I can see the status bar

Chapter 525 Acute Phase
Shen Qiushi was sent to the Fourth Hospital by ambulance, and it was already 02:30 in the afternoon.

Shen Xi followed, sweating profusely from running.And Shen Qiushi sat on the wheelchair blankly, looking a little dazed.

After Sun Lien learned that Shen Qiushi was here, he ran straight to the Imaging Department without delaying for a second, but he turned around in the Imaging Department and did not see Shen Xi, so he realized that—the Imaging Department of the Diagnostic Center today Put into operation, it is estimated that people are downstairs.

"He didn't have another attack today, did he?" Going through the corridor again to the first floor of the diagnostic center, Sun Lien found Shen Xi who was wiping his sweat, and Shen Qiushi beside him. "Is the inspection done?"

"The MRI hasn't been done yet, and Brother Luo said that there is still someone checking inside, and it should be out in about ten minutes." Shen Xi shook his head, and he whispered, "Before I was transferred to another hospital, I had another seizure. "

People with epilepsy have no memory of when they have a seizure.Judging by Shen Qiushi's appearance, he probably has a certain understanding of the content of his illness - otherwise, he wouldn't look so stressed.

My young man, his life has just begun to enter a new stage, and he has to face the reality that he will fall to the ground from time to time, twitching and foaming at the mouth... If you can accept this, you will be a ghost.Shen Qiushi's psychological pressure can be imagined - Shen Xi must be under a lot of pressure, otherwise, with his personality, he would not run directly to the office of the diagnostic center with his cousin's case - he would directly find him in the dormitory at night. Sun Lien is actually more convenient.

Shen Xi is an insider in the industry, and he has more professional background knowledge and experience than other family members.This is one of the main reasons why he started to worry.The cousin's epilepsy has not been effectively controlled, and the neurological symptoms continue to develop.However, Shennei of the Second Hospital does not seem to attach much importance to this progress, and they are still trying to control epilepsy by adjusting medication.

When the cause of the disease is not clear, it is not wrong to focus on the most serious symptoms, but blindly focusing on the "most serious symptoms" while ignoring the progress of the disease is what worries Shen Xi the most The place.

There is something wrong with the nervous system, and most of the damage is irreversible.Existing severe symptoms may also be controlled by medication, but if the cause of the disease cannot be found, this not particularly serious symptom is likely to start to progress to the point where it is difficult to deal with.

Sun Li'en looked at the status bar above Shen Qiushi's head, and his heart skipped a beat.

"Shen Qiushi, male, 18 years old, high hypersensitive C-reactive protein (262.15.33), low immunoglobulin G (251.49.51), abnormal T2 signal in the right frontoparietal junction area (220.11.45), left upper limb muscle Strength level one (218.09.16), left lower limb muscle strength level four (216.33.34)."

This was certainly no ordinary epilepsy.Sun Li'en narrowed his eyes slightly, this series of status bars gave him a familiar smell.

A taste called "autoimmune disease."

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The results of the MRI scan were as seen in the status bar. Shen Qiushi had abnormal signals in the junctional area of ​​the right frontoparietal cortex—it looked like a part of the white matter of the brain had turned into an arcuate tract.The range of influence is even close to the position of the lateral ventricle.

"This area is a bit big." Luo Ge looked at the image and said to Sun Li'en beside him, "But I didn't find any space-occupying lesions or the like."

"Do you want to ask God for a consultation?" Xu Yourong arranged for Xiao Guo to send Shen Qiushi to the room first, and then returned to the monitoring room to look at the MRI scan results on the computer screen, "The abnormal signal in this area should be related to his left upper limb. Feeling numb is directly related.”

"And it's also related to epilepsy." Sun Lien nodded silently.The communication with Director Han at noon gave him some guesses about the abnormal signals in this area. Combined with the reminder on the status bar, he already had a preliminary guess direction.But whether this guess is correct or not needs to be confirmed by more tests. "Give him a cerebrospinal fluid smear, and rule out infection first."

This arrangement is normal, Xu Yourong thought for a while and suggested, "Since inspections are going to be done, why don't you check the other ones as well?" She pointed to the abnormal signal in this area and said, "This abnormal signal area must always be clear Let’s talk about the nature of the lesion, but it’s still too risky to do a biopsy as soon as it comes up, I suggest simply doing a cancer marker screening.”

Sun Li'en nodded, "That's good." Immunity abnormalities are more closely related to cancer than most people think. Among patients with abnormal immune systems, there are not a few patients with various strange and strange cancers. "Then complete the examination first, and then consider asking for a consultation with the Spirit after the results come out."

The neurology doctors are also very busy. Before inviting others to come for a consultation, it is best to do all the examinations that can be done first, and then trouble others with sufficient information.

