Chapter 1827: 1763 I don't get it, see rheumatology immunology (monthly ticket 1500 bonus ×3)

1763 I don't get it, see rheumatology immunology (monthly ticket 1500 bonus ×3)

The pathogenesis is not yet fully clear; most scholars believe the lesions are mostly located in the hypothalamus. The hypothalamus regulates autonomic nervous activity and is closely related to various areas of the cerebral cortex, the brainstem reticular structure, and the spinal autonomic centers.

Abnormal EEG is the most important diagnostic basis for this disease. I'll go do an EEG soon, and then we'll know for sure." Zheng Ren said.

Zhou Litao silently shed tears.

With a stomachache, how could I have thought of getting an EEG!

Over the years, patients have been examined at various tertiary hospitals, but they have never even once undergone an EEG.

In some county-level tertiary hospitals, the EEG is merely for show—no one actually performs it. Even if done according to the manual, no one would read it.

"The machine is on." Su Yun put away her phone, made a gesture, and said: "Boss, I'll check yours shortly!"

"What's there to see in an EEG?" Zheng Renping replied flatly.

"Without sharp waves, spikes, sharp-slow, spike-slow complexes, or rhythmic high-frequency discharges—definitely means you can't do an EEG." Su Yun said, "You just said it yourself—consider abdominal epilepsy."

"Consider? What does that mean?" Zheng Ren said, "Probably, like 90%?"

"Boss, are you explaining the condition to the patient? Can you not speak in that tone?" Su Yun was dissatisfied with Zheng Ren's tone.

"Fine, then we won't do it—it's definitely abdominal epilepsy. Prescribe phenobarbital, lamotrigine, and methylcobalamin, take orally regularly, and she'll be fine in two weeks." Zheng Ren said.

"You're just a pain in the ass." Su Yun scornfully said: "If I couldn't beat you, I'd have slapped you already."

"Even if I told you, you wouldn't believe it—you think a 90% consideration is too low, you're so hard to please." Zheng Ren retorted.

"Zheng Lao Ban, Yun Ge'er, why are we considering abdominal epilepsy?" Zhou Litao saw the two chatting about meaningless things, guessed they were waiting for the female patient to return, quickly interjected, and wanted to ask something substantive.

"Manager Zhou, I think your experience is still insufficient." Su Yun smiled and said: "Find a chance to talk to the Medical Department… I don't even know if Director Lin has finished eating. Suggest to Director Lin that you should continue as Inpatient Chief for another year to gain experience."

One sentence accurately hit Zhou Litao's knee.

"Yun Ge'er..."

"Don't listen to his nonsense." Zheng Ren said: "When the following clinical situations occur, consider abdominal epilepsy: first, gastrointestinal discomfort that cannot be explained by other causes; second, or accompanied by symptoms of central nervous system dysfunction; third, effective treatment with anti-epileptic drugs."

"Um..."

"Don't listen to him; one-two-three-four-five, it's all bullshit. If you can't find the cause, just ask directly—family history, past medical history, drug allergy history, whether you've been exposed to heavy metals, right, and most importantly, there's one more thing!"

Su Yun finally made an affirmative gesture.

"What?" Zhou Litao was dumbfounded.

"You need to have a friend in rheumatology immunology; if you don't understand something, just go to rheumatology immunology!"

"……" Zhou Litao was speechless.

"Manager Zhou, let me tell you, the rheumatology immunology department is a natural-born scapegoat. When you have many diseases and can't figure out why, don't hesitate—immediately seek consultation in rheumatology immunology!" Su Yun said from her experience.

Zheng Ren thought about it and indeed there was a bit of truth to that.

Rheumatology immunology—this department in many places specializes in rheumatism and rheumatoid arthritis. But at 912 it's different; these four words mean difficult and miscellaneous diseases.

Just now, Zheng Ren himself had also considered a few rheumatology immunology diseases. But Su Yun, while chatting with the patient on the rooftop, had already asked about past and family history.

With the system panel's diagnosis, it should be abdominal epilepsy—no escape.

Next, do an EEG to confirm, then prescribe medication for the patient; she'll improve soon.

After waiting a few minutes, Zhou Litao received a WeChat message saying the female patient had come out.

He deliberately went to wait in the hallway; the diagnosis was about to come out, and above all, no problems must arise at this juncture.

The female patient walked back naturally, with no issues.

As long as the abdominal pain subsides, she's just like a normal person. But once it flares up, it's truly unbearable pain.

"Let's go, get a checkup." Su Yun saw her return and immediately jumped down from under Cui Lao's desk.

"Yun Ge'er, can you diagnose?" The girl was a bit timid.

After countless hospital visits, the money that should have gone to cosmetics and jewelry mostly ended up at the hospital. This is her lifelong pain; even with Su Yun's looks, she cannot dispel the doubt etched into her bones.

"Don't worry, my boss will personally do your EEG." Su Yun smiled: "Now I estimate your mother's epilepsy has been slightly passed down to you."

"Um..." The girl felt somewhat hopeless.

"What's that expression!" Su Yun scolded: "It's just a stomachache—you won't roll your eyes or lie on the ground foaming at the mouth. You're just too psychologically scarred, which is why you've had abdominal epilepsy since age ten."

"Abdominal epilepsy?" The girl didn't understand.

"Ten years old?" Zheng Ren frowned, looking at Su Yun as he asked.

"Yeah, when she was ten, she saw her mother have a seizure once, and the next day her stomach started hurting." Su Yun nodded; this was all asked intentionally during their rooftop chat.

To say taking a medical history is indeed a skill.

Su Yun, relying on her high looks, is almost always successful.

Zheng Ren nodded; this time we can almost be 100% sure it's abdominal epilepsy.

An EEG is a graph obtained by amplifying and recording the spontaneous bioelectric potentials of the brain from the scalp using precise electronic instruments; it is the spontaneous, rhythmic electrical activity of neuronal groups recorded via electrodes.

The girl lay on the bed, her hair spread out, like she was taking a personal portrait, striking a beautiful pose.

At least her hair is like that.

But as the electrodes were attached to her head, the style shifted, turning her into the Resident Evil heroine in a lab.

Zheng Ren sat to the side and began administering her EEG.

Sure enough, soon they found irregular spike-slow complexes in the temporal region.

Upon seeing those irregular spike-slow complexes, Zheng Ren and Su Yun both exhaled in relief.

Zhou Litao couldn't understand the EEG.

As hospitals become increasingly specialized, few doctors are proficient in all areas—this isn't Zhou Litao's fault.

"All right." Zheng Ren laughed: "Based on a comprehensive physical exam and EEG, it's definitely refractory epilepsy."

Zheng Ren asked Zhou Litao for a pen and paper, and wrote down the three medications: phenobarbital, lamotrigine, and methylcobalamin.

"Take them orally as directed, and she'll be fine in two weeks." Zheng Ren said, "She won't have another episode."

Note: He has a friend who only occasionally has seizures after seeing his mother have epilepsy. Later he recovered on his own. Psychological issues are actually quite important.