"How is the attachment area?" Zheng Ren asked after a while.
There was silence behind the curtain.
He glanced at Mr. Wang and felt a little distressed.
I've been gone for less than half a year, and I don't even recognize some people here anymore.
Things change and people change, that's probably what it means.
Suddenly, deep in Zheng Ren's stone-like heart, a trace of literary and artistic atmosphere appeared.
"Dr. Zou, how is the annex area?" Mr. Wang asked.
"Yes... there is a place to occupy..." The doctor in the B-ultrasound room stammered.
Zheng Ren nodded and sighed in his heart, Big Pig Hoof is still as reliable as ever.
When I first saw the diagnosis of the disease, I was a little confused, but I didn't expect it to be true.
"Is it a teratoma?" Zheng Ren asked.
"..." There was silence inside the curtain. After dozens of seconds, the doctor in the B-ultrasound room whispered: "Mr. Zheng, you are very skilled in B-ultrasound. Can you give me a slap?"
Then, Miao Xiaohua came out and begged: "Zheng Ren, please take a look."
Her eyes were full of anticipation.
From the very beginning, neither her family nor Miao Xiaohua wanted to believe that Sun Xiaomei had a mental illness. But the "iron" facts indicate that he must be mentally ill and should be sent to a mental hospital for treatment.
Thinking of Sun Xiaomei's life becoming bleak from now on, everyone around her felt uncomfortable.
But I didn't expect that things would take a turn for the worse.
If it is caused by teratoma, it means it can be treated with surgery. Surgical treatment means recovery!
How could this not make Miao Xiaohua happy
Zheng Ren smiled and nodded.
Seeing him walking in, Mr. Wang came close to Su Yun and asked in a low voice: "Brother Yun, what disease did Boss Zheng diagnose?"
Su Yun held the phone in his hand and was flipping through it quickly. He glanced at Mr. Wang with disgust and said, "You don't know how to check it yourself?"
"Don't worry, just say it. Do you still need me to check?" Mr. Wang said with a playful smile, as if he had returned to 912.
"That disease is referred to as anti-NMDAR encephalitis." Su Yundao, "It is also called autoimmune encephalitis. It is a condition caused by small problems in the immune system. CT can only show mild symptoms of encephalitis. It's really weird. What a ghost."
Su Yun babbled.
"Tumors and infections can induce autoimmune encephalitis. Young female patients with anti-NMDAR encephalitis have a higher proportion of ovarian teratomas." Su Yun said casually while looking at his mobile phone.
When Mr. Wang saw the purely English discussion, Su Yun didn't take it seriously at all and translated it casually, feeling a little emotional.
It’s not that I can’t read it myself, but I have to look through a dictionary for many neurological professional vocabulary.
"The main symptoms include abnormal mental behavior, cognitive impairment, recent memory loss, epileptic seizures, speech disorders, movement disorders, involuntary movements, decreased level of consciousness and coma, autonomic nervous system dysfunction, etc." Su Yun finished, feeling a little uncomfortable. satisfy.
"You didn't see that when we went there, the patient was busy making up stories." Su Yun said: "Talking about a lot of grievances and hatreds, from the city to fantasy, she almost became a member of an ancient family. …”
Just as he was talking, the curtain was lifted.
"Teratoma, combined with mental symptoms, is likely to be autoimmune encephalitis." Zheng Ren said as he walked out.
"Why is there no clear performance on CT?" Su Yun asked.
"The onset of the disease was too sudden. It was just an early hypothetical syndrome, and there has been no organic change. Now we have surgery to remove the teratoma, and the postoperative results will be very good." Zheng Ren smiled, very happy.
If there are no unexpected circumstances, Sun Xiaomei will be able to resurrect with full health and mana after the operation, and can continue to go to school and work after graduation.
The trajectory of my life was abruptly pulled back.
"Anti-NMDAR encephalitis often starts acutely or subacutely, and its imaging, biochemical tests, cerebrospinal fluid routine, and clinical manifestations often lack specificity.
It has similar clinical manifestations to many diseases such as acute disseminated encephalomyelitis, Creutzfeldt-Jakob disease, and herpes simplex encephalitis. It is easily misdiagnosed clinically, so it needs to be differentiated from such diseases. "
"Some patients often present with abnormal mental behavior as the first symptom, and manifest themselves as incoordination in cognition, thinking, emotion and behavior. In the early stages of the disease, they are easily misdiagnosed as mental illness and are sent to a psychiatric hospital for diagnosis and treatment."
After Zheng Ren explained, he looked back at Miao Xiaohua and said, "Xiaohua, tell your relatives to find a hospital for surgery as soon as possible."
"Zheng Ren, what should I do after the surgery?" Miao Xiaohua was a little confused. The happiness came so suddenly that she couldn't believe it.
"Oh, by the way!" Zheng Ren suddenly thought of something and said, "Send the cerebrospinal fluid to Peking Union Medical College Hospital for examination. It seems that our provincial capital cannot do this examination."
"If it's positive, hurry up and do the surgery. After the surgery, you can use C-ball and short-term hormone shock treatment. There should be no special problems." Zheng Ren continued.
"Oh." Miao Xiaohua responded excitedly.
Seeing Zheng Ren's affirmation, she silently wrote down the entire treatment process and handed it back to her aunt.
But Miao Xiaohua couldn't remember so many professional words. After a few seconds, he looked confused.
She had almost forgotten.
"We must seize the time and cut out the teratoma while sending it for examination. Keeping such a large teratoma is also a problem, so cut it out early to avoid future troubles." Zheng Rendao.
Miao Xiaohua responded and went to dress Sun Xiaomei.
"Mr. Wang, nothing happened. Let's go back and rest." Zheng Ren smiled and said, "Thank you for your hard work."
Mr. Wang said a few polite words again and again.
With Boss Zheng’s level, it’s no wonder he was able to stop emergency gastrointestinal surgeries on 912. When Mr. Wang thought about this, he felt depressed out of nowhere.
At that time, I came to Haicheng to support, thinking that I would be able to do all kinds of surgeries on my own, not only emergency care, but also all kinds of chronic care surgeries.
Although the amount of surgery is not large, it is very complicated.
After returning, there should be some progress. This also laid a solid foundation for becoming a group professor in the future.
But Boss Zheng came back twice, and both times he was deeply impressed. The face was hit so hard that it made a loud cracking sound.
Their level is really high, not fake.
Just like today's patients with mental illness... anti-NMDAR encephalitis, if Boss Zheng is not there, there is a high probability that they will be sent to a mental hospital for treatment.
Moreover, the most important thing is that I still don’t know that the patient has been misdiagnosed by me.
To me, it's just a small thing. A patient with mental illness came to the emergency department and was sent to a mental hospital. He was afraid that he would never remember it in the future.
But a random diagnosis or a misdiagnosis can affect the patient's life.
Mr. Wang pondered and smiled bitterly in his heart. At that time, he felt that his level was almost the same and he wanted to go to a private hospital to make money and reach the pinnacle of life as a rich and handsome man.
Looking at it now, it’s still far away.