I run a clinic in the United States

Chapter 197 Lewy Body Dementia

So, Stephanie wrote a test sheet and a letter, asking Mrs. Silverstone to go to the commercial testing agency that the clinic cooperated with for a test.

"Go slowly and be careful!" Looking at Mrs. Silverstone's trembling back, Stephanie couldn't help shouting, "It's best to let your daughter accompany you next time!"

"Okay, thank you, kind Doctor Stephanie! You are such a careful and considerate child!" Mrs. Silverstone turned around and praised.

Stephanie smiled at her.

After the old lady left slowly and awkwardly, Stephanie fell into deep thought.

She was thinking about the old lady's condition.

This old lady's condition is a bit like schizophrenia, but not entirely, maybe, Alzheimer's disease?
According to the old lady’s self-report just now, the old lady was very capable and optimistic when she was young. She once ran a flower shop and took care of it very well. She relied on this flower shop to raise her daughter alone after she was divorced in her early years. Also bought a house in San Francisco.Only she herself knows the bitterness in it.

Now that he is older, he handed over the flower shop to his daughter and lived a leisurely old age.Finally can enjoy the blessing!
Since a year ago, she has occasionally experienced dizziness, frequent insomnia, early awakening, and forgetfulness.I just thought it was because I was old and didn't pay attention to it.Every physical examination found no obvious disease.

However, starting last month, she was horrified to discover that she was two completely different people during the day and at night!

During the day, it was normal, but at night, I became timid, nervous, and anxious. I had to lock the door and use a chair to hold it up, close the windows tightly, and draw the curtains to feel at ease.

And she also had hallucinations. Once, when she was going to sleep, she was horrified to find that there were many snakes on the bed, densely packed and crawling around. It was shocking!
She screamed in horror. Her daughter lived with her. When she heard the news, she came and found out that there was a snake somewhere.He helped her back and comforted her. Sure enough, when she looked at the bed again, it was clean!
In addition, her daughter also told her one thing, that is, when she fell asleep, she would suddenly yell and dance. When her daughter came and shook her awake, she felt confused again. , had no idea those things had happened.

Even at first, she felt that her daughter was lying to her. However, once her daughter recorded her yelling and dancing and showed her the video, she realized that she was so "ridiculous" !
Mrs. Silverstone was still alone when she came for a follow-up visit after her examination.Although she called her daughter to inform her, she was too busy and didn't take it seriously.

Stephanie looked at the old lady's head MRI report, which showed that the old lady had mild atrophy of the whole brain, but no obvious atrophy of the hippocampus.

Hippocampal atrophy is a typical manifestation of Alzheimer's disease.

"What kind of disease is it? It looks like this and that, but if you think about it carefully, it doesn't look like either!" Stephanie felt that she had encountered a problem!

"How about going to see Zhou Qiao and see if he has any opinions?" Stephanie couldn't help but stick out her tongue when she thought of Zhou Qiao.

In reality, she was a little afraid to face Zhou Qiao. Every lunch, although everyone ate together in the rest area and talked and laughed, Stephanie did not dare to look at Zhou Qiao.

After all, she had had such a dream, and in the dream, she was so dissolute!

Especially the latest time, with two Zhou Qiaos at the same time... I was very cooperative and enjoyed it... It's really shameful and exciting to think about it!It doesn't matter if she is the only one who knows about this dream. However, it is Zhou Qiao's dream therapy, which means that Zhou Qiao can completely perceive it.

She didn't know whether Zhou Qiao had the same feelings as her, which were so real and unforgettable.If so, that's really, really shameful!

"Doctor Stephanie? What are you thinking about?" Mrs. Silverstone tilted her head and asked suspiciously, wondering why this beautiful girl doctor is as forgetful as herself?You said it was a diagnosis, but you suddenly forgot about it and then thought about other things?

"Ah?" Stephanie exclaimed, stood up, and said quickly, "Mrs. Silverstone, your disease is a bit difficult. I'll go to our boss for consultation. You also know that he is the signature of our clinic. , his medical skills are many times better than mine, um, just wait a moment!"

"Okay, go ahead, lovely girl!" Mrs. Silverstone nodded, sitting on the chair and squinting her eyes to sleep.She doesn't get a good night's rest. She's very old and is really sleepy during the day.

However, I couldn't sleep.

As for Zhou Qiao, she knew that he was very famous in California.Especially for medical beauty, I heard that some new medicines have been invented.

It's a pity that she is quite old and has already passed the stage of caring about appearance. Now she only longs for health.

Stephanie started walking, the fragrant breeze was wafting, but when she approached Zhou Qiao's clinic, she couldn't help but slow down.

She coughed and stretched out her delicate hand to knock on the door.

"Come in!" Zhou Qiao's magnetic voice came from inside.

Stephanie's heart trembled, and she put her head in and opened the door.

"Is something wrong?" Zhou Qiao raised his head, saw her, and said lightly.

Stephanie's heart skipped a beat. This faint expression was so familiar, exactly the same as in her dream. But, how could he pretend that nothing happened?

After all, we have been in the dream hundreds of times!

Could it be that Zhou Qiao is as forgetful as Mrs. Silverstone?Or maybe he can't experience dreams as clearly as he does?
It's not impossible, it was my dream after all!
Thinking of this, Stephanie relaxed a little.Maybe Zhou Qiao couldn't perceive his dreams, but he used hypnosis to hypnotize himself, and the dreams were all controlled by himself?
Well, if that's the case, then next time, you can be more reckless in your dreams!Anyway, no one knows, right?
No, that is the idea of ​​the slutty witch, not the idea of ​​my holy Stephanie!
Stephanie took a deep breath, eliminated distracting thoughts, calmed down, walked in, and explained Mrs. Silverstone's condition.

"Let's go, I'll go with you to check the details." Zhou Qiao stood up.

Stephanie thought for a while, but stopped talking.

"Just say what you want to say!" Zhou Qiao looked at her with encouraging eyes.Stephanie hesitated, then finally plucked up the courage to ask her question: "Qiao, I want to ask... when you gave me dream therapy, could you... clearly feel... that feeling? "

Zhou Qiao thought about it very "seriously", shrugged, and said: "I can only roughly set the direction of a diagnosis and treatment story, but I am not very clear about the interpretation of some details. As for the specific perception... you are kidding me." Really? That was you dreaming. Maybe you had a clear feeling, but I didn’t."

In fact, his consciousness and Stephanie's consciousness entered the virtual world at the same time. Because he is the "homeowner" and the whole process is dominated by him, he can naturally perceive it clearly, and he is also the same kind of person as Stephanie. , an almost real feeling.

In a way, it's stronger than reality because it's the blending of two souls.

However, since Stephanie asked this, he would cooperate to prevent her from being too embarrassed.

Last time, he told Stephanie the story of the Kingdom of Women and the story of Shang King Zhou and Daji in The Romance of the Gods, but it was a traditional Chinese mythological story, which was just a background introduction and did not involve what he experienced in the dream. Something.

At that time, Stephanie only thought that Zhou Qiao had a real and ordinary experience. Now that she thought about it, she realized that maybe she was overthinking it!In fact, she didn't think too much!
"Ah, that's great." Stephanie said in surprise.This way next time, she can have no psychological burden at all and let the slutty witch unleash her full potential.

Only when the slutty witch unleashes herself in dreams can her other half, the saintly personality, take absolute dominance in reality.

"Okay, don't talk about this, the first priority is to see Mrs. Silverstone!" Zhou Qiao said, walking outside first.

"Yeah, I think so too!" Stephanie peeked at Zhou Qiao's back, her sexy red lips raised slightly.

……

The two came to Stephanie's consulting room together to consult Mrs. Silverstone.

"Consider Lewy body dementia for this disease!" After reading the report and listening to the detailed introduction of the disease, Zhou Qiao said after thinking about it.

"Dementia with Lewy bodies?"

Stephanie was stunned, then her watery eyes lit up, and she said yes, why didn't I think of that?It’s not impossible!However, this disease is relatively unpopular, and she really ignored it before.

I thought to myself, my level still needs to be improved. I didn’t expect Zhou Qiao to be so knowledgeable!Then I looked at him with admiration!
She admires Zhou Qiao more and more!
"If it's Lewy body dementia, I think two more tests are needed!" Stephanie mused as she searched for the previously learned knowledge in her mind.

"Which two tests can you tell me?" Zhou Qiao asked her in a questioning tone.

Stephanie said: "Dopamine transporter PET and polysomnography!"

Zhou Qiao gave a thumbs up in approval: "That's great!"

Stephanie couldn't help but feel sweet in her heart, and narrowed her blue eyes shyly.

"What is Lewy body dementia and can it be cured?" Mrs. Silverstone said it was beyond her knowledge.She originally thought it was caused by lack of sleep or some mental problems.

However, I never expected that I would develop this kind of Lewy body dementia!

What kind of strange disease is this?

She was very worried!

Although she is 73 years old, she still wants to live healthy for a few more years. It would be best if she can live to be 103 years old and still go out for a walk every day like Mrs. Mace next door.

Zhou Qiao said with a smile: "Although this disease cannot be cured, early detection and early intervention can effectively delay the progression of the disease."

He talked eloquently and tried his best to briefly introduce the disease to the old lady in a language she could understand.

"Dementia with Lewy bodies" is a degenerative disease of the nervous system that is highly similar in symptoms to Alzheimer's disease, Parkinson's disease and other diseases.

To put it simply, there are some proteins in the human brain that accumulate abnormally into clumps, called "Lewy bodies." Lewy bodies deposited in different parts can cause patients to experience hallucinations, memory loss, sleep behavior disorders, Parkinson's syndrome, etc. A series of manifestations, but not every patient will have the above typical symptoms.

In fact, it is really difficult to diagnose this disease, and misdiagnosis often occurs. However, Stephanie's ability to keenly detect abnormalities and not jump to conclusions is already remarkable, surpassing many doctors.

Medicine is actually a very complex subject. Even with examination reports and films, you may not be able to get a correct diagnosis!And on the basis of this "ambiguity", it is even more difficult to know in which direction to investigate.

There are so many examination items, you can’t let the patient do them all, right?Isn't that nonsense?

Even if you do them all again and your level is not good, you still won’t be able to draw a conclusion!Therefore, multidisciplinary consultation came into being.

When Zhou Qiao was talking, Stephanie was also listening with interest.

(End of this chapter)