Sleepless Doctor

The latest website: "Dr. Carl, that's a shame." Zheng Kaixuan said, "I still want to learn interventional surgery with you, but I didn't expect you to go to Canada. But I think this news may make people happy, after all, Montreal Neurology The research institute judged that it is not a malignant tumor."

"Hope." Saipan Carr said with a shrug. "It's not a malignant tumor, but it's not diabetes. My blood sugar is okay, not at all."

While talking, the door of the ward opened, Wu Mian and Chu Zhixi walked in.

"Carl, tell you a good news." Wu Mian said with a smile.

"Um?"

"Your level of glycosylated hemoglobin A1c was 14.7%. The normal range of the machine we measured was 4.3% to 6%, which means that your glycosylated hemoglobin level is too high." Wu Mian said, and handed the test sheet to Saipan Carr. .

"Wu." Saipan Carr glanced at the data on the test report and said, "Montreal, Canada..."

"Neurology Research Center? They don't have a doctor who can see a doctor." Wu Mian said with certainty.

"..." Saipan Carr and Zheng Kaixuan were both startled.

No one thought that Wu Mian would directly give such a sentence.

To say that a doctor does not see a doctor is the most serious and even severe statement, and it cannot be added.

"I didn't see the patient, and Karl, I think the medical history you gave to Montreal is incomplete, right?" Wu Mian asked with a smile.

"Uh..." Saipan Carl looked at Wu Mian. Is the medical history so important?

"Recently, if you are tired and eat more than before, just give a diagnosis?" Wu Mian said.

"Wu, I think I was tired from flying back and forth across the ocean." Saipan Carr explained.

"Carl, did they say it might be some kind of rare genetic system defect?" Wu Mian asked.

Saipan Carr looked at Wu Mian blankly. At this moment, he felt that he was being watched. Otherwise, why would Wu say what he just said so accurately.

"Believe me, it's just the most common type of diabetes, and you haven't noticed it." Wu Mian said gently, "Lie down, I'm going to do a waist wear for you."

"why?"

"Carl, if you have diabetes, after hormone shock therapy, the cerebrospinal fluid glucose monitoring will double." Wu Mian said, "Be a waist piercing, if the answer comes out, if you still want to go to Canada, I won't stop you."

Saipan Carr looked at Wu Mian deeply, and after a few seconds he nodded, lying on the hospital bed, facing Wu Mian with his back sideways.

"Ms. Wu, what can I do for help?" Zheng Kaixuan asked.

"Just look at it." Wu Mian said, "Doctor, you should always take careful medical history and physical examination to guide the initial evaluation. First, we must rule out common causes. You should not just think of some rare causes because of reflex. Hold on."

Wouldn't the diagnosis of rare diseases at the first time show a higher level of superiority? Zheng Kaixuan thought to himself.

"The reason why it is called a common disease is that most of the patients we encounter are in this situation. It is not easy to be optimistic about common diseases, and I always think so." Wu Mian said while wearing Put on Stuley's gloves and start to wear Saipan Carl's waist.

"Wu, I did an MRI to show asymmetric enhancement on both sides of the head. This can't be explained by diabetes." Saipan Carr said sideways.

"With regard to the explanation of this result, I am more inclined to be a meaningless imaging performance."

"..." Saipan Carr was speechless.

"Carl, think about the good things. Later ventricular cysts, or hydrocephalus, intracranial space-occupying lesions and other causes have been ruled out. I watched the film for a long time, and the final conclusion is that the imaging findings are meaningless."

Zheng Kaixuan sighed slightly, Mr. Wu really dare to say. If you go out to the clinic and say this to the patient, are you afraid of being scolded to death by the patient?

The patient doesn't care about what is meaningful or meaningless. If you are like this with the patient's family, you will most likely usher in a sentence-it's useless to give me an examination, you are a quack.

After the waist puncture was completed, Wu Mian left the ward with the specimens drawn from the puncture, leaving Saipan Carl and Zheng Kaixuan, the "partners" who had not undergone an operation, looked at each other with big eyes and small eyes.

Zheng Kaixuan looked at Saipan Carr silently. The doctor who used to be a legendary cognition now looks so helpless. Not only him, but even the Montreal doctors were called by Mr. Wu as "not able to see a doctor."

Accustomed to Wang Qingshan's way of speaking in foreign countries, Zheng Kaixuan felt a little confused when he came into contact with Wu Mian's thinking.

I want to comfort Dr. Carl to order something, but Zheng Kaixuan is not good at words and does not know what to say.

"Zheng, do you trust Doctor Wu?" Saipan Carr asked after a long time.

His voice was slightly hoarse, and Zheng Kaixuan even had the illusion of Saipan Carr's vocal cords being paralyzed.

"Doctor Carl, I believe in Teacher Wu." Zheng Kaixuan thought for a while and said seriously, "In our country, the "Diagnostics" that medical students want to learn is edited by Teacher Wu."

"But he thinks I'm just diabetes." Saipan Carr couldn't believe it. "Although I also hope that I'm just a series of physiological changes caused by increased blood sugar, this is just a good wish."

"Dr. Carl, Mr. Wu has ruled out changes in neuronodular changes and other diseases. I think you should wait for the test report." Zheng Kaixuan said, "Mr. Wu is right. We have to judge a symptom from Start with basic diseases. And those rare diseases are called rare diseases because they are really rare."

Saipan Carr listened to Zheng Kaixuan's English speaking with an Australian accent and spoke the same point of view as RAP, even though he was heavy, he smiled.

Maybe, I hope Wu is right.

At least until now, I haven't heard of him in any field.

"Zheng, when did you come here?" Saipan Carr started chatting with Zheng Kaixuan~www.wuxiaspot.com~ Waiting is so difficult, only chat can make Saipan Carr forget that he is "involved" Seriously ill".

Soon, the door was pushed open, and Wu Mian appeared in front of Saipan Carr with a smile on his face.

"Carl, one good news and one bad news, which one do you want to hear first?" Wu Mian asked.

"Good news." Saipan Carr said without hesitation.

"After empirical glucocorticoid shock treatment, the content of glucose in the lumbar puncture cerebrospinal fluid was significantly increased, reaching 22.64mmol/L." Wu Mian said, "plus the previous blood test, the glycosylated hemoglobin increased, consider your The condition was caused by microvascular ischemia caused by undiagnosed diabetes, and the asymmetric enhancement on MRI was an accidental finding."

"What about the bad news?" Saipan Carr asked nervously before he was happy.

"You have diabetes, and you may need to use insulin to maintain blood sugar in the future."