(Thanks to my friend for dancing and a cup of strong tea for encouragement)

"Brother Qiu, didn't you keep your mouth shut when you ate at noon?"

Lao He did an MRI with his daughter, and Liu Banxia also began to have a family affair with Qiu Huaili.

"Oh my God, what kind of nose are you? I just drank half a glass of beer and talked to the big guy, can you smell it?" Qiu Huaili asked helplessly.

"Not to mention, my nose is really good. Let me ask you one more thing first, what do you think about Mingyuan's plan to raise a dog?" Liu Banxia asked again.

"If you can be as well-behaved as Jelly Beans, it's okay to make trouble and tear down the house, it's okay, and you can buy it if the furniture is broken. But you can't hurt Doudou, and when the time comes, let's see if the children of Jelly Bean follow it. It can't be that this kid is afraid that I will regret it, right?" Qiu Huaili said.

Liu Banxia hurriedly shook his head, "Then how can it be, I plan to consider another one if possible." I have a patient who has a border herd at home, but I haven't seen anything yet. ”

Then Liu Banxia told Lu Gang about the situation, and the focus was of course on the border herd called Huzi.

In fact, he wanted to ask Wang Xingxing at the beginning, but then he couldn't think about it. Wang Xingxing has nothing to do now, what about the future?

And he didn't know if Wang Lishan would be taboo about these, so he began to discuss with Qiu Huaili.

"I'm not taboo, what is the head of the border pastor? It seems that he should be quite well-behaved, and he will have a chance to see it. As long as you don't have a sour face and bite people often, nothing else. Qiu Huaili thought for a moment and said.

"Bian Mu is a black and white brain, with a white path in the middle. Liu Banxia said with a smile.

"But I'll mention it to you now, don't tell Mingyuan first, so that he won't have to worry about it. If my patient had been lucky, the chemotherapy might have worked well. ”

"You, I don't even know what to say. You said that you would be done curing the disease, and you would take care of everything. Qiu Huaili said helplessly.

"Why don't you talk to me now, do you have your own thoughts in your heart? Don't try to fool me, I know that you are a real kid. ”

"There is a rough guess, it must be related to the brain. Most of the symptoms of diabetes insipidus are caused by the body secreting too much diuretic and then not being able to retain urine. Liu Banxia said.

"But at present, I am a little uncertain whether it is compressed by the tumor or what caused it, anyway, I will know after the brain MRI is done. ”

"Still fooling me, then why did you let her take a jaw CT?" Qiu Huaili glanced at him.

"I see that her teeth are relatively loose, and combined with her symptoms of diabetes insipidus, there is a very unreliable guess, a rare disease called Han Xueke syndrome. Liu Banxia said.

"But this rare disease is more common in young children, so let's see what happens to her jawbone." If it's a lytic lesion, it's pretty much the same. ”

"It also has something to do with this child's eyes?" Qiu Huaili asked curiously.

Liu Banxia nodded, "This is another performance. However, this disease is a very rare disease, and the age of onset is still very low, generally around 4 years old. ”

"Come with me to the hall and stay there, this room still needs to be treated." Don't look at you as a big boss, you have to listen to me when you come to my territory. ”

There was more crowds in the emergency department in the afternoon, and he could chat with Qiu Huaili, but he couldn't occupy the pit and not.

The results of blood tests, electrolytes, and urine tests came out the fastest, and the test results were normal. Seeing this normal performance, Liu Banxia frowned.

He was just a bold guess, and now it seems that this little girl's illness is moving closer to his guess. Because if there is anything abnormal in these test results, you can still follow the blot to find it.

Seeing Liu Banxia's brows furrowed, Qiu Huaili sighed. Comrade-in-arms, this girl, is a little difficult to deal with.

He knows Liu Banxia's character, and he will not pretend to be profound. He couldn't understand these test reports, Liu Banxia frowned, he must be worried about this child.

After waiting for a while, Wu Bo called the phone.

"Angkor, I'm in trouble. After the phone was connected, Liu Banxia hurriedly said.

"What's polite to me, the film will have to wait a while before it comes out. However, the results are not very good, and the white matter of both cerebellar hemispheres is loose, which is likely to affect the child's development in the future. Wu Bo said.

"Thank you, Angkor, I still have to do a CT scan, just send me a message when you're done." Liu Banxia said.

"Okay. Wu Bo answered and hung up the phone.

"Brother, what's the situation?" Qiu Huaili hurriedly asked.

"The child's cerebellar leukotenitis is so far visible that it affects motor function. As for whether there are other effects, we have to wait for the neurology department to do fine treatment. Liu Banxia explained.

