(Thanks to my friend Empty Lonely Cold 671112, DSUK, Perdu la vie monthly pass for encouragement)

"How long has it been since your father's illness was detected? Not three or four years, right?" Liu Banxia looked at the patient's son.

The patient's son nodded, "That's early in the year." I'm really sorry for today, the ground is dirty, and we can pay for some sanitation. ”

Liu Banxia waved his hand, "It's not like that, I don't think your father seems to be an Alzheimer." ”

Ding!Mission Release: Strange Alzheimer's Disease Patient

Open-ended task: Because the host has found that there are many contradictions in the presentation of Alzheimer's disease, an underlying condition is suspected and further diagnosis is required. Task rewards will be awarded based on the diagnosis results

"Doctor, really?"

The patient's son was agitated, and his voice was raised a little.

I can't help but be excited, Alzheimer's is also an incurable disease. Even if I am taking medicine now, it has no effect at all.

Not only is it tiring for the people to take care of, but the quality of life of the old man is also very problematic.

This time there was another thing to lose, just now there was urinary incontinence again, if you hire another unserious nanny, how many sins will the old man suffer for the rest of his life?

"The whole course of Alzheimer's disease is relatively long. Liu Banxia frowned and said.

"Normally, there are three phases, and the first phase lasts about 1 to 3 years. It is manifested as forgetfulness and emotional instability, which will affect the thinking, analysis and judgment of problems, and it is easy to get lost. ”

"Yes, yes, my dad is like that. After we found out, we went to the hospital for examination, and also took a CT scan, saying that there was some brain atrophy, which is an early manifestation of Alzheimer's disease. The patient's son hurriedly said.

Liu Banxia nodded, "The duration of the second stage is relatively long, which varies from person to person, about 2-10 years. This stage is characterized by severe memory impairment, and things that have been forgotten before will continue to surface. ”

"The specific manifestation is sometimes that he doesn't recognize people, because his memory shows the stage when he was young. Mood will also be more unstable, and there will also be signs of urinary incontinence. ”

"I didn't think much of it when I was seeing the old man. But what you just said made me think about it a little more, the onset of the disease has only been so long, but the old man's condition is a little serious, and he has begun to have urinary incontinence. ”

But if you look at the old man's facial expression, he was not affected by urinary incontinence at all. I started to think that the old man had a good personality, but it wasn't like that. ”

"Because if the old man's illness is judged by Alzheimer's performance, it has reached the third stage of severe disease. ”

"At this time, there are only a few memory fragments left in the patient's brain, so they don't care about things like incontinence at all. ”

"Now that there are so many conflicting symptoms, let's take a brain CT scan to see if it is caused by an organic lesion in the brain. If so, we will be able to intervene in some way. ”

"Doctor, really?" asked the patient's son.

Liu Banxia nodded, "Is it better to shoot one first, I can only judge based on my current medical knowledge, and I still have to watch the film to talk about the actual situation." ”

"You see, we've been talking for so long, and the old man doesn't care at all about what we say. Let's make a film, I'll make a bill. ”

"Okay, let's check it out today. The patient's son nodded vigorously.

Even though there is no specific diagnosis yet, he is quite excited. This is hope, a rare hope.

"Mr. Liu, can Alzheimer's disease really be misdiagnosed?" asked Huang Bo curiously.

"It's not a good thing to say. Liu Banxia shook his head.

"The onset of this disease is very insidious, and it doesn't give you any signs. By the time you notice it, it's basically the late stages of the first stage. ”

"And there are many factors that cause this disease, it is a neurodegenerative disease, subtle brain damage or somatic lesions may not be detected on the instrument, but it will affect the cranial nerves. ”

"It's just that the old man's symptoms today have too many contradictions, so I have to do further examinations. You can't be negligent because you're afraid of trouble, but you have to make sure about it. ”

He is still very concerned about the situation of this old man. After all, because he had already neglected once, he let the big guy work for a long time, and he was worried for a long time.

Now he saw so many contradictory symptoms that he couldn't ignore them.

There was no emergency treatment for the old man, after all, the situation was not yet urgent. After looking around the hall for a while, he leaned over to the CT room.

"Did you come to see the contrast-enhanced CT scan just now? Retroperitoneal tumors, the probability of malignancy is estimated to be relatively high, and the image is not very good. Wu Bo, a diagnostician in the radiology department, said.

"Who's the patient?" asked Liu Banxia.

"Wang Huan, I thought I would see you. Wu Bo said with a smile.

