Chapter 197: Lewy body dementia

So, Stephanie opened a checklist and a letter for Mrs. Silverstone to go to the commercial testing agency with which the clinic cooperated.

"Slow down, be careful!" Looking at Mrs. Silverstone's trembling back, Stephanie couldn't help but exclaim, "You'd better let your daughter come with you next time!" ”

"Yes, thank you, kind Dr. Stephanie! You are such a thoughtful child! Mrs. Silverstone looked back and complimented.

Stephanie smiled at her.

After the old lady left slowly and awkwardly, Stephanie fell into deep thought.

She was pondering the old lady's condition.

This old lady's condition, a bit like schizophrenia, but not all, maybe, Alzheimer's disease?

According to the old lady's self-complaint just now, the old lady was very capable and optimistic when she was young, and once ran a flower shop, which was very well maintained, relying on this flower shop, she divorced at an early age, raised her daughter alone, and bought a house in San Francisco. Only she knows the bitterness.

Now that he is older, he transferred the flower shop to his daughter, and he lived a leisurely life in his old age. Finally, we can enjoy it!

Since a year ago, she has experienced occasional dizziness, frequent insomnia, early awakenings, and forgetfulness. I just thought it was because I was old, and I didn't pay attention to it. Every time I had a physical examination, I didn't find any obvious diseases.

However, since last month, she has been horrified to find that she is two very different people during the day and at night!

During the day, it is normal, but at night, it becomes timid, nervous, and anxious, and it is necessary to lock the door and hold it with a chair, close the window tightly, and close the curtains to feel at ease.

And she also had hallucinations, once, she was about to go to bed, but she was horrified to find that there were many snakes on the bed, densely packed, crawling around, shocking!

She cried out in horror, and her daughter, who lived with her, came when she heard the news, and found that there was any snake there. Helped her back, so comforting, sure enough, when she looked at the bed again, it was clean!

In addition, her daughter told her one thing, that is, sometimes she fell asleep, and suddenly she would shout and dance, and when her daughter came, she woke her up, and she was confused, and she didn't know what had happened.

Even at the beginning, she felt that her daughter lied to her, but once, when her daughter recorded her yelling and dancing, and showed her the video, she realized that she was so "absurd"!

Mrs. Silverstone was still alone when she came to the follow-up appointment. Although she called her daughter, she was too busy to care.

Stephanie looked at the old lady's skull MRI report, which showed that the old lady had mild atrophy of the whole brain, but no obvious atrophy of the hippocampus.

The atrophy of the hippocampus is a typical manifestation of Alzheimer's disease.

"What is it? It's like this, it's like that, but if you think about it carefully, it's not like it! "Stephanie feels like she's in trouble!

"Or, let's go to Zhou Qiao and see if he has any opinions?" Stephanie thought of Zhou Qiao and couldn't help but stick out her tongue.

In reality, she was a little afraid to face Zhou Qiao, every time she had lunch at noon, although everyone ate together in the rest area and talked and laughed, Stephanie didn't dare to look at Zhou Qiao.

After all, she had such a dream, and in the dream, she was so prodigal!

Especially the last time, he was like two Zhou Qiao at the same time...... I was very cooperative and enjoyed it...... It's shameful and exciting to think about! If this dream is only known to her, it doesn't matter, but it is Zhou Qiao's dream therapy, that is to say, Zhou Qiao can completely perceive it.

She didn't know if Zhou Qiao was like her, with a feeling that was almost as real as it was, and it was unforgettable. If so, that's really, shamefully!

"Dr. Stephanie? What are you thinking? Mrs. Silverstone tilted her head and asked suspiciously, how could this pretty girl, the doctor, be as forgetful as she was? Said it was a diagnosis, but suddenly forgot about it, and then went to think about something else?

"Huh?" Stephanie exclaimed, stood up, and hurriedly said, "Mrs. Silverstone, your illness is a bit tricky, I'll go to our boss for advice." You also know, he is the sign of our clinic, and his medical skills are better than mine, I don't know how many times, well, you wait a minute! ”

"Okay, there you go, cute girl!" Mrs. Silverstone nodded, and sat down in her chair with squinting eyes and pretending to sleep. She doesn't rest well at night, she's getting older, and she's really sleepy during the day.

However, I couldn't sleep.

As for Zhou Qiao, she knows that she is very famous in California. Especially in medical cosmetology, I heard that some new drugs have been invented.

It's a pity that she is a lot older, and she has already passed the stage of paying attention to her appearance, and now she only longs for health.

Stephanie walked up, the fragrance was rippling, and when she approached Zhou Qiao's clinic, she couldn't help but slow down.

She coughed and reached out to knock on the door.

"Come in!" Zhou Qiao's magnetic voice came from inside.

Stephanie's heart fluttered, and she poked her head out and pushed the door open.

"Is there something wrong?" Zhou Qiao raised his head, saw her, and said lightly.

Stephanie's heart skipped another beat, this faint expression was so familiar, exactly like in a dream, but how could he pretend that nothing had happened?

After all, we have been in our dreams hundreds of times!

Could it be that Zhou Qiao, like Mrs. Silverstone, is also forgetful? Or does he not feel the dream as clearly as he does?

It's not impossible, it's your own dream after all!

