"Of course, it was serious, and his limb numbness and epilepsy were all caused by demyelinating lesions. Sun Lien poured a glass of water for Shen Xi, and sighed after sitting down again, "Otherwise, why do you think I'm in such a hurry? Demyelinating lesions themselves are not easy to treat, even if neurotrophic drugs are given and supplemented by hyperbaric oxygen chambers, how much recovery can be determined by God's will." He thought about it, but still cheered for Shen Xi and said, "I also took over a patient with demyelinating lesions before-you know the owner of the Zhanjun barbecue in our school, right? When he was admitted to the hospital, he was in a bad condition, but after the diagnosis was confirmed, he has been rehabilitating and now basically does not affect his daily life, except for the weaker muscle tone in his arms. ”

The prognosis of demyelinating lesions really depends on luck. Zhan Hao belongs to the category of very good luck, but it is difficult to say what Shen Qiushi's luck is. What's more, he is actually a recurrence of MOG antibody disease, and the extent and extent of the damage must be more severe than that of the first patient with MOG antibody disease. The last time he had an illness, he had good luck. But this time...... It's really hard to say.

Damaged nerve cells are hard to repair, and it's hard for doctors to determine how many nerve cells have been damaged until the immune system is suppressed and the inflammatory response in the brain is gone. In addition to the relatively common endocrine disruptions, high injections and maintenance of glucocorticoids can lead to a host of side effects, including cardiovascular risk. Iatrogenic Cushing syndrome and even serious consequences such as necrosis of the femoral head.

This is a treatment with huge side effects, but it is also the most effective at the moment.

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After getting Sun Lien's detailed explanation and Shen Xi's approval, Shen Qiushi's parents wiped their tears and signed the treatment consent form. The only thing they are thankful about now is that they listened to Shen Xi's advice three years ago and sent Shen Qiushi to the capital for treatment. Although the hospital in the capital did not clearly diagnose MOG antibody disease, their treatment was similar to that of hormone pulse therapy - Shen Qiushi's optic neuritis quickly improved under a large dose of hormone suppression.

"I'm going to ask the pharmacy to bring the medicine over and start the treatment right now. Sun Lien glanced at his watch, at half past six in the evening, the time was still in time, "Do you want to go to the ward to accompany him?"

In general, treatment in the inpatient unit will be concentrated during the daylight hours. But special treatment under special circumstances, Shen Qiushi is obviously not the kind of patient who can afford to wait. Before the glucocorticoid pulse therapy, his own immune system was attacking the myelin oligodendrocytes in his brain almost every minute. If you wait one more minute, more myelin oligodendrocytes may be killed by CD4+ T cells, thus disintegrating the cellular structure in Shen's brain.

If the human brain is compared to a computer with a delicate structure, then the current situation is that a group of rats are tearing at the insulation of the wires in the computer. As there are fewer and fewer insulation, both short circuits and abnormal discharges can increase rapidly. And when the time comes, Shen Qiushi's condition will only get worse and worse.

Antibiotics are dispensed directly from the pharmacy and delivered to the diagnostic center. But the nurse who gave the injection ...... Not really. The head nurse, Zhong Yu, is busy changing Qian Aiwu's dressings, while Xiao Guo is checking the first-aid medication in the inpatient department — he will also be responsible for disinfecting the corridors and wards later.

In desperation, Sun Lien decided to give Shen Qiu practical medicine by himself. Fortunately, intravenous infusion is an important part of the practice exam – at least theoretically, he is fully capable of infusion. But in practice, he really hasn't done much of this job...... After all, when I was in the emergency room before, there was never a shortage of powerful nurses around me who could smoothly open intravenous access under the condition of chest massage.

"Or else...... You want to try it?" Sun Lien held the injection needle in his hand and deliberately said to Shen Xi, who looked a little nervous on the side, "Anyway, if you want to take the medical exam in the future, you will have to practice." ”

Shen Xi turned his head into a rattle, "Brother, let's not make this joke...... It's okay to tie someone I don't know, but where can I do it with my cousin. ”

"Oh......" Sun Lien nodded suddenly in realization, "It's too familiar to start, right?"

Shen Xi's brows jumped when he heard the sudden joke, "Brother Sun, the posture you are joking about now really has the flavor of our boss." ”

The operating theatre is usually a real Formula 1 racing track. There are all kinds of jokes and jokes. In order to relieve the boredom of life, this group of department directors who operate every day except for surgery often tends to tease young doctors and nurses. Especially when teasing his own students, he is called ruthless.

Especially in urology...... In departments where various "sewer" accidents are common, the speed of driving is even faster. There are generally two ways to evaluate whether a doctor is serious or not in the hospital. One is "you're more knowledgeable than dermatology" and the other is "you're better at urinary jokes." ”

Skillfully but somewhat uncertain to complete the pre-injection preparations, Sun Lien steadily inserted the indwelling needle into the superficial intradermal vein on the back of Shen Qiushi's hand. The indwelling needle is much thicker than the average adult intravenous infusion needle, and it is more painful to insert it for the first time than an ordinary intravenous infusion. But the upside is that you only need to get a puncture once or twice throughout your hospital stay – and if you care for it properly and there are no infections or blocked needles, you can use the indwelling needles for more than ten days.

For the comfort of the patient and for the convenience of subsequent infusions, it is necessary to use an indwelling needle at the beginning.

The principle of deep neck venous catheterization that Sun Lien has seen between the superficial venous indwelling needle and Sun Lien is basically the same. However, this procedure is much simpler than deep neck venous catheterization. Like ordinary infusion, after doing a good job of disinfection, look at the position of the vein and prick it down, stop the puncture after seeing the blood return, and then fix the pipeline with a transparent film dressing and leave the injection port. Since the four hospitals widely use heparin cap indwelling needles instead of the traditional heparin sodium hose indwelling needles, it also eliminates the need to use normal saline to flush the tubing every day and seal the heparin sodium tube after treatment.

In practice, Sun Lien played quite well. After the catheterization was completed, Sun Lien hung up the prepared glucocorticoids for him. After pulling the infusion pump and adjusting the infusion speed, he nodded to Shen Xi and Shen Qiushi's parents, "You can continue to accompany him here for a while." It's best not to take more than an hour though—it's better to let him rest a little more. ”

Leaving the ward, Sun Lien glanced at the already dark sky and walked towards the office. As a result, I was just halfway there, but I heard a not-so-good news reported by Xiao Guo.

"Brother Sun, the head nurse asked you to come over. Xiao Guo, who was wearing a nurse's uniform that finally fitted, walked over quickly and whispered to Sun Lien, "Qian Aiwu has some rashes on his body. ”