Since 1981 Health School

 Chen Qi explained most of it, and the other doctors were listening attentively. They had to pretend to be serious even if they weren't serious.

 But the young intern doctor was a newborn calf and was not afraid of tigers. At this time, he suddenly raised his hand and asked:

“Dean Chen, what is the cause of Tourette syndrome?”

 Chen Qi chuckled:

"That's good. Not only did classmate Ye not hide in the back, but now he has learned to answer questions quickly. I'll give you 10 points. Is the teacher from the science and education department here? What can I give this Ye? Oh, classmate Ye Fen'e, please write a good review on the internship form. "

Ye Fen'e was so excited when she heard this. Before the internship was over, the internship reviews were positive. This was definitely an unexpected surprise.

 A good internship also means that you will have a great advantage in future job assignments.

When the other intern doctors heard that their classmates actually got such a big advantage, they also pushed forward, thinking that they should show off themselves.

Chen Qi saw it all, and the praise he gave was like buying a bone with a lot of money, and he wanted to mobilize the enthusiasm of the interns.

 Many intern doctors simply don’t know what a rare and precious opportunity it is for them to intern at the Vietnam Hospital of Traditional Chinese Medicine and to intern with Chen Qi, an international double director.

When they graduate and enter the society in the future, if they cannot be assigned to a good hospital and go to a grassroots county hospital or even a central town hospital, then their lifetime limit will be there, and it will become possible for them to learn valuable medical knowledge. Not big.

Even if you come to see Chen Qi in the future, you will need to get a "famous doctor account". Each account costs 50 yuan, but you may not be able to get one.

 Chen Qi still hopes that these intern doctors can learn more skills during their internship and apply them to clinical practice in the future. They will live up to the years of hard study day and night and survive the college entrance examination.

“The exact cause of Tourette’s syndrome is still unclear, and the foreign medical community generally believes that it may be caused by a combination of genetic and environmental factors.

Physicians of genetic diseases have conducted epidemiological studies and believe that Tourette syndrome is highly heritable and is 10 to 100 times more likely to be found in close relatives than in the general population.

Neurologists believe that the cause is an oversensitive dopamine response in the basal ganglia of the brain and a problem in the connection between the basal ganglia and the cerebral cortex, resulting in chronic, repetitive, semi-involuntary movements and vocal tics.

The pediatrician believes that it is related to streptococcal infection. He believes that Tourette syndrome may be an autoimmune disease like lupus erythematosus, and streptococcal infection is a risk factor.

There are also doctors from the gastroenterology department who also have opinions. They believe that Tourette's syndrome is caused by leaky gut. Don't you understand?

You should be familiar with leaky gut. This hypothesis is that bacterial toxins, food fragments and bacterial metabolites leak out from small holes in the intestines, causing systemic inflammation, immune diseases and even organ function damage.

Intestinal microbes not only regulate the synthesis of tight binding proteins and tight junction function in the brain, but also affect the development and function of microglia and astrocytes in the brain, which causes brain damage and thus Tourette syndrome. disease. "

Other doctors were stunned when they heard this. How could one disease have so many possible causes?

Every doctor knows that if you can’t determine what causes a disease, then you definitely won’t be able to treat the disease or prescribe the right medicine.

Director Xia Hua is more experienced and knows that she should praise her at this time, because she feels that since the dean’s words are clear and logical, he must have made his own unique discovery.

 A good subordinate who wants to be the leader's favorite must learn to observe the leader's intentions and understand the leader's intentions.

“Dean, the causes you just mentioned seem to be correct, but it always feels like there are too many and they are unreal. Do you have your own opinion?”

Chen Qi felt happy when he heard this. Of course he had his own opinion. Ahem, it was actually knowledge from his previous life and he knew the real cause of Tourette's syndrome.

 This is an autosomal dominant disease caused by three copies of chromosome 21 instead of two.

However, no one had researched this correct answer in 1991. Chen Qi or the Vietnam Hospital of Traditional Chinese Medicine took the lead in publishing it, which is equivalent to cutting off another international-level medical conclusion.

“Here, I have my own guess, haha, the problem should still be in the gene chromosomes.”

Xia Hua's eyes suddenly lit up, and he knew he had bet on the right topic.

Didn’t Yue Zhong Hospital just set up a genetic testing laboratory with a complete set of equipment? So there is no need to ask for help from others for genetic diseases. Our own hospital can do it.

Director Xia saw that the Department of Gastroenterology, Endoscopy Center, Plastic Surgery and Burn Surgery were publishing papers one after another in major international medical journals, and the authors of the papers went to famous doctors one by one. Would she not be moved?

