Gou is practicing medicine in the clinic

Chapter 373: Chondrosis?Very unusual symptoms
Li Jingsheng looked at Tang Ping and asked her with his eyes, what happened to this patient?

The two of them were old partners after all, and she understood her boss's eyes almost instantly.

"Boss, this female patient came here specifically to see you for treatment. They came from other provinces."

By saying this, Tang Ping was hinting to Li Jingsheng, don't worry, he is not a 'return to the factory' patient.

People came here from out of town and were first in line, which meant they arrived early in the morning.Either he came yesterday, stayed in a hotel for one night, and came here for medical treatment early this morning.

After all, Li Jingsheng only works four days a week in his own clinic.

In addition, after he became famous, many people came to see him for medical treatment, and some people couldn't get an appointment at all.

This patient is particularly difficult.

She was lying on a flat bed with rollers.

"What's wrong with you?"

Li Jingsheng looked at the female patient. Standing next to her was an elderly couple in their 60s.Both old men have snow-white hair.

The female patient's body does not look thin, but even a little chubby.

The complexion is also rosy and shiny.

To be honest, he didn't look like a bedridden patient.

"Dr. Li, we saw your video online. We heard that you are very good at treating bone diseases, so we came here from outside the province to see you. We arrived yesterday, but you were not in the clinic yesterday. Your staff here told We, you will be at the clinic today. So, before dawn, my wife and I took our daughter to queue up."

The old man was very sincere when he talked about their medical experience.

"You can also call for consultation before coming. What if you come all the way here and I can't cure you?"

Li Jingsheng believed that his medical skills were only average.

There are too many diseases that cannot be cured.

"It's okay. This is not the first time we have taken our daughter out of the province for medical treatment. My daughter was still fine when she was 14 years old. At that time, she was smart, filial and sensible. She was among the top two in the class every time she took the exam. He was also very good at sports and represented his class in track and field competitions. Later, when he was in the third grade of junior high school, he told us several times in the first half of the semester that he always complained of headaches and lack of energy.

We took her to the clinic and hospital and found nothing wrong.

Later, when she was about to take the exam in the third grade of junior high school, one day, she suddenly fainted.The teacher called us and said that the child was in class and suddenly fainted on the table for some reason.

When we rushed over, the child was weak and limp.

He could neither stand nor sit up, nor could he lift his hands. "

Listening to the old man describing his daughter's condition, Li Jingsheng realized that this woman's illness was probably not simple.

Most likely it's a neurological problem.

If you had headaches and general fatigue before the onset of the disease, you may have already started to have problems at that time.

It's just that the medical level in some small places is lagging behind, and it's difficult to treat slightly more complicated diseases.

The instruments and equipment are backward, the level of doctors is low, and they have seen few difficult and difficult diseases. This is the truest portrayal of them.

Many large hospitals are not very good at treating neurological diseases.

"Didn't you take the child to a big hospital to have his brain checked?" Li Jingsheng couldn't help but ask.

"Why didn't you go? After the child's accident, we first sent him to the local city hospital. After four days of treatment, there was no effect. We then sent the child to a neurological hospital in Shanghai, but the cause was still not found. But after treatment there , there are some effects. After the treatment, the child could move his hands after half a month. He even stood up again later."

This further indicates that it may be a neurological disease.

"Since the treatment is effective, we should continue the treatment."

"At that time, the family owned two houses. In order to treat her, we sold one house. She was treated at that specialized hospital for more than half a year. But the child's condition was good and bad. After the treatment, she suffered from hair loss. , vomiting, sometimes a person suddenly giggles, and the person becomes thinner and thinner. We were worried that if we continued to treat her, the person would be gone, so we took her home."

Although I don’t know what kind of medicine the specialized hospital used, it is likely that a large amount of hormonal drugs were used.

Long-term use will cause great harm to the human body.

The most common thing is that for cancer patients, such as breast cancer patients, their bodies will have severe reactions after undergoing chemotherapy.

Facial swelling, hair loss, vomiting after eating, etc.

