This doctor has a system

Chapter 574 637. Hemochromatosis
"You're still writing medical advice at this hour!" The night shift nurse was a little unhappy. "What were you doing during the day?"

"Director Gao called to get out of the way."

"It's so late and Director Gao is still concerned about the patient's condition. I'm really touched." Night shift nurse.

"What's the point of saying this in front of me? Am I going to tell Director Gao about it the next day?" Niu Magui Peisheng couldn't help but curl his lips.

Early next morning

"Director, do you suspect he has hemochromatosis?" Mao Wen came over and asked.

"Yes, this diagnosis can perfectly explain Mr. Sun's symptoms." Gao Feng replied, "I just don't know if the final test results support it."

"It's amazing that you can think of this diagnosis," Mao Wen complimented. He had no idea about this disease at all.

The International Classification of Diseases published by the World Health Organization records that there are currently 55000 diseases in the world. Even the most dedicated medical staff cannot understand all the diseases.

This is also the reason why medical professions are becoming more and more specialized. A person's energy is limited, and everyone has their own specialties.

Mr. Sun’s results came out very quickly. Both the iron concentration and ferritin levels were significantly elevated. The ferritin level was as high as 1149ng/ml, which met the diagnostic criteria for iron overload: ferritin>1000ng/ml.

The serum iron ion concentration was also above the standard, at 51umol/L (11-32), which also met the diagnostic criteria for iron overload: iron ion concentration >32umol/L.

Then a deeper question arises: Does the patient suffer from primary iron overload or secondary iron overload?
Mr. Sun has no anemia, hepatitis, tumors, or alcoholism, and the patient has not taken iron for a long time, so these secondary factors are almost non-existent.

The only remaining factor is the primary factor, but Mao Wen carefully inquired about the family history and found that there was no patient with hemochromatosis in the patient's family.

"What the patient says may not be accurate." Gao Feng analyzed after careful consideration. Some people just haven't been diagnosed, which doesn't mean they don't have the disease.

To be honest, if it were someone else, they might think that they are old and it is normal for their energy to disappear, and they would not run around looking for the reason.

"What should we do then?" Mao Wen asked.

"Check it out, do a genetic test!" Gao Feng glared at him and said, "Don't you use your brain? You're asking me this."

The patient's financial situation did not allow him to give up halfway, so Mr. Sun readily paid the manufacturer 14000 yuan for the test. He has spent almost 40 yuan in the past two years, and he has no pressure in this regard.

"It's just a little money, so just spend it!"

“It would be great if we could implement free medical care,” Mao Wen sighed, “then maybe we could screen out more rare diseases.”

"You are wrong." Gao Feng said, "If free medical care is really implemented, Mr. Sun probably won't be able to be admitted to the hospital in his condition, unless he goes to a private hospital."

Free means waiting, and sometimes the person may be gone while you’re waiting.

The results of the genetic test finally came out one week later. The HFE gene test indicated a mutation in exon 1, which indicated that the patient had hereditary hemochromatosis and was more likely to absorb iron from food and cause iron overload.

"Can it be cured?" When Mr. Sun heard that it was hereditary, he was so scared that he quickly called his son and asked him to come to the hospital for a check-up immediately.

"The iron overload in your body is still quite serious." Gao Feng said to him, "One is a low-iron diet, and the other is bloodletting."

That’s right, phlebotomy is the main and most effective way to reduce the iron load in the body.

When transferrin saturation is less than 10% and serum ferritin is less than 10 ng/ml, phlebotomy should be stopped and the patient should be monitored every 4 to 8 weeks.

When serum ferritin is within the range of 50 to 100 ng/ml, maintenance phase therapy should be initiated.

Some patients may require monthly phlebotomy to maintain normal serum ferritin values, whereas others may require only 2 to 3 phlebotomies per year.

"It makes me feel creepy." When Mr. Sun heard about this treatment method, he wanted to back out.

