Half an hour later, the inspection results came back one after another.
Cerebrospinal fluid analysis showed that lymphocytes increased, 95%, and the normal range was 40% ~ 80%; Protein increased slightly and glucose increased to 10.28 mmol.
No obvious abnormality was found in cerebrospinal fluid culture and cytology. (note)
In addition, chest CT scan also found no evidence of sarcoidosis.
This test doesn''t tell anything, at least in Dr. Carl''s opinion. Like the previous inspection results, this information was packaged and sent to Canada.
"Prepare methylprednisolone 1g for pulse therapy," said Wu Mian. "30 minutes after intravenous injection, do another lumbar puncture."
"HMM." Chu Zhixi nodded and asked, "brother, do you need to check glycosylated hemoglobin?"
"Check."
Several medical orders confused Saipan Carr.
Diabetes? Diabetic eye disease? No way.
Diabetes can cause changes in the optic nerve and surrounding organs and tissues, such as fundus hemangioma, fundus hemorrhage, dacryocystitis, glaucoma, cataract, vitreous body opacity, optic atrophy, macular degeneration, retinal detachment.
But what is asymmetrical enhancement in head MRI is not related to diabetes. Saipan Carl looked at Wu Mian suspiciously and asked, "Wu, what disease do you suspect?"
"Diabetes." Wu Mian said with a test paper. "You see the quantitative test of cerebrospinal fluid, glucose significantly increased to 10.28mmolL."
“……”
Saipan Carl was speechless.
Had it not been for the legendary Wu sitting opposite, he would have gone there by hand, and then flew home... To Montreal, Canada.
It is unacceptable for Saban Karl to see Glucose in high diagnosis. In addition, the blood glucose of their own blood test is normal, and the glucose of cerebrospinal fluid test can only be used as a reference.
It may be caused by stress reaction. Anyway, Saipan Carl can''t believe the diagnosis given by Wu Mian.
"Carl, I told you not to ask." Wu Mian saw Saipan Carl''s expression and knew what he was thinking, so he smiled and said, "it''s just a small problem. Don''t care."
Little problem
Dr. Saipan Carr was speechless.
"Relax, push the medicine." Wu Mian patted Saipan Carl.
But at this time, no matter how gentle a smile can calm Saipan Carl''s heart.
"Wu, I feel much better," stammered Saipan Carl. "I want to go home..."
"Don''t you want to learn mitral valve clipping?" Wu Mian said with a smile. "Dr. rodefran of the United States has long established the diagnosis and treatment process of acute isolated abducens nerve palsy and believes that expectant observation should be carried out initially. A series of case observations show that in most cases, vascular abducens nerve 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 the work of our nurses."
Saipan Carr was confused. The black and red blood in the syringe was pumped away, and 1g of methylprednisolone was injected into the blood vessels. He immediately felt weak.
As methylprednisolone was pushed into the blood vessels, he could even feel the drug absorbed and acted in the body with the blood.
"Well, I''ll make you a waist dress later."
"Wu... I''m afraid," Saipan Carr whispered.
"Don''t worry, I''ll do it myself. It''s just a needle. It won''t hurt very much."
……
……
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 general. Although they occupy a certain advantage in the treatment of common diseases, they are far from the top in the world in the treatment, research and treatment of rare diseases.]
In the e-mail, the doctor in Montreal pointed out this point at the beginning. Saipan Carr''s heart moved, and so did he.
But "diabetes" after all is the diagnosis given by legendary Wu, Saban Karl still has some entanglements.
[the examination you sent us may be a rare genetic disease. If possible, we will test your gene map.]
Gene, rare, these words accurately hit Saipan Carl''s heart.
As a doctor, in the face of the sudden localization disorder and the change of brain bilateral asymmetry in MRI, Saipan Carr believes Montreal more.
As for what diabetes... Let him go to hell!
[Carl, you know, our institute is a world leader in gene therapy, especially for neurological diseases. We not only do neurosurgery, but also make a breakthrough in the treatment of epilepsy recently.]
[Wu is only 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.]
[definitely not Wu Yue''s diabetes. Although diabetes is a common cause of isolated ischemic demyelinating abducens palsy, there is no way to explain the alteration of bilateral enhancement in imaging.
After careful discussion, we finally considered a rare genetic disease. If possible, I hope you can come this morning
Saipan Carr finished reading the mail. He stared at the wall of the ward and fell into meditation.
As the e-mail said, Wu is only a surgeon, and his disease may involve some extremely rare situation. Wu joked that he could name the disease after himself... Unexpectedly, it turned out to be a fact.
"Dr. Carl, would you like to have a rest?" Zheng Kaixuan asked when he saw Saipan Carl stunned.
He never left. Zheng Kaixuan was curious about Wu Mian''s judgment of the disease. It is rumored in the Jianghu that although Wu Mian is only the editorial board member of the tenth edition of diagnostics, he is actually the editor in chief. It is said that 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 chance to cooperate together," Saipan Carr sighed. "Montreal neurology research center considers that my situation may be an extremely rare genetic disease, which needs to be screened."
"..." Zheng Kaixuan was stunned. He knew that it was the top three neurosurgery and nervous system diseases in the world.
Sure enough, it is a rare genetic disease!
……
……
Note: the training time is very long. If it is too long according to normal, this play is a little wordy, so it is shortened. Ouch~~~