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1811 Inquiry, straight to the point (monthly ticket 2300046)

"Inducement?" Su Yun asked while thinking.

"Well, it may be a fall. It is normal for patients with cerebral infarction to fall or fall injuries. Because physical fitness gradually declines, a trauma may lead to rhabdomyolysis." Zheng Ren thought clearly.

Seeing that the entourage was transfusion of blood to Christian, he took out a few more red drinks with bloody smell and asked, "Can he be fine today?"

"It should be fine this time." A follower replied with a bruised nose and a swollen face. "Mr. Kerry rarely has an attack and will get better after three treatments at most."

"It seems that he is a little exception." Zheng Ren smiled slightly and said.

"The condition is not that serious." Su Yun said, "but when asked about the sulfide in the garlic, it 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 with the judgment, I want to..."

"There is only two to three in 100,000 rhabdomyolysis in oral statins. Boss, don't you think this probability is too small?" Su Yun asked.

"So I doubt what factors triggered this process."

"HMGCR antibody detection, muscle biopsy, and muscle electrophysiological examination are enough to confirm rhabdomyolysis." Su Yun said.

"Well, you're right." Zheng Ren said: "I forgot that side is said to have various medical equipment leading all hospitals around the world. I hope Christian did not lie about this matter."

"Let's try it, I'll wait anyway." Su Yun said as he began to communicate with that side.

"Boss, this electronic medical record system is more useful than ours." Su Yun said after sending the consultation opinions.

"It's enough, there's no need to be so advanced." Zheng Ren said: "If rhabdomyolysis is confirmed, the treatment will be simple."

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

"For routine triple medication, about half of patients with rhabdomyolysis are cured. Even using immunoglobulin alone may work, but this patient is in a bad state, so I do not recommend routine medication."

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

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

"Considering the cardiac insufficiency and thrombosis history in this patient, I recommend choosing rituximab instead of immunoglobulin and combined with prednisolone treatment at 70 mg/d."

"Rituximab injection? 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 condition is fully consistent." Zheng Ren said: "It is not enough to just take medication, because hemiplegia after stroke and muscle weakness that cannot be relieved in the short term, and patients must also receive long-term physical rehabilitation treatment."

"Wait." Su Yun put his hands behind his head, leaned on the backrest chair, and said slowly: "HMGCR antibody test, muscle biopsy, muscle electrophysiology examination, how long will the results be obtained?"

"If there is no delay on that side, one hour will be enough." Zheng Ren said: "I hope they will carefully look at our consultation requirements instead of throwing them aside."

After saying that, he glanced at Christian.

After injecting all blood again, the blisters on Christian's face and neck were obviously much better. Although he was still slightly listless, he looked much more normal, and at least a few canine teeth shrank back.

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

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

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

"Damn, are you hitting me?" Christian said coldly.

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

"I'm glad that your consciousness can recover under the stimulation of pain." Zheng Ren smiled and said: "When porphyria patients have acute attacks, only 30% of them can receive pain stimulation."

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

Su Yun knew this kind of look very well, which meant that if he hadn't been able to beat Zheng Ren, he would have been going up to beat him up long ago.

"The main reason is that the medical history is not detailed, which leads to misdiagnosis and misjudgment by the doctor." Zheng Ren didn't care about Christian's threat and asked: "I'm not sure if the doctor on that side will do the relevant examination, so I think it's better to obtain the most direct evidence from you."

"What evidence?"

"Have Ms. Vandy suffered injuries in the past few months?" Zheng Ren's eyes narrowed slightly and stared at Christian's eyes tightly.

"No."

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

"Train history?" Christian's expression was a bit strange.

"Well." Zheng Ren said: "If you can obtain a certain medical history, you can take the medicine at least 1-2 hours in advance. For Ms. Fandi, these 1-2 hours means whether you can walk on the ground after treatment or whether you can lie down in bed for the next few years, more than ten years."

"..." Christian was silent.

Zheng Ren stared at his eyes tightly, looking at the changes in his eyes, Zheng Ren had confirmed his guess.

Just guessing is not enough.

The treatment plan I gave was originally quite extreme, and there was no definite clinical evidence, using the wrong medicine was equivalent to killing someone.

"I……"

"It's better for me to say that you just nod or shake your head." Zheng Ren said softly, "If this happens, it may save time."

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

"The question may be a bit private. Can your subordinates listen?" Zheng Ren glanced at the two people with a bruised nose and a swollen face.

Christian asked them to leave first.

"You really love Ms. Fandi, and she loves you the same way." Zheng Ren first put forward a simple proposition.

Zheng Ren said it in English, but not in Dutch.

Christian was a little surprised. Zheng Ren gave him an illusion that he was not a doctor, but a damn pastor, or a kind of sacred precepts and sacred dual cultivation.

But he hesitated for a moment and nodded.

"Ms. Vandy had surgery for you 35 years ago." Zheng Ren nodded when he saw Christian nodding and continued to ask.

Su Yun was a little curious, what was the boss doing? He was serious, like hosting a wedding.

Christian was silent for 3 seconds and nodded again.
Chapter completed!
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