Big Doctor Live Room

Chapter 804 Whipple's Disease
When Chen Qun came to the ward of the emergency center, he saw Ouyang Yang's cousin lying prostrate by the bed, vomiting vigorously. A stench filled the room, and a nurse skillfully opened the window for ventilation.

Ouyang Yang immediately walked over to take care of him. Chen Qun only glanced at it, stopped and gave instructions to the nurse directly.

"Prepare the operating room immediately. The patient has a ruptured appendix and needs immediate surgery."

Ouyang Yang raised his head and looked over, and looked over at Chen Qun. Although he didn't say anything, his eyes still betrayed him deeply.

Chen Qun knew what he was thinking and gave an answer directly.

"It's not Harrow's disease that Qi Hong predicted, let's do the minimally invasive appendectomy first!"

The little nurse ran back after going out for less than a minute, and told the current situation with some embarrassment.

"Dr. Chen, all the operating rooms are in use, and your operating room is being upgraded and renovated, so it can't be used. Or, let's go to the third orthopedic department next door to borrow an operating room. The colleague over there told me that there are two. The operating room is available."

Chen Qun looked at the patient's face as pale as a dead man, and shook his head directly, "It's too late, we will complete the operation here, and my toolbox is also at hand, you go and prepare the emergency operation kit immediately! Ouyang Yang, we will Your sister was sent to the wound treatment room next door for anesthesia!"

The miniature wound treatment room in the emergency center can be used as an operating room in an emergency.This is what Liu Yang considered from the very beginning. After all, you never know how many patients there are in the emergency center.Besides, for acute appendicitis, a first-level operation, especially a minimally invasive operation, the treatment room can be used.

Seeing Chen Qun, Ouyang Yang immediately concluded his cousin's situation, without any hesitation, he and Chen Qun pushed the patient, and ran towards the trauma treatment room not far away.

The little nurse who just spoke ran forward quickly, busy preparing surgical kits for Chen Qun.

Appendectomy is now a piece of cake for Chen Qun. In less than 10 minutes, Chen Qun completed the entire operation. He cut a ruptured appendix from the patient's abdomen and placed it in a curved steel plate. Then the wound was sutured.

Despite the local anesthesia, many patients looked better, looked at the scene in front of them in disbelief, and thanked Chen Qun.

"Doctor Chen, your operation is a bit amazing, I saw you made a random incision, inserted a tube in, and cut off my appendix, which is worse than... I peeled an apple. Keep it simple! If all doctors follow your example, no one will be afraid of surgery.”

Chen Qun looked at Ouyang Yang who was putting the appendix into the pathology bag, and suddenly showed a bright smile.

"Ouyang Yang, looking at the appendix, do you have any thoughts? Your cousin is not lymphoma or Harrow's disease. What symptoms match her current condition?"

Ouyang Yang looked at Chen Qun and said something casually.

"This may also be one of the complications of Harrow's disease. Abnormal blood clotting causes acute inflammation of the appendix... Wait, it's all symptoms caused by appendicitis. This is impossible? The appendix is ​​a part of the intestine, you are implying my sister Is there a problem with the digestive system? All symptoms are caused by digestive tract diseases? Let me think about it, what you smell is definitely my favorite side disease, otherwise you would not let me tell you, ah, I know, It should be malabsorption caused by gastrointestinal infection, which affects the blood and appendix, it is Whipple's disease. It must be Whipple's disease!"

"Immediately do a stool test on your sister, and then do a liver biopsy, you can basically confirm whether it is Whipple's disease. But I am very curious, why your sister also suffers from this relatively rare disease, has it changed? What eating habits?"

The pretty young woman on the hospital bed was surprised and relieved when she heard the question and answer of the two people. Seeing Chen Qun asking about the situation, she quickly answered the question.

"Is it wrong for me to change to a healthy diet like vegetarianism?"

"Vegetarianism is actually not wrong, but people's constitutions are different. If you encounter genetic defects, vegetarianism will cause various problems. However, your condition is not caused by genetic defects, but because your living conditions are better now. The vegetarian food you eat is actually very refined, which leads to the inability to absorb it in the stomach, and in the long run, it causes various symptoms, abnormal blood clotting and heart problems are two evil consequences."

After Chen Qun said this, he gave another order to Ouyang Yang.

"For the specific pathological explanation, you can tell your sister in person. The appendix was removed today, and tomorrow afternoon I will send her for a liver biopsy to confirm the condition, and then treat her with compound sulfamethoxazole."

The young woman immediately looked at Chen Qun in surprise.

"Does that mean I don't have to have heart surgery?"

Chen Qun shook his head.

"No, we still have to do it. It can be arranged in three to five days. Your condition has deteriorated very much. If it had been two months earlier, you would probably only need to take medicine to treat it. But now your heart is severely worn out, and the mitral valve must be replaced. .Also, stop the use of other drugs. You should be lucky. If it is a little worse, a few months later, you will need a heart transplant instead of just a tissue replacement."

The young woman hesitated for a moment before asking a question that had been worrying her all along.

"In our provincial city hospital, two experts came for consultation and thought it was very likely to be lymphoma. So do I have cancer?"

"It's not lymphoma. If it's lymphoma, the specific drug your brother gave you will immediately curb these cancer cells. It's because the specific drug is ineffective that I'm sure it's not lymphoma. But we will use cancer cell identification reagents to confirm again. Once again, it will be clear when the test results come out."

When Chen Qun said this, he immediately reminded her.

"You can't continue to be a vegetarian. Sometimes it will kill you. Fortunately, Ouyang Yang discovered it early and insisted on sending you to the hospital for examination, and then took you over again. Otherwise, the consequences would be unimaginable. In addition, you can rest assured that you For tissue replacement of the mitral valve of the heart, I suggest switching to pig heart biological tissue, which is more suitable than any kind of plastic or bionic tissue, at least the organism will not produce other rejections.”

This is one of his standpoints that he has always insisted on, and he believes that autologous repair and transplantation are the best.

Ouyang Yang suddenly saw him and made a request.

"Chen Qun, can you replace it with other valves from my sister's body? Wouldn't this make it easier to rule out the reaction?"

"No, your sister's blood coagulation condition prevents her from undergoing difficult autogenous valve surgery. In order to reduce limb damage, I will use the same interventional surgery to complete this mitral valve replacement, without the need for conventional chest surgery."

Ouyang Yang looked at Chen Qun, remained silent for a long time, and patted him on the shoulder with his palm, "Thank you!"

(End of this chapter)