Chapter 1953 Unaccustomed
"The whole person has 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, "It's a pity that the last dive was a long time ago. Since he got this disease, he has been fine for two years. Fewer times. Recently..."
As she spoke, she was a little embarrassed.
Zheng Ren didn't speak, 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 looks like he has dementia."
Zheng Ren understands that diarrhea is a minor illness, but it is equivalent to holding a time bomb, not knowing when to go to the bathroom.
Even when I arrived in a strange place, I didn't have time to enjoy the scenery, so the first thing I 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 felt that the narration of the patient's family was a bit interesting.
"Diving certificate, professional?"
"No, the amateur ones. We used to go to Thailand, Maldives, and Mauritius every year. Diving, sunshine..." The young woman stopped her words.
These things are so sad to say.
Living a good life, under the torment of the serious illness, he was so weak that he shattered when he took a breath.
Sun, waves, sand, cacti, and diving all cease to exist after being sick.
Even if it's just a seemingly inconspicuous diarrhea.
Zheng Ren thought about it.
"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. Tourism, does Boss Zheng consider it a foreign parasite?
There are none in China, but there seem to be many kinds of parasites that are rampant abroad.
There are more in Africa, but... Lin Yuan's train of thought was immediately misled.
"Yes." The young woman replied helplessly.
Does this have anything to do with diarrhea?
"Boss Zheng, do you think it's tourist's diarrhea?" Director Luo asked.
"You can think of it this way for the time being." Zheng Ren said, "Please ask if the endoscopy is done. I want to see if the local biopsy tissue can find the parasite."
Director Luo picked up the phone and called.
"Doctor, what is tourist's diarrhea?" The young woman was stunned.
"I'll explain 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, just take some pipemidic acid plus furazolidone and it will be fine."
"The cure rate of furazolam for tourist's diarrhea is about 72%." Su Yun said.
Zheng Ren nodded. If it was explained by tourist's diarrhea, it would also explain the reddish system panel of the young woman.
Director Luo quickly put down the phone and said, "The colonoscopy has been done, and we are going to have a gastroscopy."
"Oh, that's good." Zheng Ren said with a smile, "Otherwise, it would be very troublesome to have a bowel test capsule, and the positive rate is not high."
"What is the intestinal examination capsule?" Lin Yuan asked.
"It's a crude method, but it works." Su Yun said coldly.
"It is to let the patient swallow the capsule containing the nylon thread. The free end of the thread is left outside the mouth. After the capsule dissolves, the nylon thread is loosened and stretched. After 3 to 4 hours, the nylon thread reaches the duodenum and jejunum. , the trophozoites adhered to the nylon thread, and then slowly pulled out the nylon thread to scrape off the attached object for microscopic examination."
It's really a crude method, Lin Yuan has never heard of a similar method in Harvard Medical School.
After the gastroscopy is done, just do it again, there is nothing to hesitate.
This method is easy to hear, and the positive rate is not high.
"I told that side, use the lens to take some biopsy tissue." Director Luo said, "But if you send it for inspection..."
He pondered for a moment and looked at Zheng Ren.
"I'll do it." Zheng Ren smiled, he knew what Director Luo meant.
"Boss Zheng, I can do it!" Lin Yuan volunteered.
"Oh, you will watch me do it then." Zheng Ren asked, "Su Yun, help me get the optical tweezers."
"Understood, by the way, please contact Director Chi." Su Yun said, "Can we hand over these trivial tasks to the newcomers in the future?"
Lin Yuan had dewy hair, she didn't know anything about optical tweezers or Director Chi.
"Let me remind you. I'll 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 diagnosed it like this before."
"Unacclimatized 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 relieved.
"Oh, that's right. Consider your lover's illness a Giardia lamblia infection.
This parasite parasites the human small intestine and gallbladder mainly in the duodenum, and can cause symptoms such as abdominal pain, diarrhea, and malabsorption, leading to giardiasis. It is one of the common parasites of human intestinal infection. "
"Giardia is distributed all over the world. In the past ten years, due to the development of tourism, the incidence rate among tourists is relatively high, so it is also called tourist's diarrhea."
The young woman stared blankly at Zheng Ren.
He could understand every word he said, but he didn't know what he was talking about together.
"This kind of disease is usually caused by one person, and the whole family will get it." Zheng Ren added.
"Ah? But I don't have one." The young woman said.
"Many drugs are effective against giardia, but apart from metronidazole...for example, the furazolidone you take has an effective rate of about 72%." Zheng Ren smiled, "There is no 100% effective drug."
"If it is diagnosed, take metronidazole orally, and it is estimated that it will be effective soon. The effective rate of metronidazole can reach more than 98%, which is a special drug."
The young woman still refused to believe it.
The "incurable disease" that has plagued my family for five years can be solved by taking metronidazole?
This is too mythical.
Soon, Director Luo contacted everything, and several people went to the pathology department to borrow microscopes, 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 and see." Zheng Ren replied very casually.
Lin Yuan was not satisfied with Zheng Ren's answer, but after thinking about it carefully, there was no good solution.
Boss Zheng just said all the symptoms and questions, and he couldn't say anything if he wanted to refute them.
Then have a look in the mirror.
When we came to the pathology department, the nurses in the endoscopy room had already delivered the specimens, and Su Yun rushed over with optical tweezers.
Quickly getting ready and well-trained, Zheng Ren sat under the microscope in the middle and began to observe.
Director Chi will definitely occupy a scene, and Director Luo is not welcome. 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 such matters.
Watching Boss Zheng's operation is serious business.
As for that girl, a little doctor in her twenties, is she worthy of my humility?