Medical road ahead

"Crohn's disease."

Qin Xiao stroked his chin, carefully recalling the medical knowledge and clinical manifestations of this disease.

Seeing this, Qiao Tan continued to analyze: "In addition to the common gastrointestinal disease symptoms, the clinical symptoms and signs of children with inflammatory bowel disease also have obvious extraintestinal manifestations, such as arthritis, growth retardation, weight loss, nutritional Malnutrition, anemia, anorexia nervosa, etc. Among them, growth retardation is the most unique symptom of children in the growing period, and it often appears in infancy.

Pediatric inflammatory bowel disease is usually divided into two types, one is ulcerative colitis, most of which have an insidious onset, or mild diarrhea and blood in the stool, but only fecal occult blood is seen.A small number of children have obvious symptoms and rapid onset, most of whom are infants.

The other is Crohn's disease. Abdominal pain is the most common symptom of this disease. It is usually located near the umbilicus and often occurs during or after meals, which leads to children's reluctance to eat and eventually anorexia. Most children Diarrhea is common in all patients, and weight loss and growth retardation are the most common and prominent symptoms of the disease. "

"Well, it seems that the condition of the black girl is indeed very similar to Crohn's disease."

Qin Xiao frowned and nodded, and then said: "However, colonoscopy and biopsy are still needed to confirm the diagnosis."

"Yes, because the two of us are not experts in pediatric enteropathy. We are only guessing based on our past experience and knowledge from books. In the end, we will take the black girl to the hospital for a professional examination."

Qiao Tan nodded and asked: "Look, can her hirsutism be cured? Surgical hair removal is only a temporary solution, not the root cause. The root problem must be eradicated, otherwise, it will still recur."

Qin Xiao said: "The black girl's hirsutism is not only congenital, but also her intestinal disease exacerbates it. Therefore, in addition to treating hirsutism, it is also necessary to treat her intestinal disease and malnutrition at the same time. A two-pronged approach , is the most effective."

"Then how do you plan to treat hirsutism itself?" Qiao Tan asked again.

"Combined medication, the current research on drugs for female hirsutism is relatively mature. On the one hand, drugs that non-specifically inhibit the secretion of androgen from the ovary and adrenal gland can be selected, and on the other hand, drugs that inhibit the binding of androgen to the androgen receptor can also be selected. How to use the medicine can only be determined after an examination for the black girl. Hormones, blood biochemistry, and imaging studies should all be checked, in case the black girl may have tumor problems." Qin Xiao said.

After listening, Qiao Tan turned his head to look at the black girl who was leaning on his mother's arms and acted like a baby again, and murmured: "Actually, the causes of intestinal diseases in children also include genetics, infection, spirit, environment, diet, and mucous membranes." Local immune disorders, etc. It can be seen that the living environment and diet of the black girl are not optimistic, but I don’t know if other children in this village are also like this.”

Qin Xiao suggested: "If possible, it is best to contact the local hospital to give the children in the village a more comprehensive physical examination."

"I'm afraid this is not easy. There is only one health center here, and there is no condition for physical examination. Moreover, the parents here don't seem to pay much attention to the physical examination of their children. Unlike ours, even if the parents do not pay attention to this issue, the school will Organize regular physical examinations for the children to find out the children with diseases so that they can receive timely treatment. Some ideas are difficult to realize here. It has cost Director Liu a lot to popularize nutritious meals to the children here time and energy."

Qiao Tan shook his head, feeling that it is very difficult to improve the medical situation in the mountains. Whether it is human and material resources, or material equipment, it needs external support. More importantly, the cooperation of the local people is particularly critical .

Take Hei Niu as an example, as long as she has the support of her family, she can be sent to City C for medical treatment, including her father's suspicion, a paternity test can resolve family disputes, but they are unwilling, and they are still restrained by inherent concepts after all. , Ultimately affecting the healthy growth of a child, and even the future life.

Thinking of this, Qiao Tan couldn't help frowning, and stretched out his hand to lead the black girl to him.

"Black girl, do you want to go to City C for medical treatment with your sister?"

"Go to City C?"

The black girl blinked her big eyes, then turned her head to look at her mother, and asked softly, "Mom, can I go to City C for medical treatment?"

Hei Niu's mother opened her mouth and did not answer right away, but frowned and looked at Qiao Tan, "Doctor Qiao, can't you cure Hei Niu's illness here?"