Thinking about it made Stephanie relax a little. Perhaps, Zhou Qiao can't perceive his dreams, but he used hypnosis to hypnotize himself, and dreaming is all led by himself?

Well, if that's the case, then next time, you can be more presumptuous in your dreams! Anyway, no one knows, does it?

No, that's what the Witch of the Wanderer thinks, not my holy Stephanie thoughts!

Stephanie took a deep breath, cleared her minds, and went inside, telling Mrs. Silverstone about her condition.

"Let's go, I'll go with you to take a closer look." Zhou Qiao got up.

Stephanie thought for a moment, then stopped.

"Say whatever you want!" Zhou Qiao looked at her with encouraging eyes.

Stephanie hesitated, and then, at last, plucked up the courage to ask her own question, "Joe, I want to ask...... When you give me dream therapy, can you ...... Clearly perceived ...... Is that feeling? ”

Zhou Qiao thought about it very "seriously", shrugged his shoulders, and said: "I can only roughly set the direction of a diagnosis and treatment story, but the interpretation of some details is not very clear, and the specific perception is ...... Are you kidding? That's you dreaming, maybe, you have a clear feeling, but I don't. ”

In fact, his consciousness and Stephanie's consciousness entered the virtual world at the same time, because he was the "owner of the house", and he was in charge of the whole process, so he could naturally perceive it clearly, and it was also the same kind of feeling as Stephanie, which was almost real.

In a way, it's stronger than the truth, because it's the merging of two souls.

However, since Stephanie asked, he cooperated so that she would not be too embarrassed.

Last time, he told Stephanie about his daughter kingdom and the story of King Shang and Daji in the Romance of the Gods, but it was a traditional Chinese mythological story, which was a background introduction and did not cover what he experienced in the dream.

At that time, Stephanie only thought that Zhou Qiao was also a real experience, but now that she thinks about it, she realizes that maybe she was too worried! In fact, she didn't think much about it!

"Ah, that's just great." Stephanie couldn't help but say in surprise. In this way, next time, she can have no psychological burden at all and let the prodigal witch play to her heart's content.

Only when the prodigal witch is released in her dreams can her other half of her holy personality occupy an absolute dominance in reality.

"Well, don't talk about that, it's a matter of urgency, it's important to see Mrs. Silverstone!" Zhou Qiao said, and walked outside first.

"Uh-huh, I think so too!" Stephanie peeked at Zhou Qiao's back, her sexy red lips slightly curled.

……

The two of them went to Stephanie's office together to consult with Mrs. Silverstone.

"This disease, consider Lewy body dementia!" After reading the report and listening to the detailed introduction of his condition, Zhou Qiao pondered and said.

"Lewy body dementia?"

Stephanie was stunned, and then her watery eyes lit up, and her heart said yes, why didn't I think of it? It's not impossible! It's just that this disease is relatively unpopular, and she really ignored it before.

Xindao, my level still needs to be improved, I didn't expect Zhou Qiao to be so knowledgeable! Then he looked at him with adoring eyes!

She admires Zhou Qiao more and more!

"If it's dementia with Lewy bodies, I think two more tests are needed!" Stephanie groaned as she searched through what she had learned in her mind.

"Which two checks, you say?" Zhou Qiao asked her in a quisitive tone.

Stephanie said, "Dopamine transporter PET and polysomnography!" ”

Zhou Qiao gave a thumbs up approvingly: "It's great!" ”

Stephanie couldn't help but feel a burst of sweetness, and shyly narrowed her blue eyes.

"What is dementia with Lewy bodies and can it be treated?" Mrs. Silverstone said that she was beyond her own knowledge. She originally thought that it was caused by lack of sleep, or that she had some mental problems.

However, I never expected that this Lewy body dementia would come out!

What kind of strange illness is this?

She's worried!

Although she is 73 years old, she still wants to live a few more years in good health, preferably like Mrs. Mace next door, who can live to be 103 years old and go out for a walk every day.

Zhou Qiao said with a smile: "Although there is no cure for this disease, early detection and early intervention can effectively delay the progression of the disease." ”

He talked eloquently, in a language that the old lady could understand, and gave the old lady a brief introduction to the disease.

"Lewy body dementia" is a degenerative disease of the nervous system, which is highly similar to Alzheimer's disease, Parkinson's disease and other diseases in terms of symptoms.

To put it simply, there are some proteins in the human brain that are abnormally packed into lumps, known as "Lewy bodies", and the deposition of Lewy bodies in different parts of the body will cause patients to have hallucinations, memory loss, sleep behavior disorders, Parkinsonism and other series of manifestations, but not every patient will have the above typical symptoms.

In fact, this disease is really difficult to diagnose and often misdiagnosed, and Stephanie can keenly detect abnormalities and does not jump to conclusions, which is already remarkable, surpassing many doctors.

Medicine is actually a very complex subject, and even if there are examination reports and films, it is not always possible to make a correct diagnosis! On the basis of this "ambiguity", it is even more difficult to know which direction to investigate.

There are so many check-up items, you can't let the patient do them all at once, right? Isn't that a mess?

Even if you do it all over again, the level is not good, and you still can't come to a conclusion! Therefore, multidisciplinary consultation came into being.

When Zhou Qiao spoke, Stephanie also listened with relish.

(End of chapter)