Chapter 597 Test with sodium valproate(1/2)
Chen Qi's space operating room has this kind of black technology "capsule endoscopy", but he can't tell it, not even his wife.
He used to use the black technologies of later generations to combat the "information gap".
Saying at home that this is a machine secretly developed by foreign countries, and saying abroad that this is equipment secretly developed by China is equivalent to hiding something from both ends.
But if you walk too much at night, you will always encounter ghosts, so Chen Qi has to be careful.
Fortunately, this was the 1980s. If it had been 10 years ago, I would have been reported to the GW by my wife, children, students, colleagues, and neighbors.
For example, Lao She's wife and children did not let him enter the house until he died. It is a tragedy in the world.
Chen Qi doesn't want to be miserable. He has so much money and hasn't really enjoyed his life yet.
How to do it?
Chen Qi thought of a good idea. When everyone left, he quickly returned to the ward:
"Wait, don't eat yet."
Before doing a gastrointestinal endoscopy, the intestines and stomach must be cleaned first, so when Yu Sisi saw the doctor leaving, she was about to eat when Chen Qi stopped her.
"Dr. Chen, what problem did you find?"
Chen Qi laughed and said: "It's okay, it's okay, it's just that we still need to do a few tests, so my little sister came and took this capsule first."
Yu Sisi took a capsule handed over by Chen Qi and found that this capsule was a little different from other pills. It seemed to be larger, and both ends of the capsule would light up, as if there was an electronic component inside.
"Dr. Chen, what is this? Is it a pill?"
"Well, this is a pill, not a pill. Once you swallow it, you will poop out tomorrow. Remember to use a net bag to catch it when you poop, and don't let the water wash it away."
The toilets in the inpatient wing of the People's Hospital are not like the flush toilets or squat pits of later generations.
Instead, there is a long water tank. Everyone squats on it. There is a water tank at one end. If you want to flush, you just pull the line, and the water will quickly wash away all the dirt in the water tank.
Chen Qi didn’t want his capsule endoscope to be washed away.
Yu Sisi and her parents didn't have any doubts. They were able to come to Yuezhong from Xi'an, thousands of miles away. They knew that the treatment methods of Yuezhong Hospital were different and had their own characteristics.
They believe that this kind of capsule is also one of the characteristics of Yuezhong Hospital.
Besides, there was no Baidu these days, so even if they had questions, they couldn't find out, so Yu Sisi swallowed it happily.
Chen Qi thought to himself that patients these days are really easy to talk to. If it were in his previous life, the patient would still have to ask questions clearly and clearly. After searching on Baidu for a long time, he would still wonder if you were conducting experiments on his patients?
Early the next morning, Chen Qi covered his nose and recovered the capsule endoscope wrapped in stool.
Then, before the joint ward rounds between the two hospitals started, I quietly took out my laptop and read out the data from the capsule endoscopy. I watched it slowly from the time it entered the mouth until it was discharged from the anus.
Chen Qi looked constipated.
Capsule endoscopy took a picture of Yu Sisi's entire upper and lower digestive tracts from top to bottom, inside and out.
Especially the lower gastrointestinal tract, the ileum and jejunum that could not be explored by colonoscopy before were all examined, but the results were far beyond Chen Qi's expectations.
There is nothing wrong with the intestines at all.
Seeing this, some readers will definitely say, look, a capsule endoscope costs several thousand yuan (price in 2023), but in the end, no problem was found after spending so much money. This is not to earn medical expenses, it is a waste.
What about our money?
In fact, it shouldn’t be understood this way.
Although capsule endoscopy, gastroscopy, colonoscopy, CT, and B-ultrasound were all performed, which indeed incurred a lot of medical expenses, you cannot say that these examinations were done in vain, redundant, and meaningless.
At least now Chen Qi can use the elimination method to eliminate some causes of abdominal pain.
When you eliminate most of the causes, the remaining answer is the correct answer. So in the final analysis of medicine, doctors use the elimination method to treat diseases, especially difficult and complicated diseases.
In the morning, when the joint rounds of the two hospitals began, everyone was still wondering whether there was something wrong with the undetected intestines in the middle section. Chen Qi already knew that there was nothing wrong with the intestines, and the disease diagnosis thinking was still spreading.
Drive away.
Professor Tong put forward his own opinion at this time:
"How about we expand the scope of examination and stop focusing on the gastrointestinal system. Diseases such as liver congestion, hepatitis, liver abscess, liver cancer, splenomegaly, etc. will cause increased capsular tension. Could this be the cause of Yu Sisi's abdominal pain?
?”
When Yu Sisi's parents heard about liver cancer or hepatitis, they were so scared that their legs became weak.
"Dr. Chen, Dr. Lan, you must ask for my daughter. Professor Tong has said that your skills are well-known internationally and you cannot give up on my daughter."
