crazy scalpel

During these days in the outpatient clinic, Xie Ke greatly improved his diagnosis level.Since this is the first hurdle of patient admission, it is quite important.The initial diagnosis often plays a decisive role in the treatment, and the doctors who take over are often influenced by the first doctor who makes the diagnosis.

During this period, Xie Ke transported many patients to the inpatient department, and at the same time blocked many people who wanted to be hospitalized for surgery at every turn.To his greatest delight, he also received several patients with myosinhibitory parasympathetic plexus palsy.These people were not recommended because the cause could not be found in other departments.Instead, he came here after learning that Xie Ke can cure cervical spondylosis through the Weibo incident.

This group of people thought that they had spinal problems similar to herniated discs, but after Shaker saw them, they found that they were actually suffering from muscle compression disease (Jane).It can be seen how high the overlap rate of symptoms of this disease and other diseases is.

Xie Ke naturally persuaded them to carry out the special treatment he invented.As soon as the patients heard that they could be cured without surgery and medicine, they all expressed their willingness to cooperate with the hospitalization. This is reasonable and unexpected.However, Xie Ke is very busy every day, so after formulating plans for patients, he assigns specific tasks to other residents.

On this day, Xie Ke happened to be receiving a female patient, who also mistook it for cervical spondylosis, and there were nearly [-] symptoms in line with muscle compression disease.This patient also brought her daughter, and after she heard Xie Ke say that it could be cured, her eye circles were red.

Woman: "Great doctor, but can I not be hospitalized? I was unable to go to work because of my headache and quit my job. My mother-in-law is very dissatisfied with me. Now I do housework at home every day, Serving my parents-in-law, as well as my husband and my daughter, if they are hospitalized, there will be another quarrel at home. Besides, there is no need for surgery, and my mother-in-law will definitely think I am lazy..."

After the woman finished speaking, the daughter who was held by her suddenly let out a burst of "hehehehe" laughter. Xie Ke was attracted by her and couldn't help but look at her.This girl is only about ten years old in terms of face and height, but she is very well developed, and there are already two bulging little bumps on her chest.

Seeing Xie Ke staring at her daughter, the woman couldn't help but change her face, and quickly wrapped her daughter in her arms. When she looked at Xie Ke again, her gaze changed a little, with a hint of doubt and resistance.

Seeing her like this, Xie Ke had to talk about the problem of hospitalization first: "I suggest that you should be hospitalized, because the cause of your muscle abnormalities is likely to be overwork or the use of some disharmonious postures, and maybe I will do housework with you It has something to do with your habits. And in order to cooperate with the treatment, you already need to rest and recuperate. If you work so hard every day, the effect of the treatment will be compromised. Rather than prolonging the period of coming to the hospital for treatment every day, it is better to stay in the hospital with peace of mind... Let Let me see your test results." Xie Ke made a rough calculation, "If you are hospitalized with peace of mind, I dare say you can recover in two weeks."

The woman hesitated for a long time, but still did not agree to be hospitalized: "It's really complicated at home, how about this, I try to rest as much as possible and work less, but the hospitalization is fine, I will pay attention to it, okay, doctor?"

Xie Ke said helplessly: "You really don't agree to be hospitalized, and I can't help it, but in this way you have to prepare for long-term treatment."

Woman: "It's okay, I'll just come to the hospital on time."

After talking about her, Xie Ke looked at the little girl in her arms again, and asked, "Is this your daughter?"

When the woman heard this, her face changed again, but she still replied: "Yes." Then she stared at Xie Ke, as if to prevent Xie Ke from doing something bad.

Xie Ke withdrew his gaze, and asked seemingly unintentionally, "Does she often smile like this?"

Before the woman could speak, her daughter giggled again.This time because Xie Ke was face to face, he could see it more clearly. When the girl smiled, it was a typical superficial smile, which was very penetrating.

Her mother frowned and stroked her hair, "Baby, what's the matter with you?"

The girl called Baobao shivered, and there was another burst of "giggling". Although she heard her voice was laughing, if you looked into her eyes, you would find that there was no smile in her eyes. Instead, there was a kind of irritability and resentment.

The woman felt very ashamed seeing her daughter like this, but she knew that no matter what she said, she couldn't make her daughter get rid of this bad habit.At first, no one in their family noticed it. Only once when they went to pick up their daughter from school, they saw several students in their primary school class surrounding their daughter and calling her "silly big sister".At first she thought it was her classmates who were bullying her daughter, so she went to the class teacher, and only then did she know the reason.

It turned out that it was because my daughter often laughed suddenly, and it was not a hearty laugh, but a kind of weird laugh.And the timing of her laugh is also very problematic, often when there is nothing funny, she comes so suddenly.So the classmates in the class called her "silly big sister", and some people would directly call her "crazy".But because it was all a joke, and it didn't escalate to a particularly serious level, the teacher usually taught those students a lesson when they encountered it, and didn't take special care.

Her daughter behaved abnormally and was treated differently by other classmates. As a mother, this woman was suffering in her heart.I went home to discuss this matter with my husband, but my husband didn't take it to heart at all, thinking that some discord between children is purely a normal growth process, and adults should not interfere too much.It didn't make sense to her husband, so she told her mother-in-law, but her mother-in-law directly blamed her for not being born well and not being well educated, and said that she was a girl anyway, so it didn't matter what happened.

Originally, although this kind of situation happened, it was not a frequent attack. Recently, I don't know what's going on, and it happens several times a day.Take her to see a doctor, she also refused to say anything.This woman feels wronged because of her daughter's stupid situation. It is shameless to be ridiculed outside, and it is shameless to be despised at home.When she saw that Xie Ke noticed her daughter just now, she immediately showed a defensive expression, because she was afraid that the young doctor would say something joking in front of her daughter without knowing the severity.

Now Xie Ke didn't laugh at them, but asked some questions with more concern, which made the woman find an outlet to vent all her sadness and complaints.

Xie Ke fell silent after hearing this.Although he couldn't say with certainty that the girl suffered from an illness, but judging from the other party's description, it was probably epilepsy.

Epilepsy, also known as epilepsy.The attack of this kind of attack is usually convulsions, and foaming at the mouth may occur in severe cases, but there are also relatively mild cases, such as giggling or daze.Because seizures are unprovoked, sudden, and unpleasant, people with epilepsy are often stigmatized.Especially when I didn't know what the disease was before, people around me were afraid of contagion or the patient would violently hurt others, and beatings were common.

So far, the research on the lesion and pathogenesis of epilepsy is still a frontier topic, because human beings still know too little about this disease.The means of treatment include taking medicine or surgery, but these are actually very superficial treatments.Because there are too many causes of epilepsy, congenital, acquired, even trauma, inflammation, etc. can also cause epilepsy, so the location of the lesion can be determined, and many of them can be treated with surgery.

But I also want to know that the prognosis of this kind of surgery is not very good.

Xie Ke checked the girl under the eyes of the mother. Since it was a developing girl, he needed to be extra careful not to cause misunderstanding.After the examination, he asked the girl's mother, "Did you take a CT scan of the head when you took her to the doctor?"

The girl's mother froze for a moment, then shook her head: "Head CT? No."

Xie Ke frowned. He didn't know which hospital they went to for an examination, but they didn't even take a CT scan.

Seeing his serious expression, the girl's mother suddenly felt a little scared: "I took her to the comprehensive outpatient clinic of a prefecture-level hospital near my home, because she usually looked normal, and the doctor asked her if she had any problems, and she didn't say anything." .I wanted to tell the doctor that she sometimes laughed suddenly, but she dragged me from talking. After returning home, she threatened me to talk nonsense outside and she ran away from home."

The girl blushed embarrassingly when she heard what her mother had said.

Xie Ke asked her: "Are you a little out of control when you laugh?"

The girl nodded.

Xie Ke thought about it, and finally asked: "Did you develop earlier than other students? Have you had your period yet?"

The girl's face was so red that it was about to bleed, and she refused to speak any more.

Xie Ke was also helpless, so he turned to her mother and asked, "Do you know the situation of other students in their class? Does your daughter develop earlier than others?"

Although the girl's mother felt that Xie Ke's question was a bit too much, she still nodded.

Xie Ke said to them: "Although you did not register to see a doctor for your daughter, I think your daughter's illness may be more serious than yours. Would you like to take her to have a head CT scan?" Xie Ke saw She was a little hesitant, so she sighed secretly and said, "If you think our hospital is not good enough, you can also take her to the First Affiliated Hospital to have a look. But you must go for a checkup."

The girl's mother looked at her daughter and asked her, "Baby, can you have a doctor check you up?"

The baby raised his head and glanced at Xie Ke, and spoke for the first time: "Can you cure me?"

Xie Ke smiled at her, "As long as the baby cooperates, it will definitely be fine."

The mother and daughter finally agreed to go for a checkup.The reason why Xie Ke insisted on asking the question of development was also because he wanted to further determine the possible location of the lesion that caused the girl's epileptic seizures, so that he could find the key points when taking the film, and the discovery of the tumor could be more accurate.

The hypothalamus, located deep in the brain, is where sex hormones are controlled.