Rebirth in the medical world

Chapter 149 Diagnosed amyloidosis
But Qiuzi, hearing that Ouyang Chenhui has become an intern at the hospital, has a little more respect for him, and the way he looks at Ouyang Chenhui is also a little different!

Ouyang Chenhui was handpicked, and hurriedly discussed the condition with several clinicians.

Al's mental state is not bad today, and his vital signs are relatively stable, but Al keeps complaining of chest tightness and chest pain. Wang Yi pushed an electrocardiogram machine and took an electrocardiogram on the spot. The electrocardiogram showed that everything was normal again. Record diagnostic ECG changes!
This discovery made it impossible for everyone to start again. In front of the old man, Wang Yi couldn't say anything. After making a series of records, he left the ward with the doctors and nurses!
Ouyang Chenhui also felt that Aier's diagnosis was a bit difficult. Looking through his eyes, Aier's heart showed obvious signs of thickened and hypertrophic myocardial overload, but apart from the occasional one or two ventricular tachycardias outside of speed.But there are no other specific inspection reports to support heart disease!
However, what causes the heart overload?This is the problem that Ouyang Chenhui wants to solve!
Originally, Ouyang Chenhui also followed Wang Yi and the others to the doctor's office to participate in the discussion, but Ai Er suddenly complained that his stomach hurts, so he stayed first!
"Mom, my stomach hurts so much, I need to go to the bathroom, please help me to the bathroom!" Al clutched his stomach, desperately trying to get up to go to the bathroom!

Nan Jianping hurried forward to help her, and the old man Nan in the ward took advantage of the two of them going to the bathroom to ask Ouyang Chenhui in a low voice: "Boy, tell me the truth, what is going on with Al?" Is it serious? Can the doctors here see it?" Mr. Nan asked a series of questions.

Ouyang Chenhui didn't know how to answer, now, he is also a member of the cardiology department.Therefore, if you don't do anything, you will probably be bombarded by the old man!
Before Ouyang Chenhui could speak, he heard Nan Jianping panicking in the bathroom, "Why did Al start to have diarrhea?"

Qiuzi quickly followed in, and after a long time, Al floated out of the bathroom, but before he lay down on the bed, Al started to cry again that his stomach hurts!Nan Jianping and Qiu hurriedly took her back to the bathroom.

After repeating this for three times, Ouyang Chenhui finally felt that Al must not be as simple as eating a bad stomach!So, when Al came out of the bathroom again, he quickly called Wang Yi over!

And he himself used his clairvoyance to look into Al's gut. Before, he had always believed that Al had a heart attack, so his attention was on Al's heart. He never thought of Al's heart. Other systems also have problems.

It doesn't matter if you look at it, I saw some white things scattered on the lower intestinal wall of Al's digestive tract, and Ouyang Chenhui suddenly remembered the patient who died suddenly in the anatomy operating room that day. These white starchy things are also attached inside.

After that autopsy, he went back and read a lot of information, and he also had a thorough understanding of amyloidosis!According to his preliminary judgment, Al should have systemic amyloidosis, the intestinal tract was first invaded, followed by the heart, maybe the liver, and the kidneys...

Although he found the crux of the problem, Ouyang Chenhui didn't feel at ease at all. He still remembered what Lao Hu said at the time: "Even if the diagnosis can be made in the early stage, there is no special treatment, and the current treatment is only good. It is symptomatic treatment, just to delay life!"

There is no specific treatment, only to delay life!This is what happens with amyloidosis.Could it be that if I start all over again, I still can't save Al?Ouyang Chenhui thought painfully!

At this moment, after Wang Yi checked Al's whole body, he prescribed a routine stool test. Wang Yi's consideration was that after the body suffered a blow, his immunity would decline, which would induce acute intestinal infection!
"Ouyang, what's your opinion?" In front of the old man, Wang Yi must give Ouyang Chenhui face.

Ouyang Chenhui naturally couldn't say that Ai Er was intestinal amyloidosis, he thought for a while, and then said: "Director Wang, can we break the conventional way of thinking about problems, we always think that intestinal The cause is the heart, but is there a possibility that the gut problem is causing the heart problem?"

Ouyang Chenhui's way of thinking is relatively new, but judging from Wang Yi's experience, this possibility is relatively small, but he still continued to ask patiently: "In your opinion, where should we start?"

Ouyang Chenhui didn't want to reveal too much, but just said: "Ayer's diarrhea is acute and stubborn, so I'm considering whether to have a colonoscopy to check the intestinal conditions? Of course, the stool routine must also be checked. of!"

As soon as Wang heard it, he felt that it made some sense. Nowadays, the disease is complicated and changeable, and it is best to check all the problems that can be considered, and it is often a misdiagnosis caused by minor symptoms!
"Well, it makes sense, then let's do a colonoscopy first!" Wang Yi said, and issued a checklist!

