Chapter 1540: 1493 Hyperemesis Gravidarum and ALS

Footsteps were noisy, and from time to time the anxious inquiries of patients' families mixed together and came through.

Zhou Litao turned and left without hesitation. As usual, he tossed over the keys, leaving only—Yun Ge'er, lock the door.

"Boss, why do you like the Emergency Department so much?" As they walked out, locking the door, Su Yun asked.

"I don't like it." Zheng Ren said insincerely.

"You say no with your mouth, but your body is honest." Su Yun looked at Zheng Ren with contempt and said coldly.

Zheng Ren thought for a moment and said: "Maybe it's because as soon as I arrive at the Emergency Department, it feels like returning to Hai Cheng. Maybe..."

Su Yun glanced at Zheng Ren and said: "Let's go. Yeah, these few days I'm going to medical school to attend classes."

"What are you preparing to lecture on?" Zheng Ren asked.

"Can't you just talk about anything?" Su Yun said in a perfunctory tone, not too seriously, and Zheng Ren didn't care either. Giving lectures, Zheng Ren could do it, but he lacked Su Yun's obsession with showing off in front of people.

Having a top-tier expert mentor a novice in the beginner village—Zheng Ren had no interest in that; it was clearly a waste of time.

The key is that what he lectures on, the kids can't understand.

Just then, a burst of violent vomiting came from the emergency resuscitation room.

In the southern dialect, violent vomiting is described as "throwing up last night's meal." The vomiting sound from not far away seemed like it would bring up the intestines.

When vomiting, Zheng Ren felt that the person might choke at any moment; the patient suffered immensely.

It was truly awful; even without empathizing, just hearing it from afar made one feel as if their stomach were overturning with discomfort.

"Even using a gastric lavage machine wouldn't be this violent—what illness is this?" Zheng Ren muttered to Su Yun as he stepped closer and took a glance.

Inside, a young woman lay on the resuscitation bed, appearing to be about 23 or 24 years old. Her abdomen was swollen—she was a pregnant woman.

She lay on her side, her body constantly twitching. Subconsciously, she hadn't forgotten to protect the baby in her belly. This only made her posture even more strange.

The system panel glowed faintly red, displaying only one diagnosis—hyperemesis gravidarum.

Uh……

Zheng Ren recalled meeting a female student in Hai Cheng who imagined herself pregnant and also suffered from hyperemesis gravidarum.

That patient, I lied to her and got her to have an abortion, and then she got better.

Hysteria and true hyperemesis gravidarum are completely different; this is a particularly miserable disease.

According to the Feeley-Weiss standard, hyperemesis gravidarum refers to severe vomiting occurring within the first 16–20 weeks of pregnancy, and many patients' vomiting symptoms persist past 20 weeks gestation.

Hyperemesis gravidarum may lead to preterm birth and newborns with very low Apgar scores.

Not to mention the suffering; if the vomiting is truly too severe, the only option is forced abortion.

Otherwise, the baby would be born in poor condition, possibly even with some congenital diseases.

The young woman vomited violently, yet couldn't bring up any stomach contents; she merely hunched over on the emergency resuscitation bed, twitching continuously.

"Truly miserable." Su Yun said: "In the future, women wouldn't need to get pregnant; all fertilized eggs could be cultivated artificially."

"That would at least be fifty years from now."

"If one wanted to, it could be done now. But according to a survey, if this method were adopted, parents and children would lack intimacy, leading to many abandoned infants." Su Yun said.

Zheng Ren thought for a long time, but couldn't recall having seen similar reports.

Zhou Litao's side had already begun handling it, and he summoned the obstetrics inpatient chief to come down for an emergency consultation.

For hyperemesis gravidarum, the emergency department has few options.

Next, she would be admitted to the hospital, and then we'd see how the obstetrics department explains things to the patient and her family.

Most importantly, it depends on the pregnant woman's own wishes—whether to endure this severe vomiting or to terminate the pregnancy via induction.

After Zhou Litao finished handling things, he hurried out.

"Why aren't you staying on duty?" Su Yun asked.

"It's too awful to watch; I can't bear it." Zhou Litao's face looked grim as he said: "Besides hyperemesis gravidarum, there's also little boys pulling back their foreskin—truly a hoarse, exhausted shout that makes one's bones feel cold just hearing it." (Note 1)

Everyone has something they fear.

Zhou Litao can face a bloody major resuscitation, but he can't stand hyperemesis gravidarum or children crying and fussing.

That's also human nature.

"What medicine was used?"

"Weifu'an, Ondansetron." Zhou Litao had walked farther away, and only then did he feel a bit better; he used words to mask his discomfort, saying "But I doubt it will help—the condition is too severe, likely resulting in abortion."

"Hmm, if this continues, it probably won't work either; symptoms of fetal hypoxia will cause serious problems."

"Many patients' symptoms persist past 30 weeks."

Zhou Litao muttered on and on, as if by speaking he could no longer hear the pregnant woman's violent vomiting.

Soon, the obstetrics inpatient chief came running all the way to the emergency department.

She examined the pregnant woman, but the diagnosis revealed nothing new—it was a typical case of hyperemesis gravidarum.

Soon, the obstetrics inpatient chief called out the patient's immediate relatives. Zhou Litao quickly arranged a room for her to explain the situation.

Zheng Ren and Su Yun also followed inside.

The obstetrics inpatient chief knew Su Yun, smiled slightly as a greeting, then proceeded to brief the patient's family on the condition.

For hyperemesis gravidarum, there's no particularly good remedy; the only option is to terminate the pregnancy.

Upon hearing this, the patient's lover, a young man, immediately covered his face and sobbed.

In the room of a dozen square meters, his sobs filled the air, leaving everyone feeling sorrowful.

"Then let's terminate it; watching this is too miserable." A woman in her forties or fifties sighed and said: "Doctor, may I ask if Xiao Min becomes pregnant again, will this happen again?"

"The likelihood is high." The obstetrics inpatient chief said: "There's no particularly good method, and worldwide there's no definitive explanation for the pathogenesis of hyperemesis gravidarum."

"..." The relatives all fell silent.

If that's the case, it means the young woman will never be able to get pregnant or give birth again.

Zheng Ren also felt regretful, and began searching the system library for related case reports.

Because he seldom deals with obstetrics and gynecology matters in his usual work, he generally does not read such articles.

Medical journals worldwide, even those with an impact factor above five, have so many articles that they are horrifying.

Family members left one after another, preparing to explain the actual situation to the pregnant woman.

The room gradually became empty.

The obstetrics inpatient chief sighed and said, "There's nothing to be done. Before, I encountered a patient who barely managed to give birth, and the child's condition was also poor."

Su Yun nodded, the black hair on the forehead fluttering weakly.

Zheng Ren suddenly looked up and asked, "Do you know anything about ALS patients?"

……

……

Note 1: When I used to go to outpatient clinics, the urology department was opposite. A little boy's hoarse, exhausted crying was unbearable; each time I would stay far away, unable to hear that sound.