Yang Ming was a little excited when he saw Lin Yi.

Because he had long heard that there was a young doctor in the emergency department in the hospital, named Lin Yi, who had knowledge and methods of disease, but he had never seen it!

We can have a consultation together today, and we just happen to see you to see if it's really as powerful as you say!

"Don't say that, Deputy Director Yang, please take a seat!"

How to say that Yang Ming is also a senior, Lin Yi naturally has to be more modest with him.

After Yang Ming and the two attending physicians sat down, Yang Ming looked at Lin Yi and said:

"Dr. Lin, what's the condition of the patient on your side, calling us?"

Lin Yi saw that the personnel had arrived, so he didn't ink, and went straight to the point:

"Okay, Deputy Director Yang, time is pressing, then I'll start directly!"

"The patient's name is Ma Tao, 32 years old, he suddenly vomited and fainted when he was going down the stairs a few days ago, and was sent to the nearest hospital for examination."

"The result of the examination was gastroenteritis, some medicine was prescribed, and nothing was wrong with the examination."

"When I went back, the patient was not at ease and came to me."

"When I did a routine test on him, I found that he didn't have a knee reflex in his left leg!"

When Lin Yi said this, everyone's eyes were fixed on Lin Yi, and they made relevant records in their notebooks.

Lin Yi continued:

"Later, we did a brain biopsy on him, which found that he was infected with toxoplasmosis, and he was falsely positive for HIV, and later tested negative!"

"Now his condition is very serious, and the muscle strength in his left leg is gradually being lost, that is, the symptoms of toxoplasmosis are getting worse!"

After Lin Yi finished speaking, Yang Ming and the others couldn't help frowning.

Not AIDS, but with these symptoms?

Toxoplasmosis is very closely related to AIDS, and if he can contract toxoplasmosis, it means that he has a big problem with his immune system.

But it is not the cause of AIDS, so we have to look elsewhere for a breakthrough............

Lin Yi looked around, and then asked:

"Do you guys have any ideas?"

After being silent for a long time, Yang Ming took the lead in asking Lin Yi:

"Has this patient ever had an organ transplant?"

Yang Ming asked this question because organ transplantation can cause damage to the immune system, resulting in immune deficiency.

Lin Yi shook his head directly and denied:

"Nope."

"And what about the number of his T cells?"

An attending physician next to Yang Ming followed and asked.

This is also an issue that they are very concerned about, because T cells belong to lymphocytes and play a major immune role in immune organs and tissues.

If its number changes, it can greatly affect the patient's immunity!

"I've already arranged to have him examined, and the results are not yet available."

Lin Yi looked at him and replied.

Yang Ming couldn't help but nod slightly.

He had already arranged for the relevant tests, which showed that he had thought of this.

After thinking about it, Yang Ming wanted to explore Lin Yi's disease knowledge and analysis ability in terms of immunity.

So Yang Ming asked Lin Yi:

"Doctor Lin, the results of the examination have not come out yet, do you have any speculation?"

After Yang Ming's words were asked, the two attending physicians beside him were also staring at Lin Yi tightly.

They had also heard of Lin Yi for a long time, but they were also young people, so they were inevitably a little unconvinced by him, and they always felt that he was too famous.

So they also wanted to see how clever Lin Yi would be!

Lin Yi pondered for a moment, and then spoke:

"Anyway, I'm waiting for the results now, so I'll tell you what I think."

"Okay, Dr. Lin, please."

Yang Ming didn't expect that he really had some speculation, so he immediately stared at him with interest and said.

"Now we can determine from the patient's symptoms that he must be immunodeficient."

"And since it's immunodeficient, it's nothing more than a few cases."

"AIDS is a big possibility, but now we've ruled it out."

"There is also hairy cell leukemia, viruses, malignant tumors can also cause."

"By the way, there are some variant immunodeficiencies, but this is very rare."

Lin Yi said directly in one breath.

Listening to Lin Yi almost without thinking, he said these possibilities so smoothly, Yang Ming couldn't help but nod in admiration.

Although he is not a doctor specializing in immunology, the level of relevant knowledge is really in place!

The two attending physicians next to him also swallowed unwillingly.

They knew in their hearts that if they were suddenly asked to say these possibilities, they would have to ponder for a while before they could remember.

And what does he mean by variant immunodeficiency at the end?

Not only them, but Yang Ming also had some doubts.

But they are not very easy to ask Lin Yi.

After all, this is their old profession, the knowledge of immunology, let them ask an emergency doctor, wouldn't that be too low?

At this moment, the door of the conference room was pushed open, and Chen Qiang walked in with the report in his hand.

"Brother Yi! The results of Ma Tao's inspection report are out! ”

Chen Qiang said as he walked quickly towards Lin Yi.

"Oh? It's out, hurry up and show me! ”

Lin Yi couldn't help but be shocked, and immediately said.

