“Flour allergy …” This was the first time Song Ying had heard of this term.
Was it the flour that was usually mentioned? If he was allergic to flour, Song Ying could not think of anything to eat.
Of course, there were still many other things that could be eaten, but there would be no more noodles like dumplings for the new year.
“It’s not accurate to say that you’re allergic to flour. ” Zheng Ren replied,”its scientific name is gluten allergy. Gluten is a type of protein found in wheat, barley, and rye. Generally speaking, after a protein enters the stomach, it will be digested into a single amino acid, which is then absorbed by the small intestine and becomes a nutrient. “
“Gluten can’t be completely broken down into a single amino acid. It will retain some small fragments containing a few amino acids, and such fragments are called proteins. These proteins can trigger an immune response in the human body, which is why some proteins still have some biological activity after being taken orally. “
“Bar spirit!” Su Yun looked at Zheng Ren in disdain.
If these words had come from someone else’s mouth, Zheng Ren would have endured it. However, to hear an ETC monster say that he was a troll, was there any justice in this world?
“Er … Boss Zheng, little su, can’t you make it simpler? You’re being too professional. I’m just a layman and I don’t understand. ” Song Ying did not stand on ceremony. If he did not understand, then he did not understand, so he asked directly.
“Gluten allergy is also a very general concept. In fact, a more detailed classification can be divided into three categories, such as autumnal, wheat sensitivity, and wheat allergy.” Su Yun said,”the last diagnosis of the girl I was talking about was that she was allergic to wheat. She would have breathing difficulties if she ate just a little gluten, which could be life-threatening.”
“Wheat …” Song Ying sighed.”But she often eats wheat. Didn’t she know that?”
“Many people only realize that they have an allergic reaction to certain food when they are 20 or 30 years old. It’s not strange. Perhaps it’s a change in the body’s immune system or a problem with diet. ” Zheng Ren said,”the symptoms of allergies vary. The patient in front of us highly suspects that it’s varmint related to gluten allergy.”
Song Ying did not ask why and just looked at boss Zheng and Su Yun quietly. The two of them were also waiting. Although they looked calm, they were actually a little distracted.
Eating was really not important to them. The most important thing was to judge whether the illness was correct or not. Song Ying laughed bitterly in his heart. He really had to go crazy.
Even when it was time to eat, Zheng Ren and Su Yun were still distracted.
“Zheng Ren, what are you thinking about?” Xie Yiren asked as she held Zheng Ren’s hand.
“It’s a case. I think it might be flour allergy. ” “I’m not thinking about this,” Zheng Ren said with a smile.”Let’s eat.”
It was only then that there was a glimmer of life at the dining table.
Song Ying thanked Xie Yiren from the bottom of his heart. It seemed like the old saying was right, the strongest fortress was broken from the inside. If he wanted to please boss Zheng, he had to please Xie Yiren first.
Boss Zheng was like a rock. He seemed to have no interest in anything other than medical problems. Su Yun might have more hobbies, but this person was too cunning, and it was hard to raise her impression of him without making a sound.
It was definitely not enough to just use iron cover Maotai, especially after Song Ying found out about some superficial things about his trip to Europe today. His mind was active.
It seemed like she would have to take the madam route in the future and find her lover to interact more with Xie Yiren and Chang Yue. When women were together, they should be able to go shopping and get along with each other.
It was just a very rough idea. Song Ying offered the wine and chatted. He briefly asked about the situation at the hospital and the laboratory. After listening to Su Yun’s description, he had a general idea of what was going on.
This kind of laboratory was definitely not something that could be built with one’s own financial resources. Only the world’s top financial groups had the ability to do this.
Song Ying sighed in his heart. Boss Zheng was playing too high-end now. If he wasn’t paying attention, he wouldn’t even be able to use the money he wanted to invest.
An hour later, Zheng Ren received a call. He immediately looked for Su Yun to open her email and look at the video.
Song Ying looked at the light from the screen shining on their faces and had a strange feeling.
“The middle section and the distal end of the colon show expansion of the intestinal cavity, effusion, and deposition of barium.” Su Yun said.
“Hmm, the serpents are distributed in snowflakes; The mucous membrane folds were thicker, or the intestinal walls were smooth, forming the “laboid” sign. The use of barium will delay the time, and we can basically indicate the patient’s condition from the X-ray scan. ” Zheng Ren said in a deep voice.
“There’s also an explanation for the abnormality in the TSH value. It’s caused by poor absorption in the gastrointestinal tract. “
“I suggest you go to the city for a related examination. Many examinations can’t be done in a mental hospital.” Su Yun said,”boss, you don’t have enough clinical experience this time.”
Zheng Ren smiled and nodded. He had no intention of winning.
“Can’t you just act a little more depressed? Or perhaps … You’re making me lose the feeling of victory. Can you be more attentive? I’m asking you!” Su Yun said in disdain.
“What’s the matter?” Chang Yue asked.
“There’s a patient in Nanshan mental hospital with persecution complex and progressive emaciated state. The boss didn’t know what the problem was after looking at the medical record. It just so happens that I’ve met a patient who was allergic to wheat before, and I’ve done some research on this. “
Su Yun said proudly.
To him, this was a major victory. The boss, who looked like an undefeatable rock, was actually a paper tiger!
Chang Yue frowned and asked,”mental problems and weight loss. Isn’t this caused by poor food intake? how is this related to allergies?”
“What do you know?” Su Yun said, but just as Chang Yue was about to push up her glasses, she smiled and said,””It’s an autologous-immune disease that can affect multiple organs, mainly the gastrointestinal tract, which causes diarrhea, abdominal pain, anorexia, vomiting, abdominal bloating, and other digestive symptoms. Other than affecting the digestive system, it can also affect the nerve cells, skin, bones, liver, and other parts. “
“It sounds like diarrhea. It’s not as serious as an allergy to wheat, but it’s really scary when there are mental symptoms.” Su Yun gestured as she explained to Chang Yue,”who would have thought that the delusion of persecution is caused by flour?”
“That can’t be. If there’s a problem, we’ll have to eat flour every day.” Chang Yue asked doubtfully,”I don’t think it’s very strict.”
“When did you learn to argue?” Su Yun scoffed.”In the past, I remember you saying that you were allergic to blood pressure pills after taking them for your entire life. Are you a medical student?”
Chang Yue pushed up her glasses and did not argue. Instead, she picked up a bottle of Maotai with an iron lid.
……
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[Note: an article published in NEJM magazine in 2016]