"When you left that hospital, had she regained her physical mobility?"

"No. It has always been up and down. And a clear cause has never been found. The doctors there gave the opinion that there may be a neurological gene mutation. They also did some screenings, but no problem was found."

Gene mutations are very rare.

But it does exist clinically.

There are many rare diseases caused by genetic mutations.

"Later we met a kind-hearted doctor. He told us that if we couldn't find the cause, we should first find a way to preserve my daughter's body muscles, nerves, and ligaments to prevent them from degenerating and atrophic. Wait until medical technology advances in the future. If you have it, or if you meet a doctor who understands the disease, you may be able to find the cause and hope for a cure.

He also taught us to buy massage and nursing books to study.We follow the above method to massage our daughter every day and stretch her limbs and other parts to ensure that her body muscles do not atrophy. "

The greatest love in the world really comes from parents.

This girl is 25 years old now.

It has been 14 years since the onset of the disease at the age of 11.

Her parents sold a house in order to cure her illness.He has taken care of her day and night for 11 years.

Li Jingsheng is often moved by the power of family affection, love, or friendship.

Very few people can achieve this by working hard every day for 11 years.

"I can see that you have taken good care of her. Are you holding the information for her medical treatment?"

"Yes, this is the information for her medical treatment this year. In the past 11 years, we have lost count of how many hospitals we have seen her in. All kinds of information are piled up in most of the bookcases. We have not thrown them away, we have kept them all. If a doctor needs to be looked at, we can always find one.”

"You are the greatest parents in the world. It is very unfortunate that she has this disease. But she is lucky to have such responsible parents as you, who love her and love her."

Li Jingsheng sometimes really couldn't understand how parents could have such selfless love for their children.

All kinds of selfless dedication.

Why do some children give up their parents' treatment just for the treatment fee of 3 to [-] yuan?

Human nature really is a mystery sometimes.

"Here, show me the information. Do you now suspect that she has a bone disease?"

Li Jingsheng took the information packet from the family members and looked at it carefully.

I had a head MRI, myoelectric signals checked, and various biochemistry tests...

But all her indicators are basically normal.

This is very puzzling.

Where is the problem?

Even if it is ALS, there are ways to detect it.

However, her spinal fluid biochemistry was all normal.

The nerve electrical signals are also connected.

It is normal to fail the muscle strength test.Because now she is like a person without bones, her whole body is limp.

"We also heard from people that there is a disease called rickets, and the symptoms are similar to hers. She also has no strength all over her body. In severe cases, she can only lie in bed and cannot move. You are an expert in this field. Please help diagnose her."

The old man must have done a lot of homework over the years in order to treat his daughter.

Seek medical advice everywhere. "Cartilage generally refers to vitamin D deficiency rickets, which is actually insufficient mineralization of bones. Her height looks normal, and everything was normal before the age of 14. Also, rickets are progressive, and it is impossible to say that they will suddenly occur one day. Fainted, and then became limp and unable to move. From the onset process you described and her symptoms, I think the possibility of neurological disease is higher."

After Li Jingsheng checked the patient's examination data and found nothing, he immediately changed the direction of diagnosis.

"I'll feel the bones for you."

The family members were very cooperative, but the patient himself remained silent.

But her eyes were not dull.

Especially when her parents just talked about selling their house to take her to see a doctor, she cried.

"Can she talk now?"

"It used to be okay, but in the past few years she has spoken less and less. Especially in the past two years, she has never spoken except when she needs to urinate or defecate. She has seen a psychiatrist and said she has depression and autism. tendency."

If it were anyone else, if he had been bedridden and unable to move, he would have been like a living dead.

Your parents have to take care of you when you eat, drink, or take care of yourself. It's good enough if you don't go crazy.

Li Jingsheng tried to feel her bones.

Start by touching your legs.

The bones feel relatively normal, the bone quality is acceptable, and there is a certain degree of osteoporosis.

This was caused by her long-term bed rest and inability to exercise.

Life is movement.

