"Insulinoma originates from pancreatic islet β cells, and the mammalian rapamycin target protein pathway may be involved in the occurrence and development of diseases.

Because of secreting a large amount of ins and not being regulated by negative feedback from hypoglycemia, 99% of patients showed recurrent hypoglycemia, and the whipple triad was the most typical manifestation.

In addition to confusion and delirium, hypoglycemia-related neurological damage may also occur, hallucinations, epilepsy seizures, memory damage, etc. In severe cases, coma may occur.

Patients are often accompanied by symptoms of increased adrenaline release and hyperexcitation related to sympathetic nerves, such as tremor, palpitations, pale complexion, and sweating. Hypoglycemia caused by insulinoma is a rare disease with low incidence, easy to miss diagnosis and misdiagnosis."

“…”

All the health care experts present were stunned.

Is Huang Lao reciting the medical records of the whole hospital consultation?

Does this make sense?

Is the old man old enough to have no ability to think?

It is not possible either. It is said that Mr. Huang also supported his students not long ago and won the world's first place in the world's cardiothoracic surgery competition.

What is he doing?

"Study reports that after 1 year of radical surgery for insulinoma, patients' cognitive function improved and some of them could return to normal.

Therefore, for patients with hypoglycemia, attention should be paid to differentiating from other functional and organic diseases.

When the patient shows a typical whipple triple, the onset should be monitored in time, and fasting blood sugar, ins, c-peptides, etc. should be measured simultaneously, so as to identify and treat it as soon as possible."

"Insulinoma requires qualitative and localized diagnosis. The difficulty of the former is that the symptoms can be quickly relieved after eating. In addition, the clinical manifestations of hypoglycemia are atypical, which are easy to misdiagnose and misdiagnosis; the difficulty of the latter is that the current conventional imaging examination methods, such as abdominal ultrasound, CT, MRI, etc., have low sensitivity and specificity for insulinoma, which are prone to misdiagnosis."

The more the experts in the health care team listen, the more confused they become, and the more helpless they listen.

No one expected that Mr. Huang would talk so much correct and useless nonsense.

Everyone knows that Mr. Huang only needs to say one thing - is the surgery possible or not.

But Mr. Huang kept talking nonsense.

Everyone was a little surprised at first, but as Mr. Huang continued to explain the basic things, the brilliance in his eyes gradually faded away and gradually became trunk.

Sure enough, when you speak empty words and clichés, you have to say that Mr. Huang. People say these useless but correct nonsense is more than others say.

"The diagnostic sensitivity of eus to pnens is between 80% and 90%, and smaller lesions can be detected..."

"ga-exendin-4  pet/ct sensitivity and specificity are both high. In addition to clear location, this examination also plays an important role in the evaluation of insulinoma's efficacy..."

Mr. Huang has no flaws from case analysis to machine sensitivity, and his basic knowledge has reached a certain level.

But it's useless.

At first, everyone pretended to listen carefully and gave Huang Lao's face. No one was distracted, even if it was pretending.

But as Mr. Huang turned on the class mode and talked endlessly about diseases and even machines, some people had already started to doze.

The leader of the health care team endured it for ten minutes, and took advantage of the gap between Huang Lao's speech and quickly squeezed out a smile.

"Old Huang, then how do you think this disease should be cured."

"Oh?" A strange smile appeared on the corner of Old Huang's mouth, and the smell of the old man disappeared.

The leader of the health care team was surprised. He subconsciously felt that Mr. Huang seemed to be ready to start.

"So what everyone wants is a solution. I thought it was to discuss the origin of the disease. Old man, I can't keep up with your ideas." Old Huang said lightly.

Although the sarcasm in the words was very light, it slapped everyone's face like a slap.

“…”

The experts in the health care team all shuddered, and the sleepy people were awakened.

Is Mr. Huang ridiculing?!

"If you want to treat it, then I'll say something practical." Mr. Huang suddenly sat upright and smiled slightly.

"On January 2, 1935, Professor Liu Shihao and Professor Lou Kes of BJ Union Hospital successfully diagnosed and removed the first case of insulinoma in China, and it is also the 18th case of such surgery in the world recorded in historical records."

“…”

Speaking of history, no one here is qualified to compete with Huang Lao.

"We are now in Shuaifu, only a few hundred meters away from UnionPay's operating room. It's almost 70 years old, and there is still no progress in the treatment of insulinoma."

"Old Huang, what you mean is..." The health care team leader was confused.

He didn't think that Huang was always swearing. If the old man wanted to swear, he could just curse him directly after entering the house. No matter who it was, he had to listen.

But after Huang Lao walked back in such a big circle, what exactly did he say?

"I remember when I retired, I went to Union Medical College's medical record room and read the medical records from 1935. Have you ever read it?" Mr. Huang looked at Union Medical College's experts and asked.

Union Medical College’s medical record database is known as Union Medical College’s treasure. It is said that even the birth of Mr. Yuan Longping.

But who has time to read the vast amount of information one by one?

The expert from Union lowered his head, and he did not look at Huang Lao's eyes.

"Professor Liu Shihao is the leader of the Endocrinology Professional Group and the head of the Department of Biochemistry. He attached his research on insulinoma to his medical record in 1935, and the most important thing is some conjectures about treatment plans."

“!!!”

Everyone was shocked when they heard Mr. Huang say this.

Before Mr. Huang spoke, everyone thought that the patient's condition was inoperable and it was an unsolvable problem.

Even if you barely undergo surgery and have top medical resources in China, the possibility of patients surviving is no more than 10%.

But who can think that the answer is in the archives not far away. You can find the answer by going out, passing by, and entering Union Hospital.

In an instant, everyone's ears stood up.

"Brother Liu has conducted detailed research on the disease through careful clinical observation, meticulous medical thinking and advanced medical concepts, and has benefited us a lot to this day."

Brother Liu... Everyone burst into tears when they heard the name of Mr. Huang.

Yes, Liu Shihao and Mr. Liu are a little older than Mr. Huang. They should be around 20 years old. It is right to call him Big Brother.

Among the living doctors, there are very few people who are qualified to call Liu Shihao and Mr. Liu like this.

"After Union Medical College's medical record, Brother Liu left a treatment plan. I have tried it twice in recent years, and the effect is quite good."

“!!!”

"Injection of anhydrous ethanol, about 2ml, has a good therapeutic effect on insulinoma."

Everyone was silent.

A difficult problem that stumps everyone, is it that simple to finally solve the mystery?

"Old Huang, can anhydrous ethanol be cured?" asked the leader of the health care team in surprise.

"No, we can only treat conservatively." Old Huang smiled slightly, "But some special situations, such as the condition we are facing now, it is already very good to treat conservatively, isn't it difficult?"

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