"I don't have anything to do with gastrectomy, which is a procedure studied for patients with recalcitrant obesity and poor blood sugar control. Wu Mian said.

"Alas, it can't be helped, girls are like this now. Guo Ruming said, "Especially female celebrities, if they are a little fatter, they are said to have problems with body management, which is really lost fans." You know, Mr. Wu. ”

"It's not going to be surgically removed, it's a joke about health. Wu Mian said, "And for surgical weight loss, as long as it is not a special patient, the best choice is interventional treatment, embolization of the fundus and left gastric artery." Wu Mian said, "Minimally invasive surgery, postoperative ...... Forget it, it's already cut anyway, and it can't be repaired, so let's look at the patient's condition first. ”

Guo Ruming was interested, he firmly remembered what Mr. Wu said about embolizing the stomach artery, and he would find someone to consult when he went back.

The two came to the rescue room and saw that Zhou Guohui was doing a physical examination for Sun Meng.

"What is the origin of Director Zhou?" Guo Ruming saw that Zhou Guohui was very old, and he looked like an old expert between his hands and feet, and asked in a small surprised whisper.

"It's the director of the neurology department of the Imperial Capital Hospital, who came to me for a vacation. Wu Mian said.

On vacation, do you have to get up in the middle of the night to go on vacation? Guo Ruming thought to himself.

"When I came over, I happened to see Director Zhou, who hadn't gone back to sleep in the dormitory. Wu Mian said.

"Can your body stand it at such a late hour?"

He is studying the localization principle of brain pacemaker in Alzheimer's disease. Wu Mian said, "Director Zhou is also a person who admits death, he doesn't know the principle, and he doesn't feel at ease when he sits up." Even if the patient is well, he will think that it is a coincidence. ”

Wu Mian didn't enter the rescue room, but looked outside with his hands behind his back.

The rescue room was in order, like an extremely sophisticated machine.

This place is completely different from the hospital emergency room in Guo Ruming's impression, there is no noise, no hoarse shouts of medical staff, and no noise and crying of patients' families.

Everything was quiet, even the nurse trotted all the way without making a sound.

Zhou Guohui asked about his medical history while examining his body.

A young doctor stood beside him with a PAD in his hand? Record the language narrated by the patient and the patient's family.

Fifteen minutes later? Someone pushed Sun Meng out, and Zhou Guohui came to Wu Mian? Said? "Mr. Wu, the patient suddenly developed a disorder of consciousness 4 days ago without obvious triggers? Manifested by a loss of concentration, confusion between day and night? Can't find your bedroom? It is accompanied by hearing loss. These symptoms gradually worsened over the past 4 days, and sleepwalking appeared 2 hours ago. ”

Wu Mian nodded.

"Before the illness, the patient had no fever, headache, tinnitus and dizziness, and had not been to the epidemic area or forest area. She underwent laparoscopic sleeve gastrectomy 3 months ago and had persistent vomiting after the procedure? About 1-3 times/day? I had poor appetite and lost 10kg in 3 months. ”

"Neurological examination after admission suggests disorientation at time, place, person, bilateral bidirectional horizontal and vertical nystagmus, and bilateral sensory hearing loss in the Weber and Rinne test. Normal muscle strength and sensory examination of the limbs, and active tendon reflexes in the limbs? There was no obvious abnormality in the rest of the nervous system. ”

"Waiting for the results of laboratory tests, preliminary considerations? Wernicke's encephalopathy may be caused by vitamin B1 deficiency. ”

"Well, I think so too? Director Zhou. Wu Mian said, "Now it's time to send it for CT and MRI." ”

"Yes? Do you want to rest first? I followed and took a look at the machine. ”

"Our in-hospital network is instantaneous. ”

"......" Zhou Guohui was stunned? Laughing, "Get used to it, get used to it." ”

Of course, Wu Mian knew that Zhou Guohui would definitely follow up to do CT when he encountered a serious emergency patient when he was young, firstly to see the film as soon as possible, and secondly, to worry about what would happen to the patient in the middle of the examination.

Although Sun Meng is not that serious, it is natural to get used to it, and if he doesn't follow, he feels uncomfortable.

Doctors have more or less similar OCD.

"It is estimated that there is no problem with the patient's CT, and the head magnetic resonance FLAIR phase shows bilateral thalamic symmetrical hyperintensity shadows, while MRA and MRV should not be obvious abnormalities. ”

Before the inspection, Zhou Guohui already had his own prediction.

"Almost, that's how it should be, then you're busy. Wu Mian smiled, "I'll accompany Director Guo." ”

"Good. Zhou Guohui smiled, "Teacher Wu, the treatment ......."

"Director Zhou, you can come by yourself. Wu Mian said, "You're too polite." ”

Guo Ruming listened to the dew.

Waiting for Zhou Guohui to chase the wheelchair, he asked, "Teacher Wu, will the treatment be troublesome?"

"The treatment is very simple, and Director Zhou and I are polite. After all, he is only a guest, and if he is on vacation, it is not good to ask anything. Wu Mian said with a smile, "After it is determined, it is enough to give intravenous thiamine supplementation and nutritional support treatment, Sun Meng found it earlier, and there should be no sequelae." But ......"

Hearing Wu Mian say the word "but", and then groaned, Guo Ruming's heart sank suddenly.

"Director Guo, have you noticed that Sun Meng has hearing problems?"

Wu Mian didn't say it, Guo Ruming didn't notice. But listening to him say this, and thinking about it carefully, it is indeed a bit of a problem.

"Sun Meng always can't hear others clearly?" asked Guo Ruming.

"Well, everything else is fine, but it is estimated that the hearing will be damaged to a certain extent and cannot be recovered. Wu Mian said, "Considering her state and age, it is estimated that the damage will not be very serious, not to the extent of wearing hearing aids." ”

Guo Ruming nodded.

"This kid is fooling around, and he has only lost 10 kilograms...... How do you go for laparoscopic sleeve gastrectomy? Wu Mian said with some regret, "After all, it is an irreversible trauma, it is okay to be obese like a certain agent, she was not fat before." ”

"It's not like I'm broken up by a breakup. Guo Ruming also sighed and said, "Teacher Wu, what kind of encephalopathy did Director Zhou talk about just now?"

Wu Mian glanced sideways at Guo Ruming, did not explain, but said with a smile, "Wernicke's encephalopathy used to be common in alcoholics, and it was also a type of alcoholic encephalopathy. Now more and more Wernicke encephalopathy in our country is happening in girls who are losing weight. ”

"Nonsense, isn't it. Wu Mian seemed particularly disgusted by this, and said in a deep tone.

"Well, it can't be helped. Guo Ruming shook his head, "Mr. Wu, I will go back and study the minimally invasive treatment you said, if someone really wants to cut the stomach again, I recommend it." ”

"From the cause of the disease to the ratio of men to women, there are obvious changes. This is a new change in the new era, and the perception of doctors must also change with it. ”

Listening to Wu Mian talking to himself, Guo Ruming pondered in his heart that as long as people were fine, it would be fine. Sun Meng doesn't know whether the child is lucky or unlucky, but it's okay, it's okay.