Decades ago, the kind of selfless and dedicated good teachers grabbed a lot of them, and the teachers were very respected objects in everyone's minds. But look at today, all kinds of disguised wealth and fees. The teacher privately investigates the parents of the students in the class, which one is rich and which one is an official, and then all kinds of special treatment.

Some schools receive all kinds of miscellaneous fees that make parents doubt life.

Teachers are no longer keen on how to teach children well, but they are thinking about how to make money, actively completing the school's fee collection tasks, and getting promotions and evaluations. This is worrying.

Not to mention doctors, there are more and more rat droppings, and there are fewer and fewer virtuous doctors.

Kamata hospitals swept the world.

Hospitals are tied to marketing.

So much so that some hospitals put up all kinds of thunderous slogans, welcome to visit next time! Congratulations to a new high in the performance of a certain department! Dedicated meetings to discuss how to retain patients......

Eventually, the vast majority of civilians will be victims.

"The examination materials are so thick, you have gone to a lot of hospitals, right?"

While chatting with the family members and narrowing the doctor-patient relationship, Director Jia began to conduct a simple physical examination for the child.

"No, I ran to no less than twenty hospitals. But I couldn't find any disease. ”

The child's father said with a bitter face.

"How much can he eat a day now?"

"He eats two small bowls of rice a day, and he likes to eat heavy flavors, spicy and salty dishes."

The child's mother replied.

Usually, it should be the mother who takes care of the child a little more.

"A 17-year-old man only eats two small bowls a day, which is indeed a little less." After Director Jia finished speaking, he turned his head to Zhou Can again. "Take basic data such as body temperature and pulse of the patient."

Director Jia continued to ask the family about the child's condition.

"Does he still have diarrhea?"

"Pull! As long as you eat, you have diarrhea. ”

"It's been two years?"

"It's been more than two years now. At that time, the child was in the third year of junior high school, about the second half of the third year of junior high school, and one day the teacher called us to tell us that the child was rapidly losing weight in a short period of time, and asked us to take the child to the hospital for a check-up. Through inquiry, we learned that the child had been pooping at school for more than a month, and the amount of food was also decreasing. ”

The school is closed.

Many children who are far away from home may only come home once or twice a semester.

Eating something dirty at school should be very unlikely to cause diarrhea. Otherwise, the person who has diarrhea cannot only have this child, but a large number of children.

And school meals can't be problematic every day.

"After bringing the child home, do you still have diarrhea after eating the family food?"

"Pull yo! Still having diarrhea that doesn't stop. I took antidiarrheal medicine, and it had a little effect at first. Later, after eating more times, the child's body had obvious problems, so we didn't dare to give him any more. ”

Many Western medicines have relatively large toxic side effects.

Long-term use of a certain western medicine is very prone to some 'drug overdose'.

Because our body has to metabolize the drugs that are eaten into the body, there is a cycle.

It could be a day, it could be a week, or even longer.

The metabolic cycle depends on the drug.

So far, none of the drugs can stay in the body for a long time.

This is also the reason why many diseases need to be taken on time.

The child's digestive function itself was problematic and he kept taking antidiarrheal drugs. It's okay for a day or two, but after a long time, the old drug ingredients have not been completely metabolized, and new antidiarrheal drugs are taken again, which constantly causes the drug ingredients to accumulate in the body.

When this amount reaches a certain concentration, the body will experience significant discomfort.

When taking western medicine has a negative effect, stop taking it immediately, and it can basically get better quickly.

"Director Jia, the patient's blood pressure is high, the heart rate is too fast, the body temperature is normal, the constitution is extremely weak, and the anorectum has prolapse......"

After Zhou Can did a basic physical examination of the patient, he showed the data to Director Jia for review.

Now, the patient's pre-diagnosis records, medical records, medical history and other information are all recorded by Zhou Can. Director Jia is only responsible for diagnosing patients and asking for key information about patients.

This is also a further exercise for Zhou Can, laying a good foundation for him to sit alone in the future.

"High blood pressure should be related to being too thin. A heart rate that is higher than normal should be related to the body being overloaded. The root cause of all symptoms should still be diarrhoea. ”

Director Jia made a series of disease analysis.

Many people think that only fat people will have high blood pressure, but this is not true.

High blood pressure is strictly speaking, fat and thin, there is a probability of getting this disease.

It is caused by an excess of blood involved in the circulation of the body.

The patient's long-term diarrhea has led to prolapse, indicating that the patient's diarrhea is very serious.

Director Jia took the blood test, B-ultrasound film, X-ray examination, colonoscopy, and electrolyte test taken by the patient...... Look at them one by one.

Doctors tried everything they could to find out the cause of the patient's diarrhea.

Even E. coli has been checked.

Unfortunately, the cause of the patient is mysterious, and the true cause has never been identified.

Many diseases are particularly cunning, and they are good at camouflage, creating many smoke bombs, so that doctors can never find their 'real body'.

After Director Jia carefully read all the patient's examination data, his brows furrowed tightly.

All the tests that need to be done have been done.

Basically, there is no need to do it again.

There are several abnormalities in the blood picture, but there are traces to follow, which can be linked to diarrhea.

All tests point to a disease, enteritis.

The patient has undergone colonoscopy, and it is true that there is enteritis, but it is certainly not ordinary enteritis. Otherwise, the doctors who have diagnosed it before are all fake doctors.

Moreover, some doctors have treated the patient's disease as chronic enteritis, and the effect is not satisfactory.

Director Jia was in a predicament for a while.

Rao is well-informed, and it is difficult to diagnose the real cause for a while.

The patient has been emaciated like this, and if the cause cannot be found, blindly taking drugs is tantamount to pushing the patient into the ghost door.

It is estimated that within a month, the patient will have to lie in the intensive care unit.

"Qiu Hong, Zhou Can, you guys also take a look!"

Director Jia faced the expectant gaze of the patient's family, and his old face was a little unbearable, so he temporarily pulled two stinkers to fill the number.

Ease the awkward atmosphere.

Qiu Hong read the inspection materials and raised several questions, all of which were vetoed by Director Jia.

Zhou Can has remained silent.

His rule is to not speak easily, and when he does, he is very constructive.

The clock ticks by.

The family members have been disappointed many times, so when they saw that Director Jia could not say a specific result, they seemed to have expected it.

The despair in my heart was a little more.

At this time, Zhou Can heard a slight abdominal sound from the patient. He couldn't help but move slightly, and quickly leaned over and leaned close to the patient's abdomen to listen to the sound. When a patient has a lung disease, the doctor often listens for the patient's phlegm sound, etc.

Diarrhea is rarely checked for bowel sounds.

"Does his bowel sound frequent?" Zhou Can asked the boy's mother directly.

Usually his mother should take care of him more, and the woman's mind is more detailed, and the bowel sound may be noticed by her.

"It's okay! The closer he got to the meal, the more often his stomach growled. In addition, after eating, it will make a noise for about half an hour. But it's another sound, a bit like water shaking in a bottle, "bang, bang, bang". “

This information provided by the patient's mother is critical.

Zhou Can has always been good at starting from the side door, diagnosing the pathological mechanism of patients with unconventional ideas, and diagnosing lesions.

After asking the family, Zhou Can did not follow up again.

Instead, he picked up the patient's examination report again and looked at it, showing a pensive expression from time to time.

He accompanied Director Jia in the Department of Digestive Surgery and made many great achievements. Nearly 10 difficult cases were diagnosed.

Director Jia praised him more than once as a ghost.

At this moment, Zhou Can showed this almost obsessive performance, and Director Jia had a trace of expectation.

He was very patient to let Zhou Can think carefully.

The family secretly wondered in their hearts, why did this expert surnamed Jia mainly focus on students?

Usually, students are mainly taught by teachers!

They naturally didn't know Zhou Can's ability, let alone Zhou Can's special status in digestive surgery.

Director Jia and Qiu Hong were very patient and waited for Zhou Can, and the family members naturally did not urge.

For them, the most important concern is whether they can find out the cause of their son's illness and cure it. As for who can find out, it doesn't matter at all.

The clock is ticking.

The family is getting less and less hopeful.

At this moment, Zhou Can suddenly came out with a headless sentence.

"His enteritis must be pseudoenteritis!"

"What do you mean?"

The family member asked puzzled.

"That is, it is possible that your son has false enteritis." Qiu Hong was on the side to help explain.

"Pseudoenteritis? So what is my son's disease? ”

The patient's father's eyes lit up slightly.

"When I took my son to another hospital, a specialist surnamed Qin said something similar. He said that my son's enteritis might just be a symptom and that the real cause of the diarrhea could be something else. Unfortunately, he tried his best, but he still couldn't find the real cause. The young doctor's words, which were very similar to the expert's opinion, showed that he had real skills. ”

The patient's father waited so long that he originally felt that Tuya Hospital did not live up to its name.

Even if the cause of the disease cannot be diagnosed, the attending physician, who is known as a special expert, actually asked a young doctor to help diagnose it. And it's dominated by the young doctor.

It's just ridiculous.

At this moment, Zhou Can said that his son's illness was pseudoenteritis, and he realized that this young doctor was not ordinary, but had real skills.

"Director Jia, do you think the patient will not be sick at all?"

Zhou Can's words again were even more shocking than the previous sentence.

If it weren't for the fact that he diagnosed his son with pseudoenteritis, the child's father would have stood up angrily and flipped the table.

What the hell.

If he wasn't sick, who would have nothing to do and take his children around to seek medical advice?

"Doctor, my son is sick like this, how can he not be sick?" The child's mother asked angrily.

"Hmm...... When I say that I am not sick, I am not sick from what I understand. I mean, he doesn't have a substantial lesion. ”

Zhou Can explained and looked at Director Jia again.

His gaze is full of persistence in eliminating the false and preserving the truth, shining with confidence and determination.

"What do you mean?"

Director Jia's eyes narrowed into a slit, and he was quickly thinking about the meaning of Zhou Can's words.

Qiu Hong's wonderful eyes were staring at Zhou Can.

She felt that when she consulted with Zhou Can, the two of them were completely two levels of thinking. She couldn't even touch the wind.

I don't know what Zhou Can's thinking is.

The bigger the gap, the more she admired this junior brother. It can even be called the point of worship.

"Can you do a 24-hour monitoring of the patient's brain waves, I suspect that he is likely to have a mental illness that causes digestive disorders." Zhou Can gave his own diagnostic opinion.

The family members didn't understand these professional medical terms at all, so they could only watch and listen dumbfounded.

But there was a glint of hope in their eyes.

It was in the endless darkness, the endless hope after finally seeing a glimmer of light.

They are looking forward to the exciting moment when the cause is diagnosed.

"Nervous digestive disorders? But his symptoms are obviously not very similar! I have diagnosed many cases of this disease, but I have never seen anything like it. "Director Jia has decades of experience in diagnosis and treatment, and it is impossible that he has not encountered cases of nervous digestive disorders.

He had already been screened for similar diseases.

"Tell me about the basis of your diagnosis and your diagnostic thinking."

Director Jia did not rashly agree to Zhou Can's request for brainwave monitoring.

He first wanted to see whether the young man's diagnosis and dialectical thinking were reasonable.

"My basis is relatively simple, that is, starting with the patient's bowel sounds, and then combining various examination data, medical history, and symptoms, and making inferences." Zhou Can said it very bluntly.

"The patient's mother responded that when the patient arrives at the meal, she emits a 'coo-goo' bowel sound that signals hunger. It indicates that the patient's intestine can normally feedback the hunger signal to the body after detecting that there is no nutrient delivery. About half an hour after eating, his intestines will make a 'bang' sound again, which is a precursor to diarrhea. ”

"I think that with just two tests, you can confirm whether it is a nervous digestive disorder. The first is 24-hour EEG monitoring, which aims to look at the peak of EEG at different times of the day and infer the mental status of the patient at different times of the day. The second is to listen to the specific part of the patient's bowel sounds about half an hour after the patient eats. It can be indirectly inferred that the intestinal contents were running in the colon before the diarrhea occurred. ”

Zhou Can roughly explained the diagnosis idea.

Since the patient must have diarrhea every time he eats something, it means that the food is still liquid when it is exported to the colon.

According to the intestinal sounds, the peristalsis speed of the colon can only be said to be worthy of the title of ghost.

"Director Jia, please agree to do these examinations for our son! We don't care about the amount of money, even if the cause is not found, we are willing, and we will not blame this Dr. Zhou. ”

The patient's family was the first to strongly ask Director Jia to agree to do this brainwave monitoring.

They don't know how to treat diseases, but listening to Zhou Can's analysis in detail, it seems to make sense.

Either way, it's worth their try.

Tests are not like surgery, and the risk of EEG monitoring is almost zero.

As for spending some money, they really don't care.

The biggest fear is that there is no hope.

Now that there is hope, what else is there to say.

"Don't be impatient, I'll arrange it for you!"

After listening to Zhou Can's analysis, Director Jia only felt that this novel diagnostic idea was unique, eclectic, and very interesting.

He is full of expectations for the diagnosis.

If the cause had been identified, it was a neurological digestive disorder, he would have been able to write a paper.

(End of chapter)