Chapter 296: Extremely Demanding!

It seems to know what everyone is thinking.

Lin Yi paused for a moment and continued: "There are a large number of microorganisms in the human intestine, and there is nothing wrong with the idea of reintroducing the colonic microbiota with fecal microbial transplantation. ”

When the woman heard that Lin Yi was actually on her side, she first looked at him in surprise, and then nodded excitedly.

See, my approach is right!

The little nurse stood by and stared wide-eyed.

She had never heard of using to cure diseases, and now she heard that Lin Yi actually admitted this technique.

Really?

The little nurse's jaw dropped!

She wasn't to blame, though.

After all, this technology is not widely used in China, and it is still a relatively high-end technology.

Moreover, when most people heard this technology for the first time, they were disgusted.

I don't know where these people on the network know about it.

It was Wu Jiang who was thinking about something by touching his chin, as if he had heard Lin Yi mention it in the consultation room.

Seeing this, Lin Yi had no choice but to continue to explain helplessly:

"In medicine, there used to be a very difficult cure called recurrent Clostridium difficile infection, which left many top hospitals helpless."

"This bacterium invades the gut when the gut microbes are destroyed. It causes diarrhea, vomiting, fever, stomach pain, and even death in severe cases. ”

"At this time, the doctor can make the stool into a capsule orally or from the rectum to re-diversify the microbiota in the patient's body."

When everyone heard Lin Yi's description, the corresponding picture also appeared in their minds.

Eat or something......

Lin Yi saw that everyone looked uncomfortable, but he continued:

"Well, it's a bit uncomfortable to look at the picture, but the treatment is clinically effective and 90% effective, and it works quickly."

At this time, Wu Jiang, who was standing on the side, pondered and finally remembered something.

"I remember that some time ago you showed me a report about what fecal banks were, and there are several cases of hospitals using feces to treat them successfully, right?"

Lin Yi nodded, took out his mobile phone from his pocket, and dotted his fingers on the screen, looking for the report he had seen last time.

"Found it."

Lin Yi showed the page of his mobile phone to the people present.

Wu Jiang read out the text with a deep face:

"Through fecal microbial transplantation (FMT), an 80-year-old lady who was infected with Helicobacter pylori and took fungicides that caused severe diarrhea was successfully treated."

"A 5-year-old boy accidentally ingested strong alkali and was infected with Clostridium difficile, which is highly resistant to drugs, and his 11-year-old brother saved his brother with feces! The two formed a 'friendship'.

Lin Yi indifferently took back his mobile phone and read out the rest of the news.

"A 49-year-old woman, after eating spoiled food from the refrigerator, was diagnosed with a rare and severe form of pseudomembranous enterocolitis, and the hospital injected her son's fresh fecal extract into the patient's jejunum through the nasojejunal tube, and it didn't take long for the woman to recover her health."

Saying that, Lin Yi frowned and shook his head, and said helplessly:

"Fecal transplantation is not an uncommon technique abroad, but few people have heard of it in our country."

After so many examples, everyone in the audience finally reluctantly accepted the idea that feces can save people. …

It turned out that the fecal transplant technology that the woman looked up on the Internet by herself was really like that!

Is this a mistake, hit the right one?

After listening to Lin Yi's explanation, the woman nodded again and again.

There was excitement in his eyes.

Lin Yi's remarks are equivalent to proving her innocence, she is not a hot-headed idiot.

In an instant, Lin Yi's image became tall in her eyes.

"Yes, yes, this method was told to me by a friend of mine who studied abroad, so this method is indeed scientific, right?"

But Lin Yi couldn't help but shake his head after listening to her words.

"Donation of feces and feces transplantation techniques is not as simple as you think."

Lin Yi looked at the woman and didn't realize her problem.

He shook his head pityingly.

From just now, Wu Jiang, who had been standing aside with his mobile phone and constantly looking for information, also raised his head at this time.

caught Lin Yi's words:

"The transplant surgery of FMT needs to be controlled in a sterile environment, and it needs to be detected and extracted with professional equipment."

"At the same time, the requirements for feces are also very high, I just checked the data, and the final pass rate is only 4%!"

