"So, can you be sure that you have a stroke?" The old man asked, and it was a little difficult to speak.

"This is one of the methods, you open your mouth first and I'll see." Guo Xiang said.

The old man opened his mouth, and sure enough, his tongue could not be centered, and it was sideways.

There is a possibility of stroke.

"Uncle, do you usually have high blood pressure?" Guo Xiang asked while writing medical records.

"It's a little high, and I've been taking medicine." The eldest lady said for him.

Guo Xiang nodded, no wonder his blood pressure was not particularly high just now.

"Now I suspect that I have a stroke, but it may not be serious, you can see that the tongue is a little biased, and it is a little difficult to swallow, but there are no symptoms of crooked mouth and eyes, and facial paralysis. Uncle, do you have weakness in your limbs? Guo Xiang asked again.

"It seems to be okay, it's okay......" the uncle shook his head.

Guo Xiang nodded, he walked in by himself just now, and his wife didn't support him, and he didn't seem to have his hands and feet to the side when he left.

"I still have to do a CT scan to take a picture of my brain to make sure." Guo Xiang said.

"Then do it." The eldest lady nodded, it's all like this, you always have to know if it's good, it's good to treat.

Guo Xiang opened an order and asked the old man to do a CT, and when the results were taken to see, he did not have a stroke.

However, a stroke is generally a cerebral hemorrhage, just like the previous porphyria patient.

But there is no cerebral hemorrhage, and there is another possibility of cerebral infarction.

"Is a cerebral infarction also a stroke?" The eldest lady asked.

"Yes, it's one of them. Cerebral hemorrhage is when the blood vessels have burst, and the blood flows out on the brain tissue, compressing and stimulating the brain tissue, causing the brain to be ischemic and hypoxic, causing a series of dysfunctions, and in severe cases, it may lead to death. ”

"Cerebral infarction is when the blood vessels in the brain are too narrow and blocked, the blood cannot circulate, and oxygen cannot pass, and some tissues in the brain will die due to ischemia and hypoxia, which will also produce some dysfunction."

"However, it is not possible to detect it by CT scan, and it may take a day for some necrotic brain tissue to be seen. Otherwise, I will do an MRI tomorrow, which is an MRI, so that I can see it more clearly. Guo Xiang said.

"You're going to be hospitalized?" The eldest lady glanced at her wife.

"It's best to be hospitalized, otherwise in case the situation is not good, you can be rescued in time." Guo Xiang said.

"Then let's stay." The eldest lady nodded, she was also afraid, if she really had a stroke, she would definitely have no way to do it at home, what if something happened if the rescue was not in time?

The old man was admitted to the hospital, because he had difficulty swallowing, and was given some nutrient solution, otherwise he would be too hungry to stand it.

Then he was given some commonly used drugs for cerebral infarction.

The next day, Guo Xiang went to check the ward, but found that the old man's condition was more serious, he couldn't drink water, not to mention that he couldn't even open his mouth, the whole person was very weak, and his hands and feet seemed to have little strength.

Hurriedly pushed the old man to do an MRI, and when the results were checked, he was surprised.

No, nothing, no cerebral hemorrhage, no cerebral infarction.

The blood test was also normal, and the blood lipids were not high.

What's going on?

Guo Xiang called Xing Ming and Xu Wei together for a consultation.

After talking about the patient's symptoms, he is prone to choking when drinking water, has difficulty swallowing, slurred his speech, and now it is difficult to even open his mouth, what is the reason for this?

"It must have something to do with the nerves, and they are all controlled by these nerves." Xu Wei said.

"What virus is infected?" Xing Ming said.

Xing Ming pondered for a while and said, "Could it be rabies?" I've seen rabies attacks in the countryside before, and those patients have similar symptoms, they also want to drink water, and their lips are very chapped, but they can't swallow it, it's the virus that invades the nerves......"

Guo Xiang's face became serious, rabies is a very serious disease, it's okay if it doesn't get sick, it will almost 100% die if it happens, and the incubation period of this virus is still very long.

"I'll ask right away." Guo Xiang stood up suddenly.

When he arrived at the ward, he pulled the eldest lady out, "Auntie, think about it, has the uncle been bitten by a dog recently, or has he been bitten by a dog before?" ”

"Dogs?" The eldest lady was surprised, why did she suddenly ask this?

She thought for a while, "It's true, two months ago, I was bitten by a puppy, but at that time, I only scratched a little skin, and I didn't even ...... blood."

"Is it rabies vaccinated?" Guo Xiang asked anxiously.

"Yes, three shots." The eldest lady stretched out her finger and gestured, "Doctor, what's the matter?" Is my wife's illness related to being bitten by a dog? ”

Guo Xiang frowned, "It's not certain yet, but it's very likely." If it is rabies, there is almost no cure, and the onset of the disease is very fast......" Guo Xiang was a little unable to continue.

"So, what then?" The eldest lady panicked and grabbed Guo Xiang's hand, "No, no, we got an injection, at that time he also said that it doesn't matter, isn't it just a puppy, so good, it will definitely be fine, or I persuaded him to take it......"

The eldest lady said that tears flowed down, and her hands trembled.

"Auntie, Auntie!" Guo Xiang hurriedly grabbed the eldest lady's hand, "Don't worry, we just suspect it, we can't confirm it yet, let's check it again......"

Xu Wei and Xing Ming also came over and asked carefully about the situation of being bitten by a dog at that time.

The eldest lady said that the dog was raised, not a wild dog, and it was still small, and it was usually not fierce, but the old man accidentally kicked it, and it bit in turn, and the bite was not heavy.

However, people nowadays have not vaccinated dogs, even if they are domestic, it is difficult to say.

"How's the dog doing?" Guo Xiang asked.

"Dogs? Okay. The eldest lady was stunned for a moment and said.

"Okay?" Guo Xiang frowned, that is impossible, if there is rabies, it should be the dog that dies first, it can't be well.

Dogs with rabies are generally dead within 3-5 days. Therefore, the observation period after being bitten by a dog is generally 10 days, and if the dog that bites within 10 days does not die or get sick, then the person who is bitten will not get rabies.

Although rabies also has an incubation period, it is unlikely that the virus in the old man's body has flare-up, but the dog has not flare-up.

So the old man doesn't have rabies?

"We're going to look at the patient's wound." Xing Ming proposed.

Everyone went into the ward together and picked up the old man's trouser legs.

"Where's the bite?"

"It's this position, you see, you can't see it, at that time, I just bit a very small piece, and it broke a little skin, and it will be fine in a few days." The eldest lady pointed to her wife's ankle.

Everyone observed it, and it was true that there was no injury, not even a scar.

"Uncle, open your mouth and let us see." Xu Wei looked at the old man.

The old man opened his mouth, but he couldn't open it anymore.

"Spread as wide as you can." Xu Wei said.

The old man whimpered, he had tried his best, but he couldn't open it, he was about to cry.

The saliva flowed uncontrollably, and the old man was ashamed and annoyed, and his face was sad.