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

Chapter 156 To be honest, have you cheated? ! (Please subscribe!)
It was not until noon that Wu Jiang returned to the office.

"The test showed that it was not tularemia."

After entering, Wu Jiang lowered his head and said something.

"Hey, tell me, is there a problem with the test, a false negative!"

"What if we treat him directly like tularemia and give her medicine?"

Afterwards, Wu Jiang looked at Lin Yi with hot eyes and asked him.

Lin Yi was stunned after hearing his remarks!

"Are you crazy?! They have been tested, and it shows that there is no tularemia. Do you still need to take medicine?"

Lin Yi questioned him, then nodded and said:
"It's true that the tularemia test is indeed wrong, but you can't just give her medicine before the re-examination, right?"

"But waiting now doesn't mean there is no solution! To put it bluntly, I'm just waiting to die..."

Wu Jiang continued to insist,
"Because her symptoms are very consistent with tularemia, if we give her medicine directly, there may be a chance of survival."

Lin Yi sighed helplessly, and then said:
"You have to figure it out, if you treat her according to tularemia, it may cause her to develop aplastic anemia!"

"This is medical malpractice! We have to bear the responsibility!"

After Lin Yi finished speaking, Wu Jiang frowned and said:

"Then why are we waiting here?"

Lin Yi was silent for a while, then said:

"Even if you don't have a clue, you can't do what you say. The risk is too great!"

"The most important thing is that the possibility of her suffering from tularemia is also very low, it's not worth the risk for us!"

Wu Jiang shook his head helplessly, and said:

"Then now I really can't think of any possibility."

"Oh, but it's a pity that this woman is so beautiful and so young..."

Lin Yi stared at the desktop, frowned, and kept thinking.

"This woman is also very good at playing. I went to their restaurant to investigate yesterday. Her colleague told me that she knows her situation very well. She has a lot of friends and often has various parties."

Immediately afterwards, Wu Jiang wentssip again.

Yin Liang on the side couldn't help complaining:
"When is this, you still have the mind to pay attention to other people's private life."

"Who paid attention! I'm just talking casually..."

Wu Jiang replied immediately.

"Wait a moment!"

Suddenly, Lin Yi suddenly raised his head and stared at Wu Jiang closely.

Everyone was stunned.

Wu Jiang looked at him suspiciously and asked:

"What's wrong? Brother Yi, why are you so excited?"

Afterwards, seeing that Lin Yi was not good at talking, he felt that he thought he was talking indiscriminately, so he said quickly:
"Okay, I see, Brother Yi. I won't talk about these useless things."

"No."

Lin Yi waved his hand, frowned, and then said:

"I just thought of something."

Seeing Lin Yi like this, the others couldn't help staring at him closely, and asked:

"What came to mind?"

"I was thinking that the transmission route of black African trypanosomiasis is not just blood transmission and direct infection."

Lin Yi said slowly.

"Huh? Black African trypanosomiasis?"

After hearing Lin Yi's words, Wu Jiang couldn't help asking,
"Why do you think of this disease again? Hasn't this been ruled out by us long ago?"

"Indeed, it was excluded by us."

Lin Yi nodded, then suddenly said:
"But it is our ignorance that rules it out!"

"Ignorance? What do you mean?"

Wu Jiang couldn't help asking.

"We ruled out this disease just because the couple haven't been to Heizhou recently, it's too hasty!"

Lin Yi said directly.

"Then besides the two modes of communication just mentioned, what other modes of communication are there?"

Wu Jiang looked at Lin Yi and asked.

"X spread!"

Lin Yi blurted out.

"What? X transmission? No way!"

Wu Jiang immediately doubted,
"The essence of black African trypanosomiasis is a parasitic disease, how can it be spread by X!"

"Yeah, brother Yi, did you make a mistake, this is indeed a parasitic disease."

Yin Liang also thought and agreed.

Lin Yi looked at them and shook his head, then said:
"No, in theory, as long as it is a blood-borne disease, it can be transmitted through X."