"It's not okay to be scared, you have to get treatment in time." Gao Feng said that iron overload not only affects sexual function, but also damages the liver, kidneys and myocardium. Over time, this damage is irreversible and will greatly shorten a person's life span. Many patients die from liver cancer, cirrhosis and heart disease.

"Just grit your teeth and hold on." Li Youliang said to Grandpa Sun with a smile, "Think about Xiao Zhang, her legs are so long and her face is so pretty." "Okay, okay! I'll let go!" Grandpa Sun said, gritting his teeth.

"If I bleed, when will my energy come back?" He was very concerned about this.

"Who can tell? Let's wait and see." Mao Wen poured cold water on him, "You are already this old. How long can you last after you come back?"

"I don't like you." Grandpa Sun said to him, "I will give everyone a red envelope later, but you don't have one!"

"We have nine prohibitions. We are not allowed to accept red envelopes from patients and their families." Mao Wen laughed, "They wouldn't dare to accept them even if you gave them one."

"I'll send him off when I'm discharged. By then I won't be a patient anymore." Grandpa Sun said, "You don't!"

"Grandpa, your energy will definitely come back. I can tell from your body that you are still as strong as ever." Mao Wen said seriously, "I will go all out in the following treatment and resolutely protect your health!"

"Everything for Xiao Zhang!"

He even started shouting slogans.

"Hmph! Let's see how you perform!" Old Master Sun returned to the ward arrogantly.

"Mao Wen, you are a PhD student, but you really lost face just now!" Bu Zhengyang said, "I despise you!"

"No, I feel he will really send it." Mao Wen said, "By then you will all have it. As the chief doctor, I will do all the dirty work. In the end, won't there be any suitable one?"

Everyone laughed when they heard this, but they all knew that Mao Wen was joking. This was a matter of principle and no one dared to touch it openly.
-
In the waterside gardens, the quaint stone bridges span the clear river, and simple tunes can be heard from the deep alleys. The cruise ships rock gently, and the black-sailed boats shuttle between the bridge holes. People on the boats chat about the past of the Jiangnan waterside villages under the oil-paper umbrellas.

In the hazy mist and rain, pedestrians hurried on the bluestone road, and their footsteps echoed in the quiet air.

"It's so beautiful here." said Li Xinyao.

"Yeah." Gao Feng agreed, but in fact he didn't feel there was anything special about it.

People have different tastes. Some people like the picturesque rural landscape, with birds singing and butterflies buzzing, and farmhouses with mud walls and thatched roofs scattered across the fertile fields. The smoke from cooking rises, and the rhythm of life from sunset to work and sunrise is intoxicating.

Some people like the pedestrians like ants, the traffic like tides, the tall buildings standing in rows, the dazzling neon night scene that is dizzying, the city's fast and powerful rhythm, and everyone in the endless stream of people seems to have his or her own destination and story.

Li Xinyao likes the mottled alleys of the ancient city very much. She says that the moss-covered stone roads can lead her into the depths of history, and she can hear the ancient city walls telling the vicissitudes of life.

Gao Feng felt that this was a literary youth disease.

"I like it here, too," he agreed.

A person's three views include world view, outlook on life, and values. The formation of the three views is a complex and long process, which is influenced by many factors such as personal experience, social environment, cultural background, and family education.

Everyone’s three views are different, and they may even be completely opposite.

The phrase "three differences in outlook" is very popular. It is generally used to refer to disagreeing with someone's views, behaviors, or opinions on things, and there is no way to reach common ground.

But in fact, there are not so many differences in values ​​between couples.

You don't eat coriander, but he likes it. This is not a difference in values, but a difference in tastes.

But if he thinks coriander is delicious and forces you to eat it, then we can tell that they have different values.

Sometimes we need a sense of identity. When a person's interests and hobbies do not have any impact on you, you can agree with him/her moderately and provide emotional value for him/her.

This is a great way to enhance the relationship between couples.

(End of this chapter)