Qiao Tan said truthfully: "The black girl's problem, in addition to hirsutism, may also have intestinal diseases, and other hidden diseases. The local medical conditions may not be able to provide effective treatment for the black girl.

The black girl is still young, and some problems can be solved as soon as possible, so as not to affect her future growth.

Besides, changing the black girl to a better treatment and recuperation environment will be better for her and for you, isn't it? "

"Go to City C."

The black girl mother licked her dry lower lip, unable to stop.

Qin Xiao inquired: "Are you worried about the child going out alone? If that's the case, you can consider going with him. Besides, Mu Shan and Mao Rui are also in the hospital, so you don't have to worry about not having any acquaintances there."

"I'm afraid it's not cheap, is it?"

The black girl's mother rubbed her hands together, expressing her embarrassing concerns.

Uncle Bai hurriedly said, "I have money here."

"Grandpa Bai, you don't need to pay for it."

Qiao Tan waved his hand to reassure him, "For the situation of Hei Niu, we can apply for a treatment fund from the hospital, and study her symptoms as a medical topic. Right? Qin Xiao."

After finishing speaking, she turned her head to look at Qin Xiao.

Qin Xiao nodded, "Our hospital will set up some project funds every year to help special patients, and use them as research topics for interns to learn and for medical exchanges."

"Did you hear that? You don't need to spend money. The last time I was treated, Director Liu applied for the medical treatment fund for me."

Uncle Bai patted Hei Niu's mother on the back, and continued to persuade: "The child's body is the most important thing. After her illness is cured, those gossips will disappear, and your life will return to normal."

"There's no going back to the past."

The black girl's mother smiled wryly and shook her head, she had already given up on her dilapidated marriage.

After thinking about it for a while, she pulled the black girl and asked softly, "Niu Niu, do you want to go to City C for treatment? It's far away, and it takes a long time by car."

"miss you!"

The black girl nodded heavily, pouted and said aggrievedly: "No one here likes me anymore, and my father doesn't want me anymore."

"Niu Niu."

The black girl's mother hugged her into her arms, and couldn't suppress the bitterness and grievance in her heart, sobbing while holding her.

Qiao Tan felt the same way, and his eyes blushed involuntarily.

Qin Xiao squeezed her shoulders, bowed his head and whispered: "They will get better."

After resting at Uncle Bai's house for a day, Qin Xiao and Qiao Tan took the black girl mother and daughter to leave Wuyi Township and return to City C.

Before leaving, Uncle Bai took Qiao Tanyiyi to say goodbye, "Dr. Qiao, you came and went in a hurry, and you didn't let me treat you and Doctor Qin well. In the future, I don't know when you will come again .”

"Soon, after the black girl is cured, I will personally send her back." Qiao Tan said with a smile.

Uncle Bai frowned, hesitated for a while, and then whispered to Qiao Tan: "If they want to stay in City C, I need to trouble you to help me a little bit. I have already told Mu Shan and Mao Rui that the black girl's family has broken up. , it’s just a family in name, so last night I chatted with Hei Niu’s mother for a long time, and asked her to bring all her belongings. If she can find a job in C, she will start over there. Anyway, there are Mushan and Mao Rui caressing."

"I understand, don't worry, I will take good care of them." Qiao Tan solemnly promised.

"Thank you, Dr. Joe."

Uncle Bai thanked her with a smile, gently embraced her and pointed to the lofty mountains in the distance, and said slowly: "The place where we live is often surrounded by clouds and mists, so it is named Wuyi, but not long ago, this place has been under the jurisdiction of Laguo Township. After all, our place is too small, and it takes a long time to develop, so I hope that the children here can go out to see the world, and then bring back what they have learned and see to build our small village."

"Grandpa Bai, yes, as our country's poverty alleviation projects advance to the deep mountains, your life in the mountains will definitely get better and better. With the development of medical care in the future, you won't have to travel all the way to see a doctor in City C."

Qiao Tan patted his hand and smiled in relief.

After bidding farewell to Uncle Bai, the group of four quickly set off, piercing through the clouds and mists, and crossing mountains and mountains.

And just as the car left the entrance of the village, a young man stepped out from the corner and looked at the black girl mother and daughter sitting in the back seat with complicated expressions.