Chen Qi's space operating room has this kind of black technology "capsule endoscope", but he can't say it, not even his wife.

He used to take out those black technologies of later generations, and they all hit "poor information".

Saying at home that this is a machine secretly developed abroad, and saying abroad that this is a device secretly developed at home is equivalent to hiding it from both ends.

But if you walk too much at night, you will always encounter ghosts, so Chen Qi has to be careful and careful.

Fortunately, this is the 80s, and if it were 10 years, it is estimated that he would have been reported to GW by his wife, children, students, colleagues, and neighbors.

Like Lao She, his wife and children didn't let him enter the house until he died, a tragedy in the world.

Chen Qi doesn't want to be miserable, he has so much money, and he hasn't enjoyed life yet.

What to do?

Chen Qi thought of a good way, and while everyone was leaving, he quickly returned to the ward:

"Wait, don't eat yet."

Before doing gastrointestinal endoscopy, the stomach must be cleaned first, so at this time, Yu Sisi saw the doctor leave, and was just about to eat when Chen Qi called him to stop.

"Doctor Chen, what did you find here?"

Chen Qi smiled: "It's okay, it's okay, it's just that we still need to do a few tests, so the little sister came and ate 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 glow, as if there was an electronic component inside.

"Dr. Chan, what is this? Is it a pill? ”

"Uh, this one, it's a pill and not a pill, you swallow it and you'll pull it out tomorrow, you remember to take a net bag when you poop, don't let the water wash it away."

The toilets in the people's hospital are not like the flush toilets or squatting pits of later generations.

Instead, it is a long sink, on which everyone squats, and there is a water tank at one end, and if you want to flush the water, you can pull the line, and the water will quickly wash away all the dirt in the sink.

Chen Qi didn't want his capsule endoscope to be washed away.

Yu Sisi and his parents did not suspect anything, they were able to rush to Yuezhong from Xi'an, thousands of miles away, because they knew that the treatment methods of Yuezhong Hospital were different and had their own characteristics.

They believe that this capsule is also one of the characteristics of the Vietnamese hospital.

Besides, there is no Baidu these days, and they can't find out even if they have questions, so Yu Sisi swallowed it happily.

Chen Qi thought to himself that the patient in this year is really easy to talk, if this is his previous life, the patient will not be able to ask clearly, and then search Baidu for a long time, and finally wonder if you are doing what kind of test his patient does?

Early the next morning, Chen Qi covered his nose and retrieved the capsule endoscope wrapped in stool.

Then, before the joint ward rounds of the two hospitals began, he quietly took out his laptop, read out the data of the capsule endoscopy, and slowly watched it from the mouth until it was discharged from the anus.

It can be seen that Chen Qi is constipated.

The capsule endoscopy took a picture of all the upper and lower gastrointestinal tracts of Yu Sisi from top to bottom, from the inside to the outside.

Especially in the lower gastrointestinal tract, all the ileum-jejunum that could not be detected by colonoscopy before were also examined, but the results greatly exceeded Chen Qi's expectations.

There was nothing wrong with the intestines at all.

Seeing this, some readers and friends will definitely say, look, a capsule endoscope costs thousands of dollars (the price in 2023), but it costs so much money and nothing is wrong with it, isn't this to make medical expenses and waste our money?

Actually, it shouldn't be understood that way.

Although capsule endoscopy, gastroscopy, colonoscopy, CT, and B-ultrasound have been done all over again, and indeed a lot of medical expenses have been incurred, you can't say that these examinations are done in vain, redundant, and meaningless.

At least now Chen Qi can use the elimination method to rule out some of the causes of abdominal pain.

When you rule out most of the causes, the remaining answer is the correct answer, so in the final analysis, medicine is that doctors are using the rule of law, especially incurable diseases.

In the morning, when the joint ward rounds of the two hospitals began, everyone was still struggling with whether there was something wrong with the undetected intestines in the middle section, Chen Qi already knew that there was no problem with the intestines, and the thinking of disease diagnosis would spread.

Professor Tong put forward his own views at this time:

"Otherwise, we will expand the scope of the examination and don't stare at the gastrointestinal system, diseases such as liver congestion, hepatitis, liver abscess, liver cancer, splenomegaly and other diseases will cause increased capsule tension, will this be the cause of Yu Sisi's abdominal pain?"

