Big Doctor Live Room

Chapter 137 Anti-NMDA receptor encephalitis
Chapter 137 Anti-NMDA receptor encephalitis
"Mr. Huang, Mr. Huang, the patient Liang Li's test results have come out, and she is positive for the tumor. The next step is to find out the tumor. The patient should not be transferred to the psychiatric department. She is not mentally ill. What she has is a tumor."

Seeing Qi Hong's dancing and joyful appearance, Chen Qun felt that this young female doctor was more like a mental patient.No wonder the leaders of her unit didn't even give her a second glance.

An hour later, in the CT room, Huang Haitao pointed to a small dot on the screen and cast a cold glance at Chen Qun.

"Okay, you say this is a tumor, tell me, where exactly does it grow? What is its relationship with the brain! How does it affect the patient's condition?"

Chen Qun explained calmly, "Although this is just a mediastinal teratoma growing on the chest, only [-] cm in size, it is still benign, and it does not compress any nerves and blood vessels, but it still causes physical pain. The immune system attacks the tumor. Because the immune system attacks the brain indiscriminately, it also attacks the brain, and finally produces inflammation, which affects the patient's daily life and causes her to be mentally abnormal."

Fearing that Huang Haitao would not believe it, he added, "The last time the patient with parasites in the brain was also attacked by the immune system, causing aphasia and lower IQ. This patient's situation is similar, we just need to solve this little problem. The benign tumor of the patient will be cured of the patient's mental abnormality."

Huang Haitao clasped his arms around his chest, stared at the two young hens with flying expressions, and said something quietly.

"I have already decided that I am mentally abnormal. This conclusion really has a taste of fantasy. Could it be that mental illness is contagious, and even doctors are contagious? Could it be that I will explain to the patient's family that you have a small tumor on your chest , causing your brain to be abnormal. Whoever wants to say this will go and explain to the patient's family."

"No problem! Tie Jun, Zhou Lin, let's go and explain! Ouyang Yang and Chen Qun are here to write the medical records! Submit the operation application."

Qi Hong snatched the test sheet from Huang Haitao's hand, and rushed out of the ward with two of his subordinates.I even despised the cunning Huang Shiren, who was obviously interested in himself, but pretended to be indifferent, and instigated the students to go and grab the patient.

This kind of teacher is simply too bad!

However, she is getting used to this domineering style.

In particular, this kind of psychological and mental state changes caused by physical lesions is even more negligible. She happened to encounter two examples.In the first case, Chen Qun solved the problem. In this case, most of the credit was done by himself.Although it borrowed from the case of the previous patient, it was absolutely different.

If there are a few more cases, she can summarize the rules, publish an explosive paper in an international journal, and complete her doctoral thesis requirements ahead of schedule.

No one can take this patient away!Whoever dares to stretch out his hand will slap it open, and the Heavenly King and Lao Tzu will not give him face.

Huang Haitao looked at the radiant appearance of the proud student, and felt amused for a while, knowing that this girl film finally stood out from the eel effect and gave Chen Qun a beautiful counterattack, and the rest patiently watched them and the others. Several foreign exchanges are fighting to the death.

If both sides suffer, the world will be much cleaner, and he still has bad benefits.

Director Huang thought for a while, then asked the remaining two guys in front of him, "Xiao Chen, do you know why the patient's symptoms are called anti-NMDA receptor encephalitis?"

"Because the patient's condition has been named and defined by foreign countries in advance, the full name is anti-N-methyl-D-aspartate receptor encephalitis. A variety of autoantibodies can be found in the patient's venous serum. It is Encephalitis caused by the brain's immune system, in other words, is also an overreaction of the body's system that goes too far."

Chen Qun gave the definition like an endorsement.

Huang Haitao glanced at him, and suddenly asked again, "Did you suspect this kind of illness from the beginning?"

Chen Qun pursed his lips secretly, "I'm just guessing that it's possible, it's better than aiming at nothing."

He has a complete medical system and a super bug skill - "get on the bus first and then buy a ticket", no, it's the cheating ability of shooting an arrow first and then drawing a target, so naturally it can't trouble him.

He won't tell anyone this secret.Even if he is regarded as a psychiatrist, he will not hesitate.

"Then how do you think the next step is to solve this problem, how to operate on patients?"

Huang Haitao didn't treat this strange boy with care like others. This is a diamond, so don't be afraid of being broken, just force him hard.

Chen Qun thought for a while, and then slowly expressed his opinion, "The patient's benign tumor is very small, and the best way is minimally invasive surgery to remove the tumor. I took a look at the CT and the surrounding blood vessels, and I think it can be done with Mediastinoscopy is the most suitable way to remove the tumor. If possible, I would like to ask Teacher Huang to guide me in the operation.”

Huang Haitao was stunned for a moment, and then laughed, "It turns out that you have been waiting here for a long time. Let Qi Hong come to grab the diagnosis, and you come to grab the operation. I, the teacher, will be pushed by you as a scapegoat." ?”

Professor Huang stared at Chen Qun for a second, then suddenly said, "This is the first time you have made a request, and you are more excited than yesterday's heart surgery. Why? People who are not too proactive, why do they care about a simple laparoscopic surgery?"

Chen Qun had already thought about his speech, and answered solemnly.

"Because I have been in this hospital for almost a month, the more I study, the more I find that my knowledge in school is outdated, and many surgical operations have been eliminated. And the new minimally invasive microtube technology has become the mainstream, I want to learn this new technology."

Huang Haitao stared at this strange boy in astonishment, but he didn't expect to talk to him, this guy obediently stood up and confessed, and even more shamelessly asked the teacher to give him a chance to have an operation.

I don't know if this kid is innocent or purely mentally ill?

When Huang Haitao heard this unkind answer, he muttered something in his mind, but he realized that this guy's logical thinking is like this, simple and direct, and there is no need to go around in circles at all.

This is also a common problem of all university scholars. He has scholar syndrome and is also a scholar. It is not surprising that he put forward his request straight to the point.

"Okay, I can let you come up and try, after all, you won this opportunity. But if there is a slight deviation, you are not allowed to have any surgery within three months."

Huang Shiren turned his head and immediately gave an affirmative answer.Three months without any surgery is enough for Li Bing to beg his father to call his grandmother to kneel down in front of him.

This is called killing two birds with one stone, and the county magistrate is better off taking care of them now, so they clean up the two together.Otherwise, this kid and Li Bing, a veterinary doctor, will cause something to happen sooner or later.

(End of this chapter)