"The cerebellum is responsible for managing the body's movement and coordination, and the main manifestations are ataxia and language disorders. However, I think the child should be fine with speech and intelligence at present, but his actions have been affected. ”

"This is terrible, isn't this similar to the cerebellar atrophy of people of the age, Mingyuan's grandmother was cerebellar atrophy when she was old. Qiu Huaili said.

"That's pretty much what it means, when they're done with the examination, I'll have to ask the director of the god to come over for a consultation, and I'll communicate with that side first. Liu Banxia said.

The director of the neurology department is called Miao Yuqiang, and after receiving a call from Liu Banxia, he did not shirk when he heard his brief introduction. However, the clinic is being received, and the scheduled time is an hour later, and the CT scan can be completed by then.

The waiting time was a little tormenting, and when Liu Banxia received the text message, he sighed in his heart after seeing the results of the CT examination. The child's upper and lower jaws are slightly ablated, which is why her teeth are loose.

After pondering for a while, Liu Banxia prescribed another ophthalmology examination. Lao He and his wife did not notice whether the child's eyes were in condition, but they could find out under the examination of modern instruments.

"Xiao Liu, has the child's CT examination been completed?" Miao Yuqiang walked over.

"Director Miao, I'm sorry, the cranial MRI and jaw CT films have come out, you can take a look first. I was worried that the child had Han Xerko syndrome, and I asked the child to have an eye examination, and he should be back soon. Liu Banxia hurriedly said.

Miao Yuqiang glanced at him, nodded, and then took the film and watched it.

"When I received the consultation, I also found that the child had a craving for water, and he had to go to the toilet less than 8 minutes after drinking three glasses of water. Liu Banxia continued.

"Blood tests and electrolytes have also been done, right?" Miao Yuqiang asked.

Liu Banxia hurriedly handed over the inspection report with him.

Looking at the data above, Miao Yuqiang also frowned, a little tricky.

"Although it hasn't been examined in detail, your guess shouldn't be bad. However, further testing is needed to see if damage to the antidiuretic-secreting neurohypothetium. Ay...... , it should not be bad. Miao Yuqiang sighed.

At this time, Lao He walked back with his daughter and Qiu Mingyuan, and the results of the ophthalmological examination showed that there were gross tremors in both vertical and horizontal directions.

"Xiao Liu, you know each other well, you can explain it to your family. Miao Yuqiang said after reading it.

Mingyuan took the child to buy some snacks to eat. Liu Banxia took the child away.

"Brother He, although we haven't done more detailed examinations yet, we can determine that our child has Han Xue Ke's syndrome. ”

"The main manifestations of this disease are diabetes insipidus, bone ablation, and cerebellar diffuse lesions, and the child's diabetes insipidus is now secondary. The biggest possibility is that there is a substance called antidiuretic in our body, which is secreted in relatively small amounts, and the child has diabetes insipidus. ”

"Doctor Liu, in that case, what is missing, can we make up for it soon? Even if I smash the pot and sell iron, I have to cure the child. Lao He said anxiously.

"Brother He, I'm not done yet. Liu Banxia said with a wry smile.

"At present, the symptoms are not very obvious, which means that the impact on the child is relatively small. In fact, there is no effective stable treatment for Han Xerko's disease so far. ”

Let's put it this way, because the child drinks a lot of water, and then causes diabetes insipidus, but it is a self-protection of her body. There are various chemical components in our body, such as sodium, potassium, iron, these trace elements. ”

"Under normal circumstances, we ordinary people drinking so much water will definitely cause the loss of trace elements in the body, resulting in low sodium syndrome and low potassium, but if you look at our children's electrolyte test reports, they are normal. ”

"Our children first drink water because of diabetes insipidus, not because of water insipidus. After diabetes collapse, all that is excreted is fresh water, so many sodium ions cannot be metabolized, that is, the salt content in the body is excessive, so she is thirsty, and she wants to drink water. ”

"We can use drugs to control the secretion of antidiuretic, but at the same time, we need to keep the child's mouth shut and not let her drink too much water. And this monitoring has to reach a very detailed level. ”

"Because children drink too much water, they will become hyponatremia, hypokalemia, and life-threatening, as I said earlier. This is because too much water has diluted the concentration of sodium and potassium ions in the body. ”

"To put it simply, you can treat it, but you have to keep your child's mouth shut. Water intake and excretion should be carefully monitored daily. Otherwise, the child's life will be in danger, and giving up treatment will be treatment instead. At most, drink more water and make more trips to the toilet. Director Miao, I didn't explain it badly, did I?"

Miao Yuqiang nodded, "That kind of unbearable thirst, let alone children, even if we adults want to endure it." ”

The people on the side were dumbfounded, and it was the first time they had heard of this disease.

If it weren't for Liu Banxia's detailed explanations and Director Miao's approval, they really thought they were fooling people.