"I was the next patient, the old man, diagnosed with Alzheimer's, but I always felt that something was wrong. After a while, you can take a good look, and the symptoms he showed showed were too inconsistent, and the progress was too fast. Liu Banxia nodded.

"Cheng, in fact, I don't need to look at it much, you can see it quite accurately. What happened to the young man with a tumor in his right hip?" Wu Bo asked.

"Wu Mingyu made an appointment with Director Xu to have surgery and do intraoperative frozen sections. If it is malignant, it will be replaced directly, and if it is benign, it will be simple. Liu Banxia said.

"But the young man has a lot of willpower, and he was worried before he didn't tell him, but he was strong after telling him. My parents have heart disease and high blood pressure and told us to help hide it. ”

Wu Bo nodded, "I hope it's still too late, the young man is so young." ”

Liu Banxia attaches so much importance to the patient, Wu Bo also led him to the CT monitoring room, look at the image directly, save you have to wait.

The machine was running, and the images were swept out little by little. Looking at the images on the monitor, both Wu Bo and Liu Banxia frowned slightly.

If you look at the CT images of the brain, there doesn't seem to be any problem.

"Mr. Liu, do you see what's going on?" Wu Bo asked.

Liu Banxia smiled bitterly and shook his head, "I didn't see anything, and I thought that there was a brain tumor that compressed some nerves that caused the current symptoms." ”

"I don't see it, I can't diagnose the symptoms based on the patient's performance like you do, I can only look at the picture and speak. Wu Bo said.

"Thanks, I'll have to think about it. Liu Banxia said.

"The old man's illness progressed too fast, I didn't hear that Alzheimer's progress would be so fast. That's where I made a mistake, it's so unusual. ”

Wu Bo can't give any opinion on this matter. Like he said, he can only talk by looking at pictures.

"Doctor, how is my father?"

Seeing Liu Banxia walking out with a calm face, the patient's son asked very nervously.

"There's nothing wrong with a CT scan at the moment, but it's not the same as the kind of brain atrophy you said in your previous tests. Liu Banxia said.

"So I'm going to do a lumbar puncture and check the spinal fluid to see if there's an intracranial infection or a central nervous system mass lesion. ”

"Although the CT detection is already very accurate, the brain is still very complex. The slightest effect, or pressure, can cause symptoms. ”

"Doctor, is that lumbar piercing dangerous?" the patient's son asked.

"It's dangerous, it's an invasive test. However, this is also a routine test at present, and it is also the most effective test that can be done at present, combined with some of your father's current symptoms. Liu Banxia said.

"Okay, then do it. The patient's son nodded.

In fact, there is nothing to think about this matter, either choose to continue to accept Alzheimer's disease, or just get tested to see if there are other diseases.

The old man was picked up by the police officer and sent to the hospital after he got lost, and he was also well taken care of in the hospital, and he was not fooled because he was a lost old man.

He really doesn't understand medicine, but he can understand what Liu Banxia said at the bedside of the emergency center. I also know that such a hospital will not do more examinations in order to fool the old man, and then find so many excuses.

How many people are queuing up here to check? That's all a small hospital that doesn't have the talent of patients, and there is no shortage of patients here, so there is no need for it.

Lumbar wear has a certain risk, but it is also a very simple job, and you only need to pay attention to it during the operation.

returned to the emergency center, and the lumbar puncture operation was handed over to Miao Rui to operate.

He is also unambiguous, and has experience in operation. It's not the time when I first arrived, I was a rookie back then, and now I've grown up.

The hand is very steady to insert the needle, the needle core is withdrawn, the needle tail is turned, and the cerebrospinal fluid flows out.

After collecting the sample, inserting the needle core, pulling out the puncture needle, and fixing it with sterilized gauze, turn the old man's body around, and let the old man lie flat on the consultation bed.

"Lie down for a while, and come for six or seven hours. Liu Banxia said.

"Okay, I'm watching from here. The patient's son nodded.

"Aomine, this is the hospital, why did I come to the hospital?"

The old man lying on the hospital bed came to a word.

"Dad, do you recognize me?" the patient's son cried out in surprise.

The old man frowned, "Nonsense, why does my waist hurt so much?

"Doctor, doctor, my dad can recognize me, and remember that he raised fish, what's going on?" The patient's son looked at Liu Banxia very excitedly.

"It's okay if I'm crooked, wait for me to call someone to come over for a consultation. It's nothing, the old man is not Alzheimer. Liu Banxia grinned bitterly.

He didn't expect things to be so dramatic, but it's nothing, it's good for patients.