Ai Er was a little weak, and Nan Jianping was still hesitating whether to wait a while for the examination. Ouyang Chenhui thought that there was no delay, so he hurried forward to explain the importance of early examination. Er helped him to the wheelchair and pushed him to the colonoscopy room for examination.

Although Ouyang Chenhui already knew the result, he still went with him just in case!
本来做肠镜的要求很严格的，检查前应进行低脂、细软、少渣的半流质或是流质饮食一、二天。检查当日早餐禁食。清洁肠道。 泻剂－灌肠法检查前一天晚上，睡前服蓖麻油25～30毫升。检查前2小时内用38℃左右温开水800～1000毫升先后洗肠2～3次。目前常用的是电解质液洗肠法。其方法是在检查前2～3小时由病人自饮洗肠液。在1小时内饮完3000～3500毫升。通常饮完1000～2000毫升即开始排便，直至排出清水即可检查。

And Al has been in a state of diarrhea, and the intestines have been emptied long ago, so the preparation work is saved.

Colonoscopy is to transmit the image of the colonic mucosa to the computer processing center through the electronic camera probe installed at the front end of the colonoscope, and then display it on the monitor screen, so that small changes in the colonic mucosa can be observed.Such as malignant transformation, polyp, ulcer, erosion, hemorrhage, pigmentation, varicose and dilated blood vessels, congestion, edema, etc., the images are clear and realistic.

This process is very painful, so Ouyang Chenhui greeted the doctor of the colonoscopy department and wanted to do a painless one for Al. This girl suffered too much, and he really couldn't bear to let him go through it again. Such pain!

The whole hospital knew that Ai Er was the daughter of President Su of the Kyoto Medical University, so all the inspection reports came out immediately. Similarly, they didn't have to wait too long for the results of the colonoscopy.

Received the report.Ouyang Chenhui saw that it said: the lower end of the digestive tract was yellowish, accompanied by scattered white spots, and the folded walls of the mucous membrane were red, swollen, and hypertrophic.The tissue biopsy at the lower end of the intestinal tract was cancelled, and the characteristic green birefringence of the protein was observed by Congo red staining polarizing microscope.Diagnosis: Intestinal amyloidosis possible!
Ouyang Chenhui knew this result a long time ago, but the exact black and white words still made him a little dizzy!

In front of Al, Ouyang Chenhui couldn't say anything, so when Nan Jianping asked him, he just said perfunctorily, "It's okay!"

When Ouyang Chenhui handed the test report to Wang Yi, he saw the well-tested old expert's body visibly trembling. Facing Su Chun's questioning gaze, he didn't say anything, and continued to issue a prescription. Pile up the test sheets for the diagnosis of amyloidosis!

Ouyang Chenhui could understand the feelings of this old friend of Su Chun. As a doctor, he himself was unwilling to admit this result!Doing more tests is nothing more than hoping for a miracle.

It's just that Ouyang Chenhui knew that this miracle would never happen, but he still didn't stop him, allowing Al to do a full set of tests that should be done for amyloidosis!
When a pile of examination reports were placed on Wang Yi's desk, this experienced cardiologist finally accepted this reality!
"Director Wang, what should we do now?" Ouyang Chenhui and Wang Yi were the only people in the doctor's office.And Su Chun's family was anxiously waiting for the diagnosis result at the door!
Wang Yi held his head in his hands, showing an irritable appearance that was extremely inconsistent with his age.The friendship between him and Su Chun is very deep. They have been old friends for 30 years. Su Chun's daughter is just like his own daughter. So, at present, even he himself cannot accept this result. Chun confessed it!
Grandpa Nan started to get angry again outside the doctor's office, his tenor voice kept echoing in the corridor.

Thinking of this old general in his [-]s, Ouyang Chenhui felt tangled in his heart, wondering if he could bear such a blow!
"Ouyang, tell Su Chun to come in! No one else is allowed to come in!" Wang Yi rubbed his temples and said with difficulty.

Ouyang Chenhui understood what he meant, so he gently opened the door of the doctor's office, and said to the person outside the door with a forced smile: "Everyone, don't worry, the diagnosis result will be available soon."

Then he looked at Su Chun, the teacher he had always regarded as a senior, "Principal Su, Director Wang wants you to come in!"

Su Chun's heart thumped suddenly, and he felt his heart ache inexplicably. Regarding the diagnosis result, Su Chun already knew that he must not be optimistic. He already knew it in the test sheet!

But all the unoptimism is his own guess. Next, he will know how serious Al's illness is!
Walking outside the door to Su Chun's office, within a few steps, Su Chun seemed to have walked for a long time.

(End of this chapter)