Chapter 867: Adam Tathagata vs House Jade Emperor
medical center.
"Say it."
Adam heard Dr. Wilson's words and saw that Dr. House stopped talking. He understood that the other party's mouth was too addicted, and now he finally wanted to listen to his professional advice seriously, so he also accepted his magical powers.
"Female, 29 years old, had her first epileptic seizure two months ago, lost her language ability, could only mutter like a baby, staged mental decline, and was initially diagnosed with a brain tumor.
But negative for three common brain tumor protein markers, no family history, no environmental causative factors, no response to radiotherapy…”
Dr. House's good friend, Dr. Wilson, described the situation of the patient's female preschool teacher in detail.
He is a well-known oncologist.
The preschool teacher was admitted to him after she was diagnosed with a brain tumor.
After he found out that he couldn't handle it, he lied to Dr. House that this was his cousin, and then let Dr. House see her.
no way.
In general cases, Dr. House is indifferent. He would rather have his three elite doctors idle than take over.
With this time, watching soapy medical dramas is too sweet.
But the cousin of the only good gay friend is worth his shot.
"After House took over, he first judged that there was a brain injury, and then prepared to do an MRI, but the patient had a seizure and couldn't continue. It was later discovered that she was allergic to the contrast agent of the MRI."
Dr. Wilson continued: "House later suspected that she had cerebral vasculitis, took steroids, and high-dose prednisone..."
"hehe."
Adam couldn't help laughing when he heard this.
"how?"
Dr. House couldn't help but said: "Do you have a better way? At that time, the MRI results and the neurological symptoms caused by intracranial pressure were all in line with the symptoms of cerebral vasculitis..."
"Wait, isn't she allergic to MRI contrast?"
Adam interrupted: "Where's the MRI result?"
"...a slip of the tongue, it's the result of a CT scan."
Dr. House hesitated: "She is not allergic to CT contrast agent."
"Be serious, Dr. House!"
Adam joked: "At first, I didn't have much confidence in this case. After all, neither the unique diagnostic department nor the unparalleled Dr. House can make a diagnosis..."
"I can diagnose it!"
Dr. House retorted, "It's just that she doesn't believe it."
"That's still undiagnosed."
Adam corrected: "Your final diagnosis is still a guess. Although you are very sure this time, you may still be wrong, right?"
"So you, who didn't have confidence before, now have the confidence to pick on me?"
Dr. House sneered.
"That's right."
Adam smiled and said, "At your level, you should be able to think of everything I can think of.
And what is better than me is, what do you think, when there is no evidence such as biopsy to point to your diagnosis, even if the cause of your diagnosis is a one in a million chance.
You dare to take medicine directly, and then judge whether your diagnosis is correct based on the patient's response, which I may never be able to do. "
"That's because you are cowardly and boring!"
Dr. House complained: "If I were you, I would definitely open my own hospital, treat any patients I want, and use any method I can think of to diagnose and treat."
"It won't be long before this hospital will close down and you will be in jail."
Adam smiled and said: "In short, in this respect, I will never be as good as you, but now you have used various unconventional means to rule out one possibility after another.
Then, regarding the process of your diagnosis and treatment, I am confident that I will find something that you have overlooked.
Just like you who are so powerful, you can also turn CT results into MRI results. "
"...show me a face!"
Dr. House was caught with a small omission, just like the Jade Emperor was blocked by a thousand words of "You have been beaten by a monkey", so he could only speak in an unhappy way.
"In short, if House's diagnosis is correct, the patient's condition will improve. If he is wrong, there will be a new discovery."
Dr. Wilson continued: "During the medication period, Dr. Forman went to the kindergarten to check the place where the disease occurred. He learned that there was a parrot in the kindergarten. He guessed it was parrot fever..."
"no!"
Adam shook his head: "If it's parrot fever, then the kindergarten children have already been found to have a wide range of abnormal reactions. Since there is no such thing, it can't be parrot fever."
"I told you."
On the other end of the phone, Dr. House smiled and shrugged at the little black-faced Dr. Forman.
"After taking the medicine, the patient improved obviously, but then it took a sharp turn for the worse, first blindness, and then seizures."
Dr. Wilson shook his head helplessly: "Give her a mental test. She has ups and downs. House decided not to do any treatment. Based on the severity of the attack, she can determine whether it is a brain tumor, an infection, or a blood vessel... "
Adam understood.
A brain tumor can live for a month or two, an infection can live for a few weeks, and a blood vessel can only live for a week.
Dr. House is looking at how quickly she died to determine the cause.
It's brutal.
Because by doing so, it is very likely that even if the cause is known at that time, there is a high probability that it will be too late to rescue.
Or if they were rescued, many irreversible and serious injuries have been caused, and the quality of life of the survivors is worrying.
"Dr. Forman and Dr. Cameron went to the patient's home, checked the living environment, and found no abnormal pathogenic factors."
Dr. Wilson continued: "But the discovery of the ham exposed the lie that the patient was my cousin... But it also inspired House."
"Craniocysticercosis!"
Adam suddenly said: "The ham is made of pork, and the pork contains solium.
If the cooking time is not enough, the tapeworm larvae will enter the digestive system, parasitic growth and reproduction.
Most of the eggs that reproduce are excreted.
However, there may be eggs that can penetrate the intestinal wall and enter the bloodstream.
Then circulate the whole body with the help of blood.
The eggs secrete special substances to evade the detection of the human immune system.
But once dead, it will be recognized by the human body system and then attacked.
The tapeworms living in the brain, once attacked, will cause a chain reaction and damage the brain.
Cause various neurological diseases, the response to steroid drugs, after the condition improves slightly, it will take a sharp turn for the worse.
It does match various symptoms! "
"see it?"
Dr. House pointed at the three ducks and stretched out his hand: "That's why I always wanted him!"
"It's still just a possibility."
Little Black Forman said dissatisfied.
"right."
Adam agreed: "It's still not 100% sure."
"It's up to you now."
Dr. House said with a smile: "As long as I treat it, take two albendazole tablets a day after meals, the diagnosis will be made soon, and it will be cured within a month.
Either you pick on my thorns and come up with another way.
Either you just listen to me and use the beauty trick to save someone's life.
Time is running out and I think the second is more effective. "
"That's it?"
Adam was surprised and said: "Doctor House, you are not kidding me, are you? It's already this time, you really can't think of a better way?"
"You remember?"
Dr. House was taken aback.
"certainly."
Adam exaggeratedly said: "It is true that the diagnosis cannot be made without medication or MRI.
But since you are sure it is the pork tapeworm, then a pork tapeworm can produce 20,000 to 30,000 eggs a day, so it is impossible to only have the brain one?
The cell density of Taenia solium is similar to that of cerebrospinal fluid, so it cannot be found by CT fluoroscopy.
But since it is unlikely to have only one, there must be other parts of the body.
Bugs love hamstrings.
An X-ray of the thigh can easily confirm the diagnosis.
I don't believe that patients are not even willing to do a non-invasive leg X-ray, right? "
Dr. House:"……"