Half an hour later, the results came back one after another.

Cerebrospinal fluid (CSF) analysis showed lymphocytosis (95%), normal range 40%~80%, protein slightly increased, glucose increased (10.28 mmol/L).

Cerebrospinal fluid culture and cytology showed no obvious abnormalities. (Note)

In addition, chest CT scans also showed no evidence of sarcoidosis.

The test doesn't say anything, at least in Dr. Carr's opinion. As with the results of the previous examination, this document was also packaged and sent to Canada.

"Prepare methylprednisolone 1g, shock treatment. Wu Mian said, "30 minutes after intravenous injection, do another lumbar puncture." ”

"Hmm. Chu Zhixi nodded and asked, "Brother, do you need to check the glycosylated hemoglobin?"

"Check. ”

Several medical orders left Saiban Carr feeling a little lost.

Is it diabetic? Diabetic eye disease? Impossible.

Diabetes mellitus can cause changes in the optic nerve and surrounding organs and tissues, such as fundus hemangioma, fundus hemorrhage, dacryocystitis, glaucoma, cataracts, vitreous opacity, optic nerve atrophy, macular degeneration, and retinal detachment.

But I am asymmetrically strengthened by head magnetic resonance, which has nothing to do with diabetes. Saipan Carr looked at Wu Mian suspiciously, and asked, "Wu, what kind of illness do you suspect?"

"Diabetes. Wu Mian took the test sheet and said, "If you look at the quantitative test of cerebrospinal fluid, the glucose has increased significantly to 10.28 mmol/L. ”

“......”

Saipan Carr was speechless.

If it weren't for the legendary Wu sitting opposite, he would have slapped him a long time ago and then flew back to China...... Go to Montreal, Canada.

When you see a high glucose value, you say it's diabetes...... This way of diagnosing is unacceptable to Symbian Carr. In addition, the blood sugar of the blood test is normal, and the glucose sugar of the cerebrospinal fluid test can only be used as a reference.

It may be caused by a stress reaction, but Symbian Carr can't believe the diagnosis given by Wu Mian.

"Carl, I've told you not to ask. Wu Mian saw Saipan Carr's expression and knew what he was thinking, so he smiled and said, "It's just a small problem, don't care." ”

Minor issues......

Dr. Saipan Carr was speechless.

"Take it easy, push the medicine. Wu Mian patted Saipan Carr.

But no amount of gentle smile could soothe Saipan Carr's heart at this time.

"Wu, I think I'm much better. Saipan Carr stammered, "I want to go home......"

"Don't you want to learn mitral valve clipping?" Wu Mian said with a smile, "Dr. Rod Franc of the United States established the diagnosis and treatment process for acute isolated abducens nerve palsy very early on, and believed that expectant observation should be performed initially. A series of case observations have shown that in most cases, vascular abducens nerve palsy resolves completely after a period of time. ”

"And hormones?"

"I just want to see the specifics, the diagnostic treatment, the diagnostic treatment. Wu Mian explained, "Take it easy, right...... Stretch your arms out and don't get in the way of our nurses' work. ”

Saipan Carr was confused, the black and red blood in the syringe was withdrawn, and 1g of methylprednisolone was injected into the blood vessels, and he instantly felt weak.

As methylprednisolone was pushed into the blood vessels, he could even feel the drug being absorbed and acting in the body with the bloodstream.

"Okay, I'll make you a waist garment later. ”

Wu ...... I'm scared. Saipan Carr whispered.

"Don't worry, I'll do it myself. It's just a needle prick and it doesn't hurt. ”

......

......

Twenty minutes later, Saipan Carr received a reply from Montreal, Canada.

[Carl, it is recommended that you leave Huaxia as soon as possible. You know, their medical level is very average, although they have a certain advantage in the treatment of common diseases, but there is a huge gap between them and the world's top in the treatment research and treatment of rare diseases. 】

In the email, the doctor in Montreal unceremoniously pointed this out at the beginning. Saipan Carr's heart moved, and he thought so in his heart.

But "diabetes" is the diagnosis given by the legendary Wu after all, and Symbian Carr is still a little entangled.

[The test you sent, after we studied it together, judged that it may be a rare hereditary genetic disease. If possible, we will test you for a genetic profile. 】

Genetic, rare, these words hit Saipan Carr unmistakably in the heart.

As a doctor, Symbian Carr believes Montreal's claims in the face of sudden localization disorders and bilateral asymmetrical changes in the brain during MRI examinations.

As for what diabetes...... To hell with him!

[Carl, you know that when it comes to gene therapy, our institute is a world leader. This is especially true for neurological diseases. Not only do we do neurosurgery, but we have also made breakthroughs in the treatment of epilepsy recently. 】

[Wu is just a surgeon, maybe he is strong in the field of cardiothoracic surgery, but please remember that the Montreal Institute of Neurology is the world's premier hospital and research institute. 】

[It will definitely not be the diabetes that Wu said, although diabetes is a common cause of isolated ischemic demyelinating abducens nerve palsy. However, there is no way to explain the change in the degree of bilateral enhancement on imaging. 】

[After careful discussion, we finally considered some kind of rare disease in terms of genes. If possible, hopefully you'll be able to come over this morning. 】

After reading the email, Saipan Carr stared at the wall of the hospital room in a daze, lost in thought.

As the email said, Wu is only a surgeon, and his disease may involve some extremely rare condition. Wu joked that he could name the disease after himself...... I didn't expect it to turn out to be a reality.

"Doctor Karl, would you like to rest for a while?" Zheng Kaixuan asked when he saw Saipan Karl stunned.

He never left, and Zheng Kaixuan was more curious about Wu Mian's judgment of the disease. It is rumored that although Wu Mian is only an editorial board member of the tenth edition of "Diagnostics", he is actually the editor-in-chief. It is said that his diagnosis level should be very strong, so Zheng Kaixuan wants to see the actual situation with his own eyes.

"Zheng, it's a pity, I don't think we have a chance to work together. Saipan Carr sighed and said, "The Montreal Neurological Research Center considers my case to be an extremely rare genetic disorder that requires screening. ”

"......" Zheng Kaixuan was stunned for a moment, and he knew that the Montreal Neurology Institute was one of the top three in the world in neurosurgery and neurological diseases.

Sure enough, it's a rare genetic disease!

......

......

Note: The cultivation time is very long, if it is too long according to normal terms, this scene is a bit verbose, so it is shortened. Whew~~~