Chapter 294 Guillain-Barré Syndrome
Do you want to call Director Tong over?
Tong Yanqiu is the deputy director of neurosurgery and must be very knowledgeable about neurological diseases.
"I don't think so. Let's do an EMG first, and then have her come over. What do you think, Director?"
At this time, the patient suddenly asked: "Doctor Wei, do you think this is not heart failure, or a cardiovascular disease?"
This is a good question. If it is not the case, then it can be said that nothing is a big deal.
Wei Ping nodded.
"Doctor Wei suspects that myasthenia gravis is the cause of your series of illnesses, is that correct?"
Han Wei said this.
Electromyography (EMG) is an electrophysiological examination of the nervous system that collects electrical activity from muscles. It can be used to evaluate whether muscles, neuromuscular junctions, peripheral nerves, and nerve cells that control muscles are normal. It is important for diagnosing the cause of muscle pain, numbness, muscle atrophy, or weakness.
Clinically, it can help diagnose various neurological diseases such as progressive muscular dystrophy, polymyositis, myasthenia gravis, peripheral neuropathy, poliomyelitis, motor neuron disease, etc.
"I suspect it's a rare disease!" Wei Ping said.
Everyone was quiet at this time.
They were waiting for Wei Ping to speak.
"What disease is that?"
"Guillain-Barré syndrome!"
His suspicion was correct, as the app prompted.
"Congratulations on being diagnosed with Guillain-Barré syndrome. You'll receive RMB 3,000! Proficiency +300, /"
The essence of Guillain-Barré syndrome is peripheral neuritis, and its clinical manifestations are acute symmetrical flaccid limb paralysis.
This disease can cause the patient's respiratory muscles to weaken, which is why he has these symptoms.
The general diagnostic criteria include a history of prodromal infection, acute onset, progressive worsening, and peaking in about 2 weeks. The patient reaches a high point in about 2 weeks.
Symmetrical weakness of the limbs, muscles controlled by the medulla oblongata, and facial muscles. In severe cases, respiratory muscle weakness and decreased or absent tendon reflexes in the limbs may occur.
As for the others, we can see them when the electromyography results come out.
If you want to confirm the diagnosis further, you need to do a blood test.
But there is no need to do so because Wei Ping has already diagnosed it.
The purpose of doing an electromyogram is to provide a basis for subsequent treatment. Otherwise, it would be ridiculous to judge that it is the disease based on some symptoms alone.
Although Wei Ping believes that this is the case with the disease, others do not think so.
"Let's do it now!" the patient asked.
He really wanted to confirm the disease, at least not other cardiovascular diseases.
But he didn't know that this disease was also difficult to treat, especially in terms of money.
Because the medicine to treat this disease can only be paid for by yourself.
It’s also very expensive.
It was a drug called immunoglobulin G, 700 yuan per tube, and I had to use ten at a time! That would cost me 7,000 yuan a day.
And it will take more than one day. In the early stage of using this medicine, it is estimated to take about five days.
I don’t know what will happen next, but I’ll have to spend 30,000 to 50,000 yuan at once. It’s not something that most people can afford.
But in order to survive, you have to take medicine no matter how expensive it is.
Otherwise, it will be too late if respiratory failure occurs.
"Okay, I'll write a prescription and we'll go together! Do you want to join us, Doctor Wei?" Han Wei asked.
"Let's go together."
Wei Ping said.
So, a group of people went to check.
On the way, Xiao Xia asked, "Is this disease really serious?"
"This is a rare disease. It only affects one in 100,000 people."
This disease occurs worldwide and can affect people of all ages. It is the most common cause of acute flaccid paralysis in healthy children. It is more common in adults, affecting approximately 1.5 times as many men as women.
Obviously, people don’t know about this disease because it is too uncommon.
I'm afraid only neurologists would understand better.
But the symptoms of some diseases are too similar.
Most doctors don't think of this disease, and some people don't even know about it.
Therefore, when encountering such patients, consultation is necessary.
However, the patient is not yet at the stage of requiring a consultation.
I can only ask Wei Ping to come over and take a look first.
"Then what is the probability that he has this disease?" someone else asked.
"Ninety percent, I think."
"What Doctor Wei believes is 90% certain!" Yang Ke said at this time.
She knows Wei Ping very well.
"Brother Wei, could you tell us a little more about this disease? How is it treated?"
"There's something called immunoglobulin pulse therapy, which can significantly improve a patient's condition in a short period of time. However, it's extremely expensive and is self-funded, making it unaffordable for most people. However, once you start taking it, it's generally effective."
Obviously, no one has heard of this kind of medicine.
"Is there a less expensive one?"
"Yes, high-dose glucocorticoids can also be used. But if the patient is critically ill, immunoglobulin shock therapy is the first choice!"
Yes, it's like fighting with death.
Of course, the best approach is to choose better and more effective medicines to get out of danger of life, and then choose other second-line and third-line drugs. Of course, if the patient has money, they can directly choose immunoglobulin pulse therapy.
"How did Senior Brother Wei know about this disease?" Xiao Xia asked again.
This is what everyone wants to know.
"I heard this in class that day from a cardiovascular specialist. He said he had encountered a similar patient before. During the final treatment, a neurologist came in and enlightened him with one sentence," said Wei Ping.
At this time, everyone realized that the gap between them and Wei Ping was getting wider and wider.
They have more clinical experience than them and are more willing to learn. They are still learning, but their speed has not been able to improve.
"If treated, to what extent can it be recovered?"
This is also the question everyone wants to ask.
"Half of patients will recover within weeks to months, a few will have residual neurological dysfunction, and approximately 3% will die from complications such as respiratory failure, infection, hypotension, and severe arrhythmia. Another 3% will relapse, and if they contract the disease again, the probability of sequelae increases."
It looks like this disease doesn't just happen once.
But this disease is self-limiting.
That's only for people with mild symptoms.
Most people still need to actively seek treatment. With the current level of medical technology, it is not difficult to cure as long as it is not delayed for too long.
"Brother Wei, if that patient really has this disease, how long will it take for him to recover?"
"I can't estimate this, but generally speaking, half a month is inevitable."
It all depends on the patient's resilience.
Some patients don't live to receive medication.
That's a pity.
Everyone asked Wei Ping everything about the disease.
And the inspection inside has begun.
At this time, Han Wei walked out from inside.
"Doctor Wei, come here!"
"good!"
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