Chapter 3119: 2915 One Corpse, Two Lives

Midnight, Di Du, Women and Children's Hospital.

A medical record lay before everyone; the patient, female, 24 years old, due to amenorrhea 38+5 weeks, upper abdominal pain accompanied by bleeding 2+h. The patient had a history of anemia since childhood and denied any related familial hereditary disease.

The thick examination report had been looked over by everyone present; they already had a clear understanding of the patient's condition.

Fluid accumulation was seen in the patient's peritoneal cavity, thickness 4.6 cm, with a dull percussion sound. An enlarged maternal liver and spleen were detected. A peritoneal puncture was performed, extracting 2 ml of non-clotting blood.

The patient's situation was not right; those lab reports mutually confirmed yet also contradicted, but the consensus was——the patient needed emergency surgery and could not deliver normally.

Director Han silently looked at the form; she had an idea in her mind but could not be certain. Seeing everyone agree on emergency surgery, as for the liver and spleen enlargement in the peritoneal cavity, no one gave a definite answer, and Director Han felt somewhat anxious.

If they rushed into surgery, she worried there would be greater problems during the operation.

"Wait a moment." Director Han said in a low voice, "I will raise another possibility."

"How?"

"I think it could be the late-onset form of Gaucher disease, also called Niemann-Pick disease, causing this condition."

Gaucher disease is rarely seen nationwide. Now the domestic treatment base for Gaucher disease has unknowingly become 912; almost all Gaucher disease patients are advised by doctors across the country to go to 912 to find Zheng Lao Ban for treatment.

Since the first Gaucher disease surgery live broadcast, up to now, Zheng Lao Ban has performed 32 similar surgeries.

"Gaucher disease, glucocerebroside lipid storage disease, is due to a reduction or deficiency of beta-glucocerebrosidase, causing glucocerebroside to fail to break down into galactocerebroside or glucose and N-acyl-sphingosine, thus glucocerebroside massively accumulates in the mononuclear macrophage system, leading to massive proliferation of tissue cells."

"Director Han, we considered this possibility, but the blood test did not detect Gaucher cells."

"Gaucher disease is an autosomal recessive inheritance; due to varying degrees of enzyme deficiency, symptoms can differ greatly, classified into types: adult type or chronic type; infant type or acute type; juvenile type or subacute type."

"My consideration is that the patient belongs to the adult type, i. e., the chronic type. Originally it progresses slowly; if there were no pregnancy, it could at least be delayed until age 40. As long as a splenectomy is performed, there would not be major problems. But pregnancy changed everything, causing hepatosplenomegaly."

"The patient's condition is very urgent; the fetal heart rate is very fast." Another director said.

Women and Children's Hospital rarely faces the dilemma of saving the mother or the child; but if the possibility of Gaucher disease is overlooked, by the time the cesarean section surgery is completed, it will be the countdown to the pregnant woman's death.

The reason for a hospital-wide consultation is that the pregnant woman's coagulation function has some issues. But no one expected Director Han to actually bring up a rare disease, and she seemed quite determined about it.

"I'll consult Zheng Lao Ban, send him the data, and let him take a look." Director Han said, "Surgery can be prepared first; we won't waste time."

Everyone looked at each other, but in the end they still agreed with Director Han's opinion.

It was just midnight; making a consultation call—wouldn't that be too impolite? Director Han hesitated a bit, but the patient's condition was more urgent, there was nothing to discuss, so she still placed the call.

"Zheng Lao Ban, sorry to disturb your sleep."

"Uh... okay, okay... wait, you're in Sweden?!"

At this moment Director Han realized it was already December 9th, 1 AM; what time was it in Sweden? Probably around 6 PM on the 8th.

Not disturbing is not disturbing, but Zheng Lao Ban isn't there; if the pregnant woman is diagnosed with Gaucher disease, who will perform the surgery?!

Director Han knew time was pressing, didn't think too much, and explained the situation here.

Afterwards she hung up the phone; that side had already begun pre-operative briefings with the patient's family, and had called in everyone from the Medical Department for video recording to avoid disputes.

Whether to operate or not, the patient faces severe consequences—death. It's no longer a matter of saving the mother or the child; the focus is on how to survive.

Director Han felt somewhat troubled; Gaucher disease is rare, and she could think of it because a patient's death after surgery seven years ago left her with a psychological shadow that is still hard to erase.

Let's ask Zheng Lao Ban; for the diagnosis and treatment of Gaucher disease, he is still the most professional.

……

……

Stockholm, in a Western restaurant, everyone was chatting and laughing.

The fish bone was removed, everything returned to calm. Xie Ning's joy came from the heart; the fish bone that had bothered him for 24 hours had disappeared, those were just a nightmare. Having resolved this, Xie Ning now feels that this inexpensive son-in-law looks not bad.

"Boss, Gaucher disease?" Su Yun caught some hints, seeing the boss hang up the phone, she immediately asked.

"Yeah, the Women and Children's Hospital called; a pregnant woman is suspected of having adult-type Gaucher disease. Because pregnancy increased the burden, it caused hepatosplenomegaly, and her coagulation function is also poor." Zheng Ren said, "Let's look at the specific data first before saying more."

Su Yun swiftly took out her notebook, not yet having time to ask the boss why he was bringing a laryngoscope abroad; it seemed as if everything had been foreseen.

Actually Su Yun had a strange thought—the boss is a person who ages in reverse.

His every day is yesterday rather than tomorrow! This also explains why our boss always seems to have divine assistance.

Now among women a term for reverse aging is popular, meaning to praise being 30 this year and 29 next year, getting younger and younger. Su Yun having said it often, naturally various strange associations arise.

When applied to our boss, he feels everything follows naturally, perfectly explaining the purpose of this odd person's existence.

But there are also problems, such as the skill level should be at its peak when one first meets him, then decline each day, until decades later he becomes a child who can do nothing, etc.

Su Yun's mind is always full of oddities; before she could inquire further, Di Du called.

Su Yun's attention was once again drawn over; this is a matter of one corpse, two lives!

Opening the notebook, an email had already arrived in the mailbox.

Zheng Ren and Su Yun, without any hesitation, began reading the medical record at the dining table.

Xie Ning smiled while looking at Zheng Ren and Su Yun; Zheng Ren's honest face seemed increasingly pleasing to the eye.

Originally I thought I would tear up and drool, showing everyone what I'd look like with senile dementia fifty years later. But I didn't expect Zheng Ren to have completed the operation while telling the story; his skill is truly extremely high.

He was not displeased because Zheng Ren was immersed in the medical record; he smiled slightly and said to Xie Yiren, "Yi Ren, do you often have midnight consultations?"