Chapter 1811

"Incentives?" Su Yun asked as he pondered.

"Well, it may be a fall. It's normal for patients with cerebral infarction to fall and fall. Because their physical fitness gradually decreases, a trauma may lead to rhabdomyolysis." The thoroughness of Zheng Renxiang.

Seeing that the entourage was giving Christian a blood transfusion, he took out several red and bloody drinks and asked, "can he be well today?"

"It should be OK this time." An attendant with a bruised face replied, "Lord Kerry rarely has attacks. He will get better after treatment for up to three times each time."

"It seems that he has some exceptions." Zheng Renwei smiled and said.

"It's not that serious." Su Yun said, "but the sulfide in garlic will still attack."

"Yes." Zheng Ren said: "I hope he can get better quickly and provide the correct medical history. If there is no problem in judgment, I think..."

"There is only a 2-3 chance of rhabdomyolysis with oral statins. Boss, don't you think the chance is too small?" Su Yun asked.

"That's why I doubt what factors triggered this process."

"HMGCR antibody test, muscle biopsy and muscle electrophysiological examination are enough to diagnose rhabdomyolysis." Su yundao.

"Well, you're right." Zheng Ren said, "I forgot that there are various medical equipment that are said to be ahead of all hospitals in the world. I hope Christian didn't lie about this."

"Try it. You're waiting anyway." Su Yun began to communicate with the other side as he spoke.

"Boss, this electronic medical record system is easier to use than ours." Su Yun said after sending the consultation opinion.

"Just enough. There's no need to be so advanced." Zheng Ren said, "if rhabdomyolysis is confirmed, the treatment will be simple."

"Prednisolone + methotrexate + immunoglobulin?" Su Yun asked.

"About half of the patients with rhabdomyolysis were cured by conventional triple therapy. Even immunoglobulin alone may work, but the patient's state is too poor. I don't recommend routine medication."

"How are you going to use it?" Su Yun asked cautiously.

Routine means that a large number of clinical patients have used it, which means that the risk is minimal.

"Considering the patient's history of cardiac insufficiency and thrombosis, I recommend rituximab instead of immunoglobulin and combined with 70 mg / D prednisolone."

"Rituximab injection is used to treat recurrent or drug-resistant follicular central lymphoma. It has been reported that it can effectively control rhabdomyolysis, but do you think so?"

"No problem. The patient's symptoms are completely consistent." Zheng Rendao: "it's not enough to just use drugs, because patients with post-stroke hemiplegia and muscle weakness that can't be relieved in the short term must also receive long-term physical rehabilitation treatment."

"Wait." Su Yun put his hands behind his head, leaned against the back chair and said slowly: "HMGCR antibody test, muscle biopsy and muscle electrophysiological examination, how long do you guess the results will be?"

"If there is no delay on that side, one hour is enough." Zheng Ren said, "I hope they will seriously look at our consultation requirements, rather than throw them aside."

With that, he glanced at Christian.

When the whole blood was injected again, Christian's blisters on his face and neck were much better. Although the whole person is still slightly depressed, it looks much more normal, and at least several canine teeth retract.

Zheng Ren thought for a while and finally decided to wait.

As time passed, about an hour later, Zheng Ren saw that Christian's wound healed quickly and the whole person was more energetic.

"How are you, Mr. Christian?" Zheng Ren stood up, sat in front of Christian and asked seriously.

"Damn it, did you hit me?" Christian said coldly.

The voice is very flat, no anger, just stating a fact.

"I'm glad your mind can recover under the stimulation of pain." Zheng Ren said with a smile: "when porphyria patients have an acute attack, only 30% of them can accept pain stimulation."

"You're going to break my nose." Christian looked at Zheng Ren coldly.

Su Yun knew this look very well, which meant that if he hadn't failed Zheng Ren, he would have gone up to beat him.

"It is mainly because the medical history is not described in detail, which leads to doctors' misdiagnosis and misjudgment." Zheng Ren didn't care about Christian's threat and asked, "I'm not sure whether the doctor on that side will do relevant examinations, so I think it's better to get the most direct evidence from you."

"What evidence?"

"Has Ms. Fandi suffered any trauma in recent months?" Zheng Ren's eyes narrowed slightly and stared at Christian's eyes tightly.

"No."

"Mr. Christian, lying now will kill your dear Ms. Fandi." Zheng Ren grinned and said easily, "the diagnosis is clear. I firmly believe that rhabdomyolysis. But in all the diagnoses, there is a missing puzzle."

"History of trauma?" Christian's expression is a little strange.

"Yes." Zheng Rendao: "if you can get the exact medical history, you can take the medicine at least 1-2 hours in advance. For Ms. Fandi, this 1-2 hours means whether she can walk down after treatment or lie in bed for the next few years or more."

"..." Christian was silent.

Zheng Ren stared into his eyes and looked at the changes in his eyes. Zheng Ren has confirmed his guess.

Just guessing is not enough.

Originally, the treatment plan given by myself was quite extreme. In addition, there was no exact clinical evidence. Using the wrong medicine was equivalent to killing.

"I..."

"Let me tell you. You just nod or shake your head." Zheng Ren said softly, "in this way, it may save time."

Christian thought and nodded to agree with Zheng Ren.

"The question may be a little private. Can your men listen?" Zheng Ren glanced at the two men with bruises.

Christian told them to leave first.

"You really love Ms. Fandi, and so does she." Zheng Renxian threw out a simple proposition.

Zheng Ren said it in English, not Dutch.

Christian was a little surprised. Zheng Ren gave him an illusion that he was not a doctor, but a damn priest, or a special discipline and holy double practice.

But he hesitated and nodded.

"Ms. Fandi had an operation for you 35 years ago." Seeing Christian nodding, Zheng Ren continued to ask.

Su Yun is curious. What's the boss doing? Serious, like a wedding.

Christian was silent for three seconds and nodded again.

"Ms. Fandi has a special hobby, such as getting some pleasure through suffocation." Zheng Ren's volume suddenly increased.