Doctor of Healing

Especially for many surgeons with poor film reading ability, this kind of examination is meaningless.

Director Zou was sitting in front of the computer, and Ji Xiang was standing beside him, holding the mouse and sliding the wheels.

As the impact went down, Ji Xiang suddenly stopped.

The lens of the camera also freezes and zooms in. One of the two film crews took a close-up of Ji Xiang, while the other aimed at the computer screen.

A small image of white flowers suddenly appeared in the patient's right mid-abdomen. The density was different from the surrounding area, but it was too small to be obvious.

From the perspective of ordinary people, nothing can be seen at all, and even from the perspective of ordinary doctors, the abnormality of the image cannot be understood.

But Director Bai and Director Liu in front of the screen were slightly taken aback.

There is actually something in the patient's intestines!

The two of them had confidence in Ji Xiang's diagnosis, but when they actually saw this scene, they were both slightly surprised at the same time.

"What's that?" Director Liu asked with a frown.

"It looks like Meckel's diverticulum in location, but not in density."

"Didn't you have a colonoscopy?" Director Liu asked in a daze.

"Cut." Director Bai glanced at Director Liu contemptuously, "Xiaoji said in advance that there may be problems with the inspection by the supervisor of the lower-level hospital. You see, I knew it. And you noticed that Xiaoji asked about the medical history? Is it weird?"

"weird?"

"He specifically asked the patient if he had had a capsule gastroscopy, or if he was in the south, where the economy is developed, and the popularity of capsule gastroscopy is very good. We can't do it here, and not many people know about it, let alone popularize it."

Director Liu was speechless.

He also knew that there might be problems with gastroenteroscopy examinations in lower-level hospitals, and patients might even go to black clinics that cheat money and don't even have a doctor's qualification certificate.

"Hey." Director Liu heyed, did not continue talking, but concentrated on looking at the screen.

On the screen, Ji Xiang and Director Zou began to mutter something in a low voice.Even if the camera is very close, you can't hear what they are talking about.

Moreover, the camera is slightly off, and lip experts cannot interpret it.

However, the content of this section was not long, and then Director Zou began to ask the doctor again.

This time the consultation is obviously more detailed than the previous ones. It is not a full-scale inquiry, but a targeted inquiry.

Generally speaking, it is not possible to ask inductive questions during a medical consultation. In this way, there will be a certain subjective driving force, which increases the probability of getting a wrong diagnosis.

But now there are objective images. Director Zou asked about the treatment process of the patient in the local hospital and which hospital had the gastrointestinal endoscopy.

It is astonishing that the patient did not have a gastroenteroscopy at the local county hospital, but was planning to go to the county hospital one day to see a doctor. The local gastroenterology hospital put up a banner saying that in order to benefit the township, the gastroenteroscopy was offered at a special price of 50 yuan. Yuan.

Because it is cheap, the examination was completed at the gastrointestinal hospital. After the examination, it was diagnosed with inflammation, and antibiotics were prescribed for 7 days.

For this medical history, everyone is very helpless.

"I have encountered a similar situation." Director Liu smiled, looked sideways at Director Bai and said, "Three years ago, I had an old man with kidney cancer. He recovered well after the operation and was discharged from the hospital smoothly. After discharge The next day I received a call from his daughter, and I panicked."

"I thought it was a problem with the operation, and I was taken aback."

"Partial or total nephrectomy?" Director Bai asked.

Director Liu blushed slightly, but soon returned to normal, "The whole kidney was cut."

"Promise." Director Bai said contemptuously, "It's a fart problem to cut the whole kidney."

Partial nephrectomy is far more difficult than total kidney resection. One side of the kidney is removed directly. As long as the ligation is good, it is impossible to sew two needles, and no bleeding will be enough.

"Listen to me." Director Liu immediately continued the topic, "I asked about the situation, and the patient's daughter said that she had been nursing her father in the hospital recently, and she felt a little uncomfortable in the gastrointestinal tract, and she was planning to come to our hospital for a gastroenteroscopy. But on the way, I saw an advertisement for a gastrointestinal hospital offering free gastrointestinal endoscopy."

"The free one is the most expensive." Director Bai hit the nail on the head.