"Because there are actually two ways of X transmission, one is through body fluid penetration, that is to say, the cells on the surface of the genitals have the ability to penetrate body fluids, and the pathogen penetrates the surface cells to complete the infection."

"There is another way to infect through tiny wounds."

"Strong mechanical movement can cause tiny wounds through which pathogens can complete infection."

"And this method is basically the same as blood transmission."

After listening to Lin Yi's explanation, they also felt that it made some sense.

But Wu Jiang still couldn't help questioning:
"Brother Yi, what you said seems to be true, but you are only speculating after all, but in fact there is no case of black African trypanosomiasis being transmitted through X."

"some."

Lin Yi nodded and said,
"I have already remembered that there was once a patient who suffered from black continent trypanosomiasis, and his only connection with black continent was that his girlfriend had traveled to black continent some time ago."

"Experts have concluded through research and analysis that the man's illness is because his wife transmitted it through X. Infected him."

Lin Yi's knowledge of diseases related to parasitic diseases is still at an advanced level, so there are some knowledge theories that he didn't immediately think of.

He only vaguely discovered it through continuous thinking and pondering just now.

After hearing Lin Yi's example, Wu Jiang frowned even deeper.

He thought for a moment, then shook his head and said:

"Brother Yi, I think your analysis is too hasty."

"Even if there is a possibility of X-transmission of black African trypanosomiasis, then you can't just conclude that you are always suffering from this disease."

"Her husband doesn't have black African trypanosomiasis. Even if there is X transmission, you shouldn't suspect that she has the disease."

"I feel that your guess is even more unreliable than the tularemia I mentioned."

Speaking of this, Wu Jiang stopped listening, seeing that Lin Yi didn't respond immediately, so he said again:
"The most critical thing is that we simply don't have enough time to test patients for black African trypanosomiasis."

"And we can't give her medicine directly!"

"Because you also know that when trypanosomiasis threatens the patient's nervous system, then only melarsoprol is used!"

Speaking of this, the atmosphere suddenly fell into silence.

Because the composition of this mellarsoprol is actually very simple, it is equivalent to mixing arsenic and antifreeze together.

It is very toxic, so the side effects after medication are also extremely strong!
If it is injected into the patient's body, the degree of danger can be imagined.

Even if the patient is really suffering from black African trypanosomiasis, giving her an injection of melarsoprol has a mortality rate of about 10%.

Therefore, it would be too dangerous to directly give medicine to patients without a confirmed diagnosis, and it would be a life-and-death struggle!
Much more dangerous than treating it as tularemia!

Lin Yi was silent for a moment, then said:

"I know what you're talking about, but as long as I find out the possibility of the patient's illness, or some clues, I can prescribe her medicine..."

Wu Jiang was slightly taken aback after hearing this, and then asked:

"But how did you find this clue?"

Lin Yi didn't answer, but got up directly and walked out of the office.

"Wait a minute, I'll go with you!"

Seeing Lin Yi walking out, Wu Jiang quickly stood up and followed.

Lin Yi walked directly into the patient's ward.

At this time, although the patient was very weak, he was awake, and the husband and wife were chatting.

"Doctor, are you here? Have you found out what's wrong with my wife?"

After seeing Lin Yi and the others coming in, the man immediately stood up, stared at Lin Yi closely and asked.

Lin Yi shook his head slightly and said:
"Not yet... Come out with me, I still have something to ask you."

After Lin Yi finished speaking, he turned and walked out of the ward.

Looking at Lin Yi's leaving back, the man couldn't help but lose his patience.

The cause of the disease could not be found out, and I have been asking myself several times to ask about the situation!

Could it be possible to find out the cause of my wife's illness by chatting with myself all the time?

After complaining in his heart, the man still walked out with Lin Yi.

"Doctor, if you have anything to ask, just ask."

The man looked at Lin Yi and said to him.

"What I'm going to ask you next...you have to tell me the truth, because it's very important to your wife's illness."

Lin Yi stared at him closely, and said solemnly.

Seeing Lin Yi's appearance, the man was slightly taken aback, then nodded and said:
"Well, you can ask."

