Chapter 1541: 1494 When One Is at the End of One's Rope, There Is Still Another Option

Amyotrophic lateral sclerosis, also known as ALS.

The cause of this disease remains unclear to this day. 20% of cases may be related to genetics and gene defects. Additionally, certain environmental factors, such as heavy metal aluminum poisoning, may also cause damage to motor neurons.

Early symptoms are mild and easily confused with other diseases.

Patients may initially feel weakness, muscle twitching, easy fatigue, etc., which gradually progress to generalized muscle atrophy and swallowing difficulties, eventually leading to respiratory failure.

However, most patients do not survive to respiratory failure; they die of malnutrition instead.

Is there any connection between ALS and hyperemesis gravidarum?

Su Yun looked at Zheng Ren in surprise, not understanding what he meant.

Zhou Litao and the obstetrics Inpatient Chief were also dazed, wondering if there was any link between these two diseases.

Zheng Ren said seriously: 'ALS has no cure; the United States FDA has approved a drug called Rilutek for very early treatment, but its effect is poor. Other than that, only supportive treatment is available.'

"Percutaneous gastrostomy?" Su Yun immediately thought of that.

"Hmm." Zheng Ren said: "The mechanism of hyperemesis gravidarum is not fully understood, but it is definitely related to eating. Some have tried percutaneous gastrostomy and jejunostomy, providing nutritional support postoperatively."

"Is the effect good?"

"There have been some successful cases, but no matter what, it is still a treatment method that avoids induction." Zheng Ren said firmly.

That idea is somewhat far-fetched.

Su Yun frowned, thinking for a long time, then said: "There are few cases of percutaneous gastrostomy-jejunostomy for hyperemesis gravidarum patients, and it is still immature."

"I am just proposing an opinion; we could do this with patients…"

Just as they were speaking, a huge clamor came from the Emergency Resuscitation Room.

Zhou Litao was like Pavlov's dog; hearing the clamor, he immediately rushed out.

His speed was unmatched.

Originally, the pregnant woman was just vomiting, with no stomach contents at all, and she was lying on her side, so there was no risk of aspiration.

Whether he stays there or not is completely irrelevant.

But the presence of a clamor, and a violent one at that, means that something has changed.

Zheng Ren could even imagine to what extent Zhou Litao's Hormone levels had surged.

In the resuscitation room, the pregnant woman, half-dead from torment by hyperemesis gravidarum, let out a sharp scream.

Faintly, one could hear her cursing, and even the sound of hysterical crying.

This is because she cannot accept the fact of induction; her emotions are almost collapsing, leading to this situation.

Zheng Ren did not want to look, and said to the obstetrics Inpatient Chief: 'The opinion is just what I said earlier. Whether it will work, I cannot guarantee, after all it is not a mature procedure. But there is still continuous literature proving it is a feasible method.'

The obstetrics Inpatient Chief nodded.

Having a method is far better than having none.

At the very least, when one is at the end of one's rope, there can still be an option.

Even if one crosses mountains and ridges, faces countless obstacles, and the road is however rugged, there is always a way forward.

As for whether to take this path, it depends on the opinions of the patient and their family.

"If needed, contact the endoscopy room and consult the Intervention Department. Doing it under endoscopy will increase the safety factor." Zheng Ren finished speaking, then left with Su Yun.

"Why not explain directly to the patient's family?" Su Yun asked.

"I'm so tired." Zheng Ren sighed.

Su Yun blinked slightly, then immediately understood.

This man, who could stand in Lead clothing for three days and three nights at Pengxi Township Hospital, also gets tired sometimes.

It is not bodily fatigue, but mental exhaustion.

He did not want to see the pregnant woman's desperate howl, but he also had no perfect solution. This sense of Fatigue arising from deep within the Inner Mind, Su Yun understood.

Returning to the office, Chang Yue was not there; presumably she had gone to the wards to chat with patients' families. Liu Zewei was earnestly writing the medical record, and his head seemed to have gotten a bit oilier.

Professor Rudolf Wagner was watching a video of Zheng Ren performing Shou Bing, his right thumb lightly twisting between his index and middle fingers, as if he were learning Shou Bing.

"Fugui'er, what are you doing?" Zheng Ren asked casually as he entered.

"Boss, I'm watching your Shou Bing." Professor Rudolf Wagner lifted his head, full of admiration: "You've done it damn well, awesome."

"…" Zheng Ren felt the professor was becoming more biased, running wild without end.

"I've watched it over and over, finally knowing why you tapped me." Professor Rudolf Wagner felt somewhat proud, showing off to Zheng Ren: "In the past, when I did Shou Bing, I was still too clumsy; in some places, being a bit more precise, I could achieve Super-selective success in one go, avoiding the repeated Super-selective attempts that leave one huffing and puffing."

Zheng Ren's heart felt even more tired.

He patted the professor's shoulder, signaling him to continue studying, then sat down in his usual seat, preparing to enter the System Library to read.

"Fugui'er, you've been doing nothing but idle these days, with no Shou Bing to perform—are you just lazing around?" Su Yun asked.

"Hmm." Professor Rudolf Wagner nodded.

Zheng Ren glanced at Su Yun in surprise.

He wasn't teasing the professor; it sounded like he was speaking Dong Bei dialect, genuinely contagious. Su Yun this guy has already fallen for it.

"It's fine; the Community Hospital will be ready soon, and then there will be plenty of Shou Bing to do." Su Yun laughed: "If you do it steadily, don't go bald and turn against the stick, then over there the TIPS Surgery will…"

As he spoke, he saw Liu Zewei's eyes glowing.

"You two, divide the work." Su Yun corrected himself quickly.

"What about the patient source?" Professor Rudolf Wagner asked.

"Go ask; seeing how much the scalpers have inflated the outpatient numbers will tell you how many patient sources there are. By then, you can do whatever you like."

"Huh!" Professor Rudolf Wagner brightened up: "Boss, when you call me for Shou Bing over there, I'll go and do Shou Bing after covering myself against the wind. Twenty a day, no less, no more."

Zheng Ren covered his forehead.

"Sister Lin, how's it going over there?" Su Yun, not knowing when he had already dialed Lin JiaoJiao's phone, asked: "Sister Lin, how is the Community Hospital doing? I've been busy lately and haven't had time to check."

"Oh, sure, I'll ask the Boss." Su Yun hung up the phone.

"Boss, Sister Lin said that side is about done." Su Yun chuckled: "Sister Lin didn't spell it out, but it looks like she still wants to ask you whether you've figured out the gastric artery embolization procedure."

"……" Zheng Ren has been busy lately, he shoved this matter to the back of his mind.

Losing weight? In Zheng Ren's view, it's not really a thing at all. It's a need beyond survival, so its importance in his mind naturally drops a lot.

"Su Yun, you ask……" Zheng Ren said: "Ask Liu Xu zhi if he can come; I don't know if his wife can let him come."

"Liu Xu zhi's wife? She's a fine person, definitely nothing wrong." Chang Yue stood at the doorway, speaking leisurely.