"After finishing the treatment, I told her that there were precancerous lesions and needed acupuncture treatment." Director Liu couldn't help but said with a smile, "So, the patient's family members were in a panic and called me immediately to ask what to do."

Director Bai did not continue to ask.

As simple as a similar situation is, come to the Second Affiliated Hospital to check another one, treat the disease if you are sick, and solve your doubts if you are not sick.

"It is said that the free gastrointestinal endoscopy was not disinfected, so the pipe was cleaned with tap water." Director Bai said something "off-topic".

"Many don't get tested for hepatitis B, AIDS, and syphilis. You're so brave. Have you ever encountered a patient infected by this?" Director Liu asked.

Director Bai didn't continue the small talk, this topic didn't mean anything to him at all.

He looked at Director Ji Xiang and Director Zou on the screen, and the next diagnosis and treatment plan had been determined on that side - another gastrointestinal endoscopy.

So, it's time to hear and see again, the animation content.

This seamless connection directly fast-forwarded to the content of the patient's gastrointestinal endoscopy.

Sure enough, Meckel's diverticulum was found, and polypoid hyperplasia and superficial ulcers and... albuginea were found in the intestinal lumen.

"Too many antibiotics are used." Director Bai said with a frown, "This is troublesome now."

"What kind of bacteria do you think the white film is caused by?" Director Liu asked.

Generally speaking, there are a large number of flora in the intestinal tract, and the flora interact with each other to achieve a stable living environment.

Under the premise of external force intervention, the flora may be out of balance, and some bacteria will grow preferentially.

Once a white film is found on the surface of the intestine, it means that the patient's flora is very imbalanced, which cannot be solved by surgical removal of Meckel's diverticulum.

"Small" operations become more complicated.

"It's usually Clostridium difficile." Director Bai said.

"..." Director Liu spread his hands.

As soon as the screen changed, back to the consultation room, Ji Xiang and Director Zou were talking about something.

Director Liu didn't panic when he learned the result, but instead had a certain sense of victory.

The patient sat in front of Director Zou with a little anxiety.

Director Zou explained the situation first, and briefly described the harm of flora imbalance.

"Meckel's diverticulum can be removed, which is a relatively simple minor operation, but the intestinal flora is covered with albuginea, which makes it more troublesome to treat."

"Director, then..." The patient looked at Director Zou speechlessly. He hesitated for a while and asked, "Will it be expensive? It will cost a lot."

"That's not true. The next step of treatment requires making fecal capsules, which you take orally for a period of time."

"!!!"

Chapter 574 Feces Capsules

The patient was stunned by Director Zou's words, and stared blankly at the short, drooling Director Zou.

Is he serious!

Stool capsules?As the name suggests... If I understand correctly, I want to eat my own shit? !

Is he really not joking?

……

In the review room.

The guests and the bald host were also taken aback by Director Zou's words.

The bald host tilted his mouth and looked at Professor Shen.

"Shen...Mr. Shen." The bald host was obviously stimulated to some extent, he stammered, "Is the feces capsule a homonym? I heard it wrong? It should be the resolution."

"No, feces means poop." Professor Shen said lightly.

"..."

"..."

"..."

The atmosphere in the review room was a bit weird and awkward.

Professor Shen knew that this matter was not limited to laymen, and even some large top-tier hospitals that ranked above [-] in the country did not carry out it, so he began to explain.

"Clostridium difficile is an obligate anaerobic bacterium of the genus Clostridium, which is very sensitive to oxygen and difficult to isolate and culture, so the first researchers gave a simple and crude name-Clostridium difficile.

Clostridium difficile was first discovered in 1935. In 1977, it was found to be related to pseudomembranous colitis caused by long-term clinical use of certain antibiotics. Since then, it has been paid attention to. "

"The production of Clostridium difficile is related to the long-term heavy use of antibiotics."

"Mr. Shen, is that what everyone said about the abuse of antibiotics in hospitals?" a guest asked.

The bald host glared at him unhappily, giving enough hints.

If you really can't speak, how can you scold a bald man in front of a monk?

"Abuse of antibiotics." Professor Shen didn't care too much, he smiled slightly, "Antibiotics are most abused in the animal husbandry industry, but public opinion...hahaha, let alone this, we need clinical pharmacy approval for any antibiotics we use clinically, troublesome very."