The girl's mother was so anxious that she almost knelt down, but Chen Qi quickly supported her.
At this time, he didn't know whether he was nervous or uncomfortable. Chen Qi once again saw the corner of the girl's mother's mouth twitching unconsciously. He suddenly felt as if he had caught something.
But Luo Zhen was crying and kneeling at the same time, making a fuss. Chen Qi was busy helping her up, forgetting that the corner of her mouth was twitching, and her train of thought was interrupted.
Zhang Weizhong also touched his chin:
"Could it be some heavy metal poisoning, such as lead poisoning, or abdominal pain caused by diabetic ketoacidosis, uremia, porphyria, etc.?"
Yan Changhong from Xijing Hospital retorted:
"The patient has been in pain for several years, and each attack lasts for 1-2 hours, but it is probably not a malignant disease, otherwise it would have worsened long ago. You can see that she has not lost weight, and she does not have a cachectic appearance.
I don’t look sick at all.”
Lan Lijuan whispered to the doctor next to her:
"Could it be hysteria? The 16-year-old age is exactly when children are most rebellious. Sometimes when they encounter learning difficulties, or have unsatisfactory things at home, or even fall in love prematurely and quarrel with their boyfriends, hysteria will occur. Clinically
It’s not uncommon.”
Hysteria, also called dissociative conversion disorder, is a mental disorder caused by mental factors, such as life events, inner conflicts, suggestion or autosuggestion, acting on susceptible individuals.
Director Liang of Xijing Hospital shook his head:
"It shouldn't be hysteria, because when the patient has abdominal pain, there is obvious abdominal muscle tension, similar to a slab-shaped abdomen. If it is hysteria, the abdomen should be soft when palpated. Moreover, the little girl has a good temper and a harmonious family.
My grades are pretty good, and there is no social or academic stimulation.”
The more you know, the more you can guess.
One word for each person, one diagnosis for each person. If we have to use the elimination method to do everything, I'm afraid it won't be possible to find out in a few months.
Not to mention that the family members will not be able to afford it financially, their bodies will also be unable to bear it, and their spirits will collapse.
Didn’t you see that the mother of the child is crying so much that she can’t straighten up? Apparently her daughter’s condition has never been found out, and the pressure has reached the critical point.
It was sooner than later. Yu Sisi was lying on the hospital bed fine, but the abdominal pain suddenly came.
"Ouch, it starts to hurt again, doctor, doctor~~~"
Yu Sisi clutched her stomach tightly, her face turned pale, and large beads of sweat instantly covered her forehead.
Chen Qi reacted very quickly. He immediately laid the girl down and pressed his right hand directly on her stomach.
"Where does it hurt?"
"This, it hurts here, it's like a knife is cutting it, it hurts, it hurts."
While pressing, Chen Qi found that the pain was not too fixed. Sometimes it was around the navel, sometimes in the upper abdomen, but strangely there was no obvious rebound pain.
He knew that there was nothing wrong with the girl's intestines, so if her thoughts continued to spread, what would be the problem?
While Chen Qi was thinking about it, the girl's mother was so excited that the corner of her mouth twitched twice in a row, very quickly, and she wouldn't have been able to notice it if she hadn't been face to face.
Chen Qi's eyes lit up and he finally caught inspiration.
"Sister Luo, I have a question for you. Don't be offended if I'm wrong. Everything is for the sake of the children."
The girl's father was a little strange: "My daughter is sick, why did you ask her mother?"
Everyone in the office also focused their attention on this well-spoken WGO director. After all, diseases are two completely different individuals. Ask your mother? No one can figure out why.
The girl’s mother was so eager to save her daughter that she didn’t think about anything else at all and nodded repeatedly:
"Doctor, if you ask, I will tell you everything I know."
Chen Qi hesitated for a moment, then asked: "I have seen the corners of your mouth twitching several times, and I just want to ask, do you have a history of epilepsy?"
As soon as these words came out, Professor Tong Shanggao's eyes lit up.
Although the girl’s mother didn’t know why the doctor asked this question, she still answered honestly:
"Yes, I had epilepsy when I was a child, but my whole body did not twitch like other epilepsy patients. My seizures were relatively mild. Just like now, I still have a few involuntary twitches at the corners of my eyes and mouth."
Oh~~~
After all, he was a doctor from the top hospital in the country. The doctors at Xijing Hospital all made a sound of realization. Apparently they had guessed something.
As for the Vietnam-China People's Hospital, except for a few senior doctors, the other junior doctors have not yet realized the reason for Chen Qi's question.
This is the difference.
Chen Qi also breathed a sigh of relief at this time, so he explained:
"Epilepsy is not a hereditary disease, but epilepsy may have a hereditary tendency, which means your daughter may also have epilepsy."
"What?"
The girl's parents exclaimed at the same time, which Yu Kejia couldn't accept:
To be continued...