When Yu Sisi's parents heard about liver cancer and hepatitis, their legs were so frightened that they were weak.

"Doctor Chen, Doctor Lan, you must ask for my daughter, Professor Tong said, your level is very famous in the world, you can't give up my daughter."

The girl's mother was so anxious that she almost knelt down, but Chen Qi hurriedly supported her.

At this time, I don't know if it was nervous or where there was discomfort, Chen Qi once again saw the corner of the girl's mother's mouth twitch unconsciously, and he suddenly felt as if he had caught something.

But Luo Zhen was crying and kneeling, and Chen Qi was busy helping her up, forgetting that the corners of her mouth twitched, 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, blood porphyria, etc.?"

Yan Changhong of Xijing Hospital retorted:

"The patient has been in pain for several years, and each attack can hurt for 1-2 hours, but it is estimated that it will not be a malignant disease, otherwise it would have worsened. You see that she has not lost weight, nor has she had a cachexia face, and there is no sickness on the surface. ”

Lan Lijuan whispered to the doctor next to her:

"Could it be hysteria? The age of 16 is just the most rebellious time for children, sometimes they encounter learning difficulties, or there are things that do not go well at home, or even quarrel with their boyfriends when they fall in love, they will have hysterical attacks, which is not uncommon in clinical practice. ”

Hysteria, also known as dissociative conversion disorder, is a mental disorder caused by mental factors, such as life events, inner conflicts, suggestion, or autosuggestion, acting on predisposing individuals.

Director Liang of Xijing Hospital shook his head:

"It shouldn't be hysteria, because when the patient's abdominal pain occurs, there is obvious tension in the abdominal muscles, similar to a plate-like abdomen. If it is a hypothesis, the abdomen should be soft on palpation. And the little girl has a good temper, a harmonious family, and her grades are quite ideal, and there is no social and academic stimulation. ”

The more you know, the more guesses.

One person, one sentence, one diagnosis, if all of them have to be done by elimination, I am afraid that it will not be possible to find out in a few months.

At that time, not to mention that the family members can't afford it financially, and their bodies can't 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 stand up straight? Obviously, my daughter's condition has never been found, and the pressure has reached a critical line.

said that it was too late, but it was fast, and Yu Sisi was lying on the hospital bed fine, but the abdominal pain came as soon as he said it.

"Ouch, it's starting to hurt again, doctor, doctor~~~"

Yu Sisi clutched his stomach, his face was pale, and beads of sweat the size of beans instantly covered his forehead.

Chen Qi reacted quickly next to him, and immediately seized the time to lie the girl down, and then pressed his right hand directly on her stomach.

"Where does it hurt?"

"This, it hurts here, it's like a knife is cutting, it hurts, it hurts."

Chen Qi pressed it and found that the pain was not too fixed, one moment in the umbilicus and one time 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 what kind of problem would it be if the thinking continued to spread?

Just as Chen Qi was thinking, the girl's mother twitched the corners of her mouth twice in a row because she was emotional, very quickly, and if it wasn't for the face-to-face, she wouldn't have noticed it at all.

Chen Qi's eyes lit up, and he finally caught inspiration.

"Sister Luo, I have a question for you, don't be surprised if I say something wrong, everything is for the sake of the child."

The girl's father was a little strange: "My daughter is sick, you ask her mother what she is doing?" ”

The eyes of everyone in the office are also focused on this WGO director who can speak, after all, the disease is two completely different individuals, ask mother? Everyone couldn't figure out why.

The girl's mother was eager to save the girl, and she didn't think about anything else at all, and nodded again and again:

"Doctor, you ask, I tell you all I know."

Chen Qi hesitated for a moment, but still asked: "I have seen the corners of your mouth twitching several times, so I want to ask, do you have a history of epilepsy?" ”

As soon as these words came out, Professor Tong Shanggao's eyes also lit up.

Although the girl's mother didn't know why the doctor asked this, she answered honestly:

"Yes, I had epilepsy when I was a child, but I didn't have general convulsions like other sheep epilepsy patients, my seizures were relatively mild, just like I still have a few involuntary twitches at the corners of my eyes and mouth."

Oh~~~

In the end, it was the doctors of the top hospital in China, and the doctors of Xijing Hospital let out a sudden sound of realization next to them, obviously they had guessed something.