"Let me ask you, have you ever cheated?"

Lin Yi stared into his eyes and asked.

"what?!"

Hearing this question, the man's eyes widened in shock!
He never expected that Lin Yi would ask himself this question!

He even wondered if he heard it wrong!

"That's right, I'm asking if you've ever cheated on me."

Lin Yi asked again.

Wu Jiang on the side couldn't help but sweat!

This question is too straightforward!
Ask people directly if they have cheated. If you encounter someone with a bad temper, you have to turn your face on the spot!

Wu Jiang couldn't help complaining in his heart.

He felt that Lin Yi suspected that this man had cheated on him, and then infected his wife with black African trypanosomiasis.

But then, how come the man doesn't show symptoms?
Is he a recessive carrier?
The man was eager to save his wife at this time, so he didn't overreact after confirming Lin Yi's problem.

He just shook his head in denial:

"No, I have never cheated! I am very loyal to my wife!"

Seeing the man's honest expression, Lin Yi continued to ask:
"Then have you ever been to some of those entertainment venues for consumption, you know."

This…………

Lin Yi's question once again confused the man!

This is not good for my wife to see a doctor, why do I always suspect that I am promiscuous, what is the situation?
So the man patiently said to Lin Yi:
"No, never!"

Lin Yi stared at the man for two seconds, then nodded, and said:
"Okay, I see."

After that, Lin Yi didn't speak, and kept thinking in his mind.

Wu Jiang looked at Lin Yi at the side, and couldn't help being speechless.

Now it is obvious that Lin Yi suspects that one of their husband and wife has cheated and spread it through X, causing the patient to be infected with trypanosomiasis.

But... After two days of observation, this couple is obviously very affectionate, and it doesn't look like someone is cheating.

Maybe it was because I said that I learned at the restaurant that this patient is more playful, which aroused Lin Yi's wild thoughts

But having a cheerful personality, being able to play and cheating are two different things!
If you keep asking like this, you have to make this man anxious!
Thinking of this, Wu Jiang couldn't help shaking his head.

Lin Yi stared forward, suddenly, a gleam of light flashed in his eyes.

Then, he turned his head to look at the man and asked him:
"By the way, I remember I asked you how your wife was before."

"Then you said that she is in good health and hasn't been to the hospital recently, right?"

Hearing Lin Yi's new question, the man pondered for a while, then nodded and said:
"Yeah, my wife hasn't been to the hospital for two years."

"Is there no way to check?"

Lin Yi continued to stare at him and asked.

The man shook his head again and said:
"No, I didn't come to check."

"Are you sure? Think about it again, or is there something she doesn't know about when she checks by herself?"

Lin Yi continued to ask.

"what?"

The man frowned slightly, and then said:
"No, we are basically together when we are not working, and if she is not feeling well, she will definitely ask me to come with her if she comes to the hospital for an examination."

"But I'm pretty sure she didn't come."

Lin Yi's heart sank when he heard the man's answer.

Because what the man said did not match the actual situation!

I remembered that on the night when the patient fainted, Lin Yi checked the patient's examination report through the system.

I found out that she had a B-ultrasound examination recently!
But now the man insists that his wife has not been to the hospital in the past two years, nor has she done any examinations!
When this happens, there are two possibilities!
One is that the man is lying to himself, but he has absolutely no motive to do so!
What good would it do him to conceal from himself that his wife had been in the hospital?

And judging by his appearance, it doesn't look like he is lying!

Another possibility is that the patient secretly came to the hospital for B-ultrasound examination, and did not tell her husband!

This also kept her husband in the dark and didn't know about it!
From the perspective of these two possibilities, the second possibility is more likely!

But why did the patient hide it from her husband?
It stands to reason that they are such a loving couple, they usually act together in everything.

And if you don't feel well and come to the hospital for an examination, you must tell your husband to be normal!

But she secretly came to the hospital by herself...

And... Judging from the examination report, the location of her B-ultrasound examination is the uterus...

(End of this chapter)