Chapter 1753: 1693 Cortical Blindness Test (Alliance Leader Pig Shouts Elephant +5)

Anything else?

It may also cause vomiting, sweating all over, abdominal pain, lumbar spasms, and increased blood pressure.

Blood pressure increase? Have you measured it?

It feels like my head is throbbing with pain," Zhang Xiao Hui said.

What's it like when you take a shower?

"Uh..." Zhang Xiao Hui felt a bit embarrassed.

But Zheng Ren stared straight into her eyes without any intention of avoiding, simple and direct.

Zhang Xiao Hui still hesitated.

After all, it's awkward for a first-year graduate student girl to talk about showering with a man like Zheng Ren, under thirty, full of vigor.

Zheng Ren wasn't in a hurry either; he picked up a used chopstick from the table with his left hand and lightly tapped the edge of the disposable lunch box.

Su Yun noticed Zheng Ren's tapping rhythm.

Could it be that he studied psychology sometime? Or hypnosis; does his tapping rhythm on the lunch box mean something?

Is it a hint or Morse code? Su Yun pondered and overthought it.

The room fell into an awkward silence.

After a dozen seconds, Zhang Xiao Hui lowered her head and said, "Washing my body doesn't hurt; later I found that spraying the area around my head with the showerhead doesn't hurt either, but pain appears when the water hits the top of my head."

Saying this, she pointed with her finger to the top of her head.

Zhang Xiao Hui's hair is long; because it hurt when she just washed it, she didn't dry it, and it's still damp.

So today you're trying to see the extent of the pain?" Zheng Ren asked.

Zhang Xiao Hui nodded, a little embarrassed, and said, "I wanted to try, but I accidentally touched the top of my head."

Could you please lift your head and look at my eyes?" Zheng Ren said in a steady voice.

Su Yun was slightly surprised; today the boss keeps wanting to look at his eyes—could he really be using some method to give Zhang Xiao Hui a psychological hint?

If that's the case, I'd better avoid looking at him in the future, lest I be misled.

Those psychology researchers have the dirtiest minds.

Feng Xu Hui has spent the most time interacting with Zheng Ren and has seen him conduct consultations; he never made such a request before. Many consultations were just flipping through medical records while asking about the situation, even seeming a bit casual.

What does Chief Zheng mean today?

Zhang Xiao Hui strained to lift her head and look at Zheng Ren's eyes.

What medicine have you been taking lately?" Zheng Ren asked.

The doctor said I'm a bit depressed and prescribed me Flupentixol-Melitracen. One tablet in the morning and one at night," Zhang Xiao Hui said hesitantly.

You're worried it might cause problems, aren't you?" Zheng Ren's eyes seemed to see through people's hearts; Zhang Xiao Hui hesitated a moment, then directly said what she was thinking.

Zhang Xiao Hui felt a bit flustered under Zheng Ren's gaze and nodded hastily.

So, how long have you been living here?" Zheng Ren asked.

Six or seven days." Zhang Xiao Hui said: "I don't dare stay in the dormitory myself."

Is it that your right eye can see ghosts?" Zheng Ren smiled, his speech speeding up a bit, "You can occasionally see a vision of someone going into your dormitory to steal things!"

As soon as the topic of the dormitory or stealing things came up, Zhang Xiao Hui immediately clutched her head with both hands and let out a painful scream.

And her right hand was somewhat unresponsive, making her whole body look like a puppet with one side stiff.

In midair, strings seemed to pull at her right half of the body, jerking intermittently, looking quite strange.

Zheng Ren held the disposable chopstick in his left palm; at the instant Zhang Xiao Hui let out a scream, he suddenly stood up and thrust the chopstick straight toward her right eye.

Meanwhile, Zhang Xiao Hui was oblivious, her eyes unconsciously looking at Zheng Ren as she let out a painful scream.

"Chief Zheng!" Feng Xu Hui rushed forward, but Su Yun grabbed him and pulled him back.

You're in the middle of a consultation—what are you causing a ruckus for?" Su Yun said: "The boss stabbed past the left eye's blind spot; Zhang Xiao Hui didn't see it. The cortical blindness test is positive, indicating a problem in the cerebral cortex."

Hmm." Zheng Ren put down the chopstick and said, "No blink reflex or avoidance response, so it's not hysterical blindness or malingering, and it doesn't look like a histrionic personality."

What are you considering?" Su Yun asked.

I'm considering reversible cerebral vasoconstriction syndrome." Zheng Ren said.

Let's do an MRI to check; it's no big deal." Su Yun's expression was very serious.

The main presentation is sudden thunderclap-like headache, possibly accompanied by neurological deficits. Normally, it can resolve within three months as a diffuse cerebral vasoconstriction.

Clinical presentation can be benign or a rare fatal course." Zheng Ren said, "It's already been 19 days; we expect the MRI to show bead-like changes. The timing is quite fortunate—if it had been a few days earlier, there wouldn't have been much we could do."

"Uh..." Feng Xu Hui stared for a moment, bewildered, and asked, "What kind of disease is this, Boss Zheng?"

Simply put, Zhang Xiao Hui was frightened too severely, causing changes in her cerebral blood vessels. This condition usually occurs during swimming, exercise, poor emotional state, fright, or after pregnancy.

"..." Feng Xu Hui still didn't understand.

Put it this way: it's a condition where the brain's blood vessels keep spasming, causing local ischemia.

This time Feng Xu Hui understood.

After seeing the consultation end, Liu Xiao Jie hugged Zhang Xiao Hui in her arms and asked worriedly, "Chief Zheng, won't Xiao Hui's brain suffer ischemic necrosis?"

Normally it won't." Zheng Ren smiled. "Once her condition stabilizes, let's go to the hospital together for an MRI; if we see bead-like changes, we can confirm reversible cerebral vasoconstriction syndrome."

"Normally..." Liu Xiao Jie was obviously worried about Zheng Ren's answer.

If an accident really happens, nobody can do anything—for instance, a tiny aneurysm could rupture. But the likelihood is low; it should still be reversible cerebral vasoconstriction syndrome, and the vast majority of patients recover on their own within about three months." Zheng Ren smiled.

Chief Zheng, thank you." Feng Xu Hui repeatedly expressed his thanks.

Stop taking the antidepressant Flupentixol-Melitracen immediately." Zheng Ren said solemnly.

Everything gets blamed on depression or psychiatric illness, and they're not afraid of killing people." Zheng Ren rarely nagged like this.

Boss, I feel like you're talking about me." Su Yun was dissatisfied.

It's nothing, just saying what you're up to." Zheng Ren said: "The cortical blindness test is positive; wait for the vascular spasms to ease, then go get a checkup."

"If there were a recyclable stent, that would be great; we could directly place the stent." Su Yun said.

"Technique not up to par, and moreover the Blood Vessel spasm location… Forget it, don't even think about it so wildly." Zheng Ren said.

"To treat this disease with Shou Bing, there are many difficulties in Technique; at the very least, it's beyond current technological capabilities."

"Even Zheng Ren, at the peak level of Interventional surgery, doesn't have full confidence."

"The main point is that Zhang Xiao Hui's condition likely will recover on its own in about three months, so why spend money and take risks?"