Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 100 Hepatic encephalopathy, the hazards of irregular inspections! (Please subscribe!)

"No schizophrenia? Then how did it become like this?"

"He was definitely not what he is now!"

The woman looked at Lin Yi puzzled and asked.

Lin Yi explained to her:
"The blood ammonia was tested just now, and the blood ammonia content in his body is very high, which shows that the ammonia metabolism is disordered,"

"As the ammonia ions in his body increase, they will pass through the blood-brain barrier and enter the brain, thereby affecting brain function, and the patient will have symptoms such as mental decline, behavioral disorders, and even coma."

"That's hepatic encephalopathy caused by liver failure!"

"And one of the behavioral disorders is defecating everywhere, which can easily be misdiagnosed as schizophrenia!"

"Hepatic encephalopathy?"

After listening to Lin Yi's explanation, the woman didn't know whether the situation had gotten better or worse!
"So...is this a good thing or a bad thing?"

Then, she looked at Lin Yi and asked.

Lin Yi pondered for a moment, then said:
"Ma'am, I'm going to tell you the truth."

"The current situation is more complicated than expected. Your husband's life will be in danger at any time."

After hearing this, the woman's mood suddenly fell to the bottom, and she was stunned!
"To be honest, at this point, it is really difficult to get treatment."

"Because his liver has failed, whether it is medical treatment or surgical treatment, it is very difficult."

Lin Yi continued.

"Doctor, I beg you, you think of a way to save my husband, I really beg you!"

With that said, the woman wept emotionally, walked up to Lin Yi, and cried to him.

And her husband looked at the two of them dully, without any reaction.

Looking at the picture in front of them, the water friends in the live broadcast room couldn't help sending out bullet screens at this moment, feeling deeply moved.

The pillar of the family, who was in good shape, suddenly fell ill like this, the sky is about to collapse!

"Ma'am, if you have something to say, don't do this. I will definitely do my best to treat your husband, but this is his current situation."

Lin Yi got up quickly, supported the woman, and comforted her.

"Then trouble you to think again, is there any treatment plan!"

The woman continued to stare at Lin Yi emotionally and asked.

"His liver failure is at an advanced stage, unless it is... a liver transplant."

Lin Yi thought for a while and said, but then said:

"However, liver transplantation is not that simple. You have to be lucky enough to find a suitable liver source."

"And it requires experienced experts to perform the operation to ensure the success of the operation."

"What's more, after a successful transplant, you may be inseparable from anti-rejection drugs for the rest of your life..."

"The medical expenses spent at the same time are not a small amount."

The woman nodded fiercely while listening, and tremblingly said:

"It doesn't matter how much money you spend, as long as you can save my husband, even if there is a chance of survival, it's fine to sell the house!"

"Doctor, hurry up and arrange for me to see if there is a suitable kidney source!"

Lin Yi nodded solemnly, and then said:
"Okay, now I'll transfer your husband to the hepatobiliary department and let them prepare for the liver transplant as soon as possible."

"At the same time, I will contact Director Song of our Department of Hepatobiliary Surgery and ask him to perform the operation."

During the first aid outside the hospital, Lin Yi stopped the liver bleeding with his bare hands, which made Song Yi, the director of hepatobiliary surgery, look at him with admiration.

So now Lin Yi can also talk to him.

"Okay, thank you, thank you so much, Doctor!"

The woman said aloud gratefully.

"That's all I can do. The rest depends on your husband's luck."

Lin Yi took a meaningful look at Xu Fengqi who was sitting on the chair.

"Okay, I know!"

The woman said immediately.

"Doctor Wu, you can make arrangements."

Seeing that the matter has been explained, Lin Yi turned to Wu Jiang and said.

"it is good!"

Afterwards, Wu Jiang took the husband and wife out.

After they left, Lin Yi pointed the live camera at himself.

"Brothers, everyone has seen the situation of this patient just now."

"Just taking this opportunity, I will talk to you about the disease and popularize science, so as to avoid the same problems in the future."

Immediately, Lin Yi said to the camera.

As soon as the water friends heard it, they sent barrages to express their agreement:
"Great, anchor, tell us about it, let us understand!"

"Popularize disease knowledge, it may be useful in the future, haha!"

"Yes, anchor, add teaching time!"

"Conscience anchor, I have all the notebooks ready!"

"I'm just listening to the excitement, the anchor, tell me!"

