Why not? The symptoms of chorea are sometimes similar to those of epilepsy, which can be easily confused. Improper treatment of epilepsy can lead to fractures, and chorea can also lead to fractures. Improper clinical treatment and insufficient protective measures can lead to more than just fractures. Skin problems are also a typical problem. Skin lesions are one of the common complications. This is a major feature of neurological diseases.
"If you don't hold it, it won't stop shaking." Wei continued to warn the patient.
"Why?" the young man asked.
"This is because of the nerves..." When Wei was faced with complex medical knowledge and wanted to explain it to the patient, his brain got confused first, resulting in a stuttering and unclear explanation.
Being looked at like this by the patient, he was even more at a loss for words.
Cao Yong didn't speak in a hurry.
The junior fellow students had already discovered that when Senior Brother Cao was their mentor, he really wanted them to roll up their sleeves.
Roll it up, roll it up quickly.
Xie, who is considered the best student, came out as usual. Perhaps because she recruited the patient, she felt responsible. She took the initiative to follow up on Wei's words and said to the patient: "The reason why it is shaking is like the indicator light of the traffic light is flashing red all day long. Something in the traffic control system is broken."
...
...
This is a perfect metaphor, making it very easy for patients to understand.
The young man realized that it was her who spoke, and as she expected, he questioned her: "You asked me to test my blood sugar, but my blood sugar is fine. Now you insist that I get another check-up, why did you ask me to test my blood sugar in the first place?"
Xie Wanying explained to the patient in detail: "Your disease is a nervous system disease. Blood sugar may be one of the factors that affect nervous system diseases. Asking you to test your blood sugar is to rule out one of the factors. It does not mean that blood sugar can control whether your hands and feet shake or not. If blood sugar can directly control your hands and feet, it would be enough to directly rule out the blood sugar factor, but it is not. It is the nervous system that controls the movement of your hands and feet. Therefore, the next test we will do for you will focus on the nervous system and other common factors that may affect the nervous system besides blood sugar."
There are many causes of chorea, including genetic factors, metabolic factors, namely the abnormal blood sugar mentioned above, infectious factors, usually hemolytic streptococcal infection, autoimmune factors and even tumor factors.
Afraid that the patient still wouldn't understand, Xie Wanying gave another example: "To put it simply, 1234567 affects 8, and 8 and 9 are linked. If there is a problem with 9, we must check 8 first, and then check 1234567."
"My hands and feet are 9, and you said check 8?" the young man asked.
"Yes, 8 is the nervous system." Xie Wanying replied.
The young man understood this time. He had never expected that a disease in medicine was like a maze, and he had to go through so many procedures to check it out. He could feel that his disease seemed to be very serious, and his face turned pale again, as if he had been sentenced to death.
Once the doctor sees the patient in this state, he needs to comfort him appropriately.
"It's okay." Xie Wanying said, "Your disease can be cured as long as the problem is found out."
"Really?" the young man asked, looking up.
"Your onset is relatively mild, and we asked you to come for a checkup because the doctor thinks your condition is getting worse. We need to find out the cause as soon as possible and conduct targeted treatment to hopefully cure you. If there is no hope, the doctor won't be anxious."
There is no hope. From a medical point of view, this is a disease that cannot be cured. There is no point in being anxious. Even if the doctor urges you to come to the hospital, he cannot cure it and he won't urge you.
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