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Sodium valproate is a broad-spectrum anti-epileptic drug that does not contain nitrogen.

It has varying degrees of antagonistic effects on convulsions caused by various methods. It is effective for various types of human epilepsy, such as various types of petit mal seizures, myoclonic epilepsy, localized seizures, grand mal epilepsy and mixed epilepsy.

In addition to being used against epilepsy, sodium valproate can also be used to treat febrile convulsions, movement disorders, chorea, arrhythmia, schizophrenia, pain caused by herpes zoster, adrenal gland dysfunction, and prevention of alcohol withdrawal syndrome.

Sign and so on.

It can be said that it has a very wide range of uses.

In addition, there is another thing that most people rarely mention, that is, it is also effective for mental illnesses caused by epilepsy, which is also known as "neurosis"...

If Chen Qi is going to use sodium valproate, and if Yu Sisi does have epileptic abdominal pain, it will definitely be effective.

But not only does this drug sound bad to people, but the key thing is that it has quite a lot of side effects.

For example, the impact on liver and kidney function can easily lead to thrombocytopenia and purpura, bleeding and prolongation of bleeding time, hearing loss and reversible hearing damage in teenagers, etc.

But when treating a doctor, the doctor can only choose the lesser of two powers that harm each other, and the greater of two powers that benefit each other, depending on whether the benefits are greater or the harm is greater.

Nothing can be perfect, and there is nothing wrong with medicine being one part poison.

A doctor from Xijing Hospital expressed a different opinion:

"Dean Chen, the diagnosis is not clear now, and no evidence has been found in relevant examinations. If you directly prescribe sodium valproate, there will be certain side effects, which will be difficult for parents to explain."

He was kindly reminding her, after all, this is a 16-year-old girl in her prime, and everyone wants to cure her disease at the minimum cost.

Chen Qi patiently explained:

"The little girl's clinical symptoms, medical history, and genetic history are all consistent with abdominal pain caused by epilepsy. We should still try it. If it really doesn't work, the damage to the human body after one dose is controllable.

If the abdominal pain can be relieved by taking anti-epileptic drugs, then we can be sure that it is caused by epilepsy. This is called diagnostic treatment and it is in line with the diagnosis and treatment standards. Otherwise, what should we do? Failure to find out the cause is always a time bomb."

The unknown is the scariest thing.

There is a famous saying in Chinese traditional medicine: The superior doctor can treat the disease before it is sick; the traditional Chinese medicine can treat the disease when it is wanted; the inferior doctor can treat the disease already.

For diseases, early prevention, early detection, and early treatment can avoid the worst results. If it is delayed and delayed, it is often already in the advanced stage, and there is no way to save it.

Professor Tong gave the final word:

"The vision of our gastroenterologists is too limited and only focuses on the gastrointestinal tract. This is a drawback and is also the reason why we cannot find out the cause of the disease. Today we are here to learn from our colleagues in Vietnam and China, so now we will listen to Chen

The dean’s.”

Many doctors at Xijing Hospital secretly complained that they originally wanted to see the awesomeness of endoscopic surgery, not anything else.

But these doctors forgot that this was their first diagnosis of this patient, and it was their inability to diagnose that led to the patient's trip to Haidong.

Chen Qi doesn't care what others think. He is a doctor. Doctors only treat people, and they are not actors who specialize in performing endoscopic surgeries for people.

The doctor's order was given quickly, and the head nurse personally brought the sodium valproate injection.

Then everyone was waiting for the results of the drug test, waiting for Yu Sisi's abdominal pain to happen again. After all, this abdominal pain has no time pattern, so they can only wait.

This time, I was able to save face. Just before noon, the girl's abdominal pain reappeared.

The head nurse hung up a bag of sodium valproate needles as quickly as possible, and all the doctors, including Chen Qi and Professor Tong, ran to the bed as quickly as possible.

Everyone wants to see how effective it is?

The doctors at Xijing Hospital want to see how capable this smooth-talking "double director" is.

The doctors at the Vietnam Traditional Chinese Medicine Hospital had no sense of trust in the director. They felt that the director's action was 100% accurate. Now they were waiting for the answer to the mystery to be revealed so that doctors from other places could take a look.

The most nervous and troubled ones are Yu Sisi's parents, because no matter whether the result is effective or ineffective, it will be bad news for their family.

If the sodium valproate has no effect, it means that the cause of the disease has not been found. Not only will the journey of thousands of miles be in vain, but the daughter's condition will always be a heart disease, and she doesn't know when it will explode.

But if sodium valproate is effective, it also confirms the existence of "epilepsy" in disguise, and the news is even worse.

Epilepsy is really a cruel thing for an unmarried little girl in her prime, and may ruin her lifelong happiness.

Who would want to marry someone with epilepsy in the future? Not to mention that the disease can be hereditary.

In this way, the three parties have their own thoughts and are waiting for the patient's reaction after taking the medicine.

The sodium valproate injection was slowly dripped into the patient's body through the infusion tube. Dr. Ma Xiaona monitored the patient throughout the process, doing physical examinations and asking questions from time to time.