After Lin Yi took the report, he first scanned it roughly, and then said the general content of the report to everyone:

"The general examination report showed that the lymph nodes in the patient's neck were slightly swollen, about 3mm in size."

"And there are cysts in the armpits, abdomen, and kidneys."

After listening to Lin Yi's report, Yang Ming frowned and shook his head slightly, and said:

"There is nothing wrong with this lymph node in the neck, and the cyst is not important, it is certainly not the cause of the disease."

"In this way, no tumor was found in his body, and it seems that his condition has nothing to do with the tumor."

After hearing this, an attending physician next to Yang Ming couldn't help but nod in agreement, and then his eyes lit up, and he said directly:

"Then we can go to check for hairy cell leukemia next!"

But as soon as his words came out, he was immediately rejected by Yang Ming:

"No! Can't check for hairy cell leukemia! ”

"How...... What's wrong? Deputy Director Yang. ”

The attending physician couldn't help but look at Yang Ming and asked hesitantly.

Yang Ming's expression was serious, and he said in a deep voice:

"Because we can't even get tested for hairy cell leukemia!"

"No way? No, we just need to observe whether the spleen is enlarged, can't we conclude it? ”

"Yes, Deputy Director Yang, how can this not work?"

The two attending physicians next to him immediately looked at Yang Ming and asked suspiciously.

"An enlarged spleen does not necessarily mean that the patient has hairy cell leukemia."

Suddenly, Lin Yi on the opposite side spoke directly.

Several people were taken aback and looked at Lin Yi one after another.

"Although it is said that with hairy cell leukemia, the spleen is generally enlarged, but if you want to accurately judge from this point, it is undoubtedly not feasible."

Lin Yi continued to add.

"Even if you can't tell by an enlarged spleen, we can use other methods to detect it."

"It's not that you can't test it."

One attending physician is not convinced of the airway.

It was not easy for him to ask Yang Ming directly about these questions, but at this time, Lin Yi happened to come out, so he pointed the finger at him directly.

Lin Yi's face was calm, and he said slowly:

"It's true that there are other methods that can be tested, but this other method is that the patient needs to be operated on and then biopsied on his spleen."

"But the patient now has severe immunodeficiency, and most of the blood circulation is through the spleen!"

"If we cut on him, think about what the consequences will be!"

After Lin Yi's words were finished, the scene suddenly fell silent.

Yang Ming looked at Lin Yi with some surprise, because what he said was the reason why he denied testing for hairy cell leukemia.

And he can think of this directly, the knowledge reserve is really strong!

The two attending officers of their own department are immediately dwarfed by them!

But then he couldn't help but calm down.

That's normal, otherwise his name wouldn't have been circulated in the hospital!

After listening to Lin Yi's answer, the two attending physicians turned their heads to look at Yang Ming, and after seeing his expression, they immediately bowed their heads and fell silent.

Immediately afterwards, one of the attending officers couldn't help but look up and ask Lin Yi:

"What happens if I go under the knife?"

"Simply put, it's sepsis!"

Lin Yi said directly.

Sepsis they naturally know that it is the pathogenic bacteria that invade the blood circulation, grow and multiply in the blood, and then produce toxins, causing systemic infection.

This condition, if severe, can be very fatal!

But why did he say that if the patient was operated on, it would cause sepsis?

Then they couldn't help but wonder.

After a few seconds, they finally figured it out!

Generally speaking, bacteria that invade the circulatory system in a normal human body are eliminated by the immune system.

But if a person's immune system is deficient, it can't be eliminated.

The spleen is the main route of blood circulation.

If the spleen is operated on, then indeed, the consequences are unimaginable............

Thinking of this, they couldn't help but feel a chill down their spine......

If you do this, you will be in a big trouble!

It's just that...... It's really not easy for this kid to be able to think of this instantly!

At this moment, the door of the conference room was pushed open again!

A nurse hurriedly walked in and immediately said:

"Doctor Lin, Ma Tao is in trouble again!"

"What's the situation?"

Seeing the nurse's expression, Lin Yi hurriedly asked her.

"He just had symptoms of breathlessness! And the blood oxygen has dropped to 85! ”

"What?!"

Hearing the nurse's words, everyone present suddenly exclaimed.

I don't have a clue about the diagnosis of hairy cell leukemia now, and now this situation is happening, which is simply worse!

"Let's go, let's go and see first!"

Lin Yi immediately got up and walked out directly.

The rest of the room also got up and went out with them, wanting to see how the patient was doing.

The group came to Ma Tao's hospital room.

I saw Ma Tao lying on the hospital bed at this time, with his mouth open, breathing hard!

And his blood oxygen is still gradually decreasing!

"Quick, intubate!"

Yin Liang immediately shouted when he saw this.

"Yes!"

The medical staff next to him agreed and quickly took action.

After a few moments, the intubation was finally successful!

