Gou is practicing medicine in the clinic

"Mr. Ou, I am Dr. Li from Sunshine Clinic!"

"Oh, are you getting the diagnosis so soon?"

Ou Shengyou couldn't help but feel refreshed.

The cause of the disease that has been bothering me for more than three years has finally been found. Even though he was used to seeing all kinds of big scenes, he still felt excited.

"The diagnosis is only a rough initial diagnosis. Based on your blood routine results and various symptoms, I am more inclined to have a parasitic infection."

Li Jingsheng is still unable to confirm that it is a brain-eating worm.

Just based on the patient's various symptoms, he had this initial suspicion.

"Ah... Is my disease actually caused by parasites?"

Ou Shengyou thought it was a very serious illness or caused by high work pressure.

When Li Jingsheng's diagnosis result came out, he was very surprised.

At the same time, he also breathed a sigh of relief.

"The white blood cells and eosinophils are increased, and your symptoms are relatively typical, so there is a high possibility of parasitic infection. Please carefully recall whether you went swimming in the wild or came into contact with unclean water before you first became ill. such as."

Brain-eating worms are also known as amoebas.

It mainly invades the body through the nostrils.

In the early years, many people swam wildly in the Yangtze River Basin, or people living in lake areas were particularly susceptible to schistosomiasis.

This is also a parasitic infection.

At that time, many people suffered from bloating, body weight loss, and eventually death.

To this day, many places still call it potbelly disease.

For a long time, people talked about the discoloration of schistosomiasis.

Residents living in the lake area still need to go to the epidemic prevention station for schistosomiasis testing. People are often found to be infected with schistosomiasis.

Brain-eating worms are more terrifying than schistosomiasis.

After it invades the human body through the nostrils, it will enter the skull and eat the central nervous system of the human body.

This is the most terrible.

Because this can lead to paralysis or even death of the patient.

It also has other hazards, damaging the patient's intestines, liver and other organs.

Patients will experience symptoms such as diarrhea and acute diarrhea.

If you can get a colonoscopy in time at this time, you will find ulcers in the intestines.

Therefore, after patients are infected with this disease, in addition to diarrhea, they will also experience abdominal pain.

Infection with brain-eating worms sometimes occurs silently, making it difficult to prevent.

"It's been a long time ago and I can't remember clearly. I think I really did swim. That time I happened to accompany three important clients to the river for fishing, but we didn't catch any fish. We saw that the water quality was not bad, so on a whim, we added The weather was hot, so I swam in the river twice.

It’s just that after I got home that time, I didn’t feel uncomfortable!

Moreover, those three clients all went swimming, and I didn’t hear that they had the same disease as me. "

Ou Shengyou began to question Li Jingsheng's diagnosis.

"Infection with this disease is related to personal constitution, immune system, and whether you choke on water. Therefore, even if there are parasites in the river and four of you go swimming at the same time, it is possible that others will be fine and only you will be infected. Did you have diarrhea later? It doesn’t matter if you have it within half a year.

The more typical symptoms are abdominal pain and diarrhea. The stool may be bloody or jam-colored and particularly smelly. "

Li Jingsheng reminded the patient to recall in this regard.

After a while, Ou Shengyou remembered something.

"It seems that I have experienced such symptoms. But it was three months after swimming in the wild. I was more impressed because the order I received was to be delivered exactly three months later. As a result, I fell ill the day after the order was delivered. .

Headache, stomachache, diarrhea, and smelly stool.

I didn't see what color it was.

According to you, my disease is really caused by parasites? "

Ou Shengyou's tone has always seemed very relaxed.

Because in his opinion, there is nothing terrible about being infected with parasites. Get some medicine, kill the insects, and you'll recover soon.

"It's just a suspicion. We can't confirm the diagnosis now. I suggest you go to the hospital to check the electroencephalogram. If the electroencephalogram also indicates the existence of this problem, you may need to do a lumbar puncture to check the cerebrospinal fluid and Head MRI.

This parasite is quite special, and the etiology needs to be checked, but it may not be possible to detect it. "

Li Jingsheng gave the patient a rough overview of the examinations that needed to be done.

"Isn't it just that I'm infected with parasites? I know that your medical skills are very good, and you have helped some patients find difficult diseases that even big hospitals can't find. From your tone, I must have known that I am infected. I have parasites. Can you just prescribe me some medicine?

I have trust in your medical skills and ethics.

Just prescribe the medicine for me directly. In addition to the normal medicine fee, the consultation fee will also include an extra big red envelope.

I am not a stingy person either. Don’t worry, money is not an issue. "

Ou Shengyou is now a big boss and very busy at work.

He thought it was particularly troublesome to go to the hospital for this check-up or that check-up. It would be better to just ask Li Jingsheng to prescribe medicine for him.

A businessman naturally has a businessman’s mindset.

After a bunch of tests, the final diagnosis is likely to be the same as Li Jingsheng's diagnosis.