"How can a fecal transplant be so simple, in your own kitchen? Hehe. ”

The woman on the hospital bed looked a little embarrassed.

"But what the woman said is right, the person who donates dung must be healthy, first of all, the first choice is the dung when he is healthy, and then the dung of his relatives."

"It's the same as immune cells, everyone's gut microbiota is different, and it's best to choose one with a similar microbial species and ratio to the patient."

"Second, it is best to be young, students aged 10-18, college students, young office workers can also be, and in some special cases, younger children will also be chosen."

Everyone listened, and it felt like it was all in line so far.

Lin Yi continued:

"How can it be that simple, the third is healthy, the donor's own body must be free of infectious diseases and inflammation, and the feces should not be infected by pathogenic bacteria. And have a healthy schedule, don't stay up late, don't smoke, don't drink. ”

"It is not for nothing that many people suddenly find that they have certain diseases during the testing of feces donation."

Then, his gaze glanced at the woman on the hospital bed.

The woman looked at him blankly.

Lin Yi couldn't help but say:

"Do you still understand that if your fecal transplant is correct, then you won't have a urinary tract infection right now!"

"Either you get an infection during the enema, which is less likely."

"Either ......"

Lin Yi's eyes suddenly looked at An An.

The eyes of the crowd followed him.

An An faced the gazes of everyone staring at her, and hid behind Wu Jiang with some fear.

Now.

Everyone understood what Lin Yi meant.

If it's not an infection caused during the transplant, then there's something wrong with the stool itself.

Wu Jiang blocked everyone's attention for An An:

"Hey, you're enough, you're scared of all the little girls!"

Seeing this, Lin Yi retracted his gaze: "Since the cause of the infection has been found, then prepare her for surgery, in view of the symptoms of swelling and stiffness, she may have a colon perforation, and she must be arranged for surgery immediately." ”…

"Also...... Check for toxins and infectious bacteria in the stool. ”

Soon.

A slip was handed over to the surgeon.

The woman was arranged to be taken to the operating room.

She was lying on the operating table.

There has been a big hole in the stomach that has been opened.

Several surgeons worked together on her stomach with various tools.

Chief Surgeon says:

"Excision of the proximal and distal colon to the perforation with a closure."

"Separation of the mesentery with a ligation bundle."

Suddenly!

The surgeon glanced at the screen and frowned.

Nisuke suddenly spoke up at this time:

"There is bleeding, it's serious!"

Clamp the artery with forceps.

The atmosphere suddenly became serious, and no one dared to make small talk anymore.

The surgeon quickly judged:

"It's the tension of the patient's movement that caused the splenic capsule to tear, and splenectomy is necessary!"

After making a judgment, the surgeon did not pause for a moment and ordered:

"Cut through the connection."

The assistants next to him quickly cut the part connected to the kidney, and the part connected to the diaphragm.

"Treat the vascular pedicle with a white stapler."

After speaking, the chief surgeon told the assistants very seriously: "Don't touch the pancreatic tail for me!" ”

Finally, the operation was successful!

Although there were some problems in the process, the surgery was a success overall!

Meanwhile.

In the hospital conference room.

The bigwigs of various departments sat inside, all frowning.

Originally, just a few doctors from the internal medicine department sat here, but slowly as the patient's condition progressed, doctors from other departments also came.

The director of the dermatology department touched his head with a sad expression.

He couldn't help but sigh.

This patient was first taken over by their department.

The patient was a 14-year-old girl who had a sudden anaphylaxis.

However, it is impossible to find out why.

Stumped several experienced doctors in a row.

In the end, I had to ask the director for help.

The director is indeed the director.

It is not so simple to find out the girl's illness in a short period of time.

Hurriedly asked the family to arrange hospitalization.

Sure enough, the girl soon developed other symptoms.

But it is these symptoms that make the director of dermatology scratch his head, because these are beyond the scope of dermatology.

Confused!

In the end, after thinking about it, the director of the dermatology department had to convene all the directors to study the diagnosis together.

In the midst of doubt, the consultation began.

Now.

The other chief doctors also had serious expressions and looked at the front with solemn expressions.

The head of the Department of Dermatology projects the information on a screen.

"The patient, a 20-year-old female, suddenly developed idiopathic allergies at her birthday party."

