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Chapter 1569 It's Still Far Away (How Can the Leader Be Lonely)

"How about the annex area?" Zheng Ren asked after a while.

There was silence behind the curtain.

He glanced at President Wang and felt a little distressed in his heart.

I have been gone for less than half a year, and some people on this side don't know each other.

That's what it means, probably.

In an instant, deep down in Zheng Ren's stone-like heart, there was a hint of literary atmosphere.

"Doctor Zou, how is the annex area?" Mr. Wang asked.

"Yes... there is a placeholder..." The doctor in the ultrasound room stammered.

Zheng Ren nodded, sighing in his heart that the big pig's hoof is as reliable as ever.

When I first saw the diagnosis of the disease, I was in a trance, but I didn't expect it to be true.

"Is it a teratoma?" Zheng Ren asked.

"..." There was silence inside the curtain, and after dozens of seconds, the doctor in the ultrasound room whispered, "Mr. Zheng, your ultrasound level is high, give me a hand?"

Later, Miao Xiaohua came out and pleaded, "Zheng Ren, take a look."

There was anticipation in her eyes.

From the very beginning, neither the family nor Miao Xiaohua were willing to believe that Sun Xiaomei was mentally ill. But the "iron" general facts show that he must be mentally ill, and he should be sent to a mental hospital for treatment.

Thinking that Sun Xiaomei's life has become bleak since then, everyone around her feels uncomfortable.

But I didn't expect things to turn around.

If the teratoma is induced, it means that it can be treated with surgery. Being able to use surgery means being able to heal!

How could this not make Miao Xiaohua happy.

Zheng Ren smiled and nodded.

Seeing him walk in, President Wang leaned over to Su Yun and asked in a low voice, "Brother Yun, what kind of disease did Boss Zheng diagnose?"

Su Yun held the mobile phone in his hand, and was quickly flipping through the pages. He glanced at President Wang with disgust, and said, "You won't check it yourself?"

"Don't mention it, you can just say it, why don't you use me to check it?" Mr. Wang said with a smile, as if he had returned to 912.

"That disease, referred to as anti-NMDAR encephalitis." Su Yundao, "Also called autoimmune encephalitis, it is a condition caused by a small problem with the immune system. CT can only show mild symptoms of encephalitis, which is really special. See the ghost."

Su Yun muttered.

"Tumors and infections can induce autoimmune encephalitis, and young female patients with anti-NMDAR encephalitis have a higher proportion of ovarian teratoma." Su Yun said casually while looking at his phone.

Mr. Wang caught a glimpse of the pure English statement, Su Yun didn't take it seriously at all, and translated it casually, feeling a little emotional in his heart.

It's not that I can't read it myself, but I have to look through the dictionary for many professional vocabulary of neurology.

"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 dysfunction, etc." satisfy.

"You didn't see it, when we went, the patient was making up stories." Su Yun said: "After talking about a lot of grievances and hatreds, from the city to the 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 doesn't CT have a clear performance?" Su Yun asked.

"The onset is too urgent, it's just an early delusional disorder, and there is no organic change. Now that the teratoma is removed by surgery, the postoperative effect will be very good." Zheng Ren smiled and was very happy.

If there is no accident, Sun Xiaomei can be resurrected with blood and blue after the operation, and can continue to go to school and graduate work.

The trajectory of life was pulled back abruptly.

"Anti-NMDAR encephalitis often begins with acute or subacute onset, and its imaging, biochemical examinations, routine cerebrospinal fluid 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 virus encephalitis, and it is easy to be misdiagnosed clinically, so it needs to be differentiated from such diseases. "

"Some patients often have abnormal mental behavior as the first symptom, and are manifested as incoordination of cognition, thinking, emotion and behavior. In the early stage of the disease, they are easily misdiagnosed as mental illness and 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 operation?" Miao Xiaohua was a little stunned. The happiness came so suddenly, she couldn't believe it.

"Oh, that's right!" Zheng Ren suddenly thought of something and said, "The cerebrospinal fluid was sent to Peking Union Medical College Hospital for examination. It seems that this examination cannot be done in our provincial capital."

"If it is positive, hurry up for surgery, and use C-ball plus short-term hormone shock therapy after surgery. 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 vocabulary. After a few seconds, he was blank.

She had almost forgotten.

"If you have to hurry, you can cut the teratoma while submitting it for inspection. It is also a problem to keep such a large teratoma. Cut it early to avoid future troubles." Zheng Ren said.

Miao Xiaohua responded and went to dress Sun Xiaomei.

"Mr. Wang, there's nothing wrong, we're going back to rest." Zheng Ren smiled and said, "It's been hard work for you."

President Wang spoke politely again and again.

With the level of Boss Zheng, it is no wonder that the emergency surgery of gastrointestinal surgery was stopped on 912. When President Wang thought about this matter, a feeling of depression rose out of thin air in his heart.

At that time, I came to Haicheng to support myself, thinking that I would be on my own in this aspect, not only in the emergency department, but also in all kinds of slow diagnosis and various surgeries.

Although this operation is not much, it is very complicated.

After going back, 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 left a deep impression on him both times. The face was beaten, and there was a loud bang.

The level of people is really high, not fake.

Just like today's mental illness... patients with anti-NMDAR encephalitis, if there is no boss Zheng, I am afraid that there is a high probability that they will be sent to a mental hospital for treatment.

And, most importantly, you don't know that the patient is being misdiagnosed by yourself.

For myself, it's just a small thing. A patient with a mental illness came to the emergency department and was sent to a mental hospital, fearing that he would never remember it in the future.

But a random diagnosis, a misdiagnosis, affects 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. He wanted to go to a private hospital to earn money and reach the pinnacle of his life as a rich and handsome man.

Looking at it now, it's still a long way off.

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