There are many benefits of exercise. In addition to strengthening and healthy muscles, it can also promote body metabolism and eliminate various toxins.And make the body's cell tissues full of vitality.

Surveys have shown that people who love exercise and continue to do so will age much more slowly than those who do not.

"Siying, give me the pen."

Li Jingsheng said to Han Siying.

She handed the pen to Li Jingsheng, wondering what the master wanted to do?
"Take off her socks."

This time, there was no need for Han Siying to take action, as her family members had already done it for her.

The skin on her feet is particularly fair because she has not walked on the ground for many years.The color of the blood seems to be okay, indicating that the blood supply should be good.

25 years old is also a relatively young age in itself.

All aspects of the body's functions are in very good condition.

Men and women of this age have tender and shiny skin and almost no need to use skin care products.

I saw Li Jingsheng holding the end of the pen and drawing it across the soles of her feet.

This is a clinical detection method.

To put it bluntly, it means scratching the itchy soles of the patient's feet.

Then based on the patient's reaction, the patient's muscle tone, leg nerve reaction, etc. are judged.

When you tickle the soles of her feet, you can see that her toes can't help but curl up, indicating that a nerve reflex should exist.

And being able to hook the toes, there should still be some movement function in the legs.

"Siying, come and scratch her feet, and I'll feel the bones to see how she's doing."

"it is good!"

Han Siying took the pen and drew it across the soles of the patient's feet.

When Li Jingsheng touched the bones, he could feel that there was obviously a force-generating process in her legs.The muscles will contract to a certain extent, and the bones will also cooperate to a certain extent.

"How does she usually eat? Does she need a nasal tube?"

Li Jingsheng did not notice that she had a nasal cannula inserted.

Explain that nasogastric feeding should not be required to eat.

"Just feed her. She can open her mouth."

"That means she can swallow and chew."

"Yes, always."

The family members said with certainty.

That's a little strange.The chewing function seems simple, but it actually involves coordination in many aspects.

If the patient is able to eat, it means that the motor functions of the head, mouth, and pharynx are normal.

"Can you turn around?"

"It was possible before, but now it seems like it takes a lot of effort."

Li Jingsheng nodded, feeling even more puzzled.

I felt the patient's bones just now, and I can basically confirm that her bones are in a healthy state. So what is the problem?

If you have neuropathy, your chewing function and swallowing will be normal.

And when the soles of her feet are stimulated, there is also a reaction of hooking her toes.

Although the magnitude is not large, the reaction is still significant.At least it's easy to tell with the naked eye.

"Girl, try to hold your right hand."

Li Jingsheng grabbed her hand.

Then ask her to clench her right hand.

Nothing happens.

"Okay, I have a basic understanding of her situation. Please come with me, the child's mother."

Li Jingsheng called the girl's mother to the infusion room.

"Auntie, please sit down! I just diagnosed your daughter. I think there should be no problem with the bones. There is a certain degree of muscle atrophy, but she is in good condition. And the blood supply in her feet is good, indicating that the nerves and blood supply are both good. There should be no problem. I would like to ask, did she receive any stimulation before the accident? "

Li Jingsheng suspected that the patient might have a stress disease.

It may also be self-isolation.

"No! Her grades have always been very good, and we haven't put any pressure on her. Moreover, the child used to have a cheerful and lively personality. In the past, even if her father scolded her and made her cry on the spot, she would Singing and dancing again, but never taking it seriously.

We only have one child, and we love him very much.

At that time, we went to a hospital in the imperial capital for medical treatment, and the doctor also asked similar questions.Later, I saw a psychiatrist and talked to my daughter alone, but no problem was found. "

The old man said with certainty.

"Okay, now that this problem has been ruled out, I will diagnose in other directions. Are you staying in a hotel now?"

"We live in an RV. In order to facilitate her medical treatment, the child's father bought a second-hand RV. This can not only save the cost of staying in a hotel, but also take her to other places for medical treatment at any time."

Their approach is really good.

It seems that the economic conditions of this family should not be too bad.

(End of this chapter)