Shen Qiushi was sent to the fourth hospital by ambulance, and it was already half past two in the afternoon.

Shen Xi followed, sweating profusely as he ran. And Shen Qiushi sat in a wheelchair in a daze, looking a little trance.

After Sun Lien learned that Shen Qiushi was coming, he didn't dare to delay for a second and ran directly to the imaging department, but he didn't see Shen Xi after turning around in the imaging department, so he reacted - the diagnostic center's own imaging department was put into operation today, and it is estimated that everyone is downstairs.

"He didn't have another seizure today, did he?" Walking through the corridor again to the first floor of the diagnostic center, Sun Lien found Shen Xi wiping his sweat here, as well as Shen Qiushi beside him. "Done?"

"The MRI hasn't been done yet, and Brother Luo said that there is still someone in it who is being checked, and it should be about ten minutes before it comes out. Shen Xi shook his head, and he said in a low voice, "Before I was transferred to the hospital, I had another seizure. ”

People with epilepsy have no memory when they have seizures themselves. Looking at Shen Qiushi's appearance, he probably also had a certain degree of understanding of the content of his illness - otherwise he wouldn't have looked so stressed.

An eighteen-year-old boy has just begun to enter a new stage in his life, and as a result, he has to face the reality that he will fall to the ground from time to time and foam at the mouth...... If you can accept this, there will be ghosts. Shen Qiushi's psychological pressure can be imagined - Shen Xi must be under a lot of pressure, otherwise with his character, he would not have taken his cousin's case and ran directly to the office of the diagnostic center - it was actually more convenient to find Sun Lien directly in the dormitory at night.

Shen Xi is an industry insider, and he has more professional background knowledge and experience than other family members. This is one of the main reasons why he began to worry. My cousin's epilepsy was not effectively controlled, and neurological symptoms continued to develop. But the Kaminai of the Second Hospital don't seem to be taking this progress very seriously, and they are still trying to control the epilepsy by adjusting their medications.

In the absence of a clear cause of the disease, the idea of focusing on the most serious symptoms cannot be said to be wrong, but blindly focusing on the "most serious symptoms" and ignoring the progress of the disease is what worries Shen Xi the most.

There is a problem with the nervous system, and most of the damage is irreversible. It is possible to control the existing severe symptoms with medication, but if the cause of the disease is not found, it is likely that this not particularly serious symptom will start to progress to the point where it is difficult to manage.

Sun Lien looked at the status bar above Shen Qiushi's head and chuckled in his heart.

"Shen Qiushi, male, 18 years old, high hypersensitive C-reactive protein (262.15.33), low immunoglobulin G (251.49.51), abnormal T2 signal in the right frontoparial junction area (220.11.45), left upper limb muscle strength level 1 (218.09.16), left lower limb muscle strength level 4 (216.33.34). ”

This is certainly not your average form of epilepsy. Sun Lien's eyes narrowed slightly, and this series of status bars made him smell a familiar smell.

A taste called "autoimmune disease".

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The MRI scan showed that Shen Qiushi had an abnormal signal in the right frontoprietal junction area as seen in the status bar—it looked like a part of the white matter had turned into an arcuate tract. The area of influence is even close to the location of the lateral ventricles.

"That's a bit of a big range. Brother Luo looked at the image and said to Sun Lien on the side, "But I didn't find any problems like mass lesions." ”

"Do you want to invite Shen Nei to come for a consultation?" Xu Yourong arranged for Xiao Guo to send Shen Qiushi to the room first, and then returned to the monitoring room to look at the MRI scan results on the computer screen, "The abnormal signal in this area should be directly related to the numbness of his left upper limb." ”

"And it's also related to epilepsy. Sun Lien nodded silently. The communication with Director Han at noon allowed him to have some guesses about the abnormal signals in this area, and combined with the reminder in the status bar, he already had a preliminary guess direction. But whether this guess is correct or not needs to be confirmed by more tests, "Give him a cerebrospinal fluid smear to rule out the infection first." ”

This arrangement is normal, Xu Yourong thought for a while and proposed, "Since you want to do an examination, then you can also check the others?" she pointed to the abnormal signal in this area, "This abnormal signal area always needs to clarify the nature of the lesion, but it is still too risky to do a biopsy as soon as it comes up, I suggest simply do a cancer marker screening." ”

Sun Lien nodded, "It's okay." "Immune abnormalities and cancers are more closely related than most people think, and there are not a few patients with abnormal immune systems who suffer from various strange cancers. "Then we will complete the examination first, and then consider asking for a consultation with God after the results are out. ”

Neurology doctors are also very busy, so it is best to do all the tests that can be done before inviting people for consultation, and then trouble others on the premise of having sufficient information.

