"To put it bluntly, he's still lazy. Sun Lien threw the guy on the table and began to complain. Although he was already prepared in his heart, it was still a little difficult for him to accept the setting that Dr. Pascal, who used to love his job, suddenly became an old oilman.

"Roasted gluten!" Sun Lien's mobile phone rang suddenly, and then Zhou Ce's voice rang, "I said Director Sun, when did you just change this ringtone on your mobile phone?"

Sun Lien shook his head and said with a serious face, "How good this ringtone is, you have to answer the phone as soon as it rings." He glanced at the name of the person on the phone, "Yo, Yuan Ping'an?"

The call was made by Yuan Ping'an, and as soon as the call was connected, Yuan Ping'an's somewhat excited voice came from the phone, "Doctor Sun, are you in the hospital?"

"That's right. Sun Lien glanced at the time on the computer, and determined that Yuan Ping'an's vacation should be two days later, "Why did you remember to call me?

"I've already arrived in Ningyuan. Yuan Ping'an smiled and said, "Everyone in our treatment team is here, right? I'll invite everyone to dinner in the evening." ”

Sun Lien pondered for a moment, "There are patients in the treatment group now, and they may not be able to go to them all." He paused and asked, "Why did you suddenly remember to invite you to dinner?

"My girlfriend and I got the certificate. I had already eaten with my relatives when I was in the capital. Yuan Ping'an's voice sounded joyful and ...... Feng Ming's taste. "Xiao Tang, she will report to the orthopedic department in two days, I will take her back to Ningyuan in advance, and have a meal with everyone to get acquainted with it. ”

Sun Lien smiled and said, "By the way, let's collect everyone's share of the money, right?"

"Nothing. Yuan Ping'an protested solemnly, and then said with a smile, "The main thing is to invite you, after all, she is in the treatment group, so she has to invite you to a meal - but I am a more picky person, and I always want to do big things with little money." Therefore, if you are invited to eat, please invite other colleagues to have a meal together, and everyone is familiar with it. ”

"The last sentence of your man's words is true. Sun Lien laughed, put his phone aside, and said to Xu Yourong and the others, "Yuan Ping'an wants to have dinner tonight, which of you is going?"

Eating is often accompanied by unfortunate "coincidences". Doctors, who usually don't socialize, occasionally have headaches because of "schedule problems".

"I have to go have a meal with Director Han tonight. Sun Lien temporarily declined the invitation to dinner on the phone, and then sent out one of the other doctors in the group who had time and willingness. "But because I have to wait until Director Wei is free in the evening, it is estimated that it will be more than eight o'clock in the evening?"

"Pascal can't go. Brunn had just returned to the office and was blunt when he heard the news, "It seems like he's having a party in the evening to exchange experiences with some local researchers about grant applications and so on." ”

"Then you three go. Sun Lien nodded, and said to Brunn, "Are you okay tonight?" However, if there is no doctor left in the diagnosis team, it will be bad if the patient's condition changes at night.

Zhou Ce volunteered, "Let Lao Bu rest, he will go to the emergency room tomorrow." I'm going to cheer Dr. Yuan on the scene and come back in the evening for you. ”

Among the current patients, Qian Aiwu and Tao De are in stable condition. Chen Tianyi and Xiao Yanran, as well as Shen Qiushi, who was newly admitted to the hospital, need to continue to receive immunosuppressive therapy. In the entire treatment team, except for Dr. Pascal, Zhou Ce from the Department of Nephrology is probably the most suitable to supervise their treatment. Nephrology and rheumatology are very closely related, and they are even somewhat like gynaecology and obstetrics – in some smaller hospitals, the two departments are actually combined.

"Okay, then I'll trouble you. Sun Lien nodded, he was more at ease with this arrangement. Of course, in the end, you still have to ask the team leader's opinion, "Dr. Xu, what do you say?"

"No problem. Xu Yourong nodded, and said naturally, "You are the boss, you have the final say." ”

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The main means of immunosuppressive therapy for Shen Qiushi is hormone pulse therapy. Hormone pulses are different from other traditional hormones, and the reason why the therapy is called "shock" is mainly reflected in the change in dosage - large doses of glucocorticoids are injected at a faster rate, and after several days of treatment, they switch to a higher dose of oral corticosteroids, and then gradually reduce the dosage over a period of three to four weeks.

Because of the longer duration of maintaining high doses, pulse therapy is different from the "pulse administration" used by Todd. Treatment of Lyme disease requires alternating high and low doses of antibiotics. This treatment is effective in curbing the development of resistance in Borrelia burgdorferi.

"This treatment plan, Dr. Pascal has already approved. Sun Lien called Shen Xi, holding a notice of the risks of hormone pulse therapy in his hand, "You can call the family members now and ask them to sign for treatment." ”

"Good. Shen Xi replied very happily, and after getting the answer to the diagnosis, he was also surprised for a while - he had not yet obtained the treatment record of the capital that Sun Lien requested, but Sun Lien had already determined the real cause through many roundabouts. This method of diagnosis is truly shocking and even confusing.

But Sun Lien's diagnosis was so logical and well-documented that Shen Xi only felt a little confused, and then, this confusion was completely diluted by the evidence to the point that it was imperceptible - there was no problem with Shen Qiushi's MOG antibody diagnosis. This is a relapse of MOG antibody disease with epilepsy as the first symptom.

"MOG antibody disease will recur, right?" After calling his uncle and aunt, Shen Xi put down his mobile phone, looked at Sun Lien and asked, "I remember that many patients will be admitted to the hospital repeatedly. ”

"There are reports like this, but the data is insufficient, and no one can say for sure whether it will really recur. Sun Lien spread his hands, "But such a risk does exist - that's why I'm so anxious to give him hormone pulse therapy." He paused and explained helplessly, "The more adequate the hormone pulse therapy for patients with MOG antibody disease in the early stage, and the earlier the intervention time, the weaker the patient's remaining disability may be." ”

Disability, this very harsh-sounding word pierced Shen Xi's eardrums, and his eyes widened and he exclaimed, "So serious?"