"What do you think?"

Speaking of this, a doctor immediately raised his hand to speak: "Could it be that she is opening a gift that triggered an allergic reaction?" ”

The director of the dermatology department shook his head: "It's unlikely, she dismantled a jumping ball at that time, and there was nothing special." ”

Put the next page of PPT in your hand.

It shows the patient's condition regarding the birthday party.

At the same time, the people below are also turning over the information in their hands. …

Someone followed up with a question:

"The information shows that she ended up eating a strawberry cake, could it be a food allergy?"

The director of the dermatology department shook his head regretfully:

"We were about to say this, and we tested her as soon as possible, but the allergen test showed that she was not allergic to anything."

At this moment, everyone sat in the consultation room thinking, frowning.

These speculations have been debunked by the test results, so what else is possible?

The head of the dermatology department sat down and smiled bitterly.

If it was so simple to guess, he would not have convened this consultation.

What they said before, they had already guessed.

The results of the examination showed that none of them were.

The whole dermatology department was in a state of incomprehension.

There is nothing that can cause an allergic reaction at a birthday party, so how did the girl get an allergic reaction?

A moment later.

Someone pondered and said, "Could it be hereditary angioedema or generalized mastocytosis, which may manifest as an allergic reaction?" ”

The director of the dermatology department opened a page of the numerous test reports and stated: "The defensin test value is normal, and there is no skin lesion. ”

After slowly entering the state, everyone began to say their guesses one after another.

"Could high blood pressure be a pheochromocytoma?"

"Or maybe it's an allergic reaction, maybe she's taking some illegal drug."

As soon as these words came out, there was no need for the director of dermatology to say it, and someone immediately stood up to refute it.

"Didn't you ask the patient, she didn't eat those things!"

"After so many years of medical practice, you are still so naΓ―ve, do you think the patient will admit it?! Do you believe what the patient says? ”

"Hehe, it's really you! Don't you even look at the test report, the toxicology test did not detect poisons! ”

β€œ.”

The consultation room suddenly turned into a battlefield.

Everyone is no longer surprised, and people who disagree at the time of diagnosis will quarrel like this, but this does not mean that they do not agree.

After that, everyone was still good colleagues.

however

The head of the dermatology department rubbed his swollen temples.

He was already distraught by the illness and hoped that the consultation would give him some constructive advice.

As a result, you said yours, he said his, none of them worked!

He was even more irritable when he was still noisy.

The temple tube could no longer stand such noise, and the director of the dermatology department waved his hand tiredly:

"Okay, okay, I'll arrange for a blood test for teaphenolamines to determine if I have pheochromocytoma, and then I'll do an extended toxicology screening."

At this time, the people arguing on both sides finally stopped satisfactorily.

Until the test results came out, they were confident in their guesses.

Then the director of the dermatology department felt that things would not go so smoothly.

Shaking his head and sighing, the director of the dermatology department decided to ask the girl about the situation himself.

"You're here to discuss it first, and I'll ask first."

The most important thing is to get yourself away from here and calm down.

When the director of the dermatology department arrived outside the ward, he saw the patient's mother with her hand on her chin, wandering anxiously at the door.

The director of the dermatology department motioned to the young man next to him to ask about the little girl's situation, and he himself walked straight to the family.

At the same time, the two sides began to question.

Unsurprisingly, nothing came out of the little girl's side.

The doctor in the room shook his head outside.

The director of the dermatology department withdrew his gaze and put it on the woman's body.

"Some drugs may cause her allergic reaction, you and I need you to recall, did you give her any medicine?"

The mother brushed the hair on her forehead with some anxiety, licked her lips and hesitated for a long time before saying:

"You know that today's children are more difficult to discipline, she always loses her temper, so I gave her diazepam and lied to her that it was vitamin C."

"She is a girl with a lot of self-esteem, and she can't accept the fact that she needs to take medication for a long time."

What?!

You didn't say it earlier!

This is a piece of information that they had never known before.

If he doesn't ask, I'm afraid the family won't say it!

The director of the dermatology department had an even more headache and rubbed his head.

Why are there always parents who make up their own minds and give their children medicine at every turn.