Matthew didn''t leave. He stayed here with Xue Chunhe to finish the MRI. He left the image data on his mobile phone and sent it to Mr. Wu. Only then did he breathe a sigh.
On the way back to the ward, Matthew thought about giving graduate students 1700 yuan a month as he walked.
I guess there''s no good way to change myself.
Fortunately, you don''t have to think about these things by yourself now! Making money is Mr. Wu''s duty.
Matthew thought of it with joy. It''s none of your business. It''s the tide of the times. He knows how many kilograms a vice president can have.
"Horse yard, are you just back from the MRI room?"
He was wondering whether Mr. Wu was blindfolded like a donkey, and whether he was free to take a whip. A familiar voice came from Matthew''s ear.
It was like being caught in a bad deed. Matthew trembled with fear.
"Horse yard, I''m sorry." Wu Mian didn''t know what Matthew was thinking and apologized, "are you okay?"
"It''s all right, it''s all right. Why are you here, Miss Wu."
"Look at what you said. Xue Yuan is ill. Can I not come and have a look?" Wu Mian said with a smile. "And there is a problem with the diagnosis of methanol poisoning. I''ll have a look and know."
"I also think there is a problem. The wine we drank together that day," Matthew said. "I don''t know if you feel it. Anyway, I don''t have anything unusual. The wine is good and tastes right. It''s unlikely to be methanol mixed with water."
"HMM." Wu Mian nodded. "There''s something wrong with the head MRI. Where''s the film?"
"I''ll let them upload it and go back to have a look." Matthew said, "Miss Wu, what''s the problem?"
"I think there is an abnormal signal in the cerebellum of Xue Yuan. The MRI image on the mobile phone is not very clear and I''m not sure. Go to the computer and have a look. Don''t worry." Wu Mian said.
"Tell me first." Matthew said, "I really think methanol poisoning is unreliable, but Xue Yuan''s medicine is still effective. Do you think it''s strange?"
"There is a special immune disease called GFAP astrocytosis. Like methanol poisoning, the treatment mainly depends on hormone shock." Wu Mian smiled. "Xue Yuan is lucky. Although there may be problems in diagnosis, there is no problem in treatment."
"..." Matthew was stunned. What a coincidence!
Wrong diagnosis, treatable drugs are hormones?! This probability is too low.
"I also have a headache for rheumatic immune diseases," Wu Mian sighed. "But if I''m not wrong, it should be GFAP astrocytosis."
"Miss Wu, is this seriously ill? Will there be sequelae?" Matthew asked with some worry.
"It''s all right. Autoimmune glial fibrillary acidic protein is a very rich protein expressed by astrocytes, which is widely distributed in the brain, cerebellum, brainstem, optic nerve and spinal cord. If something goes wrong, it is generally after the age of 40." Wu Mian explained, "there are various clinical manifestations, and the most common manifestation type is meningeal encephalitis or meningeal encephalomyelitis."
Matthew de listened to Wu Mian as if he were listening to the book of heaven. He had never heard of this disease. Even the old medical director was very strange to this kind of astrocytic disease.
"This disease covers almost all the neurological symptoms in the diagnosis, which is difficult to distinguish." Wu Mian said, "film... Alas."
"Teacher Wu, don''t scare me." Matthew heard Wu Mian sigh, his heart tightened, and hurriedly said.
"The classic MRI shows diffuse and continuous abnormal signals in the paraventricular white matter. In fact, it should be enhanced by MRI. Maybe I was busy just now and forgot to say enhanced."
"Miss Wu, what can you see?"
"After contrast enhancement, we can see a linear radial enhancement focus perpendicular to the ventricle, which is a typical influence feature. However, it''s okay. I glanced at the image transmitted by wechat, and you said that Xue Yuan is sensitive to hormones, so I''m relieved."
"Uh?"
"If you are not sensitive to hormones, you may be able to treat tumors. It is reported in the literature that 34% of patients can be complicated with tumors, the most common is ovarian teratoma, and others include adenocarcinoma, glioma, multiple myeloma and thyroid cancer. If you are sensitive, there is generally no problem. Hormone treatment will be good in two days."
"..." Matthew never thought that President Xue, who was "poisoned by methanol", was almost diagnosed as a tumor.
This is so special. I really don''t know which comes first tomorrow or accident.
"Miss Wu, is Xue Yuan all right?"
"The incidence of visual edema in GFAP astrocytosis is not low. Flanaganep''s study found that the incidence of visual edema in patients is 32%. The intracranial pressure in Xueyuan is not high, which proves that it is very likely to be GFAP astrocytosis." Wu Mian smiled. "After confirmation, Xueyuan can go home happily in 3-5 days."
"Oh, that''s good." Matthew was relieved at last.
As long as it''s not a fatal disease, he doesn''t bother to study GFAP astrocytosis, a rheumatic immune disease.
It''s a rheumatic immune disease. The second hospital is quite good in this regard, but if it''s true, the level can only be said to be average.
Because rheumatic immune diseases are not particularly common, most of the symptoms are covered by other disease symptoms.
That''s why there is a saying that people can''t understand the disease and go to rheumatic immune consultation.
As they talked, they walked to the ophthalmology department.
As soon as I walked into the corridor, I heard director Xu''s slightly sharp voice, "I don''t care. I''ll resign if no new doctor comes in a month!"
"..." Wu Mian was stunned and looked at Matthew.
"Mr. Wu, there are many doctors who have resigned recently, and there are not enough people working in ophthalmology." Matthew lowered his voice and said, "the hospital can''t recruit people for the salary of 1700 postgraduates. Director Xu is in a hurry."
"Oh, 1700 is really a little less. I have to be heavily in debt in the last class. Isn''t that bullshit?" Wu Mian smiled.
"Alas, appropriation..." Matthew wanted to explain a few words, but he stopped, and all his words finally turned into a long sigh.
"Director Xu, don''t worry, take your time." Matthew comforted when he approached.
"Horse yard, you don''t bully people like that!" director Xu had tears in his eyes. "Just recruit two. They mainly face pediatrics and emergency. What do you say? No one doesn''t know. Wait for the establishment to shrink naturally? This is chronic suicide!"
"Calm down, calm down." Matthew continued to comfort, "pediatric emergency is even more short of people."
"One month, if I can''t, I''ll take someone to a private hospital." director Xu said firmly, "I have feelings in the ophthalmology department of the second hospital. I don''t talk about money, but only feelings. That''s why I don''t want to get married. Falling in love is playing hooligans!"
In a hurry, director Xu burst into foul language.