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

Chapter 288 The requirements are extremely strict!

It seems to know what everyone is thinking.

Lin Yi paused and continued: "There are a large number of microorganisms in the human gut. There is nothing wrong with the idea of ​​reintroducing colonic microbiota with fecal microbial transplantation."

When the woman heard that Lin Yi was standing on her side, she first looked at him in surprise, and then nodded excitedly.

Look, my method is right!

The little nurse stood aside and stared wide-eyed.

She had never heard of using feces to cure diseases, but now she heard that Lin Yi actually admitted this technique.

real or fake?

The little nurse dropped her jaw in shock!

However, it's not her fault.

After all, this technology is not widely used in our country, and it is still a relatively high-end technology.

Moreover, when most people hear this technology for the first time, they all look disgusted.

I don't know where these people on the Internet know about it.

On the contrary, Wu Jiang was thinking about something while rubbing his chin. He seemed to have heard Lin Yi mention it in the consulting room.

Seeing this, Lin Yi had no choice but to continue to explain helplessly:
"In medicine, there used to be a difficult-to-treat disease called recurrent Clostridium difficile infection, which left many top hospitals helpless."

"This bacterium will invade the intestinal tract when the intestinal microbes are destroyed. It can cause diarrhea, vomiting, fever, stomach pain, and even death in severe cases."

"At this time, doctors can make feces into capsules orally or instill them from the rectum to re-diversify the microbiota in the patient's body."

When everyone heard Lin Yi's description, a corresponding picture also appeared in their minds.

eat shit or something...

Lin Yi saw that everyone looked uncomfortable, but he continued:

"Well, don't look at the picture a little uncomfortable, but the treatment is 90% more clinically effective, and it works quickly."

At this time, Wu Jiang, who was standing aside, thought hard and finally remembered something.

"I remember that you showed me a report about some kind of feces bank some time ago, and there are several cases of successful treatment in hospitals using feces, right!"

Lin Yi nodded, took out his mobile phone from his pocket, and tapped his fingers on the screen to find the report he had read last time.

"found it."

Lin Yi showed the page of the mobile phone to those present.

Wu Jiang read out the words with a deep expression:
"Through fecal microbiota transplantation (FMT), an 80-year-old lady who was infected with Helicobacter pylori and took antiseptic drugs caused severe diarrhea."

"A 5-year-old boy accidentally ate strong alkali and was infected with highly resistant Clostridium difficile. An 11-year-old brother saved his younger brother with feces! The two formed a 'friendship with feces'.

Lin Yi calmly put away the phone and read out the rest of the news.

"A 49-year-old lady, after eating spoiled food from the refrigerator, was diagnosed with rare and extremely severe pseudomembranous enterocolitis. The hospital injected her son's fresh feces extract into the patient's jejunum through a nasal jejunal tube. It didn't take long for the lady to recover."

As he spoke, Lin Yi frowned and shook his head, and said helplessly:

"Fecal transplantation is not a rare technology abroad, but few people in my country have heard of it."

With so many examples, everyone present finally reluctantly accepted the idea that feces can save people.

It turns out that the feces transplantation technology that the woman herself researched on the Internet is really true!

This is a mistake, right?

After listening to Lin Yi's explanation, the woman nodded repeatedly.

Excitement flashed in his eyes.

What Lin Yi said is equivalent to proving her innocence, she is not a hot-headed idiot.

In an instant, Lin Yi's image became taller in her eyes.

"Yes, yes, this method was told to me by a friend of mine studying abroad, so this method is indeed scientific, right!"

Ke Lin Yi couldn't help shaking his head after hearing her words.

"Poop donation and fecal transplant technology are not as simple as you think."

Lin Yi looked at the woman and didn't realize her problem.

Shaking his head pityingly.

Since just now, Wu Jiang, who has been standing by the side with his mobile phone constantly searching for information, also raised his head at this time.

After catching Lin Yi's words:

"FMT transplant surgery needs to be controlled in a sterile environment, and professional equipment must be used for detection and extraction."

"At the same time, the requirements for feces are also very high. I checked the data just now, and the final pass rate after several layers of screening is only 4%!"

