Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 1079 Yamamoto's Sigh

R country, Tokyo.

Juntendo University Hospital.

Ichiro Yamamoto was presiding over a meeting when he suddenly felt unbearable abdominal pain and beads of sweat appeared on his forehead.

"teacher!"

Ken Kobayashi hurried forward and supported Ichiro Yamamoto: "Teacher, are you okay?"

Yamamoto Ichiro was sweating profusely from the pain, his teeth clenched tightly. Everyone at the meeting gathered around him with concern, and someone hurriedly shouted, "Quick, push the stretcher over here, contact the emergency room doctor..."

Ken Kobayashi, who was supporting Ichiro Yamamoto, felt that Yamamoto's symptoms were quite familiar.

When Ichiro Yamamoto was in New York, he was in the same situation, and it was Chen Yang who helped him to relieve the situation.

Yamamoto Ichiro was quickly rushed to the emergency room. He curled up in pain on the hospital bed, his face pale and his white hair soaked with sweat. The monitor showed his heart rate soaring to 130 beats per minute, and his blood pressure fluctuated.

"Teacher, please hold on!" Ken Kobayashi held Ichiro Yamamoto's hand tightly, his voice anxious.

The doctors from Country R who were present quickly conducted various examinations.

Abdominal CT scans showed that there was a small amount of free gas in Ichiro Yamamoto's abdominal cavity. Combined with his severe abdominal pain and abdominal muscle tension, he highly suspected that he had "digestive tract perforation"!

"Immediately ask the professors of gastroenterology and gastroenterology for consultation!" The director of the emergency department gave a decisive order.

However, just as the experts gathered to discuss the surgical plan, Ichiro Yamamoto's pain changed again - just like in New York, the tearing pain slowly began to subside after reaching a certain peak, and the tension in the abdominal muscles also eased.

After a CT scan, surprisingly, the small amount of free gas did not seem to increase, and the expected signs of large-scale infection did not appear in the abdominal cavity.

“This… is so weird.”

A senior professor of gastrointestinal surgery at Juntendo University Hospital frowned. "The symptoms resemble perforation, but the physical signs and imaging don't fully support it. Could it be an acute exacerbation of diverticulitis? Or an incomplete intestinal obstruction?"

Experts have proposed several possibilities, but none of them can fully explain all of Yamamoto Ichiro's symptoms, especially the pain that comes and goes like the wind, is severe, and can be relieved on its own.

Ken Kobayashi stood aside, and the scene of the New York summit reappeared in his mind.

He couldn't help but speak: "Teachers, Professor Yamamoto also had a similar severe pain while in New York. At that time... a Chinese doctor used acupuncture to relieve it."

"Chinese doctor? Acupuncture?"

One expert looked surprised, even a little disdainful. "Xiao Lin, what we need now is a judgment and decision based on modern medical evidence."

"Could it be Chen Yang from the Huaxia Kyoto International Medical Center?" someone asked.

"That's right..." Ken Kobayashi wanted to say something, but was interrupted by Ichiro Yamamoto's weak voice.

"Xiao Lin..."

Yamamoto Ichiro shook his head slightly, indicating that he didn't need to say anything more.

Although the pain was unbearable at the moment, Ichiro Yamamoto's pride remained.

He felt embarrassed to mention the diagnosis and treatment of doctors from other countries, especially traditional Chinese medicine doctors, in his own hospital in public.

The final decision of the consultation was that, given that Ichiro Yamamoto's condition was temporarily stable, conservative treatment would be given first, close observation would be given, and more tests would be performed to confirm the diagnosis.

Ichiro Yamamoto was admitted to the VIP ward.

The intense pain drained his energy and he fell into a deep sleep.

Kobayashi Ken stayed by his teacher's bedside, his brow furrowed even in his sleep, a complex mood building. He quietly pulled out his phone and scrolled through news from the international medical community.

The homepage was filled with follow-up reports about Kyoto International Medical Center and Chen Yang.

In the accompanying picture, Chen Yang is welcoming Mueller and Robert's team at Kyoto Airport.

Mayo Clinic, Cleveland Clinic, and Berlin Heart Center have all contacted Kyoto International Medical Center, but the teacher...

......

Ichiro Yamamoto woke up from his sleep and it was already night.

The familiar, tearing pain in his lower right abdomen came back, more intense than ever before. He groaned, his body involuntarily curled up, his hands pressed tightly against his abdomen, his nails almost digging into his hospital gown.

"Teacher!" Ken Kobayashi, who was on duty nearby, woke up instantly and rushed to the bed. Seeing Ichiro Yamamoto's pale face and beads of sweat, his heart sank.

"Doctor! Call the doctor quickly!"

The doctor and nurse on duty rushed over, and the monitor's shrill alarm sounded—heart rate 140 beats per minute, blood pressure 90/50 mmHg! Abdominal muscles were as hard as a rock, classic signs of an acute abdomen!

"Prepare for emergency surgical exploration immediately! Suspected digestive tract perforation or necrotizing appendicitis!" The senior surgical professor gave the order decisively after checking.

The previous conservative observation had obviously failed, and the condition was taking a turn for the worse.

Ichiro Yamamoto was rushed to the operating room.

Under the shadowless lamp, Yamamoto Ichiro's consciousness gradually became blurred as he inhaled the anesthetic gas. His last thought was the time in New York, Chen Yang's steady hands and those slender silver needles... A trace of absurd regret flashed through his heart.

The scalpel cut open the abdomen, but the results of the exploration shocked all the surgical experts.

There was indeed a small amount of intraperitoneal exudate and free air, but the expected large perforated lesion or necrotic appendix was not found.

The intestines were slightly dark red in color and had mild congestion and edema, but were far from requiring large-scale resection.

The so-called "perforation" signs were minimal, more like a slight leakage from a tiny diverticulum, which was not enough to explain such severe clinical symptoms.

"How...is this possible?" The surgeon-in-charge frowned as he surveyed the surgical field. "The signs and symptoms are seriously inconsistent. It's like...it's like functional severe spasm induced local microcirculatory disturbances and mild inflammatory exudates?"

The operation ended in an atmosphere of confusion and slight embarrassment.

Apart from flushing the abdominal cavity and placing drains, surgeons found themselves with little else to do.

They cut off a small section of the intestine that looked "most unsatisfactory" and sent it for pathological examination.

After the operation, Yamamoto Ichiro's vital signs gradually stabilized, but the abdominal pain did not completely disappear. It turned into a persistent, dull colic, accompanied by low fever and abdominal distension.

To make matters worse, he had adverse reactions to multiple antibiotics, with nausea, vomiting, and rash, and his condition became increasingly complicated.

Pathology report: Nonspecific enteritis with smooth muscle dysfunction. The cause is unknown.

Top specialists at Juntendo Hospital held numerous consultations and tried various treatment options, with minimal success.

Ichiro Yamamoto's body was losing weight at a visible rate, and his spirit was becoming increasingly weak.

Seeing his teacher suffering from illness, Xiaolin Jian finally couldn't help but whispered in a low voice when they were alone, "Teacher, Doctor Chen Yang in Kyoto... maybe..."

Ichiro Yamamoto closed his eyes for a long time, then nodded very slightly, his Adam's apple rolling and he let out an almost inaudible sigh.