I can see the status bar

Chapter 863 Brothers
Everyone cast puzzled looks at Sun Lien.

The patient's tremors stopped after anesthesia...which is also a typical symptom of Parkinson's.Muscle tremors result from a disturbance in the signals sent from the brain to the muscles.A "123" signal from the brain becomes garbled codes of "1, 1, 12, 2, 2223, 3333" when it reaches the muscles after being transmitted.

This data transmission error may be because the brain made a mistake when converting the command-code.It is also possible that there is a physical error in the backbone network that transmits the data.In short, the brain that planned the order thought that there was nothing wrong with it, and the muscle tissue that received and carried out the order also faithfully fulfilled its responsibility.As a result... tremor symptoms appeared.

Limb tremor, and the tremor disappears under sleep or anesthesia.This shows that the source must come from the area of ​​transmission or signal encoding.

And this symptom happens to be a typical symptom of Parkinson's.

"If Dr. Sun hadn't firmly believed that it was food poisoning, I might have wondered if it might be Parkinson's." Hu Chunbo first broke the silence.To be honest, he is now full of confusion and lack of confidence in his previous judgment.The reason is simple-except that the disease progresses faster than usual, almost all of Chen Binghui's symptoms perfectly coincide with those of Parkinson's.If it weren't for Sun Lien's categorical determination that it was a case of food poisoning, Hu Chunbo might think about "a new type of Parkinson's disease or Parkinson's-like disease that progresses very rapidly".

This is not because Hu Chunbo is not good enough.On the contrary, the level of doctors who can be targeted by Liu Tangchun and recruited from the Provincial Brain Hospital is definitely very high.Hu Chunbo was just affected by some "Sun Lien's black face sequelae".As we all know, Dr. Sun can often encounter diseases with very atypical manifestations, and may even encounter types of diseases that no one has seen at all.So... When encountering this kind of patient with almost all the characteristics of Parkinson's disease except for "extremely fast progress", the correct thinking logic should be to consider "could this be a new variant of Parkinson's disease?" ", instead of continuing to insist that "this must not be Parkinson's".

On the other hand, Sun Li'en himself was a little uncertain.The reason for this is not that the patient showed new symptoms consistent with Parkinson's, but that he found that his logic seemed to be... a bit wrong.

According to the current situation of the patient's C3 and C4 complements decreased, IgE increased significantly, thromboplastin time shortened, and fibrin content decreased, Chen Binghui probably had some kind of allergic symptoms.The increase in white blood cells and neutrophils may be the result of the wrong activation of the immune system in an allergic state—or simply due to the abnormal proliferation of the bone marrow under the action of toxic substances.

It is relatively simple to distinguish whether it is bone marrow dysplasia-just do a bone biopsy and look at the condition of the bone marrow.The real trouble is to judge whether this is an allergic symptom.

Generally speaking, according to common sense, the food that can cause Chen Binghui to appear "allergic" must be eaten for the second time.After eating it for the first time, the patient's immune system has a false immune memory of this food, and after eating it again, an allergic reaction will occur.

As for why it wasn't the third time... Sun Li'en rolled his eyes deep in his heart, if he knew that he was allergic and still insisted on taking it hard, then he might need to see a psychiatrist.

In fact, under the guidance and supervision of a doctor, the patient's repeated small and gradually increasing exposure to allergens will make the immune system gradually tolerate it.Finally complete the desensitization treatment.However, since the desensitization treatment itself is time-consuming and painful, life-threatening allergic reactions may even occur in some cases.Therefore, if it is not particularly serious and will affect the daily life of the patient, in most cases, doctors will choose to prescribe anti-allergic drugs and tell the patient to stay away from allergens.

But here lies the troublesome point of the problem - without obtaining the allergen source and the patient is unconscious, it is too difficult to determine that the source of his current multi-system abnormality is allergy... This is really too difficult.

However... the result of this reasoning is not entirely negative. Through this, Sun Lien suddenly had a bold speculation.

This should be a kind of food for drinking, and even in Guangxi, it is not a particularly common food.

·
·
·
The consultation ended hastily.Sun Li'en and Gou Jiesen returned to the office together, and began to sort out the inspection results from the Second Hospital.

Of course, the inspection results of the Second Hospital and the Fourth Hospital have not shared the data - except for some medical orders and treatment plans, the medical institutions in Ningyuan still have not completed the data sharing work.It’s okay to meet other patients. The doctors can either make up the data roughly, or simply do the examination again.But for such a patient, Sun Li'en really didn't want to spend time giving him supplementary examinations one by one.

Nervous system lesions can be serious, and even damage caused by abnormalities in the immune system is likely to be irreversible.

The sooner a diagnosis is made correctly, the easier it is to minimize neurological damage to the patient.So, there is no time to waste on these places now.

The work assignment between Sun Lien and Gou Jiesen is relatively clear—Sun Lien goes through the inspection indicators in advance, and throws aside those that have no clinical value, and hand over the valuable ones to Junior Brother Gou to complete the entry.

"Senior Brother Sun..." Sun Li'en was looking at the test results with a serious expression, while Gou Jiesen asked in a weak voice, "What shall we have for lunch?"

Sun Li'en froze for a moment, and then realized - it is already [-]:[-] in the afternoon.Except for eating the breakfast provided in the department with him in the morning, Gou Jiesen hadn't eaten anything.

"Oh, I'm sorry, I'm sorry." Sun Li'en couldn't bear it now.Although he didn't feel hungry, but dragging his junior brother to work overtime, let alone not letting people eat, this is really too much. "Well, I'll call a delivery person to bring it over. You work harder and finish the rest of the cases with me."

"It doesn't matter to me..." Gou Jiesen hastened to make amends, "But... Brother, did you promise Teacher Bu to treat him to dinner?"

·
·
·
"It's 25:[-]!" Dr. Bruen's face was livid in the lounge, and he said angrily to Sun Li'en, "Do you know how hard I have been waiting for this meal!"

"Brother Bu, Brother Bu, I was wrong." Sun Lien held the thermal bag, and then sincerely apologized to Brunn. "When I was working today, I was too serious and forgot the time. I really didn't mean it."

"Is an apology useful? Why do you need a WeChat red envelope if an apology is useful?" Bruen yelled at Sun Lien with a sassy word he didn't know where he learned it, but his eyes had already betrayed his deepest thoughts—his His eyes kept glancing at the heat preservation bag in Sun Lien's hand.

"I'm sorry, I'm really sorry." Sun Lien held the thermos bag in both hands, and stuffed it into Brunn's hand respectfully, "Here are two servings of rice and a whole sliced ​​Cantonese-style roast duck——I found it on purpose. Passed, this is the store with the highest rating in Ningyuan!"

"The one with the highest rating?" Bruen's expression changed from unhappy to dignified, "Is it Yufangzhai's roast duck?"

"Yes, it's the Yufangzhai that only has five a day." Sun Li'en nodded, and it seemed that Bruen was quite satisfied with the gift of apology, "That... I bought it right, right?"

Dr. Brunn grabbed the bag, put it under his nose and sniffed it vigorously.Then the seriousness on his face suddenly turned into a warm spring breeze. He didn't say whether he bought it wrong, but just patted Sun Lien on the shoulder and said seriously, "From today on, we are good brothers!"

(End of this chapter)