As a doctor, if you are not greedy for money, why can't you let others seek fame?

 Now a unique and rare disease has been discovered in her neurology department, and the dean in front of her knows the correct answer, so she must not miss such a golden opportunity.

“Dean, you can’t favor one over the other. Our Department of Neurology is in dire need of support. We don’t have a weighty topic. We must be considered this time no matter what.”

 Chen Qi thought that you are such a considerate old lady, so of course he would consider it first.

In addition, he also knows that the Implantology Medical Center currently has too many projects, and they lack manpower to keep them busy.

 So appropriately dispersing the topics and driving multiple departments to move forward simultaneously, this is what he, the dean, should do.

"Okay, since Director Xia has said so, then this subject will be placed in your Department of Neurology. You will submit an application report later, and I will approve 200,000 yuan for you first. It is still the same old rule. You will not be refunded until it is spent. If it’s not enough, we’ll make up for it at the end, but it’s subject to financial review.”

Director Xia and all the neurologists were speechless after hearing this:

 “Thank you, Dean Chen, thank you, Dean Chen.”

Zhong Hengyuan next to him was anxious, thinking that you should not be in a hurry to thank him. The patient is still here, and you have to treat him first.

“Dean Chen, look at my son’s situation, what should you do now?”

 Chen Qi was scratching his head now. It is actually not difficult to diagnose Tourette's syndrome, but the difficulty lies in treatment.

Various theories have various treatments. For example, if a neurological disease is suspected, drugs that electrically stimulate or inhibit nerve conduction are generally used.

 If streptococcal infection is suspected, blood washing therapy will be chosen.

Those who think it is caused by intestinal leakage believe that they need to supplement enough Omega-3 fatty acids and essential fatty acids to repair damaged brain nerve cells.

 For those who think it is a mental illness, psychological intervention should be carried out as soon as possible.

 But even by 2023, there is no recognized treatment solution that can completely solve Tourette syndrome.

 Chen Qi decided to tell the truth. After all, we should not give patients too high expectations. The greater the so-called hope, the greater the disappointment, and the easier it is to cause doctor-patient disputes.

So he apologized and said to the child’s father:

“It’s like this. So far, there is no specific drug specifically used to treat Tourette’s syndrome in the world. You must be mentally prepared for this. This disease is lifelong and cannot be cured.

 Treatment is definitely necessary, but how effective is the treatment? Whether he can be like a normal person is difficult to say, and the cost of treatment is not low. It is like blood washing therapy or hemodialysis for uremia. It needs to be performed at intervals, and the cost is not affordable for ordinary people. "

Du Wenjuan burst into tears as soon as she heard this:

 “Treat it, let’s do it, even if we sell the house, we still have to do it.”

Zhong Hengyuan’s attitude is also very firm:

"Dean Chen, I understand what you mean. We must treat it. As for how much it will cost, I will find a way. You have also seen my son's situation. If he is not treated, he will not be able to go to school and grow up. What to do next?”

 In 1991, people still believed that knowledge could change their destiny and that hard work could make them rich.

 Society is always strange, but a few decades later, the theory that "reading is useless" appeared in society.

There are also more and more people who believe that hard work cannot make you rich. (Reader asked: Isn’t it? The author replied: It needs the main melody.)

 Chen Qi patted the parents on the shoulders:

“Don’t worry, don’t worry, there is good news as well as bad news. Many patients with Tourette’s syndrome often experience tics and sudden mania after puberty, and their tics and sudden mania will be reduced or controlled, and will not affect their intelligence.

 So we can treat it symptomatically first, such as using some drugs that inhibit nerve conduction, such as carbamazepine. Or you can try tiapride and haloperidol tablets. These drugs are relatively cheap and your financial burden will be lighter. ” ˆ ˆ Poor doctor, when treating a patient, he does not first consider the curative effect, but chooses the cheapest one based on the patient’s financial ability.

I envy foreign children, treatment is almost all free.

 For parents, Chen Qi’s words are like good news that clears the air. In the past, they were in despair, but now they see hope. The mood is completely different.

 For family members of terminally ill patients, a little bit of hope is a life-saving straw, and they will grab it at all costs.

Then…

 The money was defrauded…

 Later, after symptomatic treatment at the People's Hospital, Zhong Minghao's symptoms were obviously under control. Although he still had tics from time to time, he no longer used swear words and broke things or hit people.

 Chen Qi also took advantage of an opportunity to give a campus lecture to tell the students at Zhong Minghao’s school what Tourette syndrome is, and then talk about friendship, unity and so on.

 In short, Xiao Minghao's situation has been greatly changed.

The child himself worked hard and went all the way to a medical university and became an outstanