"The bad news is that there is no rule of law for your disease. At least in the context of existing science and technology, there is no treatment." Wu Mian said, "I have read 113 reports on Hirayama disease. The effects of acupuncture and physiotherapy are limited. Surgery is basically useless."


    "...." Li Chen''s face turned white, his subconscious hands copied his sleeves, and he shrank into his military coat.


    He wants to ask for good news, but... What''s the good news without the rule of law?!


    "Wu Mian, what''s the good news?" Wu Zhongtai asked when he saw that Li Chen didn''t speak.


    "Fortunately, it''s Hirayama disease. If the disease progresses to a certain extent, it won''t continue to progress. It''s much better than frostbite." Wu Mian said, "and there''s only one right hand. If you strengthen functional exercise, the activity of your right hand won''t be a problem, but you don''t have much strength."


    "No strength?" Wu Zhongtai asked in surprise.


    "For example, holding chopsticks in your right hand and holding a piece of food with a little weight, such as ribs, will be unstable or fall off." Wu Mian said, "if you hold a pen and write for no more than 5 minutes, you will feel tired and start to lose shape."


    "..." Wu Zhongtai was stunned. According to his son, Li Chen is really sick?!


    It can''t be that he colluded with Wu Mian to deceive himself.


    The idea flashed away. It was impossible. Wu Mian was his own son. How could this happen. If Wu Mian doesn''t understand, the son will live in vain.


    "..." Li Chen tasted Wu Mian''s words carefully, and suddenly felt that teacher Wu was right, which seemed to be good news.


    "Teacher Wu, Pingshan disease? Is that the name?" Li Chen asked.


    "HMM." Wu Mian nodded. "Hirayama disease is also called juvenile distal limb muscular atrophy. It was first reported by Hirayama huizao, an island scholar, in 1959. At present, about 1500 cases of the disease have been reported all over the world, mainly in Asian countries."


    "Muscle atrophy refers to rhabdomyodystrophy. The muscle volume is smaller than normal, and the muscle fibers become thinner or even disappear. In addition to the pathological changes of the muscle tissue itself, the muscle nutritional status is closely related to the nervous system."


    "Er... Is it a nervous system problem? Really there will be no more serious consequences?" Li Chen asked nervously.


    "Spinal cord diseases often lead to muscular dystrophy and muscle atrophy. Most of the affected parts are unilateral upper limb, distal hand muscles, and electromyography show neurogenic damage. The course of disease is benign and can stop by itself." Wu Mian looked at Li Chen and said gently, "the electromyography list is for you. You can find other experts to have a look."


    "Ah? No!" Li Chen said directly without hesitation, "aren''t you the top expert in China? If you go out to see a doctor in DIDU, I''m afraid you can''t get one or two registered tickets fired by scalpers? It''s estimated that you can''t get down."


    Wu Zhongtai''s eyes were straight. Although Wu Mian broke into the promise foundation less than half a year after he came back, he didn''t realize that his son''s wings had been hard. He always thought he was still a little fart child with a runny nose and taking out bird eggs.


    Wu Mian smiled, nodded, noncommittal, and continued to explain.


    "Clinically, it is similar to motor neuron disease, amyotrophic lateral sclerosis and progressive spinal muscular atrophy, but the prognosis is quite different. One of them is frostbite diagnosed by imperial experts. Fortunately, it is not. At present, there is no way to treat frostbite, and only minimally invasive surgery can improve eating."


    "..." Li Chen nodded again and again.


    "Wu Mian, is it true or false?" Wu Zhongtai asked suspiciously, "atrophy? I don''t think the muscle on village leader Li''s hand has shrunk."


    "He used to be a left-handed man, but he was beaten by his mother. He has been using his right hand all the time. In addition, he is young and the atrophy is not obvious, so he can''t see it. But the EMG performance is very clear. Dad, you really misunderstood village head Li." Wu miandao.


    Wu Zhongtai frowned.


    "Muscular atrophy at the distal end of the upper limb refers to the forearm and hand. Their typical manifestations are the weakness of the hand and distal forearm muscles that attack the disease in early youth. With the development of the disease, the corresponding muscle groups atrophy gradually occurs, often unilateral damage, and some are asymmetric bilateral damage."


    "In other words, in general, if there is a problem with one hand and the reason can not be found, it can be considered as Hirayama disease."


    "That''s it? Wu Mian, you guessed."


    "How come, Dad." Wu Mian smiled. "I''m an expert."


    "..." Wu Zhongtai has never seen anyone who says he is an expert, especially his son, which greatly reduces his credibility.


    "Hirayama disease also has a very important feature - cold paralysis."


    "Cold... Paralysis..."


    "Well." Wu Mian nodded, "in fact, village head Li is not suitable for working in the northeast. If he goes to the south, goes back to his hometown or goes to Hainan, his condition can be greatly alleviated."


    Li Chen was stunned. Wu Mian said this sentence like a sledgehammer and hit his chest.


    After graduation, I worked as a village official for three years. I originally planned to go back to the south to work. But let him go back now. Li Chen was completely unprepared.


    "Generally speaking, the disease will naturally terminate within 5 years. Your condition should not progress again. Pay more attention to activities at ordinary times. I mean the right hand. Grip, do you know?"


    Li Chen nodded.


    "Buy one for women to prevent muscle atrophy." Wu Mian said, "or buy two walnut plates. As long as your hands move, muscle atrophy will be very slow. Although it is irreversible, it will be better than wasting your right hand in a few years."


    "Miss Wu, you just said Pingshan disease... It''s called Pingshan disease."


    "Yes." Wu Mian nodded.


    "There is no good way to treat it?"


    "There are several ways. The first one is neck support. It is said that it can alleviate symptoms by using neck support for a long time. I think it is nonsense, but there is no experimental basis and can not be denied.


    Another is dural plasty plus spinal cord lysis, which can improve the short-term and long-term results. Note that only improvement can not be cured. The operation itself also has risks. Since the condition will not progress, I prefer conservative treatment rather than surgical relief. "


    Li Chen thought so.


    Spinal surgery, once a mistake leads to paralysis, how to do? Now it''s one hand. If something happens, the whole person will be wasted. Moreover, according to teacher Wu, as long as the plate of walnuts can maintain the status quo, this should be a better choice.


    Wu Mian finished and began to pack up.


    "That''s it. I''ll give village head Li a diagnosis and try to go to the south." Wu Mian said, "Dad, is the procedure troublesome?"


    "Trouble," Wu Zhongtai said, "if you''re sure, I''ll hurry as soon as possible."


    With that, Wu Zhongtai came over, hugged Li Chen under the military coat and patted him on the shoulder. "Village head Li, go, let''s have a drink at noon. I''m sorry for this time. I don''t know it''s a disease. I thought you counselled!"