Chapter 3097: with translation of chapter title

Sun Chao felt a bit bored; early in the morning, Zheng Lao Ban shoved this director aside and asked the patient's family about the patient's childbirth details from thirty years ago—indeed it was quite absurd.

Before Sun Chao could even zone out, he saw Zheng Lao Ban stand up and shout, "Professor Zhao, please come here for a moment."

"Hey!" a voice came from the far end of the hallway, followed by a series of hurried footsteps.

Zhao Wenhua rushed over; seeing Sun Chao in the room, he was momentarily startled, seeing that he was unfamiliar and didn't even greet him, so he stood beside Zheng Lao Ban.

"The patient preliminarily may have Sheehan's syndrome; she had massive bleeding when giving birth 32 years ago, and since then she's had this problem. Check her thyroid function three items, and do a head Nuclear Magnetic Resonance; if the diagnosis is clear, you can treat her here or transfer her to the Endocrinology Department."

"Zheng Lao Ban, please speak slower—what syndrome is it?" Zhao Wenhua immediately asked.

"Sheehan's syndrome, Old Zhao, you haven't even grasped the basics." Su Yun laughed.

"Hey, I've forgotten all that stuff we learned in school." Zhao Wenhua faced Su Yun's mockery without getting angry; instead he lay back, relaxed, and said with a smile.

Sun Chao silently watched all this; even if Professor Su spoke harshly, Zhao Wenhua would just laugh it off as usual.

"Is he being mean? Definitely not. It's just that Zheng Lao Ban always solves any problem, and over time, his occasional sharp remarks are taken as jokes between close friends."

But what the heck is Sheehan's syndrome? Sun Chao vaguely recalled that it is a secondary condition occurring in the peripartum period due to placenta previa, placental abruption, retained placenta, uterine atony, etc., causing massive bleeding, shock, thrombosis, leading to ischemic necrosis and fibrosis of most of the anterior pituitary, resulting in reduced pituitary function—a clinical syndrome.

Beyond that, he didn't understand anything further, and as for the connection with hypoglycemia after splenic embolism, he was completely clueless.

"All right, I'll check it and report the results to you, Zheng Lao Ban." Zhao Wenhua set off to carry out the order, without a hint of doubt.

Sun Chao was also speechless; for a chronic hypoglycemia issue, Zheng Lao Ban actually ordered a head Nuclear Magnetic Resonance and thyroid function three items.

Never mind, it's not really my concern; what if it actually turns out to be that Sheehan's syndrome?

However, it seems Zheng Lao Ban is quite interested in this; maybe I should ask him about it?" Sun Chao suddenly had that thought.

Seeing Zhao Wenhua go off to work, Sun Chao walked over to Zheng Lao Ban and asked, "Zheng Lao Ban, why are you considering Sheehan's syndrome?"

"For a woman with recurrent chronic hypoglycemia, if her pancreas and glycated hemoglobin are normal, the first thing to consider is Sheehan's syndrome. Although the incidence is low, the condition is relatively serious, so early diagnosis and treatment are beneficial."

Zheng Ren laughed as he said, "It's obvious he's more interested in explaining the condition than in idle chatter."

"You're probably unfamiliar with Sheehan's syndrome, aren't you?" Zheng Ren saw Sun Chao's bewildered face and immediately realized he was the director of the Vascular Department, who doesn't treat this disease.

The patient before us has a history of hepatitis C-related cirrhosis; due to cirrhosis, the liver's glycogen synthesis and storage are reduced, and its ability to inactivate insulin is diminished, leading to hypoglycemia, which is why this patient has been repeatedly misdiagnosed by outside hospitals as having cirrhosis and hypoglycemia.

The patient has a history of postpartum massive bleeding, with clinical signs of reduced gonadal, thyroid, and adrenal cortical function; thyroid function and aldosterone levels are low, and if we check a head Nuclear Magnetic Resonance, it would likely show a reduced pituitary volume and partially empty sella...

"Zheng Lao Ban, wait a moment." Sun Chao didn't understand, so he immediately interrupted Zheng Lao Ban's speech and asked, "Is there a problem with the head Nuclear Magnetic Resonance? Is that your estimate?"

"Oh, no, it's a statistical probability issue that has been thoroughly studied." Zheng Ren laughed, saying, "Due to postpartum massive bleeding, especially when accompanied by prolonged hemorrhagic shock, the anterior pituitary tissue becomes hypoxic, undergoes degenerative necrosis, then fibrosis, ultimately leading to a syndrome of reduced anterior pituitary function, which occurs in about 25% of postpartum hemorrhage and hemorrhagic shock patients."

Sheehan's syndrome, simply put, occurs when massive bleeding during childbirth triggers hemorrhagic shock, or even disseminated intravascular coagulation, causing sympathetic reflex excitation that leads to arterial spasm or even occlusion.

This reduces or cuts off arterial blood supply to the pituitary, causing degenerative necrosis of anterior pituitary cells, which drastically reduces the secretion of various hormones from the anterior pituitary and its target organs, leading to premature functional decline of those target organs and a series of syndromes.

Listening to Zheng Lao Ban expound at length on the origins and development of Sheehan's syndrome, Sun Chao, the director, recalled that back when he was in neurosurgery, he used to explain the characteristics of echocardiography to himself in just this way.

One, two, three, four, five—clearly it's a hallmark trait of a science-and-engineering nerd.

Cirrhosis, hypoglycemia—who would have thought they could lead to all this… Sun Chao let out a soft sigh.

"Professor Zhao." Zheng Ren suddenly called out.

"Hey, Zheng Lao Ban, I've finished the medical orders." Zhao Wenhua immediately replied.

"Next time you take a medical history, be more thorough; if you elicit that this patient had massive bleeding during childbirth, you probably wouldn't have ended up in such a dangerous situation." Zheng Ren said softly.

Zhao Wenhua scratched his head, feeling a bit embarrassed, but didn't retort.

Sun Chao didn't think it would just fade away unseen; the so-called Sheehan's syndrome was only a vague impression to him.

The probability of massive bleeding during childbirth itself is not high, and when you factor in the additional odds, it's rare; over all these years, I don't think I've ever encountered a few similar patients.

Zheng Lao Ban really loves to teach, acting like the department's big director; the Team-leading Professor says to train, and he trains.

But he's capable of it, and Sun Chao has no doubt that the test results will confirm Zheng Lao Ban's diagnosis.

After seeing a patient, it was already time to start work. Sun Chao knew the morning was the busiest, so he thanked Zheng Lao Ban a few more times before leaving. He hadn't slept the night before, feeling like he'd been on a roller coaster, almost breaking the newly given leisurely.

Dahungya looked pleadingly at Zheng Ren; Zheng Ren also had no choice, he left Liu Xiaomei's contact information and arranged an afternoon visit to the Community Hospital. Only then did Dahungya leave satisfied. Watching his retreating back, Su Yun frowned and asked, "Boss, do you think Dahungya would be that kind-hearted?"

"Definitely not." Zheng Ren said, "I think he just wants to plant a person in the Community Hospital, and later do whatever comes up, adapting as needed. However, this time I owe Dahungya a favor, and I've also gained some insight; it's fine for that girl to stay at the Community Hospital."

"Hey, don't be careless." Su Yun laughed, "If you really capsize in Dahungya's ditch, where would you go to reason?"

"It's not that dark; with Lao Fan around, she won't be able to make any waves."