Bai Ye originally wanted to go directly to Gao Yueyang, but suddenly thought about it, Puze Hospital is not without 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 orthopedic department, or a patient with obvious anxiety tendency." ”

Li Jianwei frowned, he really hadn't thought about this question: "Which patient is not anxious when he has a fracture?"

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

That's right, who is happy to have a fracture, and who is not anxious and depressed for fear of something going wrong?

Bai Ye smiled embarrassedly: "I didn't mean that, I was talking about the recovery period, after a long time, is there any such anxiety." For example, if there is a patient with a history of orthopedic diseases, is there such a manifestation?"

This made Li Jianwei can't help but recall: "It's rare, orthopedic diseases...... It's still a big difference with anxiety and depression, right?"

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

When Li Jianwei heard this, he couldn't help but curse secretly: "I'm really about to be made into an anxiety by this guy!"

"Hey, by the way, Xiao Ye, I think orthopedic doctors are more likely to be anxious, do you want to do an investigation?"

Bai Ye shook his head helplessly: "Director, I'll go to the medical record room and check the cases in our department, right?"

Li Jianwei didn't reply: "Go, go, go~!"

……………………

……………………

Disputes like this in surgery are very common, and Bai Ye has no habit of joining in the fun, so he naturally left the orthopedic department and went straight to the medical record room.

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

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

Zhao Xiaojun nodded: "Well, this patient had hip replacement surgery in the orthopedic 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 orthopedic department to ask for examination and treatment, once a year." ”

Director Li Jianwei was also helpless, because there was no problem at all after the inspection, and finally the medical department decided to let the patient go to the fifteenth floor for rehabilitation treatment after mediation, suspected to be anxious, you be careful, this patient loves to make trouble, don't make trouble. ”

At this time, Li Jianwei happened to come up with the patient, and after seeing Bai Ye, he said hello with a dark face, and then left.

Bai Ye saw that this was a sixty-year-old man, dressed in sportswear, running shoes, and wearing a baseball cap on his head.

After saying hello, Bai Ye thought about it, this patient is likely to be a patient with an anxiety disorder and a history of orthopedic diseases.

I can look for some reasons from him.

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

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

Because the patient is a hospital's medical expense, this treatment does not cost a penny, and similarly, Bai Ye did not let the hospital bear these examination items, but paid for his own examination at his own expense.

Even the nurse was dumbfounded, there were only about three tubes of blood drawn in ordinary times, and seven or eight tubes of blood were drawn at once, and then a lot of tests were done, which did not conform to common sense at all.

But the patient didn't care at all, pulled the nurse and said, "Little girl, the uncle is in good health, it's okay to smoke more, that ...... Everything that can be checked will be checked and checked, but you must not pull it down, I know my body. ”

The nurse also smiled bitterly, on the one hand, she wanted to take this opportunity to do more tests without spending money, for fear that the nurse would not draw blood.

But Bai Ye is very in line with this patient's mood, because Bai Ye prescribes any examinations, all laboratory tests, and even syphilis, infectious diseases, venereal diseases, and other examinations are next to the doctor's orders.

Bai Ye finally met such a patient, but he didn't want to slip away from his hand.

Bai Ye's whole body examination of the patient was naturally known by the hospital, and the director of the medical department was about to say something, but when he learned that Bai Ye was examining the patient at his own expense, he swallowed the words in his stomach.

Until a week later!

When Bai Ye got all the inspection reports, he began to research and analyze.

Patients have abnormal data, and there are many, the most obvious is an abnormal increase in serotonin, which is a high indicator of the patient's anxiety disorder.

But where is the reason?

Bai Ye began to analyze, and the reason for the high data of each item was there.

Blood lipids?

Blood lipids are indeed abnormal, but they have nothing to do with this indicator!

These are validated by statistical analysis.

So, among all the anomalous items, which one is responsible for the elevated serotonin?

Bai Ye wants to figure it out, figure it out!

So, he began to study a variety of abnormal indicators, which are best linked to orthopedic diseases.

He couldn't figure it out alone, so he found Moldo, studied with him, and many abnormal indicators could find the cause, and in the end, Bai Ye and Moldor looked at the results of a trace element report in front of them, and suddenly frowned.

"In this trace element, the cobalt content is obviously exceeded, is it related to the patient's plain diet?"

What are trace elements?

Trace elements are a substance that is very small in the human body, accounting for less than 0.01% of the total mass of living organisms, and are some elements necessary for living organisms.

Such as iron, silicon, zinc, copper, iodine, bromine, selenium, manganese, etc. Trace elements are essential for plants but are required in very small quantities.

When these elements are missing or cannot be used by plants in the soil, plants grow poorly, and too much can easily cause poisoning. At present, most scientists have a unanimous view that there are 28 kinds of essential elements for life, and among the 28 kinds of life elements, they can be divided into macro elements (or macro elements) and trace elements according to the content of the body. Trace elements account for about 0.03% of the total mass of the human body. Although the amount of these trace elements in the body is small, their role in the process of life activities is very important.

When trace elements are exceeded, plants will be poisoned, and the same is true for people!

Moldor looked at the patient's case, and when he saw the patient's past history, he suddenly said, "Could it be related to the prosthetic joints implanted in the human body?"

Bai Ye also woke up!

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

Cobalt alloy material is a commonly used alloy substance as a human implanted prosthetic joint, which has very high hardness, compressive strength and other indexes, and the safety is still guaranteed.

So it is widely used in clinical practice!

Is it really related to the prosthetic joint?

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 a prosthetic limb in his body, who suddenly has anxiety and depression as a mental illness?"

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

Bai Ye explained, he didn't say everything, but said something selectively.

It's not that I don't trust it, but I don't think it's necessary, and 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 recalling: "It seems that there are, but there are not many patients, and the probability is not very large, but there are some records, you go to the psychiatric department to have a look." ”