When doctors have a simulated operating room

The young man was diagnosed with leukemia.

When Zhang Yi looked at the young man's thalamus again, he found that the abnormal discharge had disappeared again? !

It was so magical and weird!

Although Zhang Yi could see this phenomenon, he couldn't explain the specific cause for a while.

It seems that I have to go to the library to read more information about this kind of disease when I go home at night.

Thinking about it, Zhang Yi looked up and asked:

"When did you start shaking? Is there a problem with only one hand or both hands?"

Young man: "This hand has been shaking intermittently for almost half a year. I didn't pay much attention to it at first, and I was busy with work and didn't have time.

Later, it got worse and worse, so I thought about coming to the hospital for a check-up."

"By the way, doctor, I searched the Internet before I came here, and the Internet said... that I might have Parkinson's... Is it true? Isn't Parkinson's disease generally only suffered by the elderly? I... I'm so young, it shouldn't be possible."

Before Zhang Yi could speak, Han Bing said with a silly smile:

"Oh, how could it be possible! You are less than 30 years old. There are many reasons for shaking. It could also be arm muscle strain or a fall or something."

As soon as he finished speaking, Han Bing felt that Zhang Yi was warning him with a cold look in his eyes.

Han Bing subconsciously shrank his neck...

Did he say something wrong? ?

But this man is so young that he can't have Parkinson's disease!

Zhang Yi rolled his eyes at Han Bing. Compared with Gao Han and Shen Lingyue, this guy is still a little worse.

The young man shook his head and said:

"I don't have muscle strain or fall injury. I just suddenly started shaking like this..."

Zhang Yi thought for a while and asked:

"Apart from the tremor in my right hand, are there any other symptoms? In terms of memory, hearing, and feeling?"

The young man thought and answered:

"Well... there seems to be no problem with memory? I remember everything from childhood to adulthood, and there is no problem with hearing and feeling, right? It's just that I don't sleep well, especially when my hands shake, I often suffer from insomnia."

Zhang Yi glanced at his hand, took out a piece of paper and a pen and said:

"Write your name, gender, age and hobbies here for me to see. The age should be capitalized."

"Oh, okay."

The young man did as he was told.

A line of words soon appeared on the paper.

Liu Xunyuan, male, 30 years old, hobbies are playing basketball and badminton.

Zhang Yi frowned at the short line of words!

The words he wrote...actually got smaller and smaller.

From the first word "Liu" to the last word "Qiu".

The sizes were completely different.

The sizes of the words in a row were completely unequal.

After Zhang Yi put the paper away, he took out a strawberry-flavored candy with a wrapper from his desk.

Then he quietly threw away the wrapper, took it to the patient and asked him:

"What does this candy smell like?"

The patient took the candy and put it to his nose and smelled it carefully again and again.

Then he showed a blank expression.

Zhang Yi asked him: "Can you smell it?"

The patient shook his head slowly: "I... can smell a faint sweet smell... but... but I really can't smell what it is. Doctor, what's wrong with me? Do I really have Parkinson's or cancer?"

The young man's eyes were full of tears.

He was so young and he hadn't even gotten married yet!

Did he actually suffer from a terminal illness? ? !

"Don't be in a hurry." Zhang Yi took the candy to Han Bing and said, "Smell it and see what it smells like."

Han Bing leaned over and sniffed it, and it smelled it in just one second.

"It smells like strawberry. It smells so strong that it smells like strawberry."

Zhang Yi put the candy away and then looked at the patient seriously:

"I just did a few basic tests on you, which further confirmed my speculation.

At present, I do suspect that you have Parkinson's, but it is in the early stage.

The most obvious feature of Parkinson's in the early stage is the loss of smell. Both of us can smell that this candy smells like strawberry.

But you can't smell it.

There is also a very obvious feature of Parkinson's in the early stage, which is the same as you."

Zhang Yi took out the paper where the patient had written just now.

"Look at what you wrote, a row of words, but the font becomes smaller and smaller at the end.

Parkinson's in the early stage also has this feature, the words written will progressively become smaller.

There are also hand tremors and sleep disorders, which are related to your

The symptoms are very similar.

So my initial diagnosis is suspected to be Parkinson's disease, but it has not reached the state of syndrome. Further examinations are needed to confirm the diagnosis. "

As soon as Zhang Yi finished speaking, the young man burst into tears on the spot.

It is said that men do not shed tears easily, but there are times to do so.

Parkinson's disease is not a minor disease.

It is also more troublesome to treat.

In the eyes of many ordinary people, Parkinson's disease is similar to a terminal illness. It is difficult to treat, and the longer it lasts, the more half-disabled it becomes.

Alas.

Cry.

It is not a sin for men to cry!

Zhang Yi and Han Bing comforted the patient in the clinic for a while, and then told him in detail the cause of the disease.

By the way, I asked the patient if it was inherited in the family?

Parkinson's disease has a certain probability of being inherited.

But he shook his head: "No, my grandparents and grandparents don't have this disease."

"Then have you taken any anti-schizophrenia drugs?"

The patient also shook his head: "No, I am not mentally ill, why take that medicine? "

Zhang Yi nodded. It seems that the cause of this person's illness is really hard to find.

The complexity of the brain is definitely not something that can be explained in one or two sentences.

Although Parkinson's disease in the elderly may be related to the reduction of dopamine in the substantia nigra.

But young people have more reasons.

For example, environmental factors, genetic factors, brain injuries, viral inflammation infections, and even gene mutations may be the culprits of this disease.

Then, Zhang Yi prescribed an examination for the young man and asked him to go for the examination.

The examinations are all big projects, which may cost more money.

For example, MRI and EEG.

A transcranial ultrasound must also be done.

There are also single photon emission computed tomography (SPECT) and positron emission tomography (PET) that must be done.

PET, SPECT and ordinary CT are completely different.

PET and SPECT belong to nuclear medicine The most advanced CT technology in the field.

It is one of the most advanced medical imaging diagnostic equipment in the world.

It is also the most advanced medical imaging technology for imaging human functional metabolism at the cellular and molecular level.

It is just too expensive, several million per unit, and the municipal hospital only spent a huge amount of money to buy two when it was upgraded to a top three hospital.

The advantage is that the imaging is faster (seconds) and the positioning is more accurate (can confirm the target).

The disadvantage is that it is expensive, and it costs several thousand per operation, and some large hospitals in the capital may cost tens of thousands.

Then a routine blood test and a routine cerebrospinal fluid test must also be done.

The reason for drawing cerebrospinal fluid is to see if HVA in the cerebrospinal fluid is reduced.

Drawing cerebrospinal fluid requires a lumbar puncture.

Zhang Yi called Chen Fang and asked him to take care of this matter.

After the patient left the clinic, Han Bing whispered:

"Teacher Zhang, we remember that our school teacher said that this disease is now incurable, right?"