"Has your whole person changed?" Zheng Ren narrowed his eyes.
"Yes, he used to have a good appetite, a strong body, and a diving certificate." The young woman sighed and said, "Unfortunately, the last diving was a long time ago. Since I got this disease, I have been fine for the first two years, every day The frequency of defecation is less. Recently..."
As she said this, she felt a little embarrassed.
Zheng Ren didn't say anything and went to interrupt the young woman's train of thought.
"Now he has to wear a diaper when he goes out. He always tells me that he feels like he has Alzheimer's disease."
Zheng Ren understood that diarrhea sounded like a minor illness, but it was like holding a time bomb and not knowing when to go to the bathroom.
Even when we arrived in a strange place, we didn’t even have time to appreciate the scenery. The first thing we did was to find the bathroom. Otherwise, there will be no sense of security. Who knows when this time bomb will explode.
It’s just that Zheng Ren thinks the patient’s family’s account is interesting.
"Diving certificate, professional?"
"No, the amateur kind. We used to go to Thailand, the Maldives, and Mauritius every year. Diving, sunshine..." As she spoke, the young woman stopped talking.
These things are so sad to say.
A good life is so weak under the torment of illness that it breaks into pieces when you take a breath.
Sunshine, waves, beaches, cacti, and diving all cease to exist when you are sick.
Even if it's just diarrhea that doesn't look like much.
Zheng Ren had a thought.
"Travel every year?"
"Travel every year?"
He and Su Yun asked in unison.
Lin Yuan was a little surprised. She raised her head and took a look. Traveling, does Boss Zheng consider him a parasite from abroad
There seem to be many types of parasites that are not found in China but are rampant abroad.
There are more in Africa, but... Lin Yuan's train of thought was suddenly distorted.
"Yes." The young woman replied helplessly.
Is this related to diarrhea
"Boss Zheng, do you think it's tourists' diarrhea?" Director Luo asked.
"You can think of it this way for the time being." Zheng Ren said, "Please ask if the endoscopy has been completed. I want to see if parasites can be found in the local biopsy tissue."
Director Luo picked up the phone and called out.
"Doctor, what is tourist's diarrhea?" The young woman was stunned.
"I'll explain it later." Zheng Ren said, "Have you ever had diarrhea?"
"Diarrhea, many people have had it." The young woman said, "But every time I have diarrhea, I just take some Piperic acid and Furazolidin and it will be cured."
"The cure rate of furatolin for tourists' diarrhea is about 72%." Su Yundao.
Zheng Ren nodded. If tourists' diarrhea could be used to explain it, even the young woman's reddish system panel would be explained.
Director Luo quickly put down the phone and said, "The colonoscopy has been completed and I'm about to do a gastroscopy."
"Oh, that's good." Zheng Ren said with a smile, "Otherwise, it would be very troublesome to do a intestinal capsule test, and the positive rate is not high."
"What is a bowel examination capsule?" Lin Yuan asked.
"It's a crude method, but it's effective." Su Yun said coldly.
"The patient is asked to swallow a capsule filled with nylon thread. The free end of the thread is left outside the mouth. After the capsule dissolves, the nylon thread is loosened and stretched. It will take another 3 to 4 hours for the nylon thread to reach the duodenum and jejunum. , the trophozoite adheres to the nylon thread, then slowly pulls out the nylon thread, scrapes the attached object for microscopic examination."
It was really a very crude method. Lin Yuan had never heard of a similar method at Harvard Medical School.
After the gastroscopy is done, just do it again. There is nothing to hesitate about.
This method sounds crude at first glance, and the positivity rate is not high.
"I told the other party to use the lens to take some biopsy tissue." Director Luo said, "But if we send it for examination..."
He pondered for a moment and looked at Zheng Ren.
"I'll do it." Zheng Ren smiled, knowing what Director Luo meant.
"Boss Zheng, I can do it!" Lin Yuan volunteered.
"Oh, you were watching me do it then." Zheng Ren asked, "Su Yun, go help me get the optical tweezers."
"I know, let's contact Director Chi by the way." Su Yun said: "Can we hand over these odd jobs to newcomers in the future?"
Lin Yuan had a wet look on her face. She didn't know anything about the optical tweezers or Director Chi.
"Let me urge you, I will contact Director Chi." Director Luo smiled and made a few more calls.
When he put down the phone, the young woman asked timidly: "Doctor, does travel diarrhea mean acclimatization? Someone has diagnosed it this way before."
"Acclimatization is not a diagnosis." Director Luo said with a smile.
Boss Zheng's diagnosis was the same as his own, which made Director Luo very pleased.
"Oh, that's right. Consider your loved one's illness is Giardia lamblia infection.
This parasite inhabits the human small intestine and gallbladder, mainly in the duodenum, and can cause abdominal pain, diarrhea, malabsorption and other symptoms, leading to giardiasis. It is one of the common parasites causing intestinal infection in humans. "
"Giardia is distributed all over the world. In the past decade or so, due to the development of tourism, the incidence rate among tourists has been higher, so it is also called tourist diarrhea."
The young woman looked at Zheng Ren blankly.
I can understand every word of what he says, but when put together, I don’t know what he’s talking about.
"This disease usually affects one person and affects the whole family." Zheng Ren added.
"Ah? But I don't have one," the young woman said.
"Many drugs are effective against Giardia, but except for metronidazole... For example, the furazolidine you take will be effective at about 72%." Zheng Ren smiled, "There is no drug that is 100% effective. .”
"If the diagnosis is confirmed, oral administration of metronidazole is expected to be effective soon. The effectiveness of metronidazole can reach over 98%, and it is a highly effective drug."
The young woman still refused to believe it.
The "incurable disease" that has plagued my family for five years, can taking metronidazole solve the problem
This is too mythical.
Soon, Director Luo contacted everything. They went to the pathology department to borrow a microscope, and Su Yun ran to get optical tweezers.
"Boss Zheng, how did you judge?" Lin Yuan asked on the way.
"Preliminary diagnosis, let's try it and see again." Zheng Ren answered casually.
Lin Yuan was not satisfied with Zheng Ren's answer, but after thinking about it carefully, there was no good solution.
All the symptoms and questions were all mentioned by Boss Zheng just now. If he wanted to refute, he couldn't say anything.
Then let’s take a look in the mirror.
When we arrived at the pathology department, the nurse in the endoscopy room had already sent the specimen, and Su Yun rushed over with optical tweezers.
Quickly prepared and trained well, Zheng Ren sat under the microscope in the middle and began to observe.
Director Chi definitely wants to occupy a scene, and Director Luo is not polite. Although the little girl who came with Boss Zheng was eager to give it a try, Director Luo would not be humble at all in this kind of matter.
Watching Boss Zheng’s operations is the most serious thing.
As for that girl, a young doctor in her twenties, is she worthy of my humility