Bai Ye originally wanted to go directly to Gao Yueyang, but then he suddenly thought that Puze Hospital did not have an orthopedics department, and the history of the orthopedics department was not short.
So Bai Ye found Li Jianwei. He didn't say anything directly, but started chatting: "Director Li, you have been in Puze Hospital for a long time. I would like to ask, have you ever encountered someone who is more anxious in the orthopedics department?
Patients, or patients with obvious anxiety tendencies.”
Li Jianwei frowned. He had never thought about this question: "Which patient doesn't feel anxious after a fracture?"
When Bai Ye heard this, he was speechless and couldn't think of words to refute.
That's right, who is still happy after breaking a bone, and who is not anxious and depressed for fear of something going wrong?
Bai Ye smiled awkwardly: "That's not what I meant. What I meant was that during the recovery period, after a long time, do you have this kind of anxiety? For example, do patients with a history of orthopedic diseases have such symptoms?"
This made Li Jianwei couldn't help but recall: "It's rare, right? Orthopedic diseases... there's a big difference from anxiety and depression, right?"
While the two were chatting, Liu Xiaogang hurriedly knocked on the door: "Director, it's bad, that patient is here to cause trouble!"
When Li Jianwei heard this, he couldn't help but cursed secretly: "I'm really about to get anxious from this guy!"
"Huh? By the way, Xiaoye, I think orthopedic surgeons are more prone to anxiety. Do you want to do a survey?"
Bai Ye shook his head helplessly: "Director, let me go to the medical record room and check the cases in our department?"
Li Jianwei didn't even look back: "Go, go, go~!"
……………………
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Disputes like this are very common in surgery, and Bai Ye has no habit of joining in the fun, so naturally he left the orthopedics department and went straight to the medical record room.
After Bai Ye went to work the next day, Zhao Xiaojun personally delivered a patient and said to Bai Ye: "Xiao Ye, this patient was sent to our department for treatment by the medical department. Be careful."
Bai Ye raised his head curiously and asked, "Medical Department?"
Zhao Xiaojun nodded: "Well, this patient had a hip replacement in the orthopedics department in the early years. The treatment was very successful, but later the patient always felt uncomfortable in the hip joint and always came to the orthopedics department to ask for examination and treatment. He came once a year.
."
"Director Li Jianwei was helpless because there were no problems at all after repeated examinations. Finally, after mediation, the medical department decided to send the patient to the fifteenth floor for rehabilitation treatment. He suspected it was anxiety. Be careful. This patient loves to make noises. Don't
It’s causing trouble.”
At this time, Li Jianwei happened to come up with the patient. When he saw Bai Ye, he said hello with a dark face and left.
Bai Ye saw that this was a sixty-year-old man, wearing sportswear, running shoes, and a baseball cap on his head. Could it be that he was a patient?
After greeting him, Bai Ye thought about it. This patient was probably a patient with anxiety disorder and had a history of orthopedic diseases.
You can definitely find some reasons from him.
After thinking of this, he began to conduct detailed examination and analysis of the patient. On the same day, Bai Ye sent all norepinephrine and dopamine to the testing center for examination.
The hospital cannot test these items, and Bai Ye even set up all relevant laboratory items and inspection items for insurance purposes.
Because the patient received hospital-paid medical treatment, this treatment did not cost a penny. Similarly, Bai Ye did not ask the hospital to bear these examination items, but paid for the examination at his own expense.
Even the nurse was dumbfounded. She usually only draws about three tubes of blood, but now she drew seven or eight tubes of blood, and then did a lot of examinations and tests. It was completely inconsistent with common sense.
But the patient didn't care at all. He pulled the nurse and said: "Little girl, I'm in good health. It doesn't matter if you pump more. That... I'll check everything that can be checked, but you must not pull it off. I know my body well."
."
The nurse also couldn't help but smile. On the one hand, she wanted to take this opportunity to do some tests without spending more money for fear that the nurse would not draw blood.
But Bai Ye was very consistent with this patient's mood, because Bai Ye ordered all kinds of tests and tests, including syphilis, infectious diseases, and other tests.
Bai Ye finally met such a patient, but he didn't want to just let him go.
Naturally, the hospital knew about Bai Ye's examination of the patient's body. The director of the medical department was about to say something, but when he learned that it was all Bai Ye who examined the patient at his own expense, he swallowed his words abruptly.
.
Until a week later!
When Bai Ye got all the inspection reports, he started research and analysis.
Patients have abnormal data, and there are many of them. The most obvious one is the abnormal increase in 5-hydroxytryptamine. A high level of this indicator is an evaluation indicator of the patient's anxiety disorder.
But what’s the reason?
Bai Ye began to analyze and find out the reason why each data was high.
Blood lipids?
Blood lipids are indeed abnormal, but they have nothing to do with this indicator!
These are verified by statistical analysis results.
So, among so many abnormal items, which one is responsible for the increase in 5-hydroxytryptamine?
Bai Ye wants to figure it out, figure it out!
Therefore, he began to study various abnormal indicators. It would be best if these abnormal indicators could be linked to orthopedic diseases.
He couldn't figure it out on his own, so he found Moldo and studied with him. They were able to find the reasons for many abnormal indicators. In the end, Bai Ye and Moldo looked at the results of a trace element report in front of them and suddenly frowned.
"The content of cobalt in this trace element is obviously over the standard. Does it matter if the patient eats normally?"
What are trace elements?
Trace elements are substances that are extremely small in the human body, accounting for less than 0.01% of the total mass of the organism, and are some elements necessary for the organism.
Such as iron, silicon, zinc, copper, iodine, bromine, selenium, manganese, etc. Trace elements are some elements that are essential to plants but in small amounts.
When these elements are lacking in the soil or cannot be used by plants, the plants will grow poorly, and excessive amounts can easily cause poisoning. At present, most scientists agree that there are 28 types of elements necessary for life. Among the 28 types of life elements, according to the body's
The content can be divided into macroelements (or macroelements) and trace elements. Trace elements account for about 0.03% of the total mass of the human body. Although the content of these trace elements in the body is small, their role in the process of life activities is very important.
of.
When trace elements exceed the standard, plants will be poisoned, and the same is true for people!
Moldo looked at the patient's case. When he saw the patient's past history, he suddenly said: "Is it related to the prosthetic joint implanted in the human body?"
Bai Ye also suddenly woke up!
Because this patient had undergone hip replacement, and human prosthetic joints are generally made of alloys.
Cobalt alloy material is a commonly used alloy material for implanting prosthetic joints in the human body. This material has very high hardness, compressive strength and other indexes, and its safety is still guaranteed.
Therefore, it is widely used in clinical practice!
Is it really related to prosthetic joints?
Or maybe it has something to do with the prostheses made of cobalt alloy implanted into the human body?
After thinking of this, Bai Ye got up and went directly to Xiehe to find Gao Yueyang.
He asked directly: "Dean Gao, have you ever met this kind of patient, that is, a patient with a prosthetic limb in his body, who suddenly develops mental illness such as anxiety and depression?"
Gao Yueyang was stunned: "Why are you asking this question?"
Bai Ye explained, not telling everything, but selectively saying some things.
It's not that I don't trust it, but that it's unnecessary. Now I'm just making a guess, so there's no need to spread it everywhere.
After hearing Bai Ye's explanation, Gao Yueyang thought for a while: "It seems that there are, but there are not many patients, and the probability is not very high. However, there are some records. You can go to the psychiatry department to have a look."