Rebirth begins in the operating room

Chapter 166 I Can't Believe in One Court

Sun Yao noticed Ye Li's serious expression and could tell that the leader in front of him was seriously ill.

The few medical students behind him were silent.

Being able to have their teacher tell the symptoms in person means that Ye Li's diagnosis is correct.

Sun Yao turned to his students and said, "Please remember the diagnosis results just now!"

"Remember teacher..."

Several students said in unison.

Seeing that this young man could communicate with his peers Sun Yao made Cai Rongsheng feel ashamed.

This also made Wang Hongbo, who was standing behind, feel uneasy. He did not expect that the previously unknown grassroots doctor would have such a level of expertise.

I regret it!

Li Muxin, who was observing recently, also found it a bit incredible that he could diagnose the disease by listening to the heartbeat and observing the limbs.

I can't imagine that Ye Li's medical level can be on par with experts.

Now Ye Li is thinking quietly.

The patient's condition cannot be saved by surgery alone.

need!

When I think about this, a sentence comes to mind, "Of course ignorance is not as bad as deception, but a doctor's ignorance is much more harmful than deception."

Ye Li suddenly remembered this sentence and remembered a book he had read in his previous life.

Can't it be such a coincidence?

Sun Yao saw Ye Li looking at him and said seriously: "Is there any better way?"

"Re-gain the patient's chest X-ray and ultrasound examination..."

Ye Li finally remembered that the patient in front of him might be suffering from the rarest form of "cardiac amyloidosis."

This disease dates back to 1850, when a pathologist discovered a deposit between human tissue cells, which reacted with a starch-like color after contact with iodine.

The puncture method can be used to aspirate the abdominal subcutaneous fat tissue for biopsy, and the positive rate for AL type and AA type can reach 95% and 67% respectively, and the operation is safe and easy.

Ye Li remembered that in his previous life, a thoracic surgery expert published a book called "Doctors and Patients", which told about a patient suffering from this rare disease that is one in ten thousand.

The road to seeking medical treatment is filled with blood and tears.

Because before this disease is diagnosed, it will be missed and misdiagnosed several times.

The creator of this book is now beside Ye Li.

Yes, he is Sun Yao.

The patient in the book is the one in the hospital bed in front of me.

Three years of treatment were documented.

The medical level at that time was affected by environmental factors.

After several missed diagnoses and misdiagnoses, it was finally determined that the patient had cardiac amyloidosis.

But it is a pity that by the time this rare disease was discovered, the patient had already died.

So Sun Yao felt inspired and published this book to commemorate this patient.

"The patient is so serious, how can we re-examine him? Isn't this harmful?"

As Ye Li finished speaking, he remembered his words of disapproval.

Even the students behind Sun Yao didn't say anything, but they felt in their hearts that what the latter said made sense.

The patient's vital signs are too weak.

Isn’t re-examination of the chest X-ray damaging the cells and tissues?

"Ding! Please convince Sun Yao to agree with your suggestion. After completion, you will get 1000 conflict points and 20 task points..."

Depend on!

Ye Li couldn't help but explode in his heart. After his system level was promoted to a high level, he released tasks more and more willfully.

However, 1,000 points are required to advance the system level from advanced to top.

Ye Li decided to give it a try. He turned his attention to Sun Yao and said, "Uncle, there is currently the most reliable diagnostic method."

"What method!"

As an expert, Sun Yao himself didn't know the most reliable method.

But as soon as these words came out, everyone pricked up their ears and listened.

The previous cell biopsy results were not ideal at all.

Ye Li plans to conduct a biopsy himself.

"This method is to use puncture to aspirate subcutaneous fat tissue from the abdomen for biopsy to confirm whether the tissue biopsy is positive, which can further diagnose the disease."

After listening, Sun Yao looked at Ye Li in surprise. This method was also a diagnostic method that he and the two of them had always wanted to try.

I didn't expect that this young man in his twenties could tell the same method as myself.

When Tao Renfan heard this, he immediately attacked Ye Li.

"I've never heard of this method."

Ye Li was too lazy to argue at this time, with a smile on his face.

Experts like Sun Yao didn't even question it. You're a stinky turtle. You've been playing around abroad for a few years and you'll be dead after you return home!

However, at this time, a clear voice sounded.

"How did you know that my teacher is also studying this diagnostic method?"

The person who spoke this time was the only female among Sun Yao's students.

The other party is young and good-looking, with a little light makeup on his face, fresh eyebrows and bright eyes, and a delicate appearance that makes people feel comfortable.

Although there is a slight difference in appearance compared to Li Muxin, she can still be considered a beauty.

Ye Li secretly commented in his heart.

Sun Yao stood aside and said nothing, but his heart was already filled with turmoil and curiosity.

Ye Li noticed Sun Yao's hot eyes and felt helpless.

But for the sake of conflict value and points, an attempt had to be made.

I also borrowed the diagnosis results from my previous life and used them to show off.

Isn't it a bit immoral?

Ye Li struggled and hesitated several times in his heart. As a doctor, he could save patients and change their destiny. It didn't matter even if he was shameless.

After all, it was all in the previous life.

"I read an article by a foreign pathologist, and he mentioned the method of biopsy of subcutaneous tissue."

