Chapter 1710 Periodic Vomiting Syndrome

12 hours ago, Boston, USA.

Smoke rises from a house in West Roxbury.

The wiring in the basement should be in disrepair, causing an electrical fire. The hostess here quickly found out that there was an accident, pulled the switch off immediately, and then took the bucket to put out the fire that didn't spread.

It's just a strong rubbery smell that makes people feel extremely uncomfortable.

After putting out the fire, she felt exhausted and overwhelmed by the high tension just now.

The basement was full of smoke, and he was choking on his breath as he coughed.

He tried his best to get out of the basement, but in the end he was so weak that he almost fainted on the steps of the basement.

However, a strong desire to survive made her insist on walking out.

She sits at the door, breathes the fresh air, and feels very happy. Although the basement needs to be cleaned thoroughly, I seem to have something to do these days, but it is really a wonderful thing to be able to come out alive.

But sitting at the door, her lower abdomen began to hurt.

The severe pain consumed the last trace of energy in the whole body, and the endless exhaustion surged like a tide, drowning the whole person.

She didn't panic.

Two or three months ago, she also encountered this situation, severe abdominal pain. He was taken by ambulance to Massachusetts General Hospital for treatment, where the doctor said it was due to abdominal pain caused by cyclic vomiting syndrome.

Heck periodic vomiting syndrome, heck insurance!

She sat at the door, not thinking of calling an ambulance, but ready to let time heal everything. Once the ambulance comes, it will issue a receipt that makes me terrified.

That's not a receipt, it's a ticket to hell.

As long as she had strength, she didn't want to take an ambulance to the hospital, it was a terrible experience.

However, she endured all night and did not see any improvement. She had to contact her former attending doctor the next day and went to Massachusetts General Hospital for treatment.

No appointment was made, because Dr. Mark, who diagnosed her with periodic vomiting syndrome last time, thought the case was very interesting, so he told her that if she had any more problems, she would go directly to herself.

Soon, Dr. Mark began to regret his decision.

In the last hospitalization, he administered ondansetron, hydromorphone, and intravenous fluids to the female patient. After the medication, the patient's nausea, vomiting, and abdominal pain were relieved. On the second day of hospitalization, the patient was able to eat normally and was discharged home.

Dr. Mark is only interested in periodic vomiting syndrome, and he plans to do a long-term follow-up investigation on it.

However, when the female patient was hospitalized again and underwent corresponding examinations, Dr. Mark found that the patient's condition was not right.

She is sane and oriented. But emotionally unstable, laughing and crying.

The patient's gaze is intensified, and his speech is rapid, urgent, and sometimes slurred. And over time, she was seen writhing violently on the bed and pulling on equipment and clothing.

Cyclic vomiting syndrome does not have this problem, and Dr. Mark, as the primary physician, began to find it difficult.

I asked for a consultation, and after consultation with a neurologist, I thought it had nothing to do with neurological diseases.

Soon, the patient's condition worsened.

Dr. Mark gave her IV fluids and administered ondansetron, pantoprazole, fentanyl, and lorazepam. The patient was admitted to the intensive care treatment unit for diagnostic workup.

The doctor in the intensive care unit was very unhappy, and the sky was bright, but a patient with a strange condition was admitted.

This is not the key. What annoyed him the most was that he was about to watch a live broadcast of a live operation of a liver abscess with no history of trauma or surgery, but a foreign body was seen on the liver.

"Damn it!" the ICU doctor nagged, the live broadcast of the surgery was about to start, and the female patient was also sent over.

He could only put down his mobile phone regretfully, hoping that the surgeon's operation could be done slower this time. He checked the female patient as quickly as possible, and after giving symptomatic treatment, he returned to his room.

Sure enough, the surgery was done.

Damn, can only watch the tape. But he felt that there was no soul at all watching the recording of the operation, it was just an ordinary teaching video.

"Jason, my previous diagnosis of this patient was periodic..." Dr. Mark said his judgment, but was interrupted by Dr. Jason in the ICU irritably.

"I don't want to know what your diagnosis is. Now I'm going to watch the recording of the surgery, just because of your stupidity, it prevents me from watching a wonderful surgery!" Dr. Jason growled.

"Surgery live? Is it the operation of the young doctor we just became a tenured professor in our hospital?" asked Dr. Mark.

"Yes!" Jason's face turned ashen, and he began to watch the recording of "Soulless" surgery.

"Liver abscess? What's so good about this kind of surgery." Mark leaned over and saw the surgery on Jason's phone.

It's just a liver abscess. Dr. Mark has never watched the live broadcast of surgery from the other side of the ocean, because the live broadcast mainly focuses on interventional surgery, and he is not a doctor in the interventional department.

There are some surgeries, but Dr. Mark doesn't think it's going to be exciting to do surgery across disciplines.

"Shut your stinky mouth! This is a tenured professor's surgery. If you don't want to be fired by the board, you'd better go to the surgery with a sincere heart." Dr. Jason's expression was very wonderful, and the surgery was done quite well. Fast, in line with his expectations.

What he is curious about is that there is no history of trauma, no history of surgery, why there is a foreign body on the liver.

Where did this alien come from?

Soon, Dr. Jason saw the free abscess with dexterous grasping forceps, and then after sucking a part of the thick juice, he accurately clamped the foreign body and took it out directly.

"Jason, what is that?" Mark asked. "How did it get there?"

"The devil knows! There is no history of surgery, no history of trauma, and there will be a foreign body in the body to cause a liver abscess!" Jason looked at the picture intently, and then the surgeon did not continue the operation immediately, but began to use hemostatic forceps. On a piece of gauze, remove the pus moss attached to the foreign body.

A partially corroded toothpick appeared on the screen.

"It turned out to be a toothpick!" Dr. Mark raised his hands and expressed his surprise with an exaggerated gesture.

Although Jason was also surprised, he said as calmly as possible: "Mark, our newly hired tenured professor is actually very capable."

"Just him?" Dr. Mark said, "I heard..."

"Please keep your respect for tenured professors, if you don't want to be fired." Jason watched the operation intently, and the surgeon continued to clean the abscess after changing sterile gloves.

The focus of the operation is on the removal of foreign bodies. Even so, Dr. Jason is still interested in all the operations performed by the surgeon.

After seeing the operation, Dr. Jason felt still unsatisfied.

Suddenly, a strange thought appeared in my mind.

Can I let him take a look at the condition of the patient with periodic vomiting syndrome through email?

...

...

Note: This case is from Massachusetts General Hospital, well, it's real, not made up.