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Chapter 1037: 1014 Eat a Sugar Cube

~6 min read 1,197 words

Zheng Ren took the film bag, first took out the film, and placed it on the viewer.

The head 3D reconstruction film was clear and distinct, much clearer than ordinary CT.

"Director Kong, our judgment is correct," Zheng Ren said.

"Hmm." Director Kong looked at the film and nodded.

Indeed, it was not an intracranial malignant tumor; Director Kong now knew that. As for what disease it was, he still had no idea.

Zheng Ren then carefully examined it for several minutes before taking out the various lab reports and flipping through them one by one.

As with his earlier judgment, the patient's urine galactose test showed urine sugar positive, glucose oxidase method urine sugar negative, and paper chromatography identified it as galactose.

Blood galactose concentration measurement, normal range 110–194 mmol/L, the patient's blood galactose concentration was elevated, reaching 561 mmol/L.

Combining other lab test results, Zheng Ren confirmed the patient's disease was galactosemia.

Director Kong came over, glanced at the lab report, then smiled and stepped aside.

This test, the Intervention Department is not the relevant department; it might not be performed for years, or even decades.

Even as the head of the Intervention Department, Director Kong is not omniscient; he cannot see every disease or understand every lab report.

Unlike Zheng Ren, this monster.

Director Kong also did not show weakness; he simply sat in the chair looking at the film, comparing it with the previous head CT.

After 3D reconstruction, the so-called mass became more apparent, more clearly indicating only cerebral edema with water and a small amount of crystalline substance.

Certainly not a mass; it was a misdiagnosis by the local hospital.

Fortunately, no surgery was performed; if they had opened it and found no tumor, it would have been a major issue. The patient would have suffered great trauma, and the doctor would have been in trouble.

However, this film is indeed easy to misdiagnose. Director Kong knew that without Zheng Ren, he could only vaguely judge that it was probably not an intracranial malignant tumor, and as for specifics, he had no clue.

Of course, he would not lightly judge that the local hospital's diagnosis was wrong; unlike Zheng Ren, who directly wrote down what tests were needed.

Blood galactose concentration measurement? Director Kong recalled this test, but his mind was blank. Looking at Sun Ming… President Sun had long since stopped clinical work, so he knew even less about this.

Waiting for Zheng Lao Ban to give the answer, Director Kong simply didn't want to think about it, and was too lazy to even search online what the blood galactose concentration measurement actually does.

This isn't a problem of the Intervention Department; at my age, learning all this is pointless.

After more than ten minutes, Zheng Ren combined abdominal ultrasound, liver CT, head CT 3D reconstruction, and many blood test results to finally obtain a definite answer.

"President Sun, the patient has galactosemia," Zheng Ren said.

These characters together, Sun Ming recognizes them, but when taken as a disease he completely fails to understand.

He knows what galactose is, but he definitely does not know what galactosemia is.

"Um… Zheng Lao Ban," Sun Ming swallowed, speaking vaguely: "Please trouble you to explain."

"This is a toxic clinical metabolic syndrome of elevated blood galactose. Any congenital defect in one of the three related enzymes in galactose metabolism can lead to galactosemia, presenting related symptoms." Zheng Ren explained: "The patient's condition is relatively mild…"

He said this, and Sun Ming was quite speechless.

Looking at the patient's condition, a fine young person showing signs of intellectual disability—this counts as mild? If it were severe, what would the manifestations be?

"Generally speaking, it is common in infants and toddlers, and treatment effectiveness is not good. But since it only appeared in adulthood, it proves the congenital enzyme deficiency is mild, and can be corrected with measures such as oral sugar cubes."

"Oral sugar?" Sun Ming was completely bewildered, what does that mean?

"Now we can give a high-sugar shot to raise the patient's blood sugar. Then, as long as they usually eat more sugar, we can correct the galactosemia symptoms. But to completely cure it, current technology has no good solution."

"Right, fresh plasma should also work. But plasma transfusion seems restricted now, so just give some glucose; the effect will be seen quickly." Zheng Ren said.

With such a serious illness, the family had even considered giving up treatment—yet giving a bit of glucose could cure it? Is this a joke or serious?

"Zheng… Zheng Lao Ban, are you serious?" Sun Ming asked in astonishment.

Director Kong hearing this, immediately became unhappy.

"Old Sun, what are you saying?" Director Kong scolded.

Although Director Kong did not know what galactosemia was, he trusted Zheng Ren.

This trust was accumulated over time, not a blind trust arising from Zheng Ren's status as a Nobel Prize nominee.

Director Kong immediately picked up the desk phone, called the nurse station, and had an experienced nurse with good technique come in with a sterile tray.

50% glucose 20 ml, intravenous injection.

After more than ten minutes, the young person's expression began to brighten. He felt as if he had just awakened from a great dream, astonished at how he ended up here.

This is a plot typical of TV dramas, but the young person did not ask where he was, why he was here, or what had happened.

He saw the white coat and immediately understood that he was ill and had come to see a doctor.

"Feeling better?" Zheng Ren asked.

"Good… good…" the young person's stutter still existed, and there were also some tense factors.

"The vision problem won't ease that quickly, but the cerebral ischemia and hypoxia situation has received preliminary relief." Zheng Ren smiled.

"Erwa, who am I?" the middle-aged man probed.

"You… you are my second… no, third uncle." The young person replied.

"Erwa!" the middle-aged man wanted to say something, but his throat seemed to be blocked by phlegm, unable to utter a word.

"Uncle, I…" the young person's speech was still somewhat halting, but one could see his consciousness had improved greatly compared to his dazed state upon arrival.

"It's fine, it's fine." The middle-aged man wiped his eyes with his sleeve, touched the young person's head, then solemnly stood before Zheng Ren and gave a deep bow.

"Don't be polite." Zheng Ren said.

"This is your lifesaving grace," the middle-aged man said, tears of gratitude flowing.

"It's nothing." Zheng Ren smiled and said: "After returning, pay attention to eat more sugar. But be sure to control the amount, lest this cause severe diabetes."

"Mm-hmm, got it, got it." The middle-aged man hurriedly replied.

After exchanging a few more pleasantries, Sun Ming asked: "Zheng Lao Ban, do you have time tonight? Let's grab a meal together."

"No." Zheng Ren smiled: "Tomorrow I still have to go do surgery; sleep early tonight, another day, another day."

It seems the matter of going to the United States to do flying knives is true, and Zheng Lao Ban modestly did not say where.

Instantly, Sun Ming's favorable impression of Zheng Ren greatly increased.

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End of Chapter

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