I can see the status bar

Chapter 784 Difficult Road
Sun Li'en felt hairy all over his body these two days.It seemed that there were always two pairs of eyes behind him, watching his every move.

This inexplicable feeling lasted for two full days, and then slowly disappeared.The weird feeling for two consecutive days seriously affected Sun Lien's work efficiency, and it was only on the third day that he was able to force himself to seriously read 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 treated, and then sharing them with the doctors in the group for learning.This will, on the one hand, help doctors from different specialties to grasp the patient's current situation as soon as possible, and on the other hand, it will also help everyone work together to come up with a treatment plan that is more suitable for the patient.

The current work of the diagnostic center is gradually on the right track. With Sun Lien as the core, Yuan Pingan conducts literature survey and collection, and the working mode of auxiliary diagnosis by Zhou Ce, Xu Yourong and Brunn has gradually entered the trial operation period from the experimental period.At least Yuan Ping'an feels that the current state is not bad.

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 he can keep up with Sun Lien's speed, he may have a chance to surpass him in the future!
Of course, Sun Lien did not notice the changes brought about by the two doctors in his group.He is still struggling with the choice of diagnosis and treatment options.The use of UDCA to protect liver cells can only delay the progress of the disease. To cure the disease, Sun Lien still has to figure out what is wrong with the patient.

Judging from the current situation, there is a high probability that Dr. Pascal's previous diagnosis has a problem.But what made Sun Lien even more desperate was that if Lao Pa's diagnosis was compared with his condition, it would be a perfect fit - all symptoms perfectly coincided with Lao Pa's diagnosis, but the patient did not respond well to treatment.

Considering the poor response to treatment, Old Pa may have made a mistake.Considering the symptoms, Old Pa was absolutely right.

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

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In the ward, Lu Chunyu was holding wool and sweater needles. While watching TV, her hands were moving quickly.A gray sweater is rapidly forming in her hands.Seeing Sun Lien come in, Lu Chunyu happily waved at Sun Lien, and the bile drainage bag on his face shook twice, "Dr. Sun, come here quickly."

Not knowing why, Sun Li'en obediently walked to Lu Chunyu's bedside, and Lu Chunyu picked up the sweater in his hand and began to gesture at Sun Li'en, muttering, "Your figure is not much different from my nephew, just come here Be a model for me. Let me take a look...Okay, it's good!" She put down the sweater in her hand and asked, "Doctor Sun, what's the matter?"

"I just came here to see how your situation is going." Sun Lien recovered from the "sluggishness" at the beginning, he picked up the medical case beside Lu Chunyu's bedside and asked casually, "How do you feel these two days? Is there any problem with eating and sleeping?"

"It's all good, but... the poop still looks strange." Lu Chunyu seemed a little embarrassed to talk about this topic, and she continued, "This white poop has been going on for a long time."

"This is a symptom of biliary obstruction..." Sun Lien was taken aback suddenly, "You said this has been going on for a long time?"

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

This is not right!Sun Li'en raised his head suddenly, and he asked in surprise, "Why didn't you mention it when you were hospitalized?"

"It doesn't hurt or itch, so I didn't take it seriously." She still said with a bit of embarrassment, "Is this question very important?"

Not only is it very important, it is simply very important.Gray-white stool is a disease manifestation, which generally occurs in patients with biliary obstruction.After their biliary tract is blocked due to various reasons, bile cannot smoothly enter the intestinal tract to participate in digestion, so the stool lacks bilirubin staining, so it appears grayish white.

This symptom is not only very important for the previous diagnosis, but more importantly, after the doctors of hepatobiliary surgery performed nasobiliary drainage on Lu Chunyu, the symptom of clay-like stool still exists.

Nasobiliary drainage is not just about taking bile from the drainage tube through the nasal cavity and out of the body.During drainage, doctors will select a relatively rich bile duct system, and then drain most of the bile out of the body, while the remaining bile will still enter the intestine through the duodenum to participate in digestion.

After artificially extracting the bile, in theory, Lu Chunyu should no longer have clay-like stools.But she still maintained this state...

While thinking about it, Sun Lien saw Lu Chunyu's blood test report today.

Direct bilirubin dropped to 133 micromoles per liter.

Um?Sun Li'en was stunned again, what's the situation? UDCA works?
Clay-like stools represent insufficient bile in the biliary tract, and the effect of UDCA means that the drug has at least exerted a better effect than Sun Lien expected at the beginning.

Simply inexplicable.Sun Li'en was full of such thoughts. The patient's biliary tract did not have enough bile to flow out, but he had symptoms of cholestasis.Cholestasis was relieved by drainage, while clay-like stools remained.It is obviously a PBC of the third to fourth period, but it has an effect on UDCA... The back and forth conflicts even made Sun Li'en wonder if he made a mistake somewhere.

After a while, he finally calmed down.Objective facts do not depend on people's consciousness. Since it seems that the diagnosis and symptoms are completely inconsistent, it means that there must be a serious loophole somewhere.

The patient's symptoms will not be a problem, and she has no motivation or possibility to invent symptoms.What went wrong, then, must be the diagnosis—there must be a diagnosis that would explain these complex conflicts.

"I know about this situation." After thinking twice, Sun Lien decided to go back to the office first, and then figure out what went wrong. "You should continue to maintain the medication to see the situation. If the situation persists after a while, then we will use other means to intervene."

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In Sun Lien's view, the effect of UDCA is a more important reminder point. It is a consensus in the medical community that PCB phases III to IV respond poorly to UDCA.And Lu Chunyu's reaction to UDCA is not bad, this is a fact.

So...Sun Li'en pondered for half an hour, and then came up with a somewhat shocking hypothesis-couldn't it be just AIH+PBC that caused her to get sick and show symptoms?

(End of this chapter)