"Mr. Shen, you continue to talk about the stool capsule." The bald host brought the topic back and continued to control the scene.

"Approximately 50 percent of infants aged 12 months have C. difficile in their gut, and children older than 2 years have a prevalence of approximately 3 percent, but C. difficile is less frequent in healthy adults."

"This patient has been treated with antibiotics for a long time, so Clostridium difficile appeared in the intestinal tract. The diagnosis speed of the First Affiliated Hospital is very fast, which is quite good." Professor Shen praised, "This is a diagnosis. Next, let's talk about feces. capsule."

"Fecal transplantation, also known as fecal microbiota transplantation" fecal microbiota transplantation", is to transplant the functional flora in the feces of healthy people into the gastrointestinal tract of patients, rebuild the intestinal flora with normal functions, and realize the treatment of intestinal and extraintestinal diseases .

Other names are "gut microbiota transplantation" or "gut microecology transplantation". "

"..." The bald host was slightly taken aback.

His expression was very hard, like a simple and rough Clostridium difficile all over his face.

"Mr. Shen, you mean to eat other people's poop?" a guest asked.

"That's what it means." Professor Shen smiled. "Actually, the main ingredients of many medicines cannot be detailed. For example, Ye Mingsha, for example...cough cough, for example, the Kangfuxin solution commonly used in clinical practice."

"I know this, Periplaneta americana." The bald host tried his best to ease the atmosphere in the comment room, "During the epidemic a few years ago, many people had the reaction of swallowing razor blades, and drinking the new rehabilitation solution was very effective. But Some of my friends said it was cockroach juice, and they would not drink it even if they died.”

"Hahaha." Professor Shen smiled, "Fecal capsules are another matter. Thousands of patients around the world have received fecal microbiota transplantation treatment, and the United States has developed the fastest in this area. Some institutions have established similar blood banks. fecal bank to serve as a support platform for this therapeutic approach."

"The shit bank..."

"The shit bank..."

Professor Shen's words were astonishing, and the bald host and guests were speechless.The bald host with seasoned experience and strong ability to save the scene didn't know how to continue.

In fact, he does not reject the topic of excrement, urine and fart, after all, eating, drinking and sleeping is a major event in life.But the term "stool bank" was beyond the understanding of the bald host, and he didn't know what to say at all.

"Frozen fecal matter encapsulated in capsules is useful in the treatment of Clostridium difficile infection, new findings published in JAMA show.

1.6克的合成药丸将与传统的排泄物移植技术一样安全和有效。在8周内，20名患者中18名，服用30或60粒大便药丸后腹泻完全缓解。”

"Of course, I know it's disgusting."

Professor Shen glanced at the bald host and the guests present, smiled slightly, and explained.

"This sounds very disgusting, but in principle, human feces are excrement from the human body, and the main component is actually bacteria.

Current research proves that the function of intestinal bacteria is very important, and some scholars even believe that the intestinal flora is an important organ of the human body, so logically speaking, transplanting stool from normal healthy people to patients is very similar to organ transplantation idea. "

"Intestinal flora belong to organs?" Maomao whispered.

"A metaphor, a metaphor, of course it won't be a real organ." Professor Shen said, "But the production and clinical application of feces capsules have been carried out in China. Although there is no stool bank, as far as I know, the First Affiliated Hospital of Hangzhou Medical University should Capable of making fresh frozen poo capsules."

"..."

fresh...

frozen……

It was the first time for the guests present to associate these two words with feces, and for a while, they couldn't accept it at all.

"Antibiotics can cause intestinal flora disorder, and it is necessary to rebuild the intestinal flora. To put it bluntly-eating feces is the best way. In nature, the intestinal flora of many young herbivores is passed through the excrement of the practical mother. built."

……

……

In the single room of the barbecue, Director Liu sighed.

"Old Bai, when will our hospital have similar equipment?"

"Impossible. It requires a low temperature of more than 100 degrees below zero. You can't just put a piece of shit in it and eat it." Director Bai obviously knew about this, and he said a little unhappy.

"Have you submitted an application?" Director Liu knew Director Bai very well, and when he saw that he was unhappy, he guessed why.

"I asked the gastroenterology department to mention it, but it was not approved because the equipment was too expensive." Director Bai said.