"Greenbally syndrome?" Director Qu was stunned when he heard Xu Ze's words. A ray of light flashed across his eyes under the black-framed glasses. He looked at Xu Ze stably, but said unexpectedly: "Do you know this disease too?"

Seeing Director Qu ask this, Xu Ze was happy and thought to himself that Director Qu knew that he didn't need to worry about it.

He nodded gently, then handed over the medical record at hand, and said to Director Qu: "Director, look at this patient..."

The medical record handed over by Xu Ze was the patient who had seen it. Director Qu couldn't help but be stunned. After looking at Xu Ze deeply, he finally took the medical record and started reading it.

Director Qu looked at it very carefully, flipped through it page by page, and thought for a long time. He had also visited this patient today, but there were too many patients at that time, so he had some examinations. After listening to Qian Xuebin's report, he agreed to his diagnosis, but he did not consider the disease at that time.

However, based on the information I saw last time, looking back, some symptoms are somewhat similar, and it seems to be more appropriate than the diagnosis of neurogenic myasthenia gravis.

Director Qu thought for a long time before looking up at Xu Ze, he said slowly: "Have you read the latest information?"

Xu Ze nodded, then looked at Director Qu and said, "Director, I have just conducted a detailed consultation and physical examination on the patient, which is slightly more detailed than the medical history recorded by Dr. Qian. The patient had a history of infection two weeks before the onset, and had a history of limb and neck and back pain before the onset!"

Listening to Xu Ze's explanation, Director Qu's eyes gradually lit up, and he signaled Xu Ze to continue speaking.

"Physical examination, in addition to the decline and disappearance of limb muscle strength and the disappearance of tendon reflex, I also found that the patient had shallow sensory disorders in the lower limbs, although it was only mild, but it did exist..."

Xu Ze paused for a moment, and saw Director Qu looking at him and listening carefully, he continued: "With some medications currently being used by Dr. Qian, the patient's effect is not sure. It only temporarily prevented the further aggravation of the condition and did not achieve any practical results, indicating that the diagnosis of neurogenic muscle weakness is still questionable."

"So based on the current medical history and physical examination analysis, the possibility of Greenbary syndrome is extremely high..." After saying that, Xu Ze looked at Director Qu steadily, waiting for his reaction.

After listening to Xu Ze's analysis, Director Qu nodded slowly, looked at Xu Ze with praise and said, "Yes, you are only at this age, but you can have such a wide range of knowledge and be so careful, which is very good..."

"Yes, but we must be careful in the diagnosis of this disease. After all, it is a newly discovered disease. There are not many reports on this in China..." Director Qu stood up, picked up the stethoscope and percussion hammer, looked at Xu Ze and said cautiously: "Let's go... let's check it together!"

Seeing that Director Qu did not object to his opinion or agreed easily, but insisted on checking and confirming again, Xu Ze couldn't help but nodded secretly. This was the caution that a medical expert with advanced professional qualities should have. At that moment, the two of them went straight to the ward without hesitation.

After watching Director Qu and his new disciples chat together for a while, they went out together. Zhang Qi next to him looked up in surprise, and then continued to write his medical records.

The two of them pushed open the door of the ward and walked to the bedside where the patient was ineffective. The family members and patients next to them had met Director Qu this morning and knew that he was a professor in the first year of the Affiliated Department and the director here. When they came to the rounds today, Dr. Qian accompanied the examination with a respectful look on his face.

At this time, seeing Director Qu come in, the family was feeding the patient porridge, so they quickly stood up happily and said, "Hello, Director Qu!"

Director Qu smiled and nodded, and then said to the patient: "There were too many patients this morning and the matter was too busy, so I didn't give you a detailed examination... Now Dr. Xu and I will give you a closer examination together!"

"Ah... OK... I'm really bothering you and Dr. Xu!" The patient looked at Director Qu and Xu Ze beside him, and immediately thanked him excitedly and politely.

Director Qu smiled and asked about the medical history again. As he heard Director Qu’s inquiry, the patient was curious. Why did Director Qu like the first Dr. Xu like to ask some inexplicable irrelevant things?

As Xu Ze said, Director Qu nodded and then conducted a careful physical examination. The final result was indeed as Xu Ze said. In addition to the disappearance of muscle strength and tendon reflexes in the lower limbs, the patient also had a slight superficial sensory disorder in the lower limbs.

After the examination, Director Qu nodded to Xu Ze, and then the two of them left the ward.

Director Qu looked at Qian Xuebin's medical records and couldn't help but frown and shook his head, thinking to himself why Qian Xuebin didn't ask about the condition carefully. If he asked carefully, he wouldn't have almost missed the disease today.

At that moment, I couldn't help but look at Xu Ze with gratitude and said: "According to this situation, it really looks like Guillenbaril syndrome. However, there is no official information in China yet, and our diagnosis is still not sure..."