Instead of fussing, it would be better to just listen to Li Jingsheng.

Don't use people with suspicion, don't use people who are suspicious.

"Mr. Ou, first of all, thank you very much for your trust in me. Medicine is a rigorous subject. It is one thing that I have diagnosed you. This cannot count. To give you corresponding treatment, there must be scientific basis. Also Yes, this parasite is very special and very difficult to treat. Once infected, it is difficult to cure. We can only find ways to control the disease and prevent it from getting worse."

Li Jingsheng would definitely not prescribe medicine to patients rashly.

Now You Shengyou said it nicely, believe him. If you prescribe medicine and have problems after taking it, that is definitely another excuse.

He has seen many patients who fall out of favor faster than turning the pages of a book.

"Okay, okay! As long as the cause of my illness can be found out, I'll follow your arrangements. Check the electroencephalogram, right? I'll do it tomorrow morning, and the hospital is closed now."

Seeing that Li Jingsheng refused to prescribe medicine for him, Ou Shengyou had no choice but to compromise.

Patients are relatively vulnerable groups in front of doctors.

After chatting with Ou Shengyou, Li Jingsheng and his team hurried to the People's Hospital.

Secretary Bai's surgery appointment is tonight.

This is the second case of esophageal endoscopic surgery that Li Jingsheng has received in as many days.

……

After more than three hours, the work was done.

Because it is a delicate operation, it requires extremely high surgical skills, and the whole process consumes a lot of physical strength.

That is to say, Li Jingsheng is young, otherwise it would be really difficult.

The next day, the People's Hospital reported to Li Jingsheng that Secretary Bai's postoperative recovery was very satisfactory.

This is also to be expected.

The operation went very smoothly. Li Jingsheng performed the whole process, including the sutures.

Quality control is very good.

After the operation, Muyin, a nutritional nurse, provided nutritional care and formulated a scientific and reasonable nutritional support plan.

Just like a tree, it can thrive as long as water and fertilizer are managed properly.

Now, any patient who comes to Li Jingsheng for high-end endoscopic surgery can enjoy one-stop service.

Including advanced nutritional support, perioperative anesthesia evaluation, life support, etc.

Secretary Bai's recovery situation was ideal, but the results of Ou Shengyou's examination made Li Jingsheng feel a little heavy.

The electroencephalogram suggested the presence of abnormal discharges.

However, no symptoms such as epilepsy occurred.

Then a head MRI was performed, which showed that there were some lesions in the brain, including brain abscess and hydrocephalus. Fortunately, meningitis has not occurred for the time being.

If you are infected with brain-eating worms, you have a higher chance of 'hitting the jackpot' and getting meningitis.

It goes without saying how harmful this disease is.

The prognosis is often very poor.

Li Jingsheng is now more certain that the patient's disease is most likely caused by brain-eating worms.

The patient has actively requested a lumbar puncture to check the cerebrospinal fluid.

It is possible that he himself realized the seriousness of the problem. All the results found were consistent with Li Jingsheng's diagnosis.

This makes patients trust Li Jingsheng more.

At noon, Li Jingsheng checked the information on his mobile phone while eating.

The clinic received three more interested customers, all providing high-end medical services. Two cases of colonoscopy and one case of early stage bowel cancer surgery.

A person's name, the shadow of a tree.

As the endoscopic surgery paper published by Li Jingsheng became popular in the medical circle, his popularity increased dramatically, and more and more patients came to him to book high-end medical services.

Munro has sent the information of three patients to his mobile phone.

Two cases of colonoscopy were performed, one was ordinary, and the other was older. The patient was 87 years old.

The risk of performing a colonoscopy on such a patient is quite high.

The main risks come from the anesthesia and the patient's own underlying diseases.

When people grow old, they are like trees that dry up.

Functions in all aspects will decline, heart function will also become worse, arteriosclerosis, plaques, and even blockages will become more and more serious, followed by high blood pressure.

Some patients may also be complicated by diseases such as diabetes, lung failure, etc.

These can cause patients to have accidents during the examination.

Li Jingsheng only charges about 3,000 yuan for a colonoscopy.

If someone died, it would be really hard work for decades, once back before liberation.

The old man's situation was not optimistic, and Li Jingsheng did not dare to take the job immediately. Instead, I am going to ask the team’s professional anesthesiologists to evaluate it together.

He sent a message to Yani and asked her to conduct an anesthesia risk assessment for the old man.

Then he checked the last patient's information.

Early colon cancer.

The tumor is approximately four centimeters in diameter and grows vertically.

The treatment for this kind of tumor usually involves cutting out the entire intestine.

And in order to make a clean cut, a few more normal and healthy intestinal segments will be cut.

But this patient's situation is quite special. He had undergone a colon resection many years ago.

If another section is cut off, the patient's quality of life after surgery will definitely be greatly affected.

