Big Doctor Live Room
Chapter 877 Resurgent Panencephalitis
Chapter 877 Resurgent Panencephalitis
A few minutes later, except for Dongfang Wenxin who didn't come over, she stayed in the ward to talk.Chen Qun, Zhou Lin, and Ouyang Yang appeared in front of Qi Hong together.
As soon as Ouyang Yang entered the door, he directly gave a shocking answer.
"We need to perform a brain biopsy on the patient immediately to find out his condition. Otherwise, the pediatric department has guessed and checked all other possible symptoms, even the very rare Addison's syndrome. Screened out. So we need more test results."
Qi Hong immediately stared at him, "Do you think it is very common to drill a hole in a child's head, why don't we drill a hole in your head to see what kind of mess is in your head."
Ouyang Yang didn't mind Qi Hong's accusation, and gave his evidence.
"We don't have time. Now the patient has fallen into a coma, and all the physiological indexes are very bad. If we delay any longer, we can only find the answer on the dissecting table. If you don't do this skull drilling, then I will do it." Contact the chief resident doctor to come and do it."
Chen Qun took two steps aside, stretched out his hand to draw a circle, and expressed his opinion.
"Perhaps, you have overlooked the most fundamental fact, that is, the patient just said that leeches appeared on his body. If this is not a hallucination, but a direct feeling of the body. It is just that the brain adds a reasonable explanation to this feeling, then Another symptom needs to be considered.”
Chen Qun laughed, looked at his colleagues present, and gave an explanation that surprised everyone.
"I don't know why, looking at this boy, I suddenly remembered the symptoms of the twins. It is also the brain that completely deceived the body and gave wrong performance. It is the same for this patient!"
Sure enough, the brain circuit is different!
All young people have this rhetoric in their hearts.
Chen Qun's voice rang in their ears.
"Immediately test the measles virus in his body. I suspect it is subacute sclerosing panencephalitis caused by the measles virus. Remember the last time we encountered this kind of case? That time the situation was even more special. We started from A sample is taken from the retina for testing. But this time it doesn’t need to be so troublesome, a spinal tap will have the result.”
Looking at Chen Qun's affirmative gaze, Qi Hong felt that she was sorry for not finding him something to do.What's more, the hospital is vigorously promoting the application of new technologies, so start with him, the initiator, and immediately raise objections.
"If the encephalitis is caused by the measles virus, then I suggest you do the same test you did last time, which will cause less damage to the patient. Didn't Dean Liu say that new technologies should not stay in the laboratory, but should be widely promoted .The guess you put forward is up to you to complete."
Qi Hong stood up, went outside, and explained the situation to the parents who were waiting for the result.
"I want to ask one thing here. Has your child been vaccinated? Have you been vaccinated against the most common types? We suspect that your child has meningitis, which used to be common but has almost disappeared."
The parents looked a little embarrassed and explained the reason.
"The children grew up in the United States these years, because when we passed, there was no medical insurance, so we didn't vaccinate our children. We wanted to come back to vaccinate during the Chinese New Year. But because of the delay, we didn't get vaccinated until the second year. Came back to call. It shouldn’t be a problem, right?”
Qi Hong's mouth became a little bit bitter, of course she knew that there was no other choice for her parents. Going to the hospital in the United States to treat a cold costs thousands of dollars, and appendix surgery is even tens of thousands of dollars.Many Chinese studying and working in the United States would rather fly back to see a doctor than be hospitalized there.
She sighed and shook her head helplessly.
"Many vaccines are ineffective for children as long as they are over two years old. Besides, the measles virus can generally hide in children's bodies for more than ten years. It doesn't mean that nothing is safe. Okay, okay, I also understand your situation. I understand that the test results have not come out now, and there may be other illnesses, but please be mentally prepared here, if meningitis caused by the measles virus, it will be really troublesome, okay, you will wait here for the test The result."
The male parent, who was obviously a returnee, immediately asked, "Is it necessary to draw spinal fluid for the child? His physical condition is so bad, can he bear it? He has fainted from needles since he was a child, and he is afraid when he sees a needle."
Qi Hong just pushed the boat along the way and deliberately found something for Chen Qun to do.
"Now we have a new detection method, which is to use our most advanced optical tweezers to extract tissue from your child's retina, and then conduct detection, which only costs thousands of yuan. If you don't want to, we still use routine inspection to complete it, It's up to you to choose."
"No matter how expensive the cost here is, it is still cheap compared to the United States. The test fee of more than 100 US dollars is not enough to do a blood test there. Of course, use the latest test method in your hospital."
Seeing that the family members agreed to come down, Qi Hong immediately arranged for Chen Qun to take a few novices to teach them to do the same checkup, but she stayed at the pediatrics department and looked up how Chen Qun and the others treated the same symptoms last time.
The test results came out half an hour later. As Chen Qun predicted, it was subacute sclerosing panencephalitis, and a large amount of measles virus was found on the retinal cells.
It's just that Chen Qun felt a little heavy after seeing the result, and directly sent a message to Qi Hong.
"Now that the results are out, the patient is already in the third stage of symptoms. If we follow our conventional method last time, it will not be curable. Or the best time for treatment has been lost. However, there is a new type of treatment at the Mayo Clinic. This situation can be applied. But the high cost will stop everyone. The trouble you caused yourself, you solve it yourself, I can't do anything."
Being too familiar with Chen Qun's style, Qi Hong's genius suddenly understood why Chen Qun put on the burden. He just kicked the ball back to her and went directly to Dean Liu for a solution.
"Dean, just now we met a patient with terminally ill subacute sclerosing panencephalitis in the pediatric department. Chen Qun saw that the Mayo Clinic has a treatment method, but the cost is very expensive, and ordinary people cannot afford it." Yes. I took a look at the treatment plan sent to me by Chen Qun. I think we can produce these medicines in the laboratory and provide treatment to patients, but the signature of the director is required. Should I write a report and submit it to the hospital? application."
As soon as Liu Yang heard it, he immediately understood that this guy Chen Qun was going to sell dog meat on a pedestal, and he would give the hospital a heads-up in advance. As for what he should do or what to do, he would not hesitate at all, and directly gave instructions to Qi Hong.
"Well, you just write an application, I will allow you to carry out this experimental treatment, and I will say hello to the pediatric department."
But Liu Yang immediately thought of another question, and asked Qi Hong a question.
"Isn't this disease curable with a single shot of the vaccine? It was very rare in the world in the last century, but why are there more of them now, and there are new treatments?"
Qi Hong quietly looked at the materials in her hands and wrote the scriptures.
"It's the disappearing disease that has become very common as many of the unvaccinated children in foreign countries have grown up, and new treatments have emerged."
Liu Yang was taken aback for a moment, and then mocked with disdain.
"I see, those who preach that vaccines are harmful are those who sell medicines. Medical companies have instructed them. An old vaccine does not make money at all, but a new treatment costs a lot of money, and one medicine takes a lifetime. This is the virtue of capitalist society! "
(End of this chapter)
A few minutes later, except for Dongfang Wenxin who didn't come over, she stayed in the ward to talk.Chen Qun, Zhou Lin, and Ouyang Yang appeared in front of Qi Hong together.
As soon as Ouyang Yang entered the door, he directly gave a shocking answer.
"We need to perform a brain biopsy on the patient immediately to find out his condition. Otherwise, the pediatric department has guessed and checked all other possible symptoms, even the very rare Addison's syndrome. Screened out. So we need more test results."
Qi Hong immediately stared at him, "Do you think it is very common to drill a hole in a child's head, why don't we drill a hole in your head to see what kind of mess is in your head."
Ouyang Yang didn't mind Qi Hong's accusation, and gave his evidence.
"We don't have time. Now the patient has fallen into a coma, and all the physiological indexes are very bad. If we delay any longer, we can only find the answer on the dissecting table. If you don't do this skull drilling, then I will do it." Contact the chief resident doctor to come and do it."
Chen Qun took two steps aside, stretched out his hand to draw a circle, and expressed his opinion.
"Perhaps, you have overlooked the most fundamental fact, that is, the patient just said that leeches appeared on his body. If this is not a hallucination, but a direct feeling of the body. It is just that the brain adds a reasonable explanation to this feeling, then Another symptom needs to be considered.”
Chen Qun laughed, looked at his colleagues present, and gave an explanation that surprised everyone.
"I don't know why, looking at this boy, I suddenly remembered the symptoms of the twins. It is also the brain that completely deceived the body and gave wrong performance. It is the same for this patient!"
Sure enough, the brain circuit is different!
All young people have this rhetoric in their hearts.
Chen Qun's voice rang in their ears.
"Immediately test the measles virus in his body. I suspect it is subacute sclerosing panencephalitis caused by the measles virus. Remember the last time we encountered this kind of case? That time the situation was even more special. We started from A sample is taken from the retina for testing. But this time it doesn’t need to be so troublesome, a spinal tap will have the result.”
Looking at Chen Qun's affirmative gaze, Qi Hong felt that she was sorry for not finding him something to do.What's more, the hospital is vigorously promoting the application of new technologies, so start with him, the initiator, and immediately raise objections.
"If the encephalitis is caused by the measles virus, then I suggest you do the same test you did last time, which will cause less damage to the patient. Didn't Dean Liu say that new technologies should not stay in the laboratory, but should be widely promoted .The guess you put forward is up to you to complete."
Qi Hong stood up, went outside, and explained the situation to the parents who were waiting for the result.
"I want to ask one thing here. Has your child been vaccinated? Have you been vaccinated against the most common types? We suspect that your child has meningitis, which used to be common but has almost disappeared."
The parents looked a little embarrassed and explained the reason.
"The children grew up in the United States these years, because when we passed, there was no medical insurance, so we didn't vaccinate our children. We wanted to come back to vaccinate during the Chinese New Year. But because of the delay, we didn't get vaccinated until the second year. Came back to call. It shouldn’t be a problem, right?”
Qi Hong's mouth became a little bit bitter, of course she knew that there was no other choice for her parents. Going to the hospital in the United States to treat a cold costs thousands of dollars, and appendix surgery is even tens of thousands of dollars.Many Chinese studying and working in the United States would rather fly back to see a doctor than be hospitalized there.
She sighed and shook her head helplessly.
"Many vaccines are ineffective for children as long as they are over two years old. Besides, the measles virus can generally hide in children's bodies for more than ten years. It doesn't mean that nothing is safe. Okay, okay, I also understand your situation. I understand that the test results have not come out now, and there may be other illnesses, but please be mentally prepared here, if meningitis caused by the measles virus, it will be really troublesome, okay, you will wait here for the test The result."
The male parent, who was obviously a returnee, immediately asked, "Is it necessary to draw spinal fluid for the child? His physical condition is so bad, can he bear it? He has fainted from needles since he was a child, and he is afraid when he sees a needle."
Qi Hong just pushed the boat along the way and deliberately found something for Chen Qun to do.
"Now we have a new detection method, which is to use our most advanced optical tweezers to extract tissue from your child's retina, and then conduct detection, which only costs thousands of yuan. If you don't want to, we still use routine inspection to complete it, It's up to you to choose."
"No matter how expensive the cost here is, it is still cheap compared to the United States. The test fee of more than 100 US dollars is not enough to do a blood test there. Of course, use the latest test method in your hospital."
Seeing that the family members agreed to come down, Qi Hong immediately arranged for Chen Qun to take a few novices to teach them to do the same checkup, but she stayed at the pediatrics department and looked up how Chen Qun and the others treated the same symptoms last time.
The test results came out half an hour later. As Chen Qun predicted, it was subacute sclerosing panencephalitis, and a large amount of measles virus was found on the retinal cells.
It's just that Chen Qun felt a little heavy after seeing the result, and directly sent a message to Qi Hong.
"Now that the results are out, the patient is already in the third stage of symptoms. If we follow our conventional method last time, it will not be curable. Or the best time for treatment has been lost. However, there is a new type of treatment at the Mayo Clinic. This situation can be applied. But the high cost will stop everyone. The trouble you caused yourself, you solve it yourself, I can't do anything."
Being too familiar with Chen Qun's style, Qi Hong's genius suddenly understood why Chen Qun put on the burden. He just kicked the ball back to her and went directly to Dean Liu for a solution.
"Dean, just now we met a patient with terminally ill subacute sclerosing panencephalitis in the pediatric department. Chen Qun saw that the Mayo Clinic has a treatment method, but the cost is very expensive, and ordinary people cannot afford it." Yes. I took a look at the treatment plan sent to me by Chen Qun. I think we can produce these medicines in the laboratory and provide treatment to patients, but the signature of the director is required. Should I write a report and submit it to the hospital? application."
As soon as Liu Yang heard it, he immediately understood that this guy Chen Qun was going to sell dog meat on a pedestal, and he would give the hospital a heads-up in advance. As for what he should do or what to do, he would not hesitate at all, and directly gave instructions to Qi Hong.
"Well, you just write an application, I will allow you to carry out this experimental treatment, and I will say hello to the pediatric department."
But Liu Yang immediately thought of another question, and asked Qi Hong a question.
"Isn't this disease curable with a single shot of the vaccine? It was very rare in the world in the last century, but why are there more of them now, and there are new treatments?"
Qi Hong quietly looked at the materials in her hands and wrote the scriptures.
"It's the disappearing disease that has become very common as many of the unvaccinated children in foreign countries have grown up, and new treatments have emerged."
Liu Yang was taken aback for a moment, and then mocked with disdain.
"I see, those who preach that vaccines are harmful are those who sell medicines. Medical companies have instructed them. An old vaccine does not make money at all, but a new treatment costs a lot of money, and one medicine takes a lifetime. This is the virtue of capitalist society! "
(End of this chapter)
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