Ye Li answered truthfully, "Of course, this is not 100% diagnostic, but it is also the most effective diagnostic method."

Sun Yao smiled and nodded, indicating that he was right in studying this method before.

It just lacks practice and experience accumulated over time.

Now that I heard what Ye Li said, I felt even more confident.

Decided to perform abdominal subcutaneous puncture immediately.

"Ye Li stays, everyone else, please go out!"

When Sun Yao turned around and said these words to everyone, Ye Li's system task was completed.

There were too many people, so he suppressed his joy.

When the doctors from the first hospital and the second hospital behind him, including Sun Yao's own students, everyone had sad expressions on their faces.

"Teacher, do I want to go out too!?"

The female doctor standing next to Li Muxin pointed at herself, wearing braces and looking unhappy.

Her name is Han Yaxin, and she is the most talented female student among Sun Yao's students.

Despite her young age, she is already a master of medicine.

If Ye Li didn't have a system, he would be a bad brother in front of her.

At this time Sun Yao nodded.

But when Hanyaxin saw the serious expression on the teacher's face, she knew that a biopsy was going to be performed on the patient.

She wanted to stay and observe the details of the operation.

Now that Sun Yao wants her to leave, he hates Ye Li deeply.

He puffed out his cheeks and walked out of the nursing room.

Even though she has a master's degree in medicine, she is still a little girl at her age.

In contrast to Hanyaxin, several other students were very obedient and left.

Li Muxin was about to leave when Ye Li grabbed her arm and asked, "Muxin, can you do cardiovascular puncture?"

"meeting...."

When Ye Li saw Li Muxin nodding, he said: "That's good, I'll puncture and absorb the subcutaneous fat in your abdomen later..."

"I'll do it!"

Li Muxin looked at Ye Li in surprise, she had never done this before!

"Come to you," Ye Li said in a firm tone, then looked at Sun Yao, "Uncle, it doesn't matter if she comes!"

Sun Yao looked at Li Muchin, hesitated for a while, and then said: "I have no objection, just do as you say."

He wanted to see how it was done now.

Ye Li got Sun Yao's consent and had no worries. Of course, this was also an opportunity for Li Muxin to perform.

An abdominal biopsy is just the first step for Ye Li.

If abdominal subcutaneous fat tissue biopsy occurs at the same time, the diagnosis will not be clear.

Endomyocardial biopsy should be performed.

Therefore, this must come from Li Muxin's heart.

Extracting tissue from the endocardial myocardium is something Ye Li doesn't know how to do, and it really requires Li Muxin to do it.

In his last life, Sun Yao also invited other cardiology experts to perform punctures.

Therefore, the historical trajectory of this life has progressed ahead of schedule.

If I remember correctly, Sun Yao published the book three years later.

The rare heart disease of cardiac amyloidosis can now be diagnosed in advance.

One more thing.

Ye Li realized that the system could not detect the patient and it was a rare heart disease.

This is unreasonable!

Still say it!

The patient's current symptoms cannot be diagnosed as cardiac amyloidosis.

Therefore, the system only follows the symptoms given by the current medical perspective.

There was only one possibility that Ye Li thought of, that is, the system was probably testing himself.

...

It took twenty minutes to prepare.

Li Muxin was very nervous.

Ye Li acted as an assistant, helping to disinfect the epidermis of the patient's abdomen.

Apply sterile towels to the area for routine disinfection, and use 0.5% lidocaine to locally infiltrate anesthesia at the puncture point.

"Don't be nervous and just follow the usual operation, just absorb the subcutaneous tissue."

"good...."

When Li Muxin saw Ye Li beside her, she felt at ease like never before.

Puncture is a technical operation. Usually, the McFarland point on the left side of the abdomen is used for puncture. After local disinfection, a special intraperitoneal needle is used for puncture and aspiration.

Ready.

Li Muchin used her left hand to fix the skin at the puncture site, and held the puncture needle in her right hand to insert the needle vertically into the anesthetized area of ​​the tibia.

The intraperitoneal needle slowly entered the subcutaneous tissue, and there was a strong sense of resistance.

"Very good, just keep this intensity..."

Ye Li observed the status of the intraperitoneal needle and the indicators of the monitor.

Others cannot see what's going on inside.

But Ye Li could see that he was directing Li Muxin.

When the subcutaneous fat tissue is extracted, the puncture point is covered with gauze, which means the puncture is completed.

Sun Yao checked the time and it only took seven minutes.

I found this combination to be incredible.

Li Muxin breathed a sigh of relief, "Ye Li needs to be sent to the laboratory immediately."

"I will ask the students to send this to the laboratory..."

"Uncle, wait!"

Ye Li stopped Sun Yao, who looked at Ye Li in confusion, "What's the problem!"

"I can't trust the First Hospital, so..."

Next, Ye Li divided the living tissue into two parts and cryopreserved them in liquid nitrogen.

Sun Yao understood what Ye Li meant and had heard Haifeng mention it to him before coming.

But as an expert in a tertiary hospital, he cannot openly take sides.

For example, the quota for further study this time was originally fair and just, but who would have thought that someone in the first hospital would still use dirty tricks.

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