The patient's name is Liu Ping, female, thirty-one years old.

According to the records on the medical records and Liu Ping's self-report, half a year ago, Liu Ping found that she had lived and had not had her period.

She thought she was pregnant.

Liu Ping was happy and waited patiently for a while before going to the hospital for examination.

But in the hospital, it was a urine test and a blood test, and the results were all negative, and Liu Ping was not pregnant.

My period has not come. Since it is not pregnancy, it is sick.

Liu Ping started to see a doctor in the obstetrics and gynecology department of a local county hospital.

The doctor did some gynecological examinations and gave a lot of medicines, but the situation did not improve.

Later, Liu Ping heard from others that there was an old Chinese doctor in a village who was the ancestral master of treating gynecological diseases.

There are many people who are out of the disease and get what they want.

Liu Ping went to see an old Chinese doctor and took a lot of Chinese medicine with unknown ingredients. She took it for more than three months in a row.

However, after several months of traditional Chinese medicine treatment, Liu Ping not only had her menstruation not recovered, but her complexion became worse, her skin was worse, her spirit was not good, and she also became significantly thinner.

Liu Ping, who felt that something was wrong, came to the tertiary hospital in the city and had an examination.

After a careful examination, the gynecologist at the municipal hospital was diagnosed with secondary amenorrhea.

There were normal menstruation, but later the menstruation disappeared, which is called secondary amenorrhea.

The causes of secondary amenorrhea are too many and too complicated.

Yan Feifan recalled that the establishment and maintenance of normal menstruation depended on the very complex endocrine nerve regulation system.

From the hypothalamus, pituitary gland, ovary, to the endometrium, etc., problems in these areas may lead to amenorrhea.

Some people also have long-term mental depression, tension, worries, environmental changes, overwork, and even emotional changes, which may also lead to amenorrhea.

Some people lose weight and lose weight, and become amenorrhea.

Some people have been amenorrhea due to long-term strenuous exercise, dancing, etc.

This seems a bit irrelevant, but it is a real case that Yan Feifan has read in medical journals and magazines.

Some people also have amenorrhea caused by taking some drugs for a long time, such as some antipsychotic drugs, and some antihypertensive drugs.

The gynecologist at the tertiary hospital in the city found the cause of Liu Ping, which was secondary amenorrhea caused by cirrhosis.

Yan Feifan quickly filtered and analyzed the various examinations and test data that Liu Ping had done in their tertiary hospital in the city.

Among her various tests and test data, all indicators were normal, except for the liver function transaminase... which is abnormal!

The data related to her liver function aminotransferase is ALT    80U/L, AST   78U/L.

This data is obviously high.

Subsequent ultrasound and CT examinations also confirmed that Liu Ping had cirrhosis.

The gynecologist gave the final diagnosis.

Long-term use of Chinese medicine with unknown ingredients leads to liver damage and subsequently cirrhosis.

Patients with cirrhosis will lead to many changes in hormone levels, especially the ability to inactivate estrogen.

This can secondary to a series of endocrine problems, which leads to amenorrhea.

In his mind, Yan Feifan deduced and reviewed the patient's medical treatment process and the doctor's diagnosis process.

Yan Feifan didn't find much problem with this process, and the doctor's diagnosis was also reasonable and looked quite perfect.

But if the matter ends here, there will be nothing he has to do.

During the subsequent one or two months of treatment, Liu Ping's symptoms did not improve to any extent.

According to the doctor's diagnosis, if it is liver damage and cirrhosis caused by taking a large amount of Chinese medicine, the Chinese medicine has been stopped and targeted treatment has been done for one or two months, Liu Ping's condition should have improved significantly.

The problem is that Liu Ping's situation looks even worse.

This made Liu Ping and her family lose their trust in the doctor and decided to come to Binhai and ask someone to find a more powerful hospital and doctor for treatment.

Yan Feifan speculated that it was not caused by taking traditional Chinese medicine!

But, what exactly caused it?

According to the medical records, Liu Ping does not smoke or drink, and the blood test results also show that she is not a patient with hepatitis B and hepatitis C!

This excludes the most common causes of cirrhosis in Chinese patients, viral hepatitis, alcoholic hepatitis, and cholestatic hepatitis.

Maybe it is autoimmune liver disease?

Maybe it is cirrhosis caused by parasites?

Is it possible that it is Bugat syndrome?

……………………

Wang Chuan, who was driving, was secretly paying attention to Yan Feifan.

He found that after seeing the many pictures uploaded from his mobile phone, his eyes entered a state of scattered and unconsciousness.

But there were small wrinkles on his eyebrows from time to time.

Wang Chuan understood that this guy was thinking and was obviously analyzing the patient information his sister sent to him.

This scene made Wang Chuan even more confident in Yan Feifan.

As an old fox who has been experienced for a long time, he could clearly see that Yan Feifan followed him into the car with some anxiety.

After all, the matter that he was so self-inflicted has not been resolved yet, and Wang Chuan is also mysterious and confused.

It is impossible for Yan Feifan to not be upset in his heart.

But this guy, when he saw complicated cases, he quickly devoted himself to thinking.

This shows that this kid really loves medicine.

There is no more likely to make a person successful and achieve results that shock the world than this heartfelt motivation.

"Talent and love that comes from the heart, maybe that's why this kid has become so outstanding."

Wang Chuan sighed in his heart, unconsciously reducing the speed of the vehicle to prevent the bumps from interrupting Yan Feifan's thinking.

After a while, Wang Chuan heard Yan Feifan's voice sound.

"Sister, please let that colleague tell the patient, and she would better call me back now."

"I have some questions to ask her."

"What's the problem? Cirrhosis has the chance of turning into liver cancer, which has family genetic characteristics."

"In the family history investigation, the patient said her aunt died at the age of 45 and the cause of death was a high fever."

"This made me a little confused and I wanted to ask on the phone!"

Yan Feifan hung up the phone and found that the car was driving on the viaduct.

It's just the direction of this driving...

"Director Wang, are we going to leave the city?"

Wang Chuan replied softly: "The destination is Fengwei Mountain in the southern suburbs, and it is about an hour's drive."

"Is this time enough for you to solve a difficult and complicated disease?"

Yan Feifan said truthfully: "The existing data on the condition is not enough to allow me to make an accurate judgment."

"I hope the next call will give me enough information..."

After waiting patiently for more than ten minutes, Yan Feifan finally waited for a strange mobile phone number from another province.

"Doctor Yan, I am Liu Ping, what do you want to know?"

Distinguishing the Mandarin with a strong accent and lack of strength, Yan Feifan said slowly: "Ms. Liu, I feel like asking, the exact cause of your aunt's death!"

"My aunt, she just took off her clothes in the middle of winter. She caught a severe cold and had a high fever of 40 degrees Celsius, and she was burned to death."

Yan Feifan asked in confusion: "Now that medical care is so developed, even if the high fever reaches 40 degrees, it shouldn't be?"

"Doctor, we are in the countryside, so it's not very convenient to see a doctor."

"Doctor, does my aunt's death have anything to do with my illness?"

Yan Feifan said with some disappointment: "If she died because of a high fever and the treatment was not done in time, it wouldn't matter."

"If it's other reasons..."

Yan Feifan aggravated his tone and deliberately paused.

He waited for only ten seconds, and Liu Ping's voice came out of his phone again.

"Doctor, actually, actually, my aunt got crazy before she died..."

Yan Feifan was shocked and interrupted: "Mystery?"

"What are the symptoms?"
To be continued...