The nurses are the busiest in the whole diagnostic center right now. After all, the autumn recruitment of the four hospitals has not yet begun, and it is really difficult for the nurses who have come to support them to take care of all the patients - plus Shen Qiushi, there are a total of four patients to take care of, and the manpower is indeed a little tight. Even nurse Xiao Guo has been pushed to the forefront of nursing. This big man, who usually worries people when he does chest compressions in the emergency room, has recently practiced a strong blood drawing technique in the inpatient department, and he will see blood when he gets a needle. Basically, you don't need to stab it a second time.

At this end of the hospital bed, Xiao Guo was drawing blood for Shen Qiushi, and Sun Lien was preparing to conduct a preliminary physical examination of Shen Qiushi. The results of the physical examination were not recorded in the medical records sent by the second hospital, and the medical examination was carried out again after being hospitalized for more than a week, which was also very helpful to grasp the progress of the disease.

"Doctor, I'...... Will this be the case in the future?" Shen Qiushi silently watched as the big man who was nearly two meters tall pulled out dark red blood from his arm, and asked Sun Lien without looking back, "I will be like this in the future, and suddenly I fell to the ground and didn't know anything?"

"We're now looking for what's causing your epilepsy. Sun Lien did not answer this question directly, "After finding the cause, it is possible to treat the cause......

"Can you bring me back to normal?" Shen Qiushi's mood was still very low, he sighed and said, "I just want to be an ordinary normal person, I don't need to have any special achievements, just like everyone else, I can live on my own, and I don't have to worry about suddenly falling to the ground and foaming at the mouth." ”

"That's what we're working for. Sun Lien tried his best to comfort Shen Qiushi, "Modern medicine is improving every day, and many diseases that we couldn't solve before now have feasible treatments." You have to have faith in yourself and don't be too pessimistic. ”

Shen Qiushi sighed, "I'm really ...... Eh, it's been so unlucky. He shifted his position on the pillow, "A few years ago, because of optic neuritis, I was hospitalized in the capital for more than a week, and I took a lot of hormones before I came out. The review for the high school entrance examination is a little worse. Now the college entrance examination is coming soon, and I have to be hospitalized again......" He seemed to be really worried, "What can I do in the future?"

Sun Lien raised his eyebrows, he stopped the pen in his hand and asked seriously, "Optic neuritis?"

"Yes, optic neuritis. It's just that all of a sudden I can't see clearly. Shen Qiushi smiled bitterly, "My parents thought it was me who was short-sighted at first, but after two days, they found that something was wrong - I couldn't even see clearly during the day, and I always felt that the house was too dark to turn on the lights." Later, at my cousin's insistence, they were willing to take me to the hospital. ”

Sun Lien took out his mobile phone and called Shen Xi directly, and after the phone was connected, he said directly without even a polite word, "You go back and look for the records and cases of Shen Qiushi's previous hospitalization for optic neuritis, and then bring it back to me as soon as possible." ”

"Huh?" Shen Qiushi was lying on the bed, a little surprised to hear Sun Lien's words, "My current problem has something to do with the fact that my eyes couldn't see clearly before?"

Sun Lien shook his head and said, "Not necessarily, but it's possible, you couldn't see clearly in both eyes at the time, right?" After getting a positive answer, he clicked on the record board in his hand and said to Xiao Guo, the nurse who had finished drawing blood, "Xiao Guo, take another tube of blood and send it to the laboratory department to check it......" He paused, shook his head and said, "Forget it, I'll go directly to the consultation - you go to the office in five minutes to get the doctor's order, and I'll prescribe some medicine for him." ”

Sun Lien still can't prescribe medicine directly, and since the diagnostic center began to operate, his prescription needs to be reviewed by Dr. Pascal before it can be checked out, and he has to use Xu Yourong's permission. However, Lao Pa is still very face-saving, as long as it is a prescription given by Sun Lien, he usually doesn't ask too much content.

"I'm going to give the patient a pulse treatment with methylprednisolone and gamma globulin. Sun Lien said earnestly to Dr. Pascal in his office, "If necessary, I will also apply for plasmapheresis treatment for the patient." ”

"What is the reason?" Sun Lien's treatment plan was a little radical, and a very face-saving Lao Pa asked, "The results of this patient's other examinations have not yet come out, what is your diagnosis and the basis for diagnosis?"

"He has MOG antibody disease and is still in the acute phase. Sun Lien said calmly, "At this stage, more than half of the antibody pulse therapy is likely to completely eliminate the symptoms, and if not the symptoms, at least reduce the degree of his disability." ”

Dr. Pascal frowned and thought for a moment, "And what about the diagnosis?"

"He had optic neuritis three years ago and his vision was impaired bilaterally. Sun Lien replied, "If you consider the symptoms of three years ago and the symptoms of the present, it should be MOG antibody disease, and it is not the common onset of bilateral optic neuritis (ON), but a relatively rare MOG antibody disease with epilepsy as the first symptom - his left limb feels numb and muscle weakness, which is the result of a demyelinating lesion in the junction area of the right frontoparietal lobe." ”