Sleepless Doctor

After half an hour, the inspection results came back one after another.

Analysis of cerebrospinal fluid analysis showed that lymphocytes increased, 95%, 40% to 80% of the normal range; protein slightly increased, glucose increased, 10.28mmol/L.

There were no obvious abnormalities in cerebrospinal fluid culture and cytology. (Note)

In addition, chest CT scan also found no evidence of sarcoidosis.

This examination can’t tell anything, at least in Dr. Carl’s opinion. As with the previous inspection results, this information was packaged and sent to Canada.

"Prepare 1g of methylprednisolone, shock treatment." Wu Mian said, "30 minutes after intravenous injection, do another lumbar puncture."

"Yeah." Chu Zhixi nodded and asked, "Brother, do you need to check the glycosylated hemoglobin?"

"check."

Several medical orders made Saipan Carr feel a little confused.

Diabetes? Is diabetic eye disease? impossible.

Diabetes can cause changes in the optic nerve and surrounding organs and tissues, such as fundus hemangioma, fundus hemorrhage, dacryocystitis, glaucoma, cataract, vitreous opacity, optic nerve atrophy, macular degeneration, and retinal detachment.

But I have asymmetric enhancement of head MRI, which has nothing to do with diabetes. Saipan Carr looked at Wu Mian suspiciously and asked, "Wu, what disease do you suspect?"

"Diabetes." Wu Mian said, holding the test sheet, "Look at the quantitative test of cerebrospinal fluid, the glucose is obviously increased to 10.28mmol/L."

"..."

Saipan Carr was speechless.

Had it not been for the legendary Wu sitting across from him, he would have slapped and slapped him, and then returned to China by plane...to Montreal, Canada.

Seeing that the glucose value is high, it is considered diabetes... This method of diagnosis is unacceptable to Saipan Carr. Besides, the blood sugar of my own blood test is normal, and the cerebrospinal fluid test of glucose can only be used as a reference.

It may be caused by the stress response, but Saipan Carr can't believe the diagnosis given by Wu Mian anyway.

"Karl, I told you not to ask." Wu Mian saw Saipan Carr's expression and knew what he was thinking, so he smiled and said, "It's just a small problem, don't care."

piece of cake……

Doctor Saipan Carr was speechless.

"Relax, push the medicine." Wu Mian patted Saipan Carr.

But at this time, no matter how gentle a smile was, it couldn't calm Saipan Carr's heart.

"Wu, I think I am better." Saipan Carr stammered, "I want to go home..."

"Don't you want to learn mitral valve clamping surgery?" Wu Mian said with a smile, "Dr. Rod Fran of the United States established a diagnosis and treatment process for acute isolated abducens nerve palsy very early, and believes that expectant observation should be carried out at the beginning. A series of case observations have shown that in most cases, abducens vascular palsy can be completely relieved after a period of time."

"Then use hormones?"

"I just want to see the specific situation, diagnostic treatment, diagnostic treatment." Wu Mian explained, "Relax, right... straighten your arms and don't hinder our nurse's work."

Saipan Carr was at a loss. The black and red blood from the syringe was drawn away, and 1g of methylprednisolone was injected into the blood vessel. He instantly felt weak.

As methylprednisolone was pushed into the blood vessels, he could even feel the drugs being absorbed and acting in the body with the blood.

"Well, I'll make you a waist wear later."

"Wu...I'm scared." Saipan Carr whispered.

"Don't worry, I will do it myself. It's just a needle stick, it won't hurt."

...

...

Twenty minutes later, Saipan Carr received a reply from Montreal, Canada.

[Carl, I suggest you leave China as soon as possible. You know, their medical level is very average. Although they have certain advantages in the treatment of common diseases, they are far from the world's top in the research and treatment of rare diseases. 】

In the email, the Montreal doctor unceremoniously pointed this out at the beginning. Saipan Carr moved in his heart, and he thought so too.

But "diabetes" is the diagnosis given by the legendary Wu after all, and Saipan Carr is still a bit entangled.

[The examination you sent, after our research together, judged that it may be a rare genetic disease. If possible, we will test your genetic profile. 】

Genes, rare, these words accurately hit Saipan Carr's heart.

As a doctor, in the face of sudden positioning obstacles and changes in bilateral asymmetry of the brain during MRI examinations, Saipan Carr believes more in Montreal's statement.

As for diabetes... let him go to hell!

[Carl, you know that our institute is a world leader in gene therapy. This is especially true for neurological diseases. Not only do we perform neurosurgery, we have also made breakthroughs in the treatment of epilepsy recently. 】

[Wu is just a surgeon, maybe he is very strong in the field of cardiothoracic surgery, but please remember that the Montreal Institute of Neurology is the world's leading hospital and scientific research institute. 】

[It will definitely not be the diabetes that Wu said, although diabetes is a common cause of isolated ischemic demyelinating abducens nerve palsy. But in this case, there is no way to explain the changes in the degree of bilateral enhancement in imaging. 】

[After careful discussion, we finally considered some rare disease in genetics. If possible, I hope you can come over this morning. 】

After Saipan Carr read the email, he stared at the wall of the ward in a daze, lost in thought.

As stated in the email, Wu is just a surgeon, and his illness may involve some extremely rare condition. Wu joked that he could name the disease after his own name...Unexpectedly, it turned out to be a fact.

"Doctor Carl, would you like to take a break?" Zheng Kaixuan asked Saipan Carl in a daze.

He has not left ~www.wuxiaspot.com~ Zheng Kaixuan is more curious about Wu Mian's judgment on the disease. Rumor has it that although Wu Mian is only the editor-in-chief of the tenth edition of "Diagnostics", he is actually the editor-in-chief. Ordinarily, his diagnostic level should be very strong, so Zheng Kaixuan wants to see the actual situation with his own eyes.

"Zheng, I'm sorry, I don't think we have the opportunity to work together." Saipan Carr sighed and said, "The Montreal Neurology Research Center considers that my situation may be an extremely rare genetic disease, and it needs to be related. Screening."

"..." Zheng Kaixuan was taken aback. The Montreal Institute of Neurology knew that it was among the top three in neurosurgery and neurological diseases in the world.

Sure enough, it is a rare genetic disease!

...

...

Note: The training time is very long. If the time is too long according to normal, the scene is a bit verbose, so I shorten it a bit. Ooo~~~

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