Doctor: It's reasonable to perform surgery on yourself.

Should it be said or not, men are always somewhat inexplicably competitive...

His hands were chewed to such an extent that he could still laugh.

"Shi Lian, take it over and deal with it."

If it bites a person, there is no need to consider rabies vaccine.

And it’s not deep enough, so there’s no need for tetanus.

Just do a simple debridement, suture and bandage and that's it.

"Next."

After sending this person away, Xu Qiu continued his consultation.

After about ten minutes, Shi Lian came back. She pursed her lips, looking like she wanted to laugh but didn't dare to laugh out loud.

Xu Qiu looked up and gave him a puzzled look.

Shi Lian suppressed his expression of laughter and said, "Teacher, you will know in a moment..."

A few minutes later, another man came in with his hand wrapped in gauze.

Xu Qiu was stunned for a moment, almost thinking that he was trapped in a time loop.

He looked carefully and confirmed that the patient's name was different.

"What are you..." Looking at the man sitting opposite in pain, Xu Qiu said expressionlessly.

"Doctor, what kind of bad luck do you think I have? I just finished breakfast today and wanted to take a walk in the community..."

Seeing that this guy was going to start with the Big Bang, Xu Qiu quickly interrupted him and asked, "Bitten by a dog?"

The patient showed a shocked expression: "As expected of Dr. Xu, he is simply amazing! Yes, I was walking well in the community. Suddenly there was a scream from behind, and a black shadow jumped out and threw me down. land……"

"I know." Xu Qiu interrupted him again.

Dude, do you write novels and use storyboards?

He looked at the wound where the patient had been hoarse.

There were deep bloody holes dug by teeth in several places, and a lot of skin and flesh around the arms were torn open. It looked much miserable than before.

Sure enough, the dog bites more harshly...

Fortunately, the man won. If his girlfriend had won, she would have eaten half of his arm off.

"rabies vaccine……"

"And tetanus."

This person can't just do a simple debridement. In the follow-up, not only extended debridement is required, but more detailed treatment is also required. Rabies and tetanus must also be arranged.

…

As noon approached, there were only three or five people left in line.

After sending away a patient, the horn sounded again in the corridor.

"Please ask patient No. 071 to come to clinic No. 7 for treatment... please..."

Xu Qiu was doing eye exercises for herself when she heard the sound of a wheelchair entering the door and looked over immediately.

This time it was a girl in a wheelchair who looked about eight or nine years old.

Behind her is her mother, who is travel-stained and has obviously come from out of town.

Her hair was a bit messy, and even though she was specially dressed up, there were still a lot of messy hair strands coming out, making her already tired look even more frail.

It can be seen that this is a very particular mother, but life is driving her away like an old scalper.

Compared with the little girl in the wheelchair, the mother's face looked worse, more like a patient.

Moreover, the wheelchair the girl was sitting on was provided by the clinic.

A patient who needs to use a wheelchair comes from out of town but does not have a wheelchair... The financial situation may also be very poor.

And judging from the two sweat stains on the mother's shoulders, she had carried her daughter here before.

It's almost the end of October now, autumn has already entered Linhai, and the weather has already turned cooler.

"Sit down." Xu Qiu saw through it without saying anything.

"Doctor, please save my daughter..." The woman's voice was already crying before she sat down.

She came from Ningshui Town in Jinghai City.

When my daughter was about five or six years old, she started to have occasional convulsions.

At that time, the child was fostered at the house of his grandparents. The couple worked in Jing'an City and had little contact with their daughter. They usually made phone calls, so it was not until the child was nine years old that the discovery was made.

By this time, the symptoms had developed from occasional involuntary twitching to limb movement disorders.

However, daily life has not been affected yet.

Until a physical education class at the beginning of the year, the child was unable to complete the designated rope skipping movements. After the physical education teacher forced her to try, she lost her balance during the second jump and her limbs were completely unable to coordinate.

In the past year, she has taken her daughter everywhere to seek medical treatment, from the school hospital to the town hospital, and has been seeing municipal-level tertiary hospitals and provincial-level tertiary hospitals. Finally, she got a diagnosis.

Dystonia.

This is a type of movement disorder characterized by continuous or intermittent muscle contraction, which leads to abnormal movements, abnormal postures, etc. It is mainly caused by uncoordinated contraction of agonist muscles and antagonist muscles.

And there are many causes, primary, secondary, and many special types of dystonia, such as Parkinson's disease, hepatolenticular degeneration, gangliosidosis, etc.

The provincial hospital tried a variety of drug treatments, but to no avail.

In the beginning, her husband accompanied her to see a doctor. In the middle of the year, he left a divorce agreement signed with his name and ran away from home. In the past four months, she has been traveling to various hospitals alone.

In the end, the provincial hospital was unable to cure the disease and recommended them to come to the local hospital to see Director Xu Qiu.

With the last borrowed money, she came here with her daughter.

"Dystonia?"

After hearing the woman's description, Xu Qiu's eyes lit up slightly.

In the past few weeks, he has been screening candidates for brain pulse device implantation.

Five cases of Parkinson's disease alone were diagnosed in line with the indications.

But the patients are basically elderly people in their seventies and eighties, who have poor tolerance to surgery and are not suitable to be volunteers.

And there are two or three cases of dystonia.

However, these patients have better options. Most of them have abnormal brain circuits, that is, there is a problem with the cerebral cortex-striatum-pallidum-thalamus-cerebral cortex circuit, or the synaptic homeostasis maintenance mechanism is dysfunctional...

These patients are easy to deal with, and symptomatic treatment is enough.

For dopa-responsive dystonia, take levodopa replacement therapy, and for ion channel disease, use carbamazepine. For both types, anticholinergics, muscle relaxants, benzodiazepines, etc. can also be used.

If it can be cured by taking medicine, Xu Qiu will not coax patients to do new surgeries with unclear efficacy in order to grab the first surgery.

But, this patient is obviously different now.

After going around six or seven hospitals and receiving drug treatment at the provincial hospital for more than half a year, it still didn't work...Drug-refractory dystonia is one of the absolute indications for brain pulse device implantation!

Xu Qiu glanced at the registration information.

If it was before, except for the dry name, age, chief complaint, etc., the diagnosis of other hospitals would not be displayed on it. After all, each hospital uses a different diagnosis and treatment system, and the medical data is not interoperable or shared.

However, under Xu Qiu's promotion, Baiyun Province has achieved large-scale image recognition and medical record sharing.

At least in Linyi, medical records from hospitals across the province can be mobilized!

——

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