Xu Ze chuckled and said, "Director, there is a characteristic thing about Guillenbaril syndrome, that is, protein cell separation of cerebrospinal fluid... We just need to do a lumbar puncture and extract some cerebrospinal fluid for testing, and that should be enough..."

"Protein cell separation?" Director Qu frowned and recalled the information he saw. It seemed that there was this statement on it. He didn't remember it very clearly, but it seemed that what was said above was not very certain. He couldn't help but look at Xu Ze and said, "Xu Ze, are you sure?"

"I remember that the treatment of Guillimbare syndrome and this neurogenic muscle weakness are almost completely different... This must be cautious!" Director Qu looked at Xu Ze and said seriously.

Xu Ze nodded with a smile. He was completely sure that what he said just now was correct, because this has been proved by medical technology in the future.

"Okay... let's go for a lumbar puncture now... Don't waste time, you must diagnose this disease as soon as possible!" Director Qu stood up resolutely and said.

Seeing Director Qu is so anxious, Xu Ze couldn't help but say: "Don't we have to wait for Dr. Qian?"

"Now, he should be ready to have lunch now. He will come to take over until noon. Let's do it first and make a diagnosis as soon as possible..." Director Qu said decisively.

Seeing Director Qu's affirmation, Xu Ze stopped hesitating, nodded, and then said, "Then I'll prepare the utensils!"

Although Xu Ze is not very familiar with the emergency department, with the help of the young nurse Hu Xia, he quickly prepared all the tools for waist wear.

Director Qu personally called the patient's family to tell the story of the new discovery and the necessity of a lumbar puncture examination.

The family heard Director Qu's words and remembered that Dr. Xiao Xu first came to check and then asked about the situation. Then Director Qu asked again and considered this question, but he couldn't help but feel grateful to Xu Ze. If Dr. Xiao Xu hadn't discovered the problem and told Director Qu very responsibly, he would probably not have found the possible reason.

He quickly signed the consent form for waist pants and asked Director Qu to be more careful. After waiting, Xu Ze brought in the equipment for waist pants. The family members saw Xu Ze very enthusiastic, which made Xu Ze a little uncomfortable.

Seeing that Xu Ze was ready, Director Qu took Xu Ze and the two of them took their things and headed straight to the ward.

At this time, the patient had already learned the situation from the family members, and was going to have such a checkup. His eyes were very different from those in the first place, and his eyes were full of gratitude.

Director Qu pushed his glasses and watched Xu Ze skillfully position the patient in a lateral and knee-to-knee position. He was curious again and thought to himself: "Is Xu Ze actually doing lumbar puncture? This is impossible? It is impossible to do this lumbar puncture in the clinic!"

However, out of the surprise that Xu Ze gave him today, he still had an inexplicable confidence. After Xu Ze prepared for himself, he looked at Xu Ze and tentatively said, "You can do it Xu Ze?"

After hearing Director Qu’s question, Xu Ze was a little stunned, but he honestly replied: “Yes…”

"Will?" A strange light flashed in Director Qu's eyes, and a hint of surprise flashed. He smiled and said, "Okay... Then you do it!"

"Oh... OK!" After hearing this, Xu Ze was quite excited about being able to actually operate the lumbar puncture with his own hands. After all, he had only performed simulation operations in the void space before. Although these simulation operations were almost the same as real operations, Xu Ze was extremely excited when he actually took action.

Lumbar puncture is also a very difficult small operation. Many doctors rarely succeed when they do it for the first and second time, but Xu Ze is still quite confident in himself.

At present, in order to succeed in one puncture, Xu Ze adjusted the patient's position again, making the patient's back perpendicular to the bed surface, flexed his head to the front of the chest, hugged his knees with both hands and pressed against the abdomen, making the trunk arched, and the patient's spine protruded as much as possible to increase the width of the intervertebral space and facilitate needle access.

Then he began to select the position of the puncture. He stretched out his hands and determined the puncture point by the intersection of the posterior superior iliac spine of the pelvis and the posterior median line of the spine. This is the location of the 34th lumbar spine space, and it is also the best puncture position.

Then take out the complex iodine cotton swab, routinely disinfect the puncture point, then wear sterile gloves, open the sterile waist piercing bag, and lay a disinfectant hole towel for the patient...

Director Qu looked at Xu Ze's actions with satisfaction. Xu Ze did these procedures very skillfully and fully comply with the sterile operation procedures. He did not make any mistakes in a single step, just like a veteran.

This made Director Qu secretly amazed. Xu Ze really gave him too many surprises today. I really don’t know where he learned these things? How could a junior student know these things?

At this time, seeing that Xu Ze had already laid a disinfectant towel and picked up the syringe, Director Qu suppressed his surprise, took out a 2% lidocaine from the plate and opened it, and then came to Xu Ze, waiting for Xu Ze to take the medicine, and fulfilled his duties as an assistant.
Chapter completed!