Immediately afterwards, Lin Yi coughed lightly, looked at the screen seriously, and said:
"Let me first give you a brief overview of the onset of the patient's symptoms just now."

"First of all, he is a carrier of hepatitis B, but he has not been reexamined and followed up with the disease."

"In addition, he didn't pay attention at all. He drank a lot of alcohol and socialized for a long time, and gradually changed from a hepatitis B carrier to chronic hepatitis B."

"Later, because he was busy with work, he didn't have time to go to the hospital for a physical examination, and slowly he developed hepatitis into cirrhosis."

"However, in the early stage of liver cirrhosis, there are no symptoms, and it is difficult to be detected."

"He still drank alcohol every day, stayed up late, and did not take antiviral treatment, and abruptly delayed the early stage of liver cirrhosis to the late stage."

"It wasn't until he developed symptoms such as poor appetite, vomiting, fatigue, and hepatic encephalopathy that he noticed the abnormality in his body and went to see a doctor."

"I was misdiagnosed as schizophrenia in the previous hospital..."

"After this series of processes, step by step, he has reached the point where he can only have a liver transplant."

Lin Yi finished speaking in one breath.

The water friends in the live broadcast room sent bullet screens and sighed after listening:
"This chain is linked together, the more it develops, the more serious the disease will be!"

"It's all accumulated gradually!"

"In the final analysis, the physical examination is done too infrequently!"

"It seems that being a hepatitis B carrier is also quite scary. It can develop into this situation if you don't pay attention!"

"Yeah! It's a serious threat to life!"

"He didn't even know if the liver transplant would be successful!"

"To be honest, it's a bit difficult. After all, he doesn't have much time, and he needs to find a suitable source of liver!"

"I was found to be a carrier of hepatitis B before, so I won't follow in his footsteps, will I?"

"If that's the case, it will be cool!"

Lin Yi looked at the worried bullet screens from the water friends, and explained to them:
"Actually, you don't have to worry so much. Hepatitis B is so scary."

"Indeed, occasionally there will be some cases like the patient just now, and some patients will even develop liver cancer."

"But in fact, a situation like this can be avoided."

"If he went for a reexamination ten years ago and found out that he has chronic hepatitis B, he would have paid attention to it, would not drink alcohol, and actively took antiviral treatment."

"Then it is very likely that the disease will not develop further, and there may not necessarily be any problems if you live to the age of seven or 80."

After Lin Yi finished speaking, the water friends in the live broadcast room understood one after another, nodded incessantly, and sent a barrage:

"So that's the case. In other words, in fact, the patient's condition developed like this mainly due to his own indifference."

"After that, you have to pay attention to regular physical examinations!"

"Sometimes I feel that my body is fine without any discomfort, but I don't know what disease has worsened in my body."

"Fuck! Brother, don't say it so scary, okay!"

"However, I am also convinced by the anchor. The patients who come to him to see the doctor are basically with mild symptoms. After watching it, they are directly hospitalized with severe symptoms."

"Hahaha! Indeed, I feel that the anchor is poisonous!"

"The anchor is possessed by Ke!"

"Hahahahahaha!"

Lin Yi watched the barrage for a while, and couldn't help being amused by them, and explained repeatedly:
"Don't turn the logic upside down, okay? It's because I see a doctor that I can discover their big problems, okay?"

"If I hadn't discovered it in time, the consequences would have been even more disastrous."

"For example, the patient just now, if he hadn't come to see me, he would have been treated for schizophrenia. In that case, he would not even have the last chance."

After thinking about it, the water friends think it really makes sense!

"Just take advantage of this patient's case to ring the alarm bell for everyone."

"Regular physical examination is still necessary. If there is any problem with the body, it should be dealt with in time, otherwise it will easily become a big problem, and it will be more troublesome to think about treatment at that time."

Lin Yi continued to speak to the camera.

"Okay, anchor, you are so heartwarming!"

"I'm going to have a physical examination tomorrow, it's too scary!"

"Me too!"

"+1!"

...............

【Ding!Congratulations to the host, complete the intermediate diagnosis task and get the task reward:
Midwifery skill upgraded to intermediate level!

】

The diagnosis level this time can only be rated as intermediate?
But think about it, in fact, the disease itself is not very complicated, it's just a little confusing.

It didn't take long to see him anyway.

It's just that this skill is a bit...

