(Thanks to the super handsome uncle for his monthly ticket encouragement)

"Teacher Liu, the patient's body temperature is still a little high. The cough became severe. He collected blood and had a CT scan after collecting the bowel movements."

The next morning, Liu Banxia came back from the canteen and Miao Rui came up to welcome her.

Liu Banxia nodded, "I will be notified after the CT results come out later. According to the current situation, what kind of speculation do you have?"

"Well... Teacher Liu, I think the patient's symptoms are aggravating." Miao Rui said.

"Maybe he was chronic in the early stage of his illness. Judging from the progress of his illness since his treatment yesterday, he may have entered the acute phase."

"Teacher Liu, do you think it's because of some infectious disease? After all, we have done so many tests, unless it's some special viruses?"

"If the patient becomes like this directly, it is still possible. However, there is one thing we need to note that the patient's body temperature has not reached the level of high fever." Liu Banxia said.

"In many cases, some infectious diseases of Level 3 or Level 4 will be accompanied by high fever. That is the virus attacking the body and its own immune system is working."

"At present, although this patient cannot determine what the disease is, it should not be a Level 3 or Level 4 infectious disease. If it is Level 1 or Level 2, it can actually cover many kinds of diseases."

"So in terms of expression, your statement is not very clear. But the diagnosis arrangements you gave to the patient are still very good. Not waiting for me to come back to arrange CT for the patient, it means that you have begun to truly consider this patient."

"Actually, this is just like what I said yesterday, and it is also a change in identity. It does not mean that you are not responsible for the patients you have received in the past, but you lack a motivation to take the initiative to think."

"Go busy and notify me of the results when the results are released. At present, we can only wait for the latest inspection results to see the situation. Wang Huan and I are both inclined to parasites."

"After all, we have had parasite cases that were not detected during constipation tests, so we need to do a few more constipation tests. I hope we are right."

Miao Rui was amused when he heard Liu Banxia's words. He was indeed very concerned about this case, and was affected by Liu Banxia's words last night.

However, an unexpected consequence was that I thought too much. After thinking too much, I would connect everything that was not.

He thought this might be some kind of epidemic infectious disease, but now he doesn't think so.

"Why are you so happy?" Wang Chao asked curiously after seeing Liu Banxia.

"Why do you still have dark circles?" Liu Banxia asked with a smile.

"Ignore you anymore. I'll see my patients. Normally, today should have some effect." Wang Chao said, and walked away with guilt.

I kept complaining in my heart, why is this guy's eyes so poisonous? Didn't I just have such a little care last night and felt a little insomnia?

I'd better hide some of this guy in the future. Those eyes are too poisonous. If I don't have strong confidence in lying in front of him, I will be able to survive until the next day.

Liu Banxia routinely went to the ward upstairs to pay attention to the key patients, and then sat in the hall to wait for the patient's examination results yesterday.

The first one to come out was a colonoscopy. Apart from seeing a small polyp, nothing was found. Then there was the result of the stool test, which was negative. The lymphocytoma result also came out, and the expected negative.

After the CT scan was released, Liu Banxia called Chen Xuehai for consultation and found six very small shadows on the patient's lungs.

"Is this a lung cyst? Or a foreign body? It should be a cyst." Chen Xuehai asked.

"You have told me all the words, but we are not sure at the moment. Miao Rui, please introduce the patient's situation quickly." Liu Banxia said.

Miao Rui hurriedly told Chen Xuehai about the important results of the treatment last night and the examination results he did today.

"You two suspect this is a parasite?" Chen Xuehai asked.

Liu Banxia nodded, "We had some suspicions yesterday. So far, we have had three tests and they are all negative, so we think this may be a parasite cyst."

"If you inhale a foreign object, it won't be so dispersed, right? And what are you sucking, you can inhale six of them in one go. You are an expert in this regard, what should you do next?"

"Better to be safe is laparoscopic exploration, sampling and biopsy. Or can you also give metronidazole tentatively?" Chen Xuehai said.

"I dare not give it to you randomly. If it weren't for the parasite that metronidazole could poison it, it would likely cause greater violations to the patient after stimulating the parasite." Liu Banxia said.

"We also had X-rays yesterday, but we didn't find these small black spots. It is probably because they are too small, coupled with the influence of inflammation."

"Then is there no other way to test?" Chen Xuehai asked.

"The main reason is that there are too many types of parasites, and the detection of each category will be somewhat different. We are not very sure that it is parasites at present." Liu Banxia said.

Chen Xuehai shrugged, "Then there is no other way. All we can do is laparoscopic exploration. This is the most direct, right? You can directly sample, or remove one and see what is inside."

"Let's study it even more." Liu Banxia thought for a while and said.

"I was just thinking about a question. If this is a parasite, since it is in the lungs, what about the liver?" Wang Huan spoke at this time.

"The liver, lungs and intestines are actually places where parasites like to live. Most of the infection process is hatched from the intestines, free from the blood, and runs to the lungs, liver, and brain."

"Wait... something is wrong. His family comes from the grassland and is a pastoral area. My god, maybe it may be hydatum disease. Miao Rui collects blood for the patient and makes a serological diagnosis of hydatum disease."

When Liu Banxia heard Wang Huan's words, he also frowned and sweated a little on his forehead.

Miao Rui did not hesitate at all and hurriedly ran to the ward again, and he also thought of a terrible possibility.

Before the diagnosis was made, the patient's condition was still confusing to a certain extent. However, when Wang Huan shouted that it might be a hydatum, the laparoscopic exploration or sampling biopsy had to be cautious.

Hydactylia is actually Echinococcusia. This parasite is very common in pastoral areas and has many subdivided species.

The most common type in China is Echinococcus granules, which has a certain cure success rate, and the other is Echinococcus foam, also known as Echinococcus foam.

This bubble hydatum disease is also called "worm cancer" and has a high mortality rate.

However, no matter which one it is, they have one common characteristic, that is, after the cyst rupture, the cyst fluid will cause allergic reactions in the patient, including anaphylactic shock.

Moreover, after the cyst is ruptured, the echinococcosis inside may further spread in the body. Because they are very small, they will continue to reproduce if they avoid drug treatment.

"Comrade Chen, the time to test you is here. If it is really hydatum disease, we will first use medicine to treat it for a cycle to try to kill the larvae. Then if there is still something left, you have to have surgery." Liu Banxia said.

"Hey, it would be troublesome if it is really hydatum disease. Laparoscopy requires a high operation requirement, and opening the chest will cause great harm to the patient." Chen Xuehai said with a wry smile.

What Miao Rui could think of was that they could think of it too. Surgical treatment was the last resort, but there was a high probability that it would recur, which depends on Chen Xuehai's skill during the operation.

"Tell me, why can't you find an easy case for me to consult? Yesterday's that was the same." Chen Xuehai muttered.

"What's the solution? Now it depends on whether it's hydatum disease, and we also need to see how the medicine is effective. It's also true that it's your opinion and the drug is treated. You have the final say, how good it is." Liu Banxia said.

Chen Xuehai looked at him helplessly and stopped staying with this guy.

He felt that his life was very tiring. The difficulty of this operation was that the operation requirements were relatively high. In fact, the difficulty coefficient of the operation was not very high.

"Brother Wang, I have to ask for experienced experts to take charge." Liu Banxia gave a thumbs up.

"Don't praise me, I remembered it. If there weren't any cysts on CT, we would have parasite suspicion at most." Wang Huan said.

"Originally, it was just a parasite disease that was popular in pastoral areas, but now, as the mobility of people increases, we have to be vigilant."

"No, this is just in China. If we have some parasitic diseases that are easy to occur abroad, it will be difficult for us to diagnose them. Super, how is your patient?" Liu Banxia said.

"Mr. Liu, maybe we might be right. In the past, he would have had at least one bowel movement at this time, but not yet." Wang Chao said happily.

"Ah? Really? Congratulations." Liu Banxia said sincerely.

In fact, for him, the requirements are really bad. As long as the patient's condition does not worsen, it will be successful. At least this fecal transplant will not cause more harm to the patient.

"Actually, my heart has always been hanging. What are you doing?" Wang Chao said.

"I'm talking to Brother Wang about your patient. You won't tell me about such a good thing at noon?" Liu Banxia said seriously.

"How did you know how to bully me? I will look at it until noon to see what the patient's data are like." Wang Chao said depressedly.

After he walked out, he felt something was wrong again. These two people chatted about other people's patients? Is it possible?

I turned around and looked at them cautiously, but found that they were all smiling and giving thumbs up at them. I was thinking too much.

My patient is indeed considered a patient that the emergency center is concerned about. After all, it is the first attempt at fecal transplantation. If you are blackmailed, just be blackmailed. Just be happy.
Chapter completed!