Chapter 1810 Inquiry, Straight to the Point (Monthly Ticket 23000 Plus More × 46)

"Incentive?" Su Yun asked while pondering.

"Well, it might be a fall. It's normal for patients with cerebral infarction to fall and get injured. Because of the gradual decline in physical fitness, a single trauma may lead to rhabdomyolysis." Zheng Ren thought clearly .

Seeing that the attendant was transfusing Christian's blood, he took out several glasses of red, blood-smelling drink and asked, "Is he okay today?"

"It should be fine this time." A follower replied with a bruised nose and a swollen face: "Master Kerry rarely suffers from seizures, and he will get better after at most three treatments each time."

"It seems that he has some exceptions." Zheng Ren said with a slight smile.

"It's not that serious." Su Yun said, "But if you ask about the sulfide in garlic, it will still break out."

"Well." Zheng Ren said: "I hope he can recover quickly and provide a correct medical history. If there is no problem with the judgment, I think..."

"The chance of rhabdomyolysis caused by oral statins is only two to three in 100,000. Boss, don't you think the chance is too small?" Su Yun asked.

"That's why I wondered what triggered the process."

"HMGCR antibody detection, muscle biopsy, and muscle electrophysiological examination are enough to confirm the diagnosis of rhabdomyolysis." Su Yundao.

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

"Try it, waiting is waiting anyway." Su Yun started to communicate with that side while talking.

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

"It's enough, it's not necessary 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 patients with rhabdomyolysis are cured with conventional triple therapy. Even immunoglobulin alone may be effective, but this patient's condition is too poor, so I don't recommend conventional 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 cardiac insufficiency and history of thrombosis, I suggest choosing rituximab instead of immunoglobulin, combined with 70 mg/d prednisolone for treatment."

"Rituximab injection? It is used to treat relapsed or drug-resistant follicular central lymphoma. There are reports that it can effectively control rhabdomyolysis, but do you think it can?"

"No problem, the patient's symptoms are completely consistent." Zheng Ren said: "Medication alone is not enough, because of post-stroke hemiplegia and muscle weakness that cannot be relieved in the short term, the patient must also receive long-term physical rehabilitation."

"Just wait." Su Yun put his hands behind his head, leaned back on the chair, and said slowly: "HMGCR antibody test, muscle biopsy, muscle electrophysiological test, how long do you think it will take to get the results?"

"If there is no delay on that side, one hour is enough." Zheng Ren said: "I hope they will seriously read our consultation request instead of throwing it aside."

After speaking, he glanced at Christian.

After transfusion of whole blood again, the blisters on Christian's face and neck improved significantly. Although the whole person is still a little sluggish, but it looks much more normal, at least a few canine teeth have shrunk back.

Zheng Ren thought about it, and finally decided to wait a while.

Time passed, and about an hour later, Zheng Ren saw that Christian's wound healed quickly, and he became more energetic.

"Are you feeling better, Mr. Christian?" Zheng Ren stood up, sat in front of Christian, and asked seriously.

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

The voice was flat, without anger, just stating a fact.

"I'm very glad that your mind can recover under the stimulation of pain." Zheng Ren said with a smile: "When patients with porphyria have a severe 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 kind of look very well, it meant that if he hadn't been unable to beat Zheng Ren, he would have gone up to beat him long ago.

"It's mainly because the medical history was not detailed, which led to the doctor's misdiagnosis and misjudgment." Zheng Ren didn't care about Christian's threat, and asked, "I'm not sure if the doctor over there will do relevant examinations, so I think It’s better to get the most direct evidence from you.”

"What evidence?"

"Has Ms. Fandi suffered trauma in recent months?" Zheng Ren narrowed his eyes slightly, staring closely at Christian's.

"No."

"Mr. Christian, lying now will kill your dear Ms. Fandi." Zheng Ren grinned slightly, very relaxed, "The diagnosis is clear, and I firmly believe that rhabdomyolysis. But there is a missing piece of the puzzle in all diagnoses .”

"Trauma history?" Christian's expression was a little strange.

"Well." Zheng Ren said: "If you can get the exact medical history, you can take the medicine at least 1-2 hours in advance. And this 1-2 hours, for Ms. Fandi, means that whether you can walk on the ground after treatment or not Lie in bed and spend the next few years, ten years."

"..." Christian was silent.

Zheng Ren stared intently at his eyes, watching the changes in his eyes, Zheng Ren had already confirmed his guess.

Just guessing isn't enough.

Originally, the treatment plan I gave was rather extreme. In addition, there was no definite clinical evidence. Using the wrong medicine was equivalent to killing people.

"I……"

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

Christian thought for a while, and nodded in agreement with Zheng Ren's statement.

"The question may be a little private, can your subordinates listen?" Zheng Ren glanced at the two people with bruised noses and swollen faces.

Christian let them go first.

"You really love Ms. Fandi, and she loves you too." Zheng Ren first threw out a simple proposition.

Zheng Ren spoke in English, not in Dutch.

Christian was a little surprised. Zheng Ren gave him the illusion that he was not a doctor, but a damned pastor, or the kind of disciplined and sacred double cultivation.

But he hesitated for a moment, then nodded.

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

Su Yun was a little curious, what is the boss doing? Seriously, like officiating a wedding.

Christian was silent for 3 seconds, then nodded again.

"Ms. Fandi has some special hobbies, such as obtaining some kind of pleasure through suffocation." Zheng Ren's voice suddenly increased.