Now the busiest people in the entire diagnostic center are the nurses.After all, the autumn recruitment of the Fourth Hospital has not yet started, and it is really difficult to take care of all the patients just relying on the nurses who came to support them before. Including Shen Qiushi, there are a total of four patients who need to be taken care of, and the manpower is indeed a bit tight.Even the nurse Xiao Guo was pushed to the forefront of nursing.This big man, who is usually worrying about giving people chest compressions in the emergency room, has recently practiced his excellent blood drawing skills in the inpatient department, and blood can be seen immediately after the needle is given.Basically, there is no need to pierce the second time.

On the other side of the hospital bed, Xiao Guo was drawing Shen Qiushi's blood, while Sun Li'en was preparing to conduct a preliminary physical examination on Shen Qiushi.The medical records sent by the Second Hospital did not record the results of the physical examination, and the hospitalization lasted more than a week, so another physical examination is also very helpful to grasp the progress of the disease.

"Doctor, will I...will I be like this in the future?" Shen Qiushi silently watched this big man who was nearly two meters tall draw dark red blood from his arm, and asked Sun Li'en without looking back, "In the future, I will also What if you suddenly fell to the ground and didn’t know anything?”

"We are now looking for the cause of your epilepsy." Sun Li'en did not answer the question directly, "Only when the cause is found, can it be treated..."

"Will it make me return to normal?" Shen Qiushi was still depressed, he sighed, "I just want to be a normal person, without any special achievements, just like everyone else, able to take care of myself , don’t worry about suddenly falling to the ground and foaming at the mouth.”

"This is also the goal of our work." Sun Li'en tried to comfort Shen Qiushi, "Modern medicine is improving every day, and many diseases that we couldn't handle before, now have feasible treatments. You have to have confidence in yourself, don't be too pessimistic."

Shen Qiushi sighed, "I'm really... eh, I've always been so unlucky." He moved his position on the pillow, "A few years ago, I was hospitalized in the capital for more than a week because of some optic neuritis, and I was beaten. It took a lot of hormones to come out. The high school entrance examination review is a bit short. Now the high school entrance examination is coming soon, and I will be hospitalized again..." He seemed really worried, "What will I do after this?"

Sun Lien raised his eyebrows, he stopped the pen in his hand and asked seriously, "Optic neuritis?"

"That's right, optic neuritis. It's just that I can't see clearly all of a sudden." Shen Qiushi smiled wryly, "My parents thought it was my nearsightedness at first, but after two days they found something was wrong—I couldn't even see things during the day. I couldn’t see clearly, and I always felt that the room was too dark and I didn’t turn on the lights. Later, at the insistence of my cousin, they were willing to take me to the hospital to see a doctor.”

Sun Lien took out his mobile phone and called Shen Xi directly. After the call was connected, he said directly without even saying a word of courtesy, "Go back and find the records and cases of Shen Qiushi's previous hospitalization with optic neuritis, and then bring them back to me as soon as possible. .”

"Ah?" Shen Qiushi was lying on the bed, and was a little surprised when he heard Sun Lien's words, "Is my current problem related to my unclear vision before?"

Sun Lien shook his head and said, "Not necessarily, but it's possible. You couldn't see clearly with both eyes, right?" Xiao Guo, the blood nurse, said, "Xiao Guo, take another tube of blood and send it to the laboratory for examination..." He paused, then shook his head and said, "Forget it, I'll go directly to the consultation—you have to wait 5 Go to the office in a few minutes to get a doctor's order, and I will prescribe some medicine for him."

Sun Li'en still has no way to prescribe medicine directly. Since the diagnostic center started to operate, his prescriptions can only be signed out after being reviewed by Dr. Pascal, and Xu Yourong's authority is also required.However, Old Pa is still very face-saving. As long as it is a prescription given by Sun Lien, he will generally not ask too many questions.

"I will give the patient methylprednisolone and gamma globulin for shock treatment." Sun Lien said seriously to Dr. Pascal in the office, "If necessary, I will also apply for plasma exchange treatment for the patient."

"What's the reason?" The treatment plan given by Sun Li'en was a bit radical, and a very face-saving old pa asked, "This patient's other examination results have not yet come out. What is your diagnosis and the basis for diagnosis?"

"He has MOG antibody disease, and it's still in the acute stage." Sun Li'en said calmly, "At this stage of antibody shock treatment, more than half of the symptoms may be completely eliminated. Even if the symptoms cannot be eliminated, at least the degree of his disability can be reduced. "

Dr. Pascal frowned and thought for a while, "Then what is the basis for diagnosis?"

"He had optic neuritis three years ago, and his bilateral vision was impaired." Sun Lien replied, "If the symptoms three years ago and the current symptoms are considered together, it should be MOG antibody disease, and it is not The common bilateral optic neuritis (ON) disease, but a relatively rare MOG antibody disease with epilepsy as the first symptom - his left limbs felt numbness and muscle weakness, and it was demyelination in the right fronto-parietal junction area result of sheath disease."

(End of this chapter)