"How can a fecal transplant be so simple, in your own kitchen? Hehe."

The woman on the hospital bed looked a little embarrassed.

"However, what the woman in the video said is correct. People who donate feces must be healthy. The first choice is their own feces when they are healthy, and then the feces of their relatives."

"It's the same as immune cells. Everyone's gut microbes are different. It's best to choose the type and proportion of microbes similar to the patient's."

"Secondly, it is best to use young manure. Students aged 10-18, college students, and young office workers are also acceptable. In some special cases, younger children will also be selected."

Everyone listened and felt that it was all in line at present.

Lin Yi continued:

"It's not that simple. The third thing is to have healthy excrement. The person who donates the excrement must have no infectious diseases and inflammations in his body, and his feces should not be infected by pathogenic bacteria. He must also have a healthy schedule, and don't stay up late, smoke, or drink alcohol."

"Many people suddenly found out that they had certain diseases during the testing process of donating feces."

Then, he glanced at the woman on the hospital bed.

The woman looked at him blankly.

Lin Yi couldn't help but said:

"Do you still understand that if your fecal transplant is correct, then you will not have a urinary tract infection now!"

"Either you got infected during the enema, which is less likely."

"Either..."

Lin Yi suddenly looked at An An.

Everyone's eyes followed him.

Facing the eyes of everyone staring at her, An An hid behind Wu Jiang in fear.

now.

Everyone understood what Lin Yi meant.

If it's not an infection from the transplant, then there's something wrong with the stool itself.

Wu Jiang blocked everyone's eyes for An'an:
"Hey, you guys are enough, I'm scaring the little girl!"

Seeing this, Lin Yi withdrew his gaze: "Since the cause of the infection has been found, let's prepare for her surgery. In view of the symptoms of swelling and stiffness, she may have colon perforation, and surgery must be arranged for her immediately."

"Also...check the toxins and infectious bacteria in An'an's stool."

soon.

A list was handed over to the surgeon.

The woman was sent to the operating room under arrangement.

She is lying on the operating table.

A big hole has been opened in the stomach.

Several surgeons worked together on her stomach with various tools.

Chief surgeon said:

"Resection of the proximal and distal colon to the perforation with a closer."

"Isolation of the mesentery with a ligature bundle."

suddenly!

The chief surgeon glanced at the screen and frowned.

At this moment, the second assistant suddenly said:

"There is bleeding, it's serious!"

The forceps grip the artery.

The atmosphere suddenly became serious, and no one dared to chat anymore.

The chief surgeon quickly judged:

"This is the tension caused by the patient's movement, which caused the tear of the spleen capsule, and a splenectomy must be performed!"

After making a judgment, the chief surgeon ordered without a moment's pause:

"Cut the connection part."

Among the assistants next to him, one quickly cut off the part connected to the kidney, and the other cut off the part connected to the diaphragm.

"Apply the pedicle with a white stapler."

After speaking, the chief surgeon exhorted the assistants very seriously: "Don't let me touch the tail of the pancreas!"

Finally, the operation was successful!
Although there were some problems during the process, the operation as a whole was a success!

at the same time.

Hospital conference room.

Sitting inside, the leaders of various subjects all frowned.

Originally, there were only a few doctors from the internal medicine department sitting here, but as the patient's condition progressed, doctors from other departments also came.

The director of the dermatology department touched his head with a sad face.

He couldn't help but sigh.

This patient was first taken over by their department.

The patient was a 14-year-old girl who had a sudden atopic reaction.

However, no reason could be found.

It stumped several experienced doctors in a row.

In the end, I had to ask the director for help.

A director is indeed a director.

In a short period of time, it was discovered that the girl's illness was not that simple.

Hastily asked the family members to arrange hospitalization.

Sure enough, the girl soon developed other symptoms.

But it is these symptoms that make the director of the dermatology department puzzled, because these have exceeded the scope of the dermatology department.

Confused!
Finally, after much deliberation, the director of the dermatology department had to call all the directors to study and diagnose together.

In a life of doubt, the consultation begins.

now.

The other chief doctors also had serious expressions, looking ahead in anticipation.

The director of the dermatology department projects the information on the screen.

