"What kind of gastrectomy do you have nothing to do? It''s a study for patients with intractable obesity and poor blood glucose control." Wu Mian said.


    "Alas, I can''t help it. Girls are like this now." Guo Ruming said, "especially female stars. If they are a little fat, they are said to have problems in body management. It''s true that they lose powder. People speak louder than gold, Miss Wu, you know."


    "It''s not as good as surgical resection. It''s a joke about health." Wu miandao said, "and for surgery to lose weight, as long as it''s not a special patient, the best choice is interventional therapy to embolize the gastric fundus and left gastric artery." Wu miandao said, "minimally invasive surgery, after surgery... Forget it. It''s already cut and can''t be repaired anyway. Let''s see the patient first."


    Guo Ruming became obsessed. He firmly remembered what Mr. Wu said about embolizing the gastric artery and asked for advice when he went back.


    They came to the rescue room and saw Zhou Guohui doing a physical examination for sun Meng.


    "What''s the origin of director Zhou?" Guo Ruming asked in a surprised whisper when he saw that Zhou Guohui was very old and raised his hands and feet.


    "It''s the director of Neurology Department of imperial hospital who came to me for vacation." Wu Mian said.


    Vacation, do you get up in the middle of the night? Guo Ruming thought to himself.


    "I just saw director Zhou when I came here. He hasn''t gone back to his bedroom yet." Wu Mian said.


    "Can you stand it so late?"


    "He is studying the positioning principle of brain pacemaker under Alzheimer''s disease." Wu Mian said, "director Zhou is also a person who knows death reason. He doesn''t know the principle. He doesn''t feel at ease when he sits up. Even if the patient is well, he will think it''s a coincidence."


    Wu Mian didn''t enter the rescue room, but spread out and looked at it with his back.


    The emergency room was in order, like an extremely precise machine running.


    This is quite different from the hospital rescue room in Guo Ruming''s impression. There is no noise, no shouting of medical staff, and no noise and crying of patients'' families.


    Everything was quiet, even the nurse trotted all the way without making a sound.


    Zhou Guohui inquired about the medical history while doing physical examination.


    A young doctor stood beside him with a pad in his hand, recording the narrative language of the patient and his family.


    Fifteen minutes later, someone pushed sun Meng out. Zhou Guohui came to Wu Mian and said, "teacher Wu, the patient had no obvious inducement four days ago, and suddenly had a disturbance of consciousness, manifested as decreased attention, confused day and night, couldn''t find his bedroom, and was accompanied by hearing loss. These symptoms gradually worsened in the past four days, and sleepwalking occurred two hours ago."


    Wu Mian nodded.


    "Before the illness, the patient had no discomfort such as fever, headache, tinnitus and vertigo, and had not been to the epidemic area and forest area. Three months ago, she underwent laparoscopic sleeve gastrectomy. After the operation, she had continuous vomiting, about 1-3 times a day, poor appetite, and her weight decreased by 10kg in the past three months."


    "After admission, the physical examination of the nervous system showed that the time, place and person''s disorientation, bilateral bidirectional horizontal and vertical nystagmus, Weber and Rinne tests showed bilateral sensorineural hearing loss. The muscle strength and deep and shallow sensory examination of the limbs were normal, the tendon reflex of the limbs were active, and there were no obvious abnormalities in the physical examination of the rest of the mind."


    "After waiting for the results of laboratory examination, it is preliminarily considered that Wernicke encephalopathy may be caused by vitamin B1 deficiency."


    "Well, I think so too. It''s hard, director Zhou." Wu Mian said. "Now it''s time to send it for CT and MRI."


    "Yes, you have a rest first. I''ll go and have a look on the machine."


    "Our hospital network is real-time transmission."


    "..." Zhou Guohui was stunned and said with a smile, "I''m used to it, I''m used to it."


    Of course, Wu Mian knew that Zhou Guohui had to follow him to do CT when he was young. First, he wanted to see the film as soon as possible, and second, he was worried about what happened in the middle of the patient''s examination.


    Although sun Meng is not so serious, he is used to nature. If he doesn''t follow, he feels uncomfortable.


    Doctors have more or less similar obsessive-compulsive disorder.


    "It is estimated that there is no problem with the patient''s CT. The flair phase of head magnetic resonance shows symmetrical high signal shadow of bilateral thalamus, and no obvious abnormality should be seen in MRA and MRV."


    Before the inspection, Zhou Guohui has his own prediction.


    "Almost, it should be. Then you''re busy." Wu Mian said with a smile, "I''ll accompany director Guo."


    "OK." Zhou Guohui said with a smile, "teacher Wu, if you want to treat..."


    "Director Zhou, just come by yourself." Wu Mian said, "you''re too polite."


    Guo Ruming listened to the dew.


    When Zhou Guohui went after the wheelchair, he asked, "Mr. Wu, will the treatment be very troublesome?"


    "The treatment is very simple. Director Zhou and I are polite. After all, he is only a guest Qing. He doesn''t ask anything for vacation." Wu Mian said with a smile, "it''s enough to give intravenous thiamine supplement and nutritional support treatment after confirmation. Sun Meng found it earlier and shouldn''t have any sequelae. But..."


    When Wu Mian said the word "but" and then pondered, Guo Ruming''s heart sank suddenly.


    "Director Guo, have you noticed sun Meng''s hearing problem?"


    Wu Mian didn''t say, but Guo Ruming didn''t notice. But after listening to him and thinking about it carefully, there is a problem.


    "Sun Meng always can''t hear others clearly?" asked Guo Ruming.


    "Well, everything else is fine, but it''s estimated that her hearing will be damaged to some extent and can''t be recovered." Wu Mian said. "Considering her state and age, it''s estimated that the damage will not be very serious enough to wear a hearing aid."


    Guo Ruming nodded.


    "The child fooled around and lost only 10kg... How can she do laparoscopic sleeve gastrectomy?" Wu Mian said with some regret. "After all, it''s an irreversible trauma. It''s OK to be obese like an agent. She wasn''t fat before."


    "I haven''t been hurt by the breakup." Guo Ruming also sighed and said, "teacher Wu, what brain disease did director Zhou just say?"


    Wu Mian glanced at Guo Ruming, without explanation, but said with a smile, "Wernicke''s encephalopathy used to be easy for alcoholics. It is also a kind of alcoholic encephalopathy. Now more and more Wernicke''s encephalopathy in our country occurs in girls who lose weight."


    "Nonsense? It''s not." Wu Mian seemed to be particularly disgusted with this, and said in a heavy voice.


    "Alas, there''s no way." Guo Ruming shook his head. "Teacher Wu, I''ll go back and study the minimally invasive treatment you said. If someone really wants to cut his stomach again, I recommend it."


    "From the cause of the disease to the ratio of men to women, there have been obvious changes. This is a new change in the new period, and doctors'' cognition should change with it."


    Listening to Wu Mian talking to himself, Guo Ruming thought that as long as people were all right. Sun Meng doesn''t know whether he is lucky or unlucky, but it''s good if he''s okay, it''s good if he''s okay.