I Can See Health
Chapter 532 Trembling Eyeballs
Perhaps, extremely severe anemia can lead to muscle weakness and even muscle atrophy.
However, when encountering this situation, Lu Chen felt that the first diagnosis that flashed through his mind should not be pure red cell aplastic anemia. . .
Perhaps there may be other diseases that are closer?
"What's wrong, do you have any questions?" Yu Liqian looked at Lu Chen.
Lu Chen shook his head gently, "No, thank you teacher."
Although he was a little confused, it was not established at present, and Lu Chen could not produce any actual evidence.
Lu Chen returned to his seat and continued to flip through the book.
After more than 20 minutes, Yu Liqian said to Lu Chen again: "Lu Chen, I have finished writing the medical history of bed 3. You take the medical record and go to the patient's family to sign. Remember to sign a power of attorney."
"Okay."
In the Department of Hematology, Lu Chen has not written a medical history record.
Generally, after Teacher Yu Liqian writes the medical history record, she will give it to Lu Chen for the patient's family to sign.
...
Came to bed 3 again.
Lu Chen saw the boy named Xiaotong again.
He was still lying on the bed, his face was extremely pale, but his eyes were very bright, blinking, which was very inconsistent with his pale face.
"Hello, this is the informed consent form that needs to be signed for hospitalization." Lu Chen took the medical record folder and explained to the family one by one, "This is the medical condition notification, the signature of the person who narrated the medical history, and the agreement not to accept or give red envelopes..."
The child's parents were very straightforward. They had been hospitalized many times, so they didn't even look at the words on the consent form and signed their names directly.
"Doctor, I want to ask, how much does a bone marrow transplant in our hospital cost?"
After signing the informed consent form, the child's mother asked again.
Lu Chen was also a little hesitant. Although he had been in the Department of Hematology for a week, he had almost no contact with clinical practice and didn't really know much about the cost issues of Jinghua Second Hospital.
"I don't know the details. I'll ask for you later. But according to my previous understanding, the cost of a bone marrow transplant is about 100,000 to 200,000 yuan." Lu Chen explained.
Bone marrow transplantation, or hematopoietic stem cell transplantation, is a treatment method that treats a series of diseases by intravenously infusing hematopoietic stem and progenitor cells to rebuild the patient's normal hematopoiesis and immune system.
Some clinical diseases can be cured by bone marrow transplantation.
On the side, the child's mother sighed deeply.
"Alas, I knew it was still so expensive!"
In order to treat the child, they have spent nearly 200,000 yuan in the past few years. The migrant worker family, which was not rich to begin with, has already emptied their family assets and is heavily in debt.
It is almost impossible to take out another 200,000 yuan for a bone marrow transplant.
For a while, Lu Chen was also a little silent.
When he signed again just now, he saw the thick stack of more than 200 blood test reports in the luggage of the child's parents.
This seems to record the difficult journey of their family seeking medical treatment!
And the child's father has been silent all the time. The medical expenses before and after the bone marrow transplant are like a mountain pressing on his shoulders.
It makes them breathless.
However, Lu Chen can clearly feel the unwillingness in the eyes of the child's father.
At this moment, Xiaotong's father suddenly said: "After this hospitalization, we plan to go back to our hometown and find some relatives and friends to raise money for bone marrow transplantation." Although he said so, Lu Chen knew the hardships along the way. If relatives and friends could lend money, they would not wait until now, and they would have lent it long ago. Xiaotong's mother could only shake her head helplessly. In her eyes, this seemed to be a dead end. Where to go in the future is still unknown. The three people talked in a low voice, and Xiaotong basically couldn't hear what they were talking about. Or maybe, even if he heard it, he couldn't understand it at all. However, Xiaotong seemed to be able to feel the sadness in his parents' hearts from the surface. "Dad, Mom..." Xiaotong called softly, but still kept a faint smile on his face. Even though Lu Chen had seen many life and death, he was a little bit dazed at this moment. Lu Chen quietly put away the medical record folder and prepared to leave the ward and return to the lounge. However, his peripheral vision suddenly looked at Xiaotong's eyes inadvertently. He found that the child's eyes seemed to be trembling.
As a doctor who has been working in the clinic for a long time, Lu Chen can be sure that this is definitely not an illusion!
He quickly stopped, turned his head, and stared at the little boy in front of him.
...
In the bed.
The atmosphere was a little too quiet.
The child's parents were also very surprised. Why did the new doctor suddenly stare at the child like this?
"That... Doctor Lu, what's wrong with you?" The child's father said.
Lu Chen did not move his eyes away, still staring at the child carefully, and said: "Look carefully, are the child's eyes trembling?"
As soon as this was said, the child's parents immediately said in unison: "Yes!"
"It happens occasionally." The child's mother added another sentence.
Lu Chen frowned, and then said to the child: "Listen to your brother, stick out your tongue and show me."
The child was very obedient, not as naughty as other four or five-year-olds, and immediately stuck out his tongue.
After a long while.
Lu Chen slowly said: "Okay, child, you did a good job, you don't need to stick out your tongue."
The child was very obedient and put his tongue in.
"Doctor, is there something wrong?" The child's father asked immediately upon seeing this.
Lu Chen nodded slightly and said, "There may be some problems with the nervous system. To put it simply, his tongue muscles and eyeballs are trembling."
"This, this must have been a while..." The boy's father paused.
it's been a while?
This sentence aroused Lu Chen's vigilance.
So, besides these two positive neurological signs, is there anything else?
Lu Chen lowered his head and thought for a while, then raised his head and said to the child's father: "Next, I will do a simple neurological examination on the child to see if there are any other problems."
"Okay!" The child's father did not refuse and immediately nodded in agreement.
Under the current situation, he wanted to seize every possibility, without any concern that Lu Chen was just a rotating graduate student, not a formal doctor. UU reading www. uukanshu. net
Lu Chen did not hesitate and immediately walked to the bed and began to conduct a series of neurological examinations on the child.
In about five minutes, the inspection was completed.
Sure enough, this allowed Lu Chen to find something abnormal.
He found that the child's tendon reflexes were very weak or could not be elicited at all!
Lu Chen's brows immediately furrowed into the character "Chuan".
This is so abnormal!
A central brain injury shouldn't make a child's tendon reflexes weaken or disappear for too long, and a peripheral brain injury shouldn't make his eyeballs and tongue muscles tremble.
With so many strange neurological signs, the child also had muscle weakness, muscle atrophy, and aplastic anemia.
Is this caused by the same disease?
Or are they just two diseases? 16377/10079539
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