Ma Xiude didn't leave, he stayed here to accompany Xue Chunhe to finish the MRI, left the image data on his mobile phone, and sent it to Mr. Wu, which gave him a sigh of relief.

On the way back to the ward, Ma Xiude pondered about paying graduate students a salary of 1,700 yuan a month as he walked.

I guess there's no good way to change myself.

Fortunately, now I don't have to think about these things by myself, so I don't have to worry about it! Making money is Mr. Wu's responsibility.

When Matthew thought of this, he secretly rejoiced in his heart. It's not about yourself, it's the tide of the times, and it's a medical office yourself...... A vice president can have a few pounds and a few taels, he knows it very well.

"Ma Yuan, you just came back from the MRI room?"

was pondering that Mr. Wu was like a donkey blindfolded and grinding in circles, holding a small leather whip freely, whether to smoke it, a familiar voice came from Matthew's ear.

It was like being caught and caught when he was doing something bad, and Matthew was scared.

"Mayuan, I'm sorry. Wu Mian didn't know what Ma Xiude was thinking, and apologized, "Are you okay?" ”

"It's okay, it's okay, why did you come to Teacher Wu. ”

"Look at what you said, Xue Yuan is sick, can I not come and take a look. Wu Mian smiled, "And there is a problem with the diagnosis of methanol poisoning, I will take a look and know it in my heart." ”

"I also think there's a problem, the drink we had together that day. Matthew said, "I don't know if you feel it, but I'm not abnormal at all." The wine is good and tastes right, and it is unlikely to be water mixed with methanol. ”

"Hmm. Wu Mian nodded, "There is a problem with the MRI of the skull, what about the film?"

"I asked them to upload it, go back and take a look. Matthew said, "Mr. Wu, what kind of problem are you talking about?"

"I see that there is an abnormal signal in the cerebellum of Xue Yuan, and the MRI image on my mobile phone is not very clear, and I can't be sure. Go to the computer and take a look at it, don't worry. Wu Mian said.

"Tell me about it first. Matthew said, "I really think methanol poisoning is unreliable, but Xue Yuan's medication is still effective, you say it's not strange." ”

"There is a special immune disease called GFAP astrocytosis, and the treatment is the same as methanol poisoning, mainly relying on hormonal shocks. Wu Mian smiled, "It's still Xue Yuan's luck, although there may be a problem with the diagnosis, but the treatment is fine." ”

"......" Matthew was stunned for a moment, what a coincidence!

The diagnosis is wrong, and the treatable drugs are all hormones?! This probability is too low.

"I also have a headache for rheumatism and immune diseases. Wu Mian sighed and said, "But if I'm not wrong, it should be GFAP astrocytosis." ”

"Teacher Wu, is this seriously ill? Will there be sequelae? Matthew asked with some concern.

"It's okay, autoimmune glial fibrillary acidic protein is a very abundant protein expressed by astrocytes and is widely distributed in the brain, cerebellum, brainstem, optic nerve, and spinal cord. If there is a problem, it is usually after the age of 40. "The clinical manifestations are diverse, and the most common type is meningoencephalitis or meningoencephalomyelitis. ”

Matthew listened to Wu Mian talk about this disease that he had never heard of before, even if he was an old medical director, he was extremely unfamiliar with this kind of astrocytic disease.

"It encompasses almost all the neurological types on the diagnosis, and it is difficult to distinguish. Wu Mian said, "The film ...... Alas. ”

"Teacher Wu, don't scare me. Hearing Wu Mian's sigh, Ma Xiude's heart tightened, and he hurriedly said.

"The classic magnetic resonance is a diffuse and continuous abnormal signal of paraventricular white matter, which should actually be enhanced by MRI, maybe I was busy just now and forgot to say that it was enhanced. ”

"Teacher Wu, what can you see?"

"Contrast enhancement can be seen in a linear radial enhancement perpendicular to the ventricles, which is a typical feature of influence. But it's okay, I glanced at the image uploaded on WeChat, and you said that Xue Yuan is sensitive to hormones, then I am relieved. ”

"Huh?"

"If you are not sensitive to hormones, you may approach tumors. It has been reported in the literature that 34% of patients can have tumors, the most common being ovarian teratoma, and others include adenocarcinoma, glioma, multiple myeloma and thyroid cancer. Sensitive, generally fine, hormone therapy for two days is fine. ”

"......" Matthew De never expected that Dean Xue, who was "methanol poisoning", would almost diagnose a tumor.

This is special, I really don't know which will come first, tomorrow or the accident.

"Teacher Wu, Xue Yuan is fine. ”

"The incidence of optic edema in GFAP astrocytosis is not low, and the Flanagan EP study found that the incidence of optic edema in patients was 32%. The intracranial pressure in Xue Yuan is not high, which proves that there is a high probability of GFAP astrocytosis. Wu Mian said with a smile, "After confirmation, Xue Yuan will be able to go home happily in 3-5 days." ”

"Oh, that's good. Matthew was finally reassured.

As long as it's not a fatal disease, he doesn't bother to study GFAP astrocytosis, a rheumatic immune disease.

It is a disease of rheumatism and immunity, and the second hospital is not bad in this regard, but if you really say it, the level can only be said to be average.

Because rheumatic diseases are not particularly common, most of the symptoms are covered by the symptoms of other diseases.

That's why there is a saying that rheumatism and immunity consultation exists for diseases that you can't understand.

The two chatted as they walked to the ophthalmology.

As soon as I walked into the corridor, I heard Director Xu's slightly sharp voice coming, "I don't care, there is no new doctor for 1 month, and I will resign!"

"......" Wu Mian was stunned for a moment, and looked sideways at Ma Xiude.

"Mr. Wu, there are many doctors who have resigned recently, and there are not enough people working in ophthalmology. Ma Xiude lowered his voice and said, "The academy recruits and gives graduate students a salary of 1,700, but it is estimated that they can't recruit people, and Director Xu is in a hurry." ”

"Oh, 1700 is a bit less. Isn't it nonsense that you have to go to work and have to go into debt. Wu Mian smiled.

"Alas, appropriation ......," Matthewd tried to explain, but paused, and all his words turned into a long sigh.

"Director Xu, don't worry, take your time. Approaching, Matthew comforted.

"Ma Yuan, it's not such a bully!" Director Xu had tears in his eyes, "Just recruit two, and mainly face pediatrics and emergency departments." You say, what's going on! Nobody knows, just wait for the number to shrink naturally? This is chronic suicide!"

"Eliminate gas, eliminate gas. Matthew continued to reassure, "There is a shortage of people in the pediatric emergency department. ”

"For a month, if it doesn't work, I'll take someone to a private hospital. Director Xu said resolutely, "The Ophthalmology Department of the Second Hospital, I have feelings. Don't talk about money, only about feelings, then it's a love affair that doesn't want to get married, it's a hooligan!"

In a hurry, Director Xu burst into foul language.