Ma Tao took a big breath at this time.

Everyone couldn't help but breathe a sigh of relief.

"What's going on, why is this happening all of a sudden?"

Wu Jiang stared at Ma Tao, who had a painful expression, shook his head and said.

After Lin Yi came to the ward, he had already turned on the live broadcast camera, in order to let the sailors better understand the development of Ma Tao's condition.

After seeing this scene, the sailors couldn't help but launch a barrage:

"What's the situation? Why is this brother so serious! ”

"It's scary!"

"When I came, I looked like I was still alive, why did I feel like I was dying at night?"

"This brother is too disobedient, he said don't look for an anchor to see a doctor!"

"He just won't listen!"

"What can I do? Has the cause not been identified? ”

Seeing that the situation had calmed down temporarily, Yin Liang walked up to Lin Yi and said to him:

"Brother Yi, Ma Tao's respiratory system is now seriously damaged."

"Severely damaged respiratory system?"

Lin Yi couldn't help frowning, and said:

"It shouldn't be......... Why is the respiratory system damaged? This is certainly not caused by toxoplasmosis. ”

Immediately after, Lin Yi immediately looked up at Yin Liang and said to him:

"Now it is necessary to immediately find out the cause of the patient's respiratory damage!"

"That's it! You go and dye him silver! ”

Silver staining is a method for detecting proteins in polyacrylamide gels, which can identify some pathogens based on the detected proteins.

"Good! I'll arrange it now! ”

Yin Liang didn't dare to delay for half a minute, and immediately took action as soon as he promised!

"Dr. Lin, the patient's situation is too complicated now, do we need to invite someone from the respiratory department to come for a consultation as well?"

Yang Ming looked at Lin Yi and asked tentatively with a frown.

Lin Yi shook his head and said:

"I don't feel like it's going to be right now, because his respiratory system is damaged now, and it's definitely a symptom, not a cause."

"I think our primary goal at the moment is to find out the cause as soon as possible!"

After Lin Yi finished speaking, Yang Ming couldn't help but nod in agreement, and then said:

"That being said, we now suspect that he may have hairy cell leukemia, but his immune system has been destroyed like this, and we can't test to confirm it."

"It's a nuisance!"

"Do we have to think about other possibilities?"

After Yang Ming finished speaking, the scene fell silent for a while, and no one had a good solution.

Everyone couldn't help muttering in their hearts, this situation is really rare, this is a hard stubble!

"We'll just have to wait for the results of the silver dye to come out now."

After a while, Lin Yi took the lead in speaking.

"Hmm."

Yang Ming nodded slightly.

After a while, Yin Liang walked in.

"The silver staining results are in!"

After coming in, Yin Liang immediately said to Lin Yi.

"The result?"

"The cause of Ma Tao's respiratory system damage was Pneumocystis carinii pneumonia!"

Pneumocystis carinii pneumonia is an interstitial plasma cell pneumonia caused by Pneumocystis sporum, which often occurs in immunocompromised young children!

And when it appears in an adult patient, then there is a high probability that the patient has hairy cell leukemia!

"Brother Shen!"

"Hmm!"

Shen Changqing walked on the road, and when he met someone he knew well, he would say hello to each other or nod his head.

But it doesn't matter who it is.

There was no superfluous expression on everyone's face, as if they were very indifferent to everything.

on this.

Shen Changqing is used to it.

Because this is the Demon Suppression Division, it is an institution that maintains the stability of Great Qin, and its main responsibility is to kill demons and monsters, and of course there are some other side jobs.

Arguably.

In the Demon Suppression Division, everyone has a lot of blood on their hands.

When a person is accustomed to seeing life and death, then he will become indifferent to many things.

When he first came to this world, Shen Changqing was a little uncomfortable, but over time he got used to it.

The Demon Suppression Division is huge.

The people who can stay in the Demon Suppression Division are all powerful masters, or people who have the potential to become masters.

Shen Changqing belongs to the latter.

Among them, the Demon Suppression Division is divided into two professions, one is the town guard and the other is the demon exterminator.

Anyone who enters the Demon Suppression Division starts with the lowest level of demon slayer.

Then step by step, he is expected to become a town guard.

Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level of the demon slayer envoys.

Have memories of the predecessor.

He is also very familiar with the environment of the Demon Suppression Division.

It didn't take long for Shen Changqing to stop in front of an attic.

Unlike other places full of slaughter, the attic here seems to stand out from the crowd, and in the bloody Demon Suppression Division, it presents a different tranquility.

At this time, the attic door is open, and there are occasional people entering and exiting.

Shen Changqing only hesitated for a moment, and then stepped in.

Access to the attic.

The environment has changed in vain.

A burst of ink fragrance mixed with the faint smell of blood came to his face, making his brow furrow instinctively, but quickly stretched.

The smell of blood on everyone's body in the Demon Suppression Division is almost impossible to clean.