That's all!Better than nothing!
Lin Yi stretched his waist, ready to have lunch.

After a morning of diagnosis and treatment, I am indeed a little tired!
But as soon as he stood up from the chair, the phone in the clinic rang.

Who is this?
Call just as I'm about to eat!
"Hello? Who is it?"

Lin Yi picked up the microphone and asked casually inside.

An anxious voice immediately came from the phone:

"Brother Yi, it's me, Ding Yongjie!"

"Ding Yongjie?"

Lin Yi couldn't help asking back in doubt.

He was in the emergency center, why did he call himself suddenly.

"Time is running out, Brother Yi, let me tell you a long story short!"

It could be heard that Ding Yongjie on the other end of the phone was very anxious.

Immediately afterwards, he said anxiously:

"We are now receiving a pre-hospital first aid mission!"

"According to the caller, Mr. He Laishui suddenly fainted in the community! Mr. He is 78 years old this year. At his age, fainting is not a trivial matter!"

Where is the water?
This name is so familiar!
Lin Yi couldn't help frowning, and then searched in his brain.

After a while, he suddenly found the memory in his mind!

This old man He Laishui was one of the top ten people who moved Jiangcheng selected a few years ago.

I live frugally and earn a living by picking up waste products. In the past 30 years, I have sponsored hundreds of poor college students to go to college!

At that time, various media reported overwhelmingly, and everyone was shocked when they heard the old man's deeds!
Unexpectedly, he suddenly fainted in the community.

"We are worried about what will happen when we arrive at the scene, so we want you to go with us!"

While Lin Yi was thinking about it, Ding Yongjie stated the purpose of calling him.

After hearing this, Lin Yi immediately understood what was going on.

It must be the last pre-hospital first aid. I used my liver to stop the bleeding with my bare hands, showing powerful skills.

So this time they encountered such a critical situation, they thought of themselves.

And in such a situation, there is no reason for him not to take action!

So he immediately agreed:

"Okay, no problem, then I'll call the brothers in my consulting room to go there together!"

"Okay, gather downstairs in the emergency center, hurry up!"

After finishing speaking, Ding Yongjie hung up the phone hastily.

Lin Yi didn't dare to delay, so he ran directly into the office and shouted inside:
"Borui, hurry up, follow me to the first aid mission before leaving the hospital!"

Song Borui paused for a moment when he heard the words, and then rushed out immediately.

"What's going on? Brother Yi, why did the emergency department call us?"

While walking out, Song Borui asked Lin Yi suspiciously.

"The emergency center asked me for help, saying that Mr. He Laishui had fainted at home and was in critical condition."

Lin Yi explained to him.

"Where does Mr. Shui come from?"

When Song Borui heard this, he was very surprised!

Mr. He Laishui's name is almost unknown in Jiangcheng, everyone respects it!

So upon hearing this, Song Borui immediately said:

"Is it the one who saves you to be able to help college students? Then hurry up, Yi Brother!"

"This kind of selfless old man cannot be put in danger!"

Soon, the two arrived in front of the ambulance in the hospital.

Ding Yongjie and his group were already waiting in front of the car.

"Quick! Brother Yi, hurry up and get in the car, let's talk after getting in the car!"

"it is good!"

Lin Yi and the two rushed up immediately, and the driver of the ambulance slammed the gas pedal and jumped out.

"Brother Yi, thank you for your hard work! The main reason is that the situation this time is a bit special. Mr. He Laishui is so old, it is really critical."

"And this time, the leaders of our hospital attach great importance to it, and have put down their words. No matter what the situation is, we must bring the old man to the hospital safely!"

"So just in case, I can only invite you to come with me!"

Sitting in the ambulance, Ding Yongjie explained to Lin Yi.

"It's okay, no hard work!"

Lin Yi said directly.

His heart couldn't help but tugged.

Because many old people unfortunately lost their lives because of trivial things such as a sudden fall or a cold.

At their age, whether it is immunity, anti-infection ability, or resilience, they have reached a critical value, and life is very fragile at this time.

Old and frail bodies like theirs can't stand a little toss!

"Is his community far from here?"

Lin Yi looked at the high-rise buildings flying past outside the car window, and asked Ding Yongjie.

"It's not too far away. It's probably seven or eight minutes away."

"He's in Jinting District."

Ding Yongjie replied.

(End of this chapter)