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

He was about to push Jiang Mai away and force his way into the ward.

Suddenly, Xiang Kai got off the bed. He endured the pain and stood in front of Lu Ruping. His young eyes were filled with anger that did not belong to his age. He said, "Try to be mean to my mother again!"

He could not say anything threatening. He was well-behaved and had never said harsh words in front of his family. That was why he was loved so much.

But at this moment, when he saw his mother being repeatedly harassed by his father and grandparents, he finally learned to resist.

Xiang Kai's father was stunned and stood there blankly.

The grandparents also fell into silence. No one dared to continue until Lu Ruping said so.

"Xiao Kai, Xiao Kai..." Lu Ruping's eyes were still dark, but at this moment she was no longer in panic. She was very calm. She gently reached out and hugged her son, who was half a head taller than her.

"I'm fine. Go back to bed." Lu Ruping comforted her. As she spoke, tears flowed from her dull eyes.

…

After Xiang Kai came forward, all the conflicts and quarrels stopped immediately.

The family members silently cooperated with the work of Xu Qiu and others. Anyone who dared to have any small thoughts would immediately face the angry glare of the eleven-year-old boy.

"I didn't expect it to be solved like this." Jiang Mai was still a little unresponsive.

Wang Fan looked at Xiang Kai with appreciation and said, "I didn't expect that this little guy is more like a man than his father."

"Brother Xu, how is the situation? Is there really a problem with the eyes?" Soon, the two came to the observation room and stared at Lu Ruping on the examination bed with a puzzled look.

She was fine a second ago, how could she suddenly lose her sight?

In the observation room, in addition to Xu Qiu, Shi Lian was also present as a medical staff of the opposite sex.

She explained with some concern: "It is indeed blind, but the specific problem is not sure."

There are many possible situations for sudden blindness.

For example, optic nerve damage, glaucoma, central retinal artery occlusion, or retinal periphlebitis, etc.

At the same time, if the blood pressure of some patients rises sharply in a short period of time, it may cause brain hemorrhage, cerebral infarction and other diseases, which in turn leads to insufficient blood supply to the brain, and may also cause the brain to be unable to receive uploaded visual signals...

"It doesn't look like a disease in the brain, nor does it look like a vascular problem." Xu Qiu slowly took off his medical gloves, his expression full of incomprehension.

Whether it is insufficient blood supply to the brain or blockage of the central retinal artery, some clues can be found in the physical examination.

However, except for blindness, the patient has no abnormalities on his body.

Even minor discomfort such as dizziness and brain swelling did not appear.

Only blindness!

This is too strange... Xu Qiu had encountered sudden blindness before, and the patient was called Luo Di.

At that time, Luo Di had at least a symptom of severe pain all over the body in addition to blindness. This also gave Xu Qiu a key clue. Confirming that the lesion may come from the brain itself, he gradually speculated that it was a rare brain-eating worm infection.

However, Lu Ruping had no other symptoms.

Her son did have severe pain all over the body... but it had nothing to do with her.

"It should have nothing to do with her son. Complex regional pain syndrome is not a genetic disease." Xu Qiu shook his head.

He asked about Lv Ruping's situation when he ruled out the proxy syndrome.

There was nothing worth paying attention to in the basic information.

While doing the examination just now, Xu Qiu also conducted more targeted interviews.

Lv Ruping herself has no history of any neurological disease, no surgery history, and no genetic history.

"What about the menstrual period?" Xu Qiu asked again.

Lv Ruping blurted out: "It should be these few days. My menstrual period has always been irregular, but it will definitely come every month. It should have come last week, but it has not come. It will definitely not exceed this week."

"Cesarean section?" Xu Qiu thought of the previous physical examination. Lv Ruping had obvious cesarean section incisions on her abdomen. Although it healed well, experts can still recognize it at a glance.

"Yes, I had a cesarean section at that time."

"Why did you have a cesarean section?"

Generally speaking, obstetrics will recommend natural birth, and only dangerous signs such as pelvic stenosis, cephalopelvic disproportion, placenta previa, etc. will require a cesarean section. Understanding this may have a certain reminder effect.

Lu Ruping said: "I had a clever cyst at the time, so the doctor recommended that I have a cesarean section, so that I could remove the clever cyst by the way."

Xu Qiu nodded... So that's it.

Clever cyst is endometriosis, one of the most common gynecological diseases.

"Doctor Xu, can you leave me alone and help my son... You said you wanted to do some surgery before, and you asked the child's father to sign. They will definitely not dare to go against you now!" Lu Ruping was still worried about Xiang Kai.

Xu Qiu sighed.

Xiang Kai's condition is actually very stable. It's just that the first-line treatment is ineffective, and the next step is to do a sympathectomy.

This operation is not difficult. For a doctor of Xu Qiu's level, there is basically no risk and it can be done easily.

Xiang Kai's allergic pain is caused by sympathetic nerve dysfunction. As long as the sympathetic nerve is cut off, there will be no problem in theory.

Just like a patient with premature ejaculation, as long as the weapon is removed, there will be no more trouble of premature ejaculation.

If cutting off the sympathetic nerve does not work, the final analgesic pacemaker placement or subarachnoid analgesic pump implantation should be considered.

The former is to cut off the sympathetic nerves, just like helping premature ejaculation patients to eradicate the root of the disease.

The latter, on the other hand, starts with the pain mechanism of the brain... It is equivalent to making premature ejaculation patients no longer interested in women.

And men.

Xiang Kai's condition is already very clear, and one of these two methods can solve it.

On the other hand, Lu Ruping suddenly became blind without any clues, and there is no point to start. This is a patient who deserves more attention.

"I will arrange the examination items for you first, and I will arrange surgery for Xiang Kai as soon as possible." Xu Qiu said.

Lu Ruping nodded gratefully.

Xu Qiu continued: "Take her to do a slit lamp fundus examination, intraocular pressure test and optical coherence tomography.

"If no eye damage or optic nerve damage is found, continue to do cranial CT.

"In addition, routine blood and urine tests, blood biochemistry, etc. are also added."

Progressive examination.

Sudden blindness, there is always a problem with the eyes, optic nerves, visual conduction pathways, and ultimately the visual center of the brain.

After these few tests, more than 90% of the diseases can be found.

…

After the tests were arranged, Lv Ruping also temporarily added a bed and went through the hospitalization process.

However, since the doctor's orders were issued at night, the ophthalmology and laboratory departments were not open, and most of the tests had to wait until the next day.

When the shift was handed over the next morning, everyone was shocked to hear that Lv Ruping had just solved Xiang Kai's difficult and complicated disease and became blind again.

The medical record of this person was too simple.

Just four words: sudden blindness!

However, the most headache in clinical practice is precisely this seemingly simple disease!

——

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