Sleepless Doctor

Matthew De did not leave. He stayed here to accompany Xue Chunhe to finish the NMR. After leaving the image data with his mobile phone, he sent it to Teacher Wu, and he took a sigh of relief.

On the way back to the ward, Matthew De was thinking about giving graduate students a salary of 1,700 yuan a month as he walked.

It is estimated that there is no good way to change yourself.

Fortunately, you don't have to think about these things by yourself now, so you don't have to worry about it! To make money, that is the duty of Teacher Wu.

Matthew was happily thinking of this. It doesn't matter how you hang up high, this is the wave of the times, and he knows how many kilograms a deputy dean can have if he is a medical office.

"Ma Yuan, are you just coming back from the NMR room?"

Was wondering whether Mr. Wu was blindfolded like a donkey and whirled in circles, holding a small leather whip at ease, and if he whipped it, a familiar voice came from Matthew De's ear.

As if being caught and stolen while doing bad things, Matthew was shocked and shivered.

"Ma Yuan, I'm sorry." Wu Mian didn't know what Matthew was thinking, and apologized, "Are you all right."

"It's okay, it's okay, why are you here, Teacher Wu."

"Look at what you said, Xue Yuan is sick, can I not come to see it." Wu Mian smiled, "Moreover, there is a problem with the diagnosis of methanol poisoning.

"I also think there is a problem. The wine we drank together that day." Matthew De said, "I don't know if you feel it. Anyway, I am not abnormal at all. The wine is good, and the taste is right. It is unlikely to be methanol. To the water."

"Yeah." Wu Mian nodded, "There is a problem with the head MRI, what about the film?"

"I'll let them upload, go back and take a look." Matthew De said, "Ms. Wu, what is the problem?"

"I see abnormal signals in Xue Yuan's cerebellum, and the nuclear magnetic image on the mobile phone is not very clear, and I am not sure yet. Go and take a look on the computer, don't worry." Wu Mian said.

"You talk about it first." Matthew De said, "I really feel that methanol poisoning is unreliable, but Xue Yuan's medication is still effective, you say it's not strange."

"There is a relatively special immune disease called GFAP astrocytosis. The treatment is the same as methanol poisoning. It mainly depends on hormone shock." Wu Mian said with a smile, "Xue Yuan is still lucky. Although the diagnosis may be problematic, the treatment is no problem. ."

"..." Matthew De was taken aback, what a coincidence!

The diagnosis is wrong, and the curable medications are all hormones? ! This probability is too low.

"Rheumatic immune diseases, I also have a headache." Wu Mian sighed and said, "But if I am not wrong, it should be GFAP astrocytosis."

"Ms. Wu, is this serious? Will there be any sequelae?" Matthew asked with some worry.

"It's okay. Autoimmune glial fibrillary acidic protein is a very abundant protein expressed by astrocytes, which is widely distributed in the brain, cerebellum, brainstem, optic nerve and spinal cord. If something goes wrong, it is usually after the age of 40." Wu Mian explained. Tao said, "Clinical manifestations are diverse, and the most common manifestations are meningoencephalitis or meningoencephalomyelitis."

Matthew Dee listened to Wu Mian as if he was listening to a book of heaven. He had never heard of this disease before. Even the old medical director, he was very unfamiliar with this kind of astrocytosis.

"This disease covers almost all the neurological symptoms on the diagnosis, and it is difficult to distinguish." Wu Mian said, "The film...oh."

"Teacher Wu, don't scare me." Matthew Dee said quickly after hearing Wu Mian's sigh, his heart tightened.

"Classic MRI shows a diffuse and continuous periventricular white matter abnormal signal. In fact, it should be enhanced by nuclear magnetic resonance. It may be that I was busy just now and forgot to say that it was enhanced."

"Ms. Wu, what can the enhancement see?"

"After the contrast agent is enhanced, the line-like radial enhancement lesions perpendicular to the ventricle can be seen. This is a typical impact feature. But it’s okay. I glanced at the image transmitted by WeChat. Plus, you said Xue Yuan is sensitive to hormones. Don't worry."

"Uh?"

"If you are not sensitive to hormones, tumors may be treated. According to the literature, 34% of patients can have tumors. The most common is ovarian teratoma. Others include adenocarcinoma, glioma, multiple myeloma, and thyroid cancer. Sensitive, usually no problem, just two days of hormone therapy."

"..." Matthew De never expected that Dean Xue, who was "methanol poisoning", almost diagnosed the tumor.

This is so special, I really don't know which one will come first tomorrow or the unexpected.

"Ms. Wu, Xue Yuan is all right."

"The incidence of visual edema in GFAP astrocytosis is not low. FlanaganEP's study found that the incidence of visual edema in patients is 32%. Xue Yuan’s intracranial pressure is not high, which proves to be GFAP astrocytes. The possibility of illness is very high." Wu Mian said with a smile, "After confirmation, Xue Yuan can go home happily in 3-5 days."

"Oh, that's good." Matthew De was finally relieved.

As long as it's not a terrible disease, he doesn't bother to study GFAP astrocytosis, a rheumatic immune disease.

That's rheumatism. The second hospital is pretty good in this aspect, but if it is true, the level can only be said to be average.

Because rheumatic immune diseases are not particularly common, most of the symptoms are covered by symptoms of other diseases.

That's why there is a saying that rheumatism and immunology consultations for unintelligible diseases exist.

The two went to the ophthalmology department while chatting.

As soon as I walked into the corridor, I heard a sharp voice from Director Xu, "I don't care. If there is no new doctor coming for a month, I will resign too!"

"..." Wu Mian was taken aback for a moment, and looked sideways at Matthew De.

"Mr. Wu, there have been more doctors who have resigned recently, and there are not enough people working in the ophthalmology department." Matthew depressed his voice and said, "The college recruits a salary of 1,700 for graduate students. UU reading www.uukanshu.com estimates that it cannot be recruited. People, Director Xu is in a hurry."

"Oh, 1700 is indeed a bit low. When you go to work, you have to be in debt. Isn't that nonsense." Wu Mian smiled.

"Oh, appropriation..." Matthew wanted to explain a few words, but he stopped, and all the words finally turned into a long sigh.

"Director Xu, don't worry, take your time." Stepping closer, Matthew De comforted.

"Ma Yuan, I didn't bully people like this!" Director Xu had tears in his eyes, "Just recruit two, and mainly face pediatrics and emergency departments. You said, what is this all about! No one doesn't know, just Wait for the establishment to shrink naturally? This is a chronic suicide!"

"Quite your breath, calm your breath." Matthew continued to persuade him, "the pediatric emergency department is even more short of people."

"For one month, if it doesn't work, I will take someone to a private hospital." Director Xu said firmly, "The Second Hospital of Ophthalmology, I have feelings. I don’t want to talk about money, but only about feelings. That’s why I don’t want to get married and fall in love. It's a hooligan!"

In a hurry, Director Xu exploded.