Chapter 359 After hope, there is another despair!

Director Huo's face turned green: "Are you arguing with CJD?"

Xiao Liu apologized: "Director, I have been very restrained, but this patient really fits the diagnosis of CJD perfectly..."

After being criticized as a negative example, Xiao Liu conducted a deep self-examination.

So much so that he encountered several patients with similar symptoms to CJD, and CJD was ruled out first.

For example, a patient a few days ago had the main symptom of sticking out his tongue for three hours and not being able to retract it into the mouth on his own.

When he was first sent here, Xiao Liu thought this was an adult with a childlike heart.

After a detailed medical examination, he was even more confused.

The patient ate unclean food a few days ago and began to feel nauseous and vomit. He bought medicine on his own. He had not eaten for a day before coming to the clinic. Three hours ago, he had symptoms of being unable to retract his tongue.

However, after a careful examination, Xiao Liu did not find anything abnormal.

It was a bit like the manifestation of encephalitis.

The unclean food happened to be the top-quality Wagyu beef that the patient had specially shipped from abroad. The patient's mother had been reluctant to eat it until it went bad a few days ago and was thrown into the trash by the patient. Then she secretly picked it up and made a pot of beef soup again...

Beef, suspected encephalitis, and sticking out the tongue can be associated with extrapyramidal reactions, which led to Creutzfeldt-Jakob disease again.

Asking other doctors and superiors, they all found it incredible.

Sticking out the tongue and not being able to retract it... This disease symptom was unheard of by doctors, and they had no idea where to start.

They asked several departments to come for consultation, but in the end they got nothing.

Doctors from other departments looked at the case for a while, and then stared at Xiao Liu, the attending physician, and felt that this disease was more like Creutzfeldt-Jakob disease...

However, after learning from the lesson, Xiao Liu finally put Creutzfeldt-Jakob disease aside and stuck to this patient.

In the end, he really found the problem.

He guessed correctly that the patient did have an extrapyramidal reaction!

However, it had nothing to do with encephalitis or Creutzfeldt-Jakob disease, but because the patient took nine tablets of Metoclopramide at one time before the onset of the disease!

Metoclopramide, the active ingredient of which is metoclopramide, is a commonly used antiemetic in clinical practice. It can also be used for vomiting caused by chemotherapy, radiotherapy, surgery, craniocerebral injury, sequelae of brain trauma, naval operations, and drugs, etc., and has a wide range of indications.

Anything related to vomiting can basically be related to metoclopramide.

And metoclopramide can just destroy the dynamic balance of neurotransmitters dopamine and acetylcholine, leading to symptoms of cholinergic hyperactivity, that is, extrapyramidal reactions.

After peeling off the layers, the mystery was finally revealed. This was just a patient with drug poisoning...

Finally, fluid support was quickly given, and drugs for the treatment of Parkinson's disease were given for symptomatic treatment. The patient's tongue slowly retracted and recovered.

However, at the moment, the patient Xiao Liu met looked like Creutzfeldt-Jakob disease.

He tried to rule out Creutzfeldt-Jakob disease from the beginning.

However, after looking through various common diseases, there was no solution, and everything pointed to the desperate answer.

"Director, you can read the case yourself, it's very detailed." Xiao Liu didn't waste any more words and went straight to the trump card.

"You still don't learn your lesson..."

Director Huo shook his head and said with a look of regret.

He picked up the case and scanned it. After a moment, the impatience on his face disappeared and gradually turned into surprise and solemnity.

"Do you... have a constitution that attracts Creutzfeldt-Jakob disease?"

After reading it, Director Huo raised his head, a little shocked and a little hesitant.

It's really the same as Creutzfeldt-Jakob disease!

Seeing Director Huo's expression, Xiao Liu breathed a sigh of relief and said, "Director, do you want to call the whole hospital for a consultation?"

"What consultation? Transfer to Linhai First Hospital!"

Director Huo raised his head unconsciously.

Otherwise, why do people say that Xiao Liu is handsome and talented? He is simply a magnet.

This kind of person can see patients for a few days in the clinic, and a lot of patients will come to send research directions.

If you are lucky, you can also encounter a disease named after the patient.

Of course, this luck may not be a happy thing for the patient himself...

...

At this time, a thrilling operation was finally completed in Linhai First Hospital, where Director Huo and his group were about to rush to.

Joseph and several famous doctors had just finished the demonstration teaching of the new operation and were shocked by Yang Chenxi's technique.

Only then did they realize that Xu Qiu had a more important and more difficult operation.

They hurried over and just caught up with Xu Qiu and others who came out of the operating room.

"It's over?!"

Joseph was panting.

He rushed over despite the postoperative risks, but it was over so early?

Calculating the time, it was less than three hours.

And normal thymoma and thymectomy basically take five hours or more...

"Ah! How did I miss it again!"

Yang Yuen's face was full of despair.

In the previous lecture on suspected Creutzfeldt-Jakob disease, they were following Yang Chenxi to study the specific details of the new operation in the Department of Cardiac Surgery.

In today's highly difficult cardiothoracic surgery, not only can you see the removal of the thymus, but you can also see how to use a sharp scalpel to separate the tumor from various important blood vessels, which is considered the most advanced operation in cardiothoracic surgery...

However, they followed Yang Chenxi's demonstration surgery and performed the surgery on bed 31.

Damn Yang Chenxi!

"Director Zheng has another surgery tonight, which is for Luo Siling who insisted on using imported blood vessels...I won't participate, I'll just stay with my idol!" Yang Yuen was filled with grief and anger.

Joseph was also somewhat tempted.

He was upset for a long time because he missed CJD last time.

Although this disease is related to neurology and has nothing to do with cardiac surgery, the neurology department of the Livland Medical Center is also top-notch and has treated several patients with CJD.

Joseph also participated in the hospital-wide consultation at that time, witnessed four CJD patients, and finally witnessed these patients die of mental disorder.

It can be said that he was deeply touched by CJD.

It was also from then on that Joseph felt the powerlessness and weakness of human medicine and strengthened his belief in saving lives with medical skills.

For clinical doctors, the most important thing is experience. The four CJD patients in his memory are enough for Joseph's experience to defeat all doctors who have only heard of the disease in the literature.

"It's not just Xu Qiu who has the ability to diagnose and treat across departments, I also have it."

"CJD is my strong point."

"It's a pity that this suspected patient was ruled out..."

Joseph shook his head, quite regretful.

After coming to Linhai First Hospital, he became less and less dignified in the eyes of Yang Yuen, the little girl.

If he had come across Professor Yan's case, it wouldn't be as complicated as Xu Qiu's. He would have definitely discovered symptoms such as myasthenia within ten minutes of contact and identified the thymoma.

Creutzfeldt-Jakob disease?

It's very simple, isn't it!

Thinking of this, Joseph felt helpless as if he had nowhere to display his strength.

However, at this moment, a sturdy figure rushed out from the corner, followed by several young residents and a proud and handsome young doctor.

"Doctor Xu, cough cough cough... Creutzfeldt-Jakob disease is here again!"