The patient came to Li Jingsheng for surgery. One reason was that he wanted to be minimally invasive, and the other reason was that he wanted to preserve his colon as much as possible.

These wealthy people often rely on connections, find acquaintances, and seek advice from some experts before seeking treatment.

Develop the most reliable treatment plan for them.

There is another problem with this patient. Because she is a female patient, she suffered from anorexia some time ago, which was caused by losing weight.

Now her nutritional status is not very good.

After colon surgery, even if you recover quickly, it will take about three days to slowly resume eating.

If the exhaust situation is not ideal, it may take longer.

During this period, relying solely on intravenous nutrition and infusion is definitely not as good as eating on your own.

Another problem is that not eating for a long time will aggravate her anorexia and cause the patient's intestinal function to slowly deteriorate. These are all possible negative effects of surgery.

"This bowel cancer surgery is quite suitable for my new concept of endoscopic surgery. Performing the surgery directly under the mucosa can minimize the impact of the surgery on the patient to the greatest extent."

If the tumor resection is performed under the mucosa, the inner wall of the intestine is not harmed.

Mainly there is trauma to the outer membrane and muscular layer of the intestine, but the inner mucosal layer has always been intact.

Li Jingsheng thought about it.

Based on the endoscopic mucosal dissection invented last time, this time the endoscopic surgery is performed from outside the intestine. Drilling and incision directly from the lesion is very risky.

Because he not only wanted to protect the patient's intestinal mucosa, but also ensured that the tumor was removed cleanly.

Peel it off completely to ensure a clean cut.

Drilling from the far side?

There is a certain distance from the lesion. If you make an incision in the distance, you will not be able to cut the tumor at all!

Li Jingsheng pondered.

The rice in the basin is gradually getting cold.

Several students saw the teacher thinking seriously about the problem, and no one dared to disturb him.

Their mistress was not here, otherwise Li Jingsheng would have eaten quickly.

Li Jingsheng thought hard.

Last time, I cleverly borrowed the injection of physiological saline to raise the edge of the lesion, making it easier to accurately peel off the entire tumor. Can this method be used alternatively?

Gradually, a wonderful idea gradually took shape in his mind.

"Ye Hui, help me pour the rice."

After saying that, he went straight to the laboratory.

I am going to experiment with a white mouse first.

Several apprentices were puzzled as they watched Li Jingsheng leave in a hurry.

"Teacher never wastes food. What happened today?"

"There must be something urgent!"

"Why don't we get the teacher two chicken drumsticks back? He has to teach us bone-setting techniques, treat patients, and go to some departments to help. The teacher is too hard. He left without even having a full meal today. I'm worried His body couldn’t take it.”

Ye Hui is a girl after all.

They say that daughters are their parents’ little cotton-padded jackets.

This point seems to be applicable to female disciples’ treatment of their masters.

After Li Jingsheng entered the laboratory, he took a white mouse, dissected it, and conducted water injection experiments on its intestines.

Under the impact of water flow, the mucosa and submucosa are separated.

A passage is formed.

"This method is indeed feasible. The endoscope's catheter is only about three millimeters, and it is enough to use physiological saline to create a small channel. By then, it will be possible to achieve distal access to the tumor without destroying the tumor. Its complete structure allows the endoscopic catheter to reach the lesion smoothly with the help of the passage flushed out by saline."

Li Jingsheng felt excited.

After conducting many more experiments in the laboratory, he found that there were still many areas for improvement in technology.

Injecting water too quickly will directly cause mucosal rupture.

Too slow and can't get away.

The impact of the water flow must be kept moderate.

Because it is minimally invasive, the location of the incision must be chosen well.

……

Two days later, in the endoscopy room, Li Jingsheng was concentrating on performing an early stage bowel cancer resection on the patient.

Choose the method of endoscopic surgery.

And it is his latest creation of a brand new surgical method.

If successful, many patients with digestive tract tumors will have the opportunity for surgical resection in the future.

You know, after many patients are diagnosed with digestive tract tumors, the risk of traditional surgical resection is very high due to various reasons. Therefore, it becomes a contraindication for surgery.

That means it cannot be solved surgically.

What Li Jingsheng has to do is to significantly reduce the scope of contraindications for surgery and turn them all into indications.

As the saline water continued to wash under the patient's intestinal mucosa, a channel was created. The endoscopic catheter was also able to advance smoothly little by little. Finally reach the location of the tumor.

The most difficult problem is solved.

The subsequent surgical procedure became simpler.

I saw him using the successful surgery that he had tried three times before to peel off the patient's tumor bit by bit.

Then cut it off.

When the patient's tumor was completely removed, cheers erupted in the endoscopic room.

Once again, everyone witnessed the innovation and success of the team leader.

"Jingsheng, I find that I really admire you more and more. You are the one who perfectly combines endoscopic surgery with traditional surgery."

Lian Tao was amazed. (End of chapter)