"A 20-year-old female patient suddenly developed idiopathic allergies at her birthday party."

"What do you guys think?"

Speaking of this, a doctor immediately raised his hand and said, "Could it be because she was opening a gift that she had an allergic reaction?"

The director of the dermatology department shook his head: "It's not very likely. At that time, she dismantled a bouncing ball, nothing special."

Keep the next page of PPT handy.

It shows what the patient said about the birthday party.

At the same time, the people below were flipping through the information in their hands.

Someone then asked:

"The data shows that the last thing she ate was a piece of strawberry cake. Could it be a food allergy?"

The director of the dermatology department shook his head regretfully:
"We were about to say this, we tested her right away, but the allergen test showed she was not allergic to anything."

At this moment, everyone was sitting in the consulting room thinking, frowning.

These guesses were all rejected by the test results, so what else is possible?

The director of the dermatology department sat on top and smiled wryly.

If he could guess it so easily, he wouldn't have held this consultation.

They have already guessed what they said before.

The resulting checks revealed that none of them were.

The entire dermatology department was in a state of perplexity.

There is nothing at a birthday party that can cause an allergic reaction, so how did the girl have an allergic reaction?

After a moment.

Someone pondered and said, "Could it be hereditary angioedema or systemic mastocytosis, which may manifest as an allergic reaction?"

The director of the dermatology department opened one of the many test reports and pointed out: "The defensin test value is normal, and there is no skin damage."

After slowly entering the state, everyone began to express their guesses one after another.

"Could high blood pressure be pheochromocytoma?"

"Or it was an allergic reaction, maybe she took some kind of illegal drug."

As soon as this remark was made, without the director of the dermatology department saying it, someone immediately got up to refute it.

"Didn't you ask the patient, she didn't eat those things!"

"After so many years of practicing medicine, you are still so naive. Do you think patients will admit it?! Do you believe what patients say?"

"Hehe, it's you who is so naive! You don't know how to read the test report, the toxicology test did not detect any poison!"

"."

The consultation room suddenly became a battlefield.

Everyone is familiar with it. People who disagree with each other during the diagnosis will quarrel like this, but it doesn't mean they don't agree.

After the end, everyone is still a good colleague.

however,
The director of the dermatology department rubbed his swollen temples.

Originally, he was disturbed by this disease, and he hoped that the consultation could provide some constructive opinions.

In the end, you said yours, he said his, and none of them worked!
He was even more irritable.

The temple tube couldn't stand the noise anymore, the director of the dermatology department waved his hand wearily:

"Okay, okay, I'm going to arrange a blood test for catecholamines to determine whether there is pheochromocytoma, and then do an extended toxicology screening."

Now, the quarreling people on both sides finally stopped in satisfaction.

Before the test results came out, they were all confident in their guesses.

Then the director of the dermatology department felt that things would not go so smoothly.

Shaking his head and sighing, the director of the dermatology department decided to ask the girl again in person.

"You guys are discussing here first, I'll go ask first."

The most important thing is to get yourself out of here and be calm and calm.

When the director of the dermatology department arrived outside the ward, he saw the patient's mother hovering anxiously at the door with her hand on her chin.

The director of the dermatology department gave a look to the young man beside him to ask about the situation of the little girl, while he himself went straight to the family members.

At the same time, the two sides launched an inquiry.

Unsurprisingly, nothing came out of the little girl's question.

The doctor in the ward shook his head facing the outside.

The director of the dermatology department withdrew his gaze and focused on the woman.

"Some medicines may cause her allergic reaction, you and I need you to recall, did you give her any medicine?"

The mother brushed the hair on her forehead with some anxiety, licked her lips and hesitated for a long time before saying:
"You know kids these days are more difficult to discipline. She loses her temper all the time, so I gave her Valium and lied to her that it was vitamin C."

"She is a girl with strong self-esteem. She can't accept the fact that she needs to take medicine for a long time."

what? !

You didn't say it sooner!

This news was something they never knew before.

If he doesn't ask, I'm afraid the family members won't tell!
The director of the dermatology department felt even more headache and rubbed his head.

How come there are always such self-assertive parents who give their children medicine at every turn.

(End of this chapter)