Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Zheng Ren felt very tired after seeing the strange video data.
His body was tired, but his heart was even more tired.
If only no one was sick, how good would that world be?
When that time came, he would have nothing to do. He would go shopping with Little Yiren every day, even if it was on a roller coaster.
However, that was only a dream. He immediately dispelled his unrealistic thoughts and focused on the radiographic films.
The office was completely silent.
The patient’s situation was very special. At first glance, it looked like more than ten spleens were growing in his stomach at the same time. However, in fact, in Zheng Ren’s eyes, these spleens were like grapes on a bunch of vines. They could be considered a huge spleen.
In terms of area, the spleen took up about 40-50% of the abdominal cavity’s volume. The intestines, stomach, and even kidneys were all displaced to different degrees.
This…
“The possibility of Gaucher disease is higher. Are there any relevant tests?” Zheng Ren asked.
Professor Yang clapped his hands excitedly when he heard him say that. “I told you it was Gaucher disease!”
“Have you done the glucose-brain lipase activity test?” Zheng Ren looked at the radiographic films and asked.
“I sent it to the lab,” Professor Yang said with a smile. “I feel like something would be missing if I did not hear this rare disease from your mouth.”
“No,” Zheng Ren said lightly, without a trace of relief.
“You’re worried about the surgery, right?” Professor Yang asked.
Zheng Ren nodded.
The incidence of Gaucher disease was lower among Asians than white people. It was estimated that there were less than 500 people in the country who had this disease.
The patient in front of him had a spleen that took up half of his abdominal cavity. Although Zheng Ren did not see the patient, he estimated that the patient looked thin and dry, but his stomach was very big.
It was like the people who ate Guanyin clay during the famine of the old society. Perhaps because of the low platelet count, there would be bruises on the body.
Many times, the patient would also have a pathological fracture. The fracture usually happened at the neck of the femur.
Just based on his understanding of Gaucher disease, Zheng Ren had already sketched out the image of the patient in his mind.
As for the surgery, it was even more difficult.
The spleen was an organ that stored blood, and it was an immunity organ. Under normal circumstances, the spleen stored 40-50 ml of blood. In cirrhosis, patients with a large spleen could store up to 1,000 ml of blood at most.
As for the patient in front of him, saying that the large lump of spleen stored 3,000 ml of blood was an understatement.
More than half of the blood in the human body was in the spleen and did not participate in circulation. It would be a miracle if the patient’s body was healthy.
The key to the surgery was not to remove it, but to have the right amount of blood flow back. If there was too much, the patient would definitely have complications such as heart failure. If there was too little, it would affect the recovery.
Moreover, it was also a problem whether the spleen was retained or not. In terms of the patient’s condition, if the spleen was completely removed, the patient’s immunity would be so low that it would make one’s hair stand on end.
A patient with Gaucher disease was definitely different from a patient with normal trauma or a ruptured spleen.
It was another troublesome case.
Zheng Ren looked at the radiographic films and took a deep breath. In his mind, he had already started to picture the tragic death of the experimental subject with Gaucher disease after countless failed surgical training.
“What about the patient? Take a look at the patient,” Zheng Ren said.
“To do an auxiliary examination, I go up to take a look. I’ll let you know,” Professor Yang finished and hurried back.
“Zheng Ren, can you do this surgery?” Chief Kong looked at a belly full of spleen.
“I’ll try my best,” Zheng Ren said. “Actually, I want to see if I can get an interventional embolization treatment. But with such a large spleen, I need at least ten or twenty times the embolization. Whether the patient’s family can accept it or not is a big problem.”
Chief Kong thought about it, and Zheng Ren did indeed think about it.
Interventional embolization treatment was an option for the hypersplenism caused by cirrhosis. However, after the operation, the patient would have high fever and other symptoms due to the necrosis of the spleen.
The embolization could be done, but with such a large spleen, ten or twenty times the embolization might not be able to cure it.
“Go and see the patient in a while. Don’t forget to come down early,” Chief Kong smiled and said, “I’ll treat you to dinner tonight. Let’s welcome Old Pei Home.”
“Okay, I’ll come back as soon as possible,” Zheng Ren agreed straightforwardly.
“Remember to call your girlfriend. You don’t have time to accompany her during the day, and you don’t bring her along for dinner. Be careful that your girlfriend doesn’t like it,” As someone who had been through this, Chief Kong instructed Zheng Ren.
“Uh…” It was not that Zheng Ren did not want to bring Little Yiren along, but he hesitated for a moment because of what Chief Kong said.
Professor Pei smiled and said, “I heard that you already have a scrub nurse yourself? Is it that girl who was busy when I went to Sea City last time?”
Zheng Ren nodded shyly.
“Picking up materials on the spot. You are considered a blade of grass at the edge of the nest, right?” Professor Pei rarely joked.
“I got lucky,” Su Yun said.
“I’m going to see the patient. I’ll come down later to eat.” Zheng Ren was not used to people like this who would joke around on multiple occasions.
Even as a man, Zheng Ren was still not used to this kind of communication.
…
In the ward, a thin and dry little boy was lying on the bed wrapped in a down jacket.
Although the temperature outside was hot, and many people had changed into half-sleeves, for this little boy, there was only winter in his life.
His mother sat at the bedside, looking at the various people in the ward, and a stone finally fell to the ground.
The child had been weak and sick since young, but who would give the child all kinds of tests. A little older, he found that he often came home with bruises. At that time, it was thought that the child was naughty and accidentally damaged his skin.
But as he grew older, the child’s illness became more and more serious.
Three years ago, after the local examination, the entire CT room was in an uproar.
When she saw one doctor after another in white coats rushing to the CT room, she knew that they must have a serious illness.
Her first thought was leukemia…
However, when the doctor told her about the illness, he said that it was not.
He only said that the child’s stomach was full of spleens. This illness could not be treated locally, so he asked her to take the child to a higher hospital for treatment.
Her husband died five years ago, and because the child was always sick, her mother-in-law found someone to read her fortune, saying that the child’s fate was evil and murderous. All the relatives would be killed.
Otherwise, how could it grow to such a strange thing.
The mother-in-law believed it, and began to quickly alienate the mother and son. Her mother-in-law advised her to leave the child to her grandparents so that she could remarry.
After all, it was very difficult to remarry with a child.
But as a mother, how could she bear to leave the child behind? Moreover, she knew that with her in-laws’ character, the child would not even be able to eat a full meal at their place, let alone treat the illness.
Thus, the mother and son began a long journey to seek medical treatment.
But this illness was too strange. The local doctors could not treat it. She went to three or four hospitals in the Provincial Capital, but she was still informed that she could not operate.
She did not know when it started, but she had the idea of holding onto her child and dying once and for all.
