Sun Lien felt like he was covered in fur on his body these two days. It seemed that there were always two pairs of eyes behind him, staring at his every move.

This inexplicable feeling lasted for two days, and then slowly disappeared. The strange feeling for two consecutive days seriously affected Sun Lien's work efficiency. On the third day, he was finally able to force himself to start carefully reading the documents sent by Yuan Ping'an.

Yuan Ping'an's work in the group is very important now. He is responsible for searching various scientific and technological documents related to the patients currently being processed, and then sharing them with the doctors in the group for study. On the one hand, this will help doctors from different specialties to grasp the current situation of the patients as soon as possible, and on the other hand, it will also help everyone to work together and give a more suitable treatment plan for the patient.

The current work of the Diagnostic Center has gradually gotten on the right track. With Sun Lien as the core, Yuan Ping'an conducted literature investigation and collection, and Zhou Ce, Xu Yourong and Bruen's auxiliary diagnosis work model has gradually entered the trial operation period from the test period. At least Yuan Ping'an feels that the current state is pretty good.

Especially after he and Zhou Ce "discovered" Dr. Sun's diagnosis plan, Yuan Ping'an and Zhou Ce were immediately full of confidence in the future.

Now that I can keep up with Sun Lien's speed, I may have a chance to surpass him in the future!

Of course, Sun Lien did not notice the changes caused by the two doctors in his group. He is still struggling with the choice of diagnosis and treatment plans. Using UDCA to protect liver cells can only delay the progress of the disease. If you want to treat the disease, Sun Lien still has to first figure out what problems the patient has.

Judging from the current situation, the probability of Dr. Pascal's previous diagnosis is very high. But what made Sun Lien even more desperate is that if Lao Pa's diagnosis is compared with the condition, it would be perfect - all the symptoms perfectly coincide with Lao Pa's diagnosis, but the patient responded poorly to the treatment.

From the perspective of poor treatment response, Lao Pa may have made a mistake. From the perspective of symptoms, Lao Pa is not wrong at all.

These two huge contrasts made Sun Lien at a loss. After thinking about it for two days, Sun Lien couldn't help it. He decided to go and see Lu Chunyu again to see if the status bar could give some useful tips.

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In the ward, Lu Chunyu was holding a wool and a sweater needle. While she was watching TV, her hands were moving quickly. A gray sweater was rapidly forming in her hands. After seeing Sun Lien come in, Lu Chunyu waved to Sun Lien happily, and the bile drainage bag on her face also shook twice, "Doctor Sun, come here quickly."

Unexpectedly, Sun Lien obediently walked to Lu Chunyu's bedside. Lu Chunyu picked up the sweater in her hand and began to gesture on Sun Lien, muttering, "Your figure is not much the same as my nephew, so I'm here to be a model for me. Let's see... OK, it's pretty good!" She put down the sweater in her hand and asked, "Doctor Sun, is there anything wrong?"

"Just come and see how you are doing." Sun Lien came back from the "sluggishness" at the beginning. He picked up the case on the head of Lu Chunyu's bed and asked casually, "How are you feeling these two days? Is there any problem with eating, sleeping, right?"

"It's all good, but... the feces are still weird." Lu Chunyu seemed a little embarrassed to talk about this topic. She continued, "This white feces have been there for a long time."

"This is a symptom of biliary obstruction..." Sun Lien was suddenly stunned, "You said this situation has lasted for a long time?"

"Yes." Lu Chunyu nodded, "It's been almost two years."

This is wrong! Sun Lien suddenly looked up and asked in surprise, "Why didn't you mention it when you were hospitalized?"

"It doesn't hurt or itchy, so I didn't take it seriously." She said with a hint of embarrassment, "This question is very important?"

It is not just very important, it is simply particularly important. Off-white stool is a manifestation of disease, which usually occurs in patients with bile tract obstruction. After their bile tract is blocked due to various reasons, the bile cannot enter the intestine smoothly for digestion, so bile lacks staining in the stool, which is why it appears to be off-white.

This symptom is not only very important for the previous diagnosis, but more importantly, after the hepatobiliary surgeons drained Lu Chunyu's nasal and bile duct, the symptoms of clay-like feces still exist.

Nasal bile duct drainage does not just lead bile from the drainage tube through the nasal cavity. During drainage, doctors will choose a relatively rich bile duct system and then drain most of the bile out of the body. The remaining bile will still enter the intestine through the duodenum to participate in digestion.

After the bile was drawn out through artificial means, in theory, Lu Chunyu should not have clay-like feces again. But she still maintained this state...

While thinking, Sun Lien saw Lu Chunyu’s blood test report today.

Direct bilirubin dropped to 133 micromolar per liter.

Hum? Sun Lien was stunned again, what is the situation? UDCA has taken effect?

Clay-like stool represents insufficient bile in the bile tract, and UDCA's onset means that this drug has at least performed better results than Sun Lien expected at the beginning.

It was simply inexplicable. Sun Lien had this idea in his mind. There was not enough bile flowing out of the patient's bile tract, but there were symptoms of cholestasis. The cholestasis was relieved by drainage, and clay-like stool still exists. It was obviously a stage three to four PBC, but it was effective for UDCA... The conflict between left and right even made Sun Lien begin to doubt whether he had made some mistakes.

After a long time, he finally calmed down. The objective facts were not transferred by human consciousness. Since it seems that the diagnosis and symptoms are completely incompatible, it means that somewhere has a serious loophole.

The patient's symptoms will not have any problems, and she has no motivation or possibility to create symptoms. Then, the problem must be a diagnosis - there must be a diagnosis that can explain these complex conflicts.

"I know this situation." After thinking about it over and over again, Sun Lien decided to go back to the office first and then think about what went wrong. "You should continue to use medicine to see if the situation is. If this continues after a while, then we will use other means to intervene."

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In Sun Lien's opinion, the effect of UDCA is an important reminder point. The poor response to UDCA from phase 3 to phase 4 of PCB is a consensus in the medical community. Lu Chunyu's response to UDCA is not good, which is a fact.

So... Sun Lien thought about it for half an hour and then came up with a somewhat shocking assumption - the one that caused her to get sick and showed symptoms... wouldn't it be AIHPBC?
Chapter completed!