I can see the status bar

Chapter 859 Tentative Diagnosis

After making an appointment with Yang Jianqiang and his wife at 05:30 in the afternoon at the cafe outside the hospital, Sun Lien happened to see Hu Chunbo who stood up and put on a white coat, ready to go to the consultation.

"Doctor Sun, the second team asked me to see a patient." Hu Chunbo nodded towards Sun Li'en, and then talked about his purpose of action, "It's the two patients just sent here."

"That may be an infectious disease, so you remember to take good protection." Sun Li'en nodded, and it stands to reason that such a thing is not worth reporting to him.However, since Dr. Hu said it, he had to follow up with a few words before it was appropriate. "You pay attention to safety... I won't go."

Hu Chunbo looked at Sun Li'en strangely, "This case is quite strange, why don't you go and see it?"

"No." Sun Li'en said firmly, "As long as the cases I have been involved in are more troublesome and complicated than the other. These two patients seem to be in good condition now, so I won't make trouble for you."

Hu Chunbo thought for a moment, then nodded, "It's fine if you don't come." After speaking, he turned and walked out of the office.Leaving behind a group of colleagues who could hardly hold back their laughter.

"It's fine if you don't come...hahahahaha!" After a few seconds, the entire office was filled with happy laughter.Zhou Ce and Yuan Ping'an laughed beside him, and even Xu Yourong had a smile on his face.Dr. Bruin was the worst, the window glass of his laughter shook. "As long as Dr. Sun doesn't go, there won't be any trouble, right hahahahaha!"

Sun Lien glanced at Dr. Brunn, "Is there any question?"

"No." Brunn slapped the table in front of him, "There is no problem at all hahahahaha!"

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Dr. Gou Jiesen and two other Gui Peisheng were recording the condition of the 34-year-old patient in front of him.They gradually discovered something unusual.

The patient's current consciousness is not so clear. Although his eyes are open and he can move, he basically has no answer to the doctors' questions.His most frequent responses were repeated shouts of "I'm dizzy" and... "Doctor, help me".

The other two Gui Peisheng showed a look of unbearable expression, while Gou Jiesen frowned and found something different.

His limbs and head trembled involuntarily.This involuntary tremor looks and feels like shivering from cold.

This kind of tremor will not last forever, but will appear once every three to five minutes.And the patient himself didn't seem to notice that he was trembling...or maybe he didn't have the ability to pay attention to it-he didn't say anything other than complaining repeatedly about his dizziness and asking the doctor for help.

The tremors in his organs are now severe enough to give him a trill in his speech.But the patient's vital signs remained stable—blood pressure was neither high nor low, and heart rate and oxygen saturation were well within normal ranges.If it wasn't for his tremors and unconsciousness and repeated speech, Gou Jiesen's first reaction would probably be "this person is pretending to be sick".

Soon, Hu Chunbo rushed to the ward.And began to conduct basic examinations on this patient.He opened the other's eyelids and looked, then raised his eyebrows - although there was obvious tremor in the head, but... the patient's eyeballs did not tremble.

Under Hu Chunbo's repeated request, the patient stuck out his tongue with difficulty.There was nothing abnormal about the tongue itself - apart from the bad breath caused by not brushing his teeth for more than two days, the most noticeable thing was that his tongue had the same obvious tremor.

Nystagmus was negative, whereas tongue tremor was positive.

Seeing the tongue tremor, Jason Gou muttered in a low voice, "Parkinson?" After all, in his memory, tongue tremor itself is more common in Parkinson's.The occurrence of this tremor often means that the patient's central nervous system has been damaged.

"Not necessarily." Hu Chunbo heard Gui Peisheng's words, then turned around and said very seriously, "This tremor frequency is a bit high, not quite like Parkinson's low-frequency tongue tremor—you should pay attention when you are studying. Distinguish different meanings of the same symptom."

Jason Gou looked at the patient's protruding tongue again, then shook his head in confusion - he had only seen the statement that "tongue tremor" was highly correlated with Parkinson's in textbooks before.As for the frequency of tongue tremors... it was not mentioned in the book, and he had never seen it himself.

"Then what problem does this present performance... indicate?" Gou Jiesen himself still remembered the advice he received before, so he decided to ask what he didn't understand directly, "Low-frequency tongue tremor means that Parkinson's patients have damaged It has reached the central nervous system. Does the high frequency at least indicate that the patient may have a problem with the central nervous system?"

"That's right." Hu Chunbo nodded in satisfaction, "However, this frequency...may be a hyperthyroid tremor, but it may also be a toxic tremor. To determine what this tremor is, some other tests are needed."

Continued examinations made Hu Chunbo's complexion a bit ugly - the patient showed signs of increased muscle tone like gears.This special manifestation is also common in Parkinson's patients-when doctors move the patient's limbs, they will feel frustrated like moving gears.

Involuntary body tremors, tongue tremors, disturbance of consciousness, and gear-like increase in muscle tone... These four symptoms are highly related to Parkinson's disease.If it weren't for the fact that the two of them had the disease almost at the same time, and the disease progressed rapidly, Hu Chunbo would really feel that it was Parkinson's disease.

"That is to say... this is a disease that is highly similar to Parkinson's disease?" Professor Zhang Zhifu asked after watching Hu Chunbo's examination, "Will Parkinson's disease have such a rapid progression?"

"I've never heard of it." Hu Chunbo shook his head and said, "Parkinson's is a geriatric disease, which doesn't match his age. It's not impossible to have early-onset Parkinson's, but... this disease starts early, progresses slowly, and The course of the disease is still very long. This does not match his sudden onset of symptoms now."

"Then let's check for hyperthyroidism first." Professor Zhang said after thinking for a while, then he turned and looked at the three Gui Peisheng who were taking notes quickly, "What do you think?"

"Uh..." The three of them were taken aback by the question, and then they didn't speak.Jason Gou raised his hand slowly, "If it's hyperthyroidism, how do you explain that these two fellow villagers who have never met before will get sick at the same time?"

Gou Jiesen's question immediately stabilized Professor Zhang Zhifu and Hu Chunbo. After thinking about it, the two said, "Maybe it's just a small probability event?"

"Brother Sun specifically told me to be careful that this may be an infectious disease." With an attitude of giving it a try, Gou Jiesen asked tentatively, "Senior Brother Sun has never seen these two patients, but he thinks that these two patients It’s not like encountering a small probability event at the same time. I think, can we start with their connection?”

"They are all from Guangxi." Seeing the serious consideration of the two senior doctors, Gou Jiesen continued to ask, "Could it be some living habits that we are not familiar with that caused them to have some kind of symptoms together? Just now Dr. Hu also said that this tremor may be a toxic tremor. Could it be food poisoning?"

　This is the update on March 3rd, and the update on the 23th will still be released according to the normal schedule
　　
　
(End of this chapter)