113 Look at rheumatic immunity

"Hey, hey. Chu Zhixi laughed out loud, "Director Gu, if you are indecided, you are immune to rheumatism, this sentence is always true." Freshman of medical college, rheumatism and immunity should be Director Qi's place. ”

Gu Weimian nodded confusedly.

"Let's check it first, and then talk about it after checking, it is estimated that it is anti-NXP2...... That is, anti-nucleomatrix protein 2 is positive. ”

"Positive?"

"On endoscopy, did you find calcifications in the esophageal mucosal epithelium?"

"I found out, I was worried about cancer, and I also did a needle biopsy, and the pathology report was negative. ”

"You must not have paid attention to the CT scan in other locations, and the patient is scattered all over the body with calcifications. Well, it's normal not to notice, it's not very obvious. ”

Chu Zhixi returned the mobile phone to Gu Weimian, "Actually, you should do an electromyography examination first, but on the weekend, the electromyography room is probably closed." By the way, Director Gu, you can say hello to the laboratory department, and the results will be faster. ”

"Oh. Gu Weimian was a little stunned.

Is there a calcification point? Yes, isn't it because of age, the epithelial cells are calcified?

"I'm sorry for you, I have a bit of a psychological disorder, and if I don't know the final result after reading the patient, I always feel that something is wrong, and the meal is not fragrant. Chu Zhixi said.

"Oooh oh. Gu Weimian still looked confused.

Rheumatism and immunology are the quantum mechanics of medicine.

There are all kinds of strange and incomprehensible diseases, and when the consultation of various departments is at a loss, it is necessary to find a rheumatology and immunology expert to take a look.

Therefore, the rheumatology and immunology experts in the country are very arrogant, and in their opinion, no other doctor will see a doctor.

Rheumatology and immunology don't just look at diseases such as arthritis and rheumatism. Diseases attributed to rheumatism are complex and strange, and sometimes the symptoms are consistent with normal diseases, making it difficult to judge.

"Professor Chu, what kind of illness is that?" Gu Weimian asked with a stunned glare.

"Anti-NXP2 dermatomyositis is a rare inflammatory disease and, like other dermatomyositis, patients often complain of muscle weakness and present with specific skin symptoms. ”

"Patient ......"

"Esophageal smooth muscles are also muscles. ”

“......”

"Symptoms of digestive involvement in anti-NXP2 dermatomyositis are primarily manifested by symptoms related to gastrointestinal motility, such as dysphagia. In addition, chronic intestinal pseudoobstruction, malabsorption, or gastrointestinal vasculitis may occur. ”

"Generally, endoscopy, imaging and esophageal manometry are done. You've done it all, which is good and saves a lot of trouble. ”

"Now it's all you need to do with a blood test. ”

"But......" Gu Weimian wanted to say something.

Chu Zhixi's words were gentle, and his words were gentle and amiable, but once the background was lined with Wu Mian, especially the red wall outside, every word heard Gu Weimian's ears as if he was secretly mocking himself for not being able to see a doctor.

Gu Weimian instinctively raised the bar and pulled, but he couldn't afford to go back and secretly examine the patient by himself.

But in the blink of an eye, he was intimidated.

What is this picture, Professor Chu will give himself a round, just hurry up and do it. If the diagnosis is correct, it is because you are not capable enough. It would be nice if Professor Chu made a mistake in diagnosis and came with a smile and slapped them in the face intentionally or unintentionally.

The person in front of him is Teacher Wu Mian, no matter why, can he provoke?

It's better to save it.

"Lao Gu. Seeing that Gu Weimian was a little stunned, Daoist Lin immediately reminded him.

He was really afraid that Wu Mian was looking calm as water now, and he would go berserk in the next second, and he would be involved in Gu Weimian saying that he was going to smash the stone tablet in the backyard.

"Oooh oh. Gu Weimian's thoughts were immediately pulled back, and he immediately bowed slightly, and said, "Teacher Wu, Professor Chu, I'll go and let the patient be examined at home." Once I have the results, I will report them as soon as possible. ”

"Wait a minute, Director Gu. Chu Zhixi smiled and said, "Add a WeChat, just let me know the results on WeChat." ”

"Okay. Gu Weimian hurriedly took his mobile phone and added friends with Chu Zhixi, and then ran back for a checkup.

After eating, Daoist Lin accompanied Wu Mian and Chu Zhixi back to the backyard.

It was past noon, the sun was warm and not strong, Wu Mian sat on the backyard recliner with his hands in front of him, his thumb constantly circling.

Chu Zhixi sat quietly on the side, holding the "Three-Body Problem" in his hand and reading.

The tea on the table is full of steam, the tea fragrance is quiet, just sit quietly, as if sitting by the long river of time, the deceased is like a husband.

The mountain behind Lao Ou Mountain was quiet, and Daoist Lin specially advised, and no one disturbed Wu Mian and Chu Zhixi. By the time the lights come on, the book in Chu Zhixi's hand will be more than a dozen pages over.

Wu Mian was still motionless, as if he was a sculpture, quietly looking at the starry sky.

Although the starlight was faint and his eyes were closed, in his heart he could see countless stars shining up at the top of the firmament.

It is said that looking up at the starry sky and clouds, as long as Wu Mian wants to, he can look up at the starry sky in his heart anytime and anywhere. There is no difference between here and the outside world, Wu Mian has considerable confidence in his memory, and there is absolutely no difference in the slightest.

The stars of the Milky Way are so bright, just like the tinkling of mountain spring water around them, splashing countless lights and shadows.

"Brother, what do you eat at night?"

"I'll talk to Lao Lin. Wu Mian said leisurely.

Hearing Wu Mian's clear tone, Chu Zhixi smiled. It's a sign that he's feeling comfortable, and there shouldn't be anything wrong with that. It's better to be on the old eagle mountain, this side is secluded.

"Brother, why don't we stay here? ”

"You're going to have surgery. ”

"I can move the operating training room here as well. ”

Wu Mian thought about it, sighed slightly, was noncommittal, picked up his mobile phone and called Daoist Lin.

Telling Daoist Lin to bring dinner, Wu Mian had no interest in going to the "canteen" to eat. There are many people in front, and if you meet someone like Gu Weimian again, this kind of thing, it will not be a vacation but a consultation.

Soon, Daoist Lin came to the small courtyard in the back mountain with the food box.

A bottle of old wine, it is said that it is brewed by the spring water of the mountain behind Lao Ou Mountain, a few side dishes, Wu Mian and Lin Daoshi eat and drink at the same time.

"Uncle Junior, I thought you stayed in the United States and never came back for the rest of your life. ”

"How could it be. ”

"The doctor is well treated, he's not busy or tired, why are you coming back. ”

"Something happened, and I got into a fight with my teacher over there. In addition, I was not feeling well at the time, so I came back. Wu Mian said slowly, at this time, he was idle, only the mountain spring water dingdong in his ears, if there was no Lin Daoshi, it might be more perfect.

"Hey, I knew my dad was right!"

"Well, the old man has great skills. Wu Mian said softly.

Lin Daoshi's eyes lit up.

"Uncle Junior, I always guessed that my dad might be a master in the world, but I was young at the time and didn't know what my dad was capable of. ”

"Lazy. ”

“......”

"What a look on your face. Wu Mian said, "Lazy to the extreme, that's a big skill." Ordinary people's laziness is not a problem...... It's a pity. ”