After about 15 minutes, Yu Sisi, who had huddled up in pain just now, slowly relaxed her body, and she was a little surprised:

"Doctor Ma, my stomach doesn't seem to hurt so much anymore."

Ma Xiaona quickly pressed her abdomen, then raised her head and said to Chen Qi: "The abdominal wall is no longer tense, and there is no obvious tenderness or rebound pain. Sodium valproate seems to be working."

When the girl's mother heard this, she covered her face with her hands and cried bitterly.

The girl's father also suddenly squatted on the ground and hit the ground hard, his face full of pain and despair.

The doctors from the two hospitals looked at each other, and no one said a word. They all quietly left the ward. The answer was already obvious.

What Yu Sisi suffered from was epileptic abdominal pain.

Chen Qi gently touched the little patient's head. He didn't know whether to say congratulations or comfort her to be strong, but he always wanted to give the little girl or her family a glimmer of hope.

"Now that the cause of your stomach pain has been found out, this is good news and bad news. But don't bear any burden. As long as you take medicine on time in the future, your abdominal pain will not happen again, and there will be no

Other bad symptoms appear, do you understand?"

A 16-year-old girl is not a fool. When she saw her parents' reaction, she knew that "epilepsy" was definitely not a good thing.

But girls in the blooming and rainy seasons are always easy to fool, and they are also much more optimistic:

"Okay, I listen to you and I will definitely take the medicine on time in the future!"

People's joys and sorrows are all incompatible. Yu Sisi's family felt that the sky was falling and they fell into endless despair.

When Chen Qi walked into the office of the Department of Gastroenterology, there was a burst of warm applause.

Professor Tong kept nodding:

"Yes, yes, Xiao Chen, you are indeed an all-round doctor. You can diagnose such a rare disease. Look at our Xijing Hospital. After half a month of checking, we couldn't find it. How shameful."

Chen Qi thought to himself that the level of your Xijing Hospital is indeed not that good. Since there are no positive results in the gastrointestinal examination, other causes should be considered.

In the final analysis, this is one of the drawbacks of specialization. Specialist doctors only focus on their own specialized diseases and do not have the thinking and pattern of general medicine.

Of course Chen Qi cannot say this:

"No, I was also lucky. When I first met the patient's mother at the train station, I noticed that the corners of her mouth were twitching from time to time. The frequency was not very high, but I could still see something strange. Later I looked again

Been there several times.

So I thought at the time, was this a small seizure of epilepsy? With this question in mind, I then followed this line of thought. For example, would epilepsy be passed down to her daughter, Yu Sisi, and would epilepsy cause abdominal pain?

I remember that when I asked the child’s mother if she had a history of epilepsy, many doctors, including Professor Tong, suddenly realized that we all wanted to go together. There was no diagnosis before, and they only said that you are unlucky and did not see the corner of the child’s mother’s mouth.

Just twitching."

Chen Qi's beautiful words immediately eliminated the embarrassment of many doctors in Xijing Hospital.

Many doctors are thinking: Well, if I know that the girl has epilepsy, I can guess that she has epileptic abdominal pain.

Although this disease is rare, doctors at primary hospitals may not have seen it or studied it, but doctors at Xijing Hospital have definitely done research on it.

Professor Tong waved his hand:

"When we treat a doctor, it's like a sports match. If you win, you win, if you lose, you lose. If you can't lose, just blame the weather, the referee, or luck, right?"

Director Liang Wenwen was a little regretful:

"What a pity. I thought Yu Sisi had some kind of gastrointestinal disease, and I wanted to see Dr. Chen's endoscopic surgery."

Chen Qi also laughed: "It is not easy to undergo endoscopic surgery. We have many patients in this field now..."

Before he finished speaking, he saw Yi Zewen, the chief of the emergency department, running in in a hurry. He was shocked when he saw so many people:

"Ah, Dean, you are in a meeting, I'm sorry to disturb you."

Chen Qi knew that his confidant would not disturb him if he had nothing to do. He knew that there must be something else, so he asked:

"What's wrong? Is there something going on in the emergency department?"

"Something happened. We received a patient with abdominal pain in the morning. We also did examinations and used antispasmodic and analgesic drugs, but they have no effect. The patient's abdominal pain is getting worse and worse. I don't want to ask you, old man, to come and help.

Take a look."

Chen Qi laughed and cursed:

"Get out of here, old man. Professor Tong, Director Liang, Director Zhou, and everyone else, I'm sorry, I have an acute abdomen, so I have to excuse you for a moment."

Professor Tong looked serious after hearing this: "We are fine, you can go quickly."

Doctors are naturally sensitive to emergency patients and will basically drop everything at hand and rush away. As a doctor from Xijing Hospital, of course I understand.

Seeing Chen Qi running away, the doctors at Xijing Hospital were idle.

Director Liang looked at Professor Tong: "Teacher Tong, how many scenic spots in Yuezhong should we visit next?"

Many doctors in the back are bright-eyed. In addition to studying, their bigger purpose is to travel at public expense.

Professor Tong smiled:
To be continued...