Chapter 1016: Chapter 843 The Excellent Weight Loss Spokesperson_2 Chapter 1016: Chapter 843 The Excellent Weight Loss Spokesperson_2 “Staff is short, not sure if you’ll adapt?” Yang Ping didn’t beat around the bush.
“When have I ever been unable to adapt? If you don’t mind that I’m an old attending physician, let go over there and help out.”
“No problem.”
Dr. Jin had given up any hope for a promotion in professional titles, although he did have connections. His ntor and classmates were his most significant connections, but he never reached out to them, always disdaining such maneuvers. Even though a single word from him would have resolved the issue, he chose not to speak up and buried himself in clinical practice instead.
There were also colleagues who had introduced Dr. Jin to the owners of interdiary companies, but Dr. Jin remained indifferent, really not wanting to go that route.
After chatting with Dr. Jin for a while and returning to the departnt, Song Zimo and Xu Zhiliang had already gone to perform surgery.
The brothers in the departnt had recently created a website for the Surgical Research Institute, featuring a forum mainly for patients with difficult cases to seek dical advice, broadcasting the Institute’s strength to the entire world through the internet.
The forum on the website had just opened and there weren’t many people posting yet.
After sitting for a bit, Director Fang, a strategic partner, called: “Professor Yang, I’m consulting in the Departnt of Gastroenterology with a patient with pseudo-intestinal obstruction, but we can’t find the cause. Could you help take a look?”
Director Fang was a bundle of nerves now, turning to the Surgical Research Institute and Yang Ping whenever sothing was unclear, intent on moving from poverty to modest wealth.
Yang Ping checked the ti; going to the Operating Room later was fine. Song Zimo and Xu Zhiliang would call him if they ran into trouble anyway. It might be worth it to see what was going on. Old Fang did have so insight after all.
Nie Shun’e was his discovery. If not for his referral, she’d still be seeking dical care everywhere.
When Yang Ping left the Surgical Research Institute for the dical building, he saw many signs at the entrance and thought to laugh. With so many signs, the presence was indeed overwhelming, but sohow, the more he looked, the more he felt like laughing.
Upon arriving at the Departnt of Gastroenterology, Director Fang hadn’t left yet; he was chatting with Dr. Chen Feiyu in the office. Seeing Yang Ping, Director Fang imdiately perked up: “Professor Yang, co take a look, this case is quite interesting.”
The chair was already prepared and Dr. Chen motioned for Yang Ping to sit down.
Dr. Chen and Yang Ping were familiar with each other; for the Ergency Departnt’s “auto-brewery syndro” patient, after Yang Ping’s diagnosis, it was Dr. Chen who treated with fecal microbiota transplantation. Out of gratitude to Yang Ping for providing such a rare case, Dr. Chen returned the favor, allocating several fecal donation spots to the Surgical Research Institute. To this day, so graduate students enjoy this benefit, easily earning several thousand yuan in subsidies each month.
Yang Ping sat down on the chair beside him, and Dr. Chen began describing the illness: “Female, 25 years old, recurrent abdominal distention, abdominal pain, and diarrhea for 7 years, exacerbated for 3 months. Now, at least three tis a day, sotis seven or eight tis. Diagnosed with pseudo-intestinal obstruction in several hospitals, symptomatic treatnt relieves the abdominal distention and pain quite a bit, but the diarrhea remains unchanged, not improved at all. Over ti, especially these past three months, the symptoms have been getting worse, particularly these last few days—she’s practically bedridden. Right now, she can’t even drink a sip of water without her stomach swelling painfully. After coming in, we gave her an enema, which eased her condition a bit, but as soon as she eats, it happens again. Currently, she can only rely on parenteral nutrition.”
“You’ve done a colonoscopy, right?” Yang Ping asked.
Dr. Chen smiled and nodded: “Six colonoscopies, all without finding any abnormalities. We also did a colonoscopy in our outpatient departnt and didn’t find anything.”
Yang Ping flipped through the patient’s case. A 25-year-old unmarried girl, nothing special in her dical history. After symptoms appeared, her food intake sharply decreased, especially in the past three months. Malnourishnt led to a significant weight drop, over twenty pounds in three months. With a height of 1.65 ters, she now weighed only sixty pounds. Previous hospital diagnoses were all pseudo-intestinal obstruction.
Intestinal obstruction ans the intestinal tract, as a transport conduit, is not flowing smoothly. dically, it refers to various causes leading to an inability of intestinal content to move and pass through the intestines. It is divided into chanical, dynamic, and vascular types.
chanical intestinal obstruction occurs when there are physical narrowing or blockages in the intestines. Dynamic intestinal obstruction is when there is no physical narrowing or blockages, but the motility needed to move food or residue through the intestines is insufficient or absent.
The reason intestinal content can smoothly pass through the intestines is the force of peristalsis pushing it along, creating a compressive force from back to front that squeezes it out step by step.
Then there is vascular intestinal obstruction, where the blood supply to the intestines is compromised, weakening or halting peristalsis. Every organ requires blood supply, and ischemia can lead to organ failure, similar to a car not being able to run without fuel.
Pseudo-intestinal obstruction implies that the obstruction is not real, not fitting any of the three conditions ntioned—no chanical barrier, no dynamic impedint, and no vascular issues—but symptoms of intestinal obstruction are present.
Having symptoms without a corresponding cause is the common trait in dical conditions nad “pseudo”.
Complete blood count, biochemistry, liver and kidney function, and various tumor markers were all examined. Upon admission, there was electrolyte imbalance, such as hypokalemia, which has since been corrected, likely caused by inadequate food intake, diarrhea, and pseudo-intestinal obstruction.
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