As for the Vietnamese People's Hospital, except for a few senior doctors, the other young doctors have not yet realized the reason for Chen Qi's questioning.

That's the gap.

Chen Qi also breathed a sigh of relief at this time, so he explained:

"Epilepsy is not a genetic disease, but epilepsy can be genetically predisposed, which means that your daughter can also have epilepsy."

"What?"

The girl's parents let out a burst of exclamations at the same time, and Yu Kejia was a little unacceptable:

"Epilepsy is hereditary, we know, but my wife's epilepsy is very mild, is it also genetic? Besides, even if my daughter has epilepsy, it doesn't explain the patient's recurrent abdominal pain. ”

Chen Qi coughed lightly: "Yes!" ”

Professor Tong next to him also nodded slightly:

"It really has to do with it. Typical epilepsy, of course, is mainly convulsions, impaired consciousness, and foaming at the mouth, which everyone understands. However, atypical epilepsy does have the potential to present with abdominal pain.

Because of the abnormal discharge of the brain, it may be related to the nerve disorder in the abdomen, which can then lead to abdominal pain. Such examples are rare, but they have existed, and I have seen them when I was younger. But that's all suspicious. ”

The girl's parents are stupid, their baby daughter's abdominal pain has not been cured, and now she has another epilepsy?

No one can accept it, even if the abdominal pain can't be cured, then it hurts. And with epilepsy, the girl was completely ruined.

Specifically referring to Comrade Bai Xue, not long after he got married, he was tragically dismissed by his in-laws because of a suspected epilepsy, just to keep it clean and avoid being talked about.

Sixteen-year-old Yu Sisi was lying on the hospital bed, and when she heard that she might have epilepsy, she burst into tears.

All of a sudden, the ward was chaotic.

As a doctor, Chen Qi has to ensure his calmness in the first line, which is also why outsiders always think that doctors are ruthless, so let doctors cry with their families? Is this disease still incurable?

"Don't cry, I'm just suspicious, I need to do a few tests, Lijuan, you ask the doctor in the EEG room to come over, give her a bedside EEG test, wear it for a night, and see if you find it."

Everyone was looking forward to the evening.

If there is a seizure of abdominal pain that night, and if the EEG can record typical epileptic waves at the time of abdominal pain, then it is undoubtedly epilepsy and the case is solved.

Unfortunately, it backfired, and the girl did not have abdominal pain that night, and the EEG showed that it was normal.

While the girl's family breathed a sigh of relief, Chen Qi gasped, this was not the result he wanted, and if he couldn't find out, it meant that he had to find a needle in a haystack again.

Just when everyone was deflated, Yu Sisi's abdominal pain flared up again in the afternoon.

This is really a bad thing, you don't have seizures when you wear an EEG, but you have two seizures before and after wearing it.

And this time the abdominal pain manifested itself more painful and bearable than the previous times.

The girl's mother was anxious: "Doctor, you can use some painkillers, you can't watch my daughter die of pain." ”

Chen Qi sighed in his heart:

"We've tried painkillers and they don't relieve the pain from happening, but now I have an idea to use a medicine that will stop immediately if it works, and I want to give it a try."

The girl's mother replied anxiously: "Yes, right away." ”

The girl's father was a little vigilant and asked more: "Dean Chen, what medicine do you want to use?" ”

"Sodium valproate!"

Professor Tong, Zhang Weizhong, Lan Lijuan, and Liang Wenwen were all stunned, obviously the young dean still did not give up and insisted on the diagnosis of abdominal pain epilepsy.

(Nonsense, the intestines are all over, it must not be the intestines themselves that are the problem)

"What kind of medicine is sodium valproate?" The girl's father asked a little strangely.

"This is a drug for the treatment of seizures, my thoughts, if the abdominal pain can be relieved with anti-epileptic drugs, it can also be regarded as abdominal pain epilepsy, this is called diagnostic treatment, Professor Tong and so many doctors are there, I will not use the drug indiscriminately."

The girl's father turned his head to look at the "fellow" Professor Tong.

Professor Tong nodded slightly: "Xiaoyu, I think you can trust Dr. Chen once, just try it, there won't be any big problems." ”

"Okay, then let's try sodium valproate!"

(End of chapter)