804: C804 Whipple's Disease

C804 Whipple's Disease

Chen Qun came to the emergency ward and saw Ouyang Yang's cousin lying prone on the bed. She was trying her best to vomit, and a stench filled the room. A nurse was skillfully opening the window to let in the air.

Ouyang Yang immediately walked over to take care of her. Chen Qun only glanced at her before stopping and giving instructions to the nurse.

"Prepare the operation room immediately. The patient has a ruptured appendix and needs immediate surgery."

Ouyang Yang raised his head and looked over at Chen Qun. Although he didn't say anything, his eyes betrayed him.

Chen Qun knew what he was thinking and directly gave an answer.

"It's not what Chi Hong predicted. We'll start with a minimally invasive appendectomy!"

The nurse ran back after leaving for less than a minute. She was a bit embarrassed as she told the current situation.

"Dr. Chen, all the operating rooms are in use, and your operating room is being upgraded, so it can't be used either. "How about we go next door to Bones III and borrow an operating room. The colleague over there told me that there are two operating rooms that we can use."

Chen Qun looked at the patient's pale face and shook his head, "It's too late. We will finish the operation here. My toolbox is also right by your side. Prepare the emergency surgery kit immediately!" "Ouyang Yang, we'll send your sister to the wound treatment room next door for anesthesia!"

The small wound disposal room in an emergency center can be used as an operating room in an emergency. This was something that Liu Yang had considered from the beginning. After all, you never knew how many patients there were in the emergency ward. Besides, for first-degree surgery, especially minimally invasive surgery, acute appendicitis can be treated in the disposal room.

Ouyang Yang saw that Chen Qun was able to determine the situation of his cousin, so without any hesitation, he and Chen Qun pushed the patient and ran towards the disposal room that was not far away.

The young nurse quickly ran to the front and busied herself preparing an operation bag for Chen Qun.

For Chen Qun, appendectomy was a piece of cake right now. In less than ten minutes, Chen Qun had completed the entire operation. He cut off a torn appendix from the patient's abdomen, placed it on a curved steel plate, and then closed the wound.

Despite the local anesthesia, many patients looked better. They looked at the scene in front of them in disbelief and thanked Chen Qun.

"Dr. Chen, isn't this operation of yours a bit too godly? I just saw you cut a hole randomly and a tube was inserted in it, then you cut off my appendix, compared …" It's easier for me to peel an apple! If all doctors do surgery like you, I'm afraid no one will be afraid to do surgery. "

Chen Qun looked at Ouyang Yang, who was putting the appendix into his pathology bag, and let out a bright smile.

"Ouyang Yang, look at this appendix, do you have any thoughts? "Your cousin is not a lymphatic cancer, not a Harrow disease. What are her symptoms that match her current condition?"

Ouyang Yang looked at Chen Qun and casually said.

"This could also be one of the complications of Harrow's disease. Wait, is it all the symptoms of appendicitis? The appendix is part of the intestines. Are you implying that there's something wrong with my sister's digestive system? Are all the symptoms caused by gastrointestinal diseases? Let me see, you are definitely smelling my favorite ailment, or you wouldn't have let me talk about it. Ah, I see, it should be absorption problems caused by gastrointestinal infections, affecting the blood and appendix, Hewlett-Packard disease. It must be Whipple's disease! "

"A fecal examination of your sister, followed by a liver biopsy, will determine whether or not it is a Hewlett-Packard disease. It's just that I'm very curious, why does your sister also have this relatively rare disease, did she change her eating habits? "

The pretty young woman on the bed was both surprised and gratified when she heard the two's question and answer. Seeing Chen Qun ask about the situation, she quickly answered the question.

"Am I wrong to change into a healthy diet like a vegetarian?"

"Vegetarians aren't actually wrong, but their physiques are different. If they encounter genetically deficient ones, then vegetarianism can lead to all kinds of problems. However, your condition is not due to genetic defects, but because your living conditions are better now. The veggies you eat are actually all very meticulous, causing your stomach to not be able to absorb them. In the long run, it causes all sorts of symptoms.

Chen Qun then instructed Ouyang Yang.

"Tell your sister about the specific pathological explanation yourself. She had her appendix removed today, and tomorrow afternoon she will be given a liver biopsy to determine her condition, and then she will be treated with compound sulfamethoxazole. "

The young woman immediately looked at Chen Qun in surprise.

"Does that mean I don't have to do cardiac surgery?"

Chen Qun shook his head.

"No, we still have to do it. We can arrange it in three to five days." You're in a very bad condition. If you were two months earlier, you probably would have been treated with medication. But right now your heart is so worn out that you have to replace the mitral valve. In addition, discontinue the use of other drugs. You should be lucky, if it's just a little bit worse, a few months later, you'll need to transplant your heart, and not just replace it with a single tissue. "

The young woman hesitated for a moment before asking a question that had always worried her.

"At our provincial hospital, two specialists came to see me. They thought it was a case of lymphatic cancer, so do I have any cancer?"2

"It's not cancer of the lymph nodes. If it's cancer of the lymph nodes, then the specific medicine your brother gave you will stop it immediately. It's because the special medicine is ineffective that I'm sure it's not cancer of the lymph nodes. However, we will confirm it again with the cancer cell labeling reagent, and we will be clear when the test results come out. "

Chen Qun immediately reminded her.

"You can't continue to be vegetarian, sometimes vegetarian will kill you. Luckily, Ouyang Yang found out earlier, he insisted for you to go to the hospital and then took you over. Otherwise, it would really be unimaginable. Also, you can rest assured that the structure of your heart's mitral valve will be replaced. I suggest that you replace the heart with biological tissue from a pig's heart, which is more suitable for you than any kind of plastic or biomimetic tissue.

This was one of the reasons he had always insisted that autotransplantation was the best.

Ouyang Yang suddenly saw him and made a request.

"Chen Qun, can you replace the other valves on my sister's body? Wouldn't there be no rejection? "

"No, your sister's blood clotting has prevented her from undergoing more difficult autologous valve surgery. In order to mitigate the damage to the limbs, I will use the same interventional procedure to complete the mitral valve replacement without the need for routine thoracic surgery. "

Ouyang Yang looked at Chen Qun and kept silent for a long time. Then, he patted Chen Qun's shoulder with his palm, "Thanks!"

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