called Leschnihan syndrome and has another name: self-disfigurement syndrome.

It is a congenital metabolic disease of sex-linked recessive inheritance. The clinical characteristics are boy onset, mental retardation, choreathetosis, cerebral palsy, compulsive self-mutilation, aggressive behavior and hyperuricemia.

This disease is a rare disease. So far, more than 150 cases of this disease have been reported around the world, and all of the patients are male children.

(End of this chapter)