"How's the accessory area?" Zheng Ren asked after a while.
There was silence behind the curtain.
He glanced at Chief Wang and felt a little distressed.
He had been gone for less than half a year and he did not even recognize some of the people on this side.
Things remained the same, but people had changed. That was probably what it meant.
In an instant, a trace of literature and art appeared in the depths of Zheng Ren's stone-like heart.
"Doctor Zou, how's the accessory area?" Chief Wang asked.
"There … There's a space …" the doctor in the ultrasound room stammered.
Zheng Ren nodded and sighed in his heart. The System was still as reliable as ever.
When he first saw the diagnosis of the disease, he was also a little absent-minded. He did not expect it to be true.
"Is it a teratoma?" Zheng Ren asked.
There was silence behind the curtain. After dozens of seconds, the doctor in the ultrasound room whispered, "Chief Zheng, your ultrasound skills are high. Can you help me take a look?"
Then, Miao Xiaohua came out and begged, "Zheng Ren, help me take a look."
Her eyes were filled with anticipation.
From the beginning, her family and Miao Xiaohua did not want to believe that Sun Xiaomei had a mental illness. However, the 'ironclad' facts showed that she was definitely mentally ill and had to be sent to a mental hospital for treatment.
When they thought of Sun Xiaomei's life becoming bleak from then on, everyone around them felt uncomfortable.
However, they did not expect things to take a turn.
If it was caused by a teratoma, it meant that it could be treated with surgery. If it could be treated with surgery, it meant that it could be cured!
How could this not make Miao Xiaohua happy?
Zheng Ren smiled and nodded.
Seeing him walk in, Chief Wang moved closer to Su Yun and asked in a low voice, "Brother Yun, what disease did Chief Zheng diagnose?"
Su Yun was holding his phone in his hand and was quickly flipping through it. He glanced at Chief Wang in disdain and said, "Can't you check it yourself?"
"Don't bother. Just say it. Do you need me to check it?" Chief Wang said with a cheeky smile as if he had returned to 912.
"That disease, or anti-NMDAR for short.
Encephalitis, "Su Yun said. "It's also called autoimmune encephalitis. It's a condition caused by a small problem with the immune system. The CT can only show mild symptoms of encephalitis. What the f * ck is this?"
Su Yun nagged.
"Tumors and infections can induce autoimmune encephalitis. The proportion of young women with anti-NMDAR-encephalitis with ovarian teratoma is higher," Su Yun said casually as he looked at his phone.
President Wang glanced at the pure English discourse. Su Yun did not take it seriously at all and translated it casually. He felt a little emotional.
It was not that he could not read it, but he had to refer to the dictionary for many specialized terms in neurology.
"The main symptoms include mental and behavioral abnormalities, cognitive impairment, recent memory decline, seizures, speech impairment, motor impairment, involuntary movement, decreased level of consciousness, coma, autonomic dysfunction, etc." Su Yun was a little dissatisfied after he finished speaking.
"You didn't see it. When we arrived, the patient was making up stories." Su Yun said: "She talked about a lot of gratitude and hatred, from the city to the fantasy world, she almost became an ancient family …"
As he spoke, the curtain was lifted.
"Teratoma with mental symptoms. The possibility of autoimmune encephalitis is high," Zheng Ren said as he walked out.
"Why didn't CT have a clear performance?" Su Yun asked.
"The onset was too sudden. It's just an early stage of paranoia. There are no organic changes. If the teratoma is removed now, the postoperative effect will be very good. "Zheng Ren smiled happily.
If there were no accidents, Sun Xiaomei would be resurrected with full health and mana after surgery. She could also continue to go to school, graduate, and work.
The trajectory of her life had been forcibly pulled back.
"Anti-NMDAR-encephalitis.
Encephalitis often starts with acute or subacute symptoms. Imaging, biochemical tests, cerebrospinal fluid routine, and clinical manifestations are often non-specific.
It has similar clinical manifestations to acute disseminated encephalomyelitis, Creutzfeldt – Jakob disease, herpes simplex virus encephalitis, and many other diseases. It is easy to be misdiagnosed in clinical practice, so it needs to be differentiated from these diseases.
"Some patients often have abnormal mental and behavioral symptoms as their first symptoms. Their cognition, thinking, emotion, and behavior are not coordinated. In the early stages of the disease, it is easy to be misdiagnosed as a mental illness and sent to a psychiatric hospital for treatment."
After Zheng Ren finished explaining, he turned to Miao Xiaohua and said, "Xiaohua, tell your relatives to find a hospital for surgery as soon as possible."
"Zheng Ren, what do we do after the surgery?" Miao Xiaohua was a little confused. Happiness had come too suddenly.
"Oh, right!" Zheng Ren suddenly thought of something and said, "Send the cerebrospinal fluid to Peking Union Medical College Hospital for examination. It seems that our Provincial Capital can't do this examination."
"If it's positive, hurry up with the surgery. After the surgery, use gamma globulin and a short period of hormone shock treatment. There shouldn't be any special problems," Zheng Ren continued.
"Oh," Miao Xiaohua replied excitedly.
Seeing that Zheng Ren was certain, she silently wrote down the entire treatment process and handed it to her aunt later.
However, Miao Xiaohua could not remember so many professional words at all. A few seconds later, she was at a loss.
She had almost forgotten about it.
"We have to hurry up. We can send it for examination while cutting the teratoma. It's also a problem to keep such a large teratoma. We should cut it as soon as possible to avoid future problems, "Zheng Ren said.
Miao Xiaohua agreed and went to help Sun Xiaomei put on her clothes.
"Chief Wang, there's nothing else. We'll go back and rest." Zheng Ren smiled and said, "Thank you for your hard work."
Chief Wang said a few polite words.
With Chief Zheng's level, it was no wonder that he could stop the emergency surgery of the gastrointestinal surgery department in 912. When Chief Wang thought of this matter, a sense of depression rose in his heart.
At that time, when he came to Sea City to support, he thought that he could take charge of this area. Not only could he perform emergency surgery, but he could also perform all kinds of chronic surgery.
Although the number of surgeries was not much, it was very complicated.
After he went back, he should be able to make some progress. This also laid a solid foundation for him to become a group professor in the future.
However, Boss Zheng came back twice and left a deep impression on him both times. His face was slapped so hard that it kept ringing.
His level was really high. It was not fake.
Just like the mental patient today … anti-NMDAR.
If Boss Zheng was not around, there was a high chance that the patient with encephalitis would be sent to a mental hospital for treatment.
Moreover, the most important thing was that he did not know that the patient had been misdiagnosed by him.
To him, it was just a small matter. A patient with a mental illness came to the emergency department and was sent to a mental hospital. He was afraid that he would not remember it in the future.
However, a random diagnosis, a misdiagnosis, would affect the patient's life.
Chief Wang pondered and smiled bitterly in his heart. At that time, he felt that his level was about right. He wanted to go to a private hospital to earn money and reach the peak of his life.
Now, it seemed that he was still far from it.
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