Gou is practicing medicine in the clinic

"It's lunch time now. If you three don't mind, we have working meals in the clinic."

Li Jingsheng also knew that these people usually eat delicacies until they are tired of them.

When you come to his place, even though you are seeking medical treatment from him, you are still a guest after all.

Treating them to a working meal is a bit shabby.

However, I believe that as long as their disease can be cured, patients will not care whether they eat a working meal or a sumptuous meal at the clinic.

"I'm really hungry. How about I invite Dr. Li and Secretary Bai to eat out?"

Ou Shengyou suggested.

"I'll eat out again next time I have the chance. I see that Dr. Li is very busy and probably won't have time to go out to eat. I can let Dr. Li check on my symptoms while I'm eating."

Secretary Bai declined the offer to go out for a big meal.

Judging from his rather thin figure, he must have been suffering from digestive tract diseases for several days.

"Okay, then follow Secretary Bai's arrangements."

Ou Shengyou nodded in agreement.

The female secretary next to me didn't speak during the whole process. She is a qualified secretary.

Li Jingsheng took a snack for each of the three people.

"Dr. Li, judging from your clinic situation, your daily income should be quite high. Do you usually eat this kind of ordinary work meal?"

"We as doctors are very happy if we can have a hot meal on time. Sometimes an operation takes more than ten hours, or even longer. If we miss a meal, we can basically only eat instant noodles and bread to satisfy our hunger. A simple meal can only satisfy our hunger. I can wrong you."

Li Jingsheng guessed that she was not used to eating.

"No, no, no, I appreciate your hospitality. I'm just out of curiosity and want to ask."

The female secretary quickly explained.

"Today I got to see the unknown side of doctors. I used to think that being a doctor was a prestigious profession, and what I saw was your glamorous side. I never thought that your work would be so hard."

She looks very beautiful and has an excellent temperament.

With her talking to Li Jingsheng, the atmosphere became obviously much more lively.

"Mr. Ou, let's talk about your request first!"

Li Jingsheng looked at Ou Shengyou.

"Let Secretary Bai speak first! It doesn't matter if I'm later."

"No, everything has a first-come, first-served basis. You came here before me, so Dr. Li should consult you first. I have never received any special treatment when I was in office, and now that I am just a retired old man, I will not do so. Special treatment.”

Secretary Bai refused to cut in line.

Ou Shengyou stopped being polite and started talking about his symptoms.

"I don't know what happened to my intestines. It happened about three years ago. It always gets knotted easily. Every time I have an attack, I feel headache, nausea, and even vomiting. Even my vision becomes blurry. My stomach is even worse. It hurts like hell.”

After hearing his symptoms, Li Jingsheng couldn't help but frown.

Now, he is at least half an expert in the field of gastroenterology.

And it’s the kind that has both inside and outside.

He is good at diagnosis, medication, and surgery in gastroenterology.

"Have you been to the hospital for a checkup?"

Li Jingsheng has diagnosed and treated patients with intestinal volvulus and intestinal obstruction. But I haven't heard that it can cause headaches.

Li Jingsheng suspected that it was radiating pain, or that the patient's abdominal pain was too severe, causing head discomfort.

"After checking, I have had four surgeries just to treat the disease, but the disease always relapses easily. Look at my belly, here, and here, are all the incisions made by the surgery. Once I had an intestinal rupture The post-nodal obstruction was severe, and I happened to have an important business negotiation at that time. When I finished the business negotiation and rushed to the hospital for treatment, the intestinal segment had already become necrotic.

The doctor performed an operation on me and removed such a long intestine.

I've been feeling a little uncomfortable in my stomach for the past few days, and I'm very worried about the disease coming back again. "

When Ou Shengyou talked about his condition, he seemed very distressed.

Intestinal hernias are more likely to recur.

But volvulus and knotting have never been heard to be easy to recur.

This patient relapsed at least five times in just three years, which is indeed shocking.

"Is it volvulus every time you check it out at the hospital?"

Li Jingsheng realized that the patient's disease was likely to be a difficult and complicated disease.

Disease within a disease is the most common routine for difficult and complicated diseases.

In other words, volvulus is not the real cause, but a symptom. The real cause is probably other reasons.

"Yes, it's volvulus every time."

Ou Shengyou seemed particularly troubled.

"I have never had this disease before. Three years ago, during that time, the factory's business was developing rapidly, and I was very busy every day. At the busiest time, I only slept for more than three hours a day.

I wonder if this disease is caused by high work pressure? "

Anxiety and high mental stress can indeed easily cause some diseases.

"Is your job still very stressful now?"

Li Jingsheng asked.

"Of course! Others envy those who are bosses, but they don't know that our life as bosses is more than ten times harder than that of ordinary people. In the past, when the business in the factory was not good, I was worried that the employees' wages for the next month would not be paid. , the purchase payment is still a long way off. I have to pray that nothing will happen to the factory, and I am especially afraid of various inspections.

A fire inspection is enough to cause a person to collapse.

Later, when the business improved, not only did I not feel relaxed, but I became even more stressed.

Because the number of employees recruited in the factory has increased from five to fifty to more than one hundred, and it is expanding rapidly. When managing so many people, unexpected things often happen. For example, a fight between two employees is a minor incident.

But it later escalated into a regional battle.

As long as it is not handled properly, the factory will definitely become more chaotic and even a large number of employees will quit.

The business is getting bigger and bigger, and the rolling funds are becoming more and more terrifying. Secretary Zhao should have a deep understanding. She has helped me deal with a lot of things, but I still feel overwhelmed every day. "

Ou Shengyou opened the conversation and took the opportunity to talk about the hardships of being a boss.

Li Jingsheng is also a boss, so he naturally understands the hardships involved.

"I can understand Mr. Ou's difficulty. Do you think that the multiple occurrences of intestinal volvulus in the past three years were caused by excessive mental stress, right?"

Li Jingsheng asked him.

"Yes, I have always thought so. Later, I went to a neurologist to prescribe me some medicine to relieve stress and anxiety. But it was of no use. In addition to some improvement in sleep, intestinal knotting continued to occur."

"Then have you ever thought that maybe it was just a coincidence that you were under too much work pressure three years ago and fell ill? Maybe your illness is not directly related to the high work pressure."

Li Jingsheng stood from the perspective of a doctor and rationally analyzed the cause of Ou Shengyou's illness.

Excessive work pressure can lead to insomnia, loss of appetite, hyperactivity, etc. However, it is rare to hear that people have intestinal torsion due to high work pressure.

"If you think this disease is not caused by excessive work pressure, then you have to help me find out the cause, right?"

"Do you usually exercise a lot?"

"Not much, almost no movement. In the past, you had to unload the goods yourself, but now there are workers to do it."

"Before you had intestinal volvulus, did you ever exert excessive force? For example, carrying heavy objects, running quickly after eating, strenuous exercise, etc. This includes having a couple's life just after eating."

There are many reasons why volvulus can occur.

One of the most common causes is strenuous exercise after meals.

I believe that many people of the older generation will tell their children not to run after eating, otherwise they will easily break their intestines.

This is the rhetoric used by the older generation to scare children.

The purpose is to prevent children from running around after meals, causing intestinal volvulus. In the past, when medical treatment was scarce, intestinal volvulus had a very high fatality rate.

"The doctor specifically reminded me of this. I have been paying close attention to it, and I can basically confirm that I did not do any strenuous exercise just after eating."

Ou Shengyou glanced at the female secretary subconsciously.

Li Jingsheng was suddenly stunned.

I have never exercised strenuously, so why should I watch Secretary Zhao?

Many people say that a beautiful female secretary can easily become the boss's lover. Only the person involved knows about this kind of thing.

However, being a secretary in most companies has a serious job, and it is a high-level profession. Called the secretary of the board of directors.

That is, the secretary to the chairman.

Will assist the chairman in handling many matters and is very professional.

"Do you follow the same pattern every time you get sick?"

"It seems not. This disease is like a time bomb. No one knows when it will strike. But before it strikes, I will feel stomach discomfort, headache, nausea and other symptoms."

Ou Shengyou made it clear that there is no pattern to the onset of this disease.

"Do you have any recent hospital examinations? Blood tests and X-rays are all fine."

"I have done a lot of these examinations, but they were all done when I got sick last time. The information was taken away by the doctor and was not given to me. When I was discharged from the hospital, I only got a discharge certificate and a checkout. Invoices, medication bills, etc.”

Under normal circumstances, the films and examinations taken by the patient are kept by the patient themselves.

However, in some hospitals, apart from giving the films to patients, other examination results are kept by nurses.

After discharge, it will be handed over to the doctor.

"Okay, go to the doctor to draw blood and do a routine blood test. Have you ever checked your stool and urine routine before?"

"After checking, everything is relatively normal."

"Then after you finish your meal, go to the Second Hospital or the People's Hospital to draw blood and do a routine blood test. When the results come out, let me take a look. I suspect that your disease may have other causes.

If the real cause is not discovered, it may relapse at any time in the future. "

Li Jingsheng asked him to check his blood routine first.

Although the blood test is just a very common routine examination, if the various indicators in it are abnormal, it can help the doctor quickly locate the general scope of the diagnosis.

"Okay, I'll go later. As long as you can help me cure this strange disease and prevent it from recurring, I'm willing to pay a lot of money. This disease is really torturous."

Ou Shengyou dreams of curing this disease.

Relapse can easily destroy the patient's confidence.

For example, the most common psoriasis, jock itch, and beriberi have recurring attacks. Many patients relapse not long after treatment, and gradually lose confidence.

Just ignore it later.

Li Jingsheng looked at Secretary Bai.

"Where do you feel uncomfortable?"

"I just found out that there is a tumor growing in the esophagus. This is the examination I did in the hospital."

Secretary Bai was introduced by an acquaintance after all.

The preparation work is obviously much better than that of Ou Shengyou.

Li Jingsheng took it and looked at it carefully.

"This tumor is quite big! You found me for this operation, so you found the right person. It should be possible to remove the entire tumor without cutting off the esophagus. Let me take a look at your other indicators."

Li Jingsheng's newly invented endoscopic mucosal dissection can perfectly solve this old man's tumor.

……

In the afternoon, around three o'clock, Ou Shengyou's female secretary came over with the routine blood test report.

Li Jingsheng took it and looked at it.

White blood cells and eosinophils were significantly elevated.

"Your boss used to do routine blood tests. Are these two data also significantly elevated?"

Li Jingsheng asked.

"It seems there is, but after the hospital checked, they found nothing wrong."

"Okay, leave the inspection report with me first. If I have new diagnosis results, I will contact you then."

Li Jingsheng put the blood routine report in the drawer. After sending Secretary Zhao away, he continued to diagnose and treat the waiting patients.

Ou Qinglan was busy until about 6:40 in the evening. Ou Qinglan bought food from the hospital and brought it to the clinic for him to eat.

Now that the business of the orthopedic surgery department is declining, Ou Qinglan has almost no evening shifts.

This is just convenient for two people to date.

While he was eating, he took out Ou Shengyou's routine blood test results to check.

Elevated white blood cells and eosinophils, especially elevated eosinophils, generally require priority to investigate parasitic infections.

The patient had routine stool tests and abdominal CT scans, but no abnormalities were found.

Intestinal volvulus and obstruction caused by roundworms?

There is such a possibility.

Roundworms can grow to be as long and as large as earthworms. They move in the human intestines, causing patients to lose weight and cause stomachaches.

Children, in particular, are most susceptible to this disease because they do not pay attention to hygiene when eating.

As for the hospital, they must have done a roundworm investigation.

The technology for checking this is now very mature.

If the possibility of roundworm infection is ruled out, what other parasites can I be infected with?

The patient reported that he would have headache symptoms before each attack.

Li Jingsheng arranged the symptoms described by the patients, and then matched some diseases according to the symptoms.

He found that there was only one suitable parasite, and that was the brain-eating worm.

Only this bug can cause headaches by biting the central nervous system and eating the human brain.

But there are still many doubts in it.

The patient has been suffering from the disease for more than three years, with recurring attacks.

Doesn’t that mean the parasite has been present for more than three years?

If the infection was really a brain-eating worm, and the disease progressed over three years, why did the patient not develop symptoms such as meningitis?

To determine whether you are infected with brain-eating worms, you can do some further tests.

For example, spinal fluid is extracted for pathological examination.

If patients are now asked to undergo lumbar puncture, most patients will not agree.

Because this is a traumatic examination and there are certain risks.

"First let the patient check an electroencephalogram, and we may be able to find some clues. When the diagnosis is clear, it will be much easier to ask the patient to do a lumbar puncture."

Li Jingsheng quickly thought about the examination plan that the patient could accept.

The doctor's purpose is very simple, which is to help the patient find out the real cause of the disease and relieve the patient's pain.

He tried calling Ou Shengyou.

After a while, the call was successfully connected.

"Is this Mr. Ou? I'm Li Jingsheng from Sunshine Clinic."

"Oh, hello Dr. Li, has the cause of my illness been found?"

When Ou Shengyou heard it was Li Jingsheng, his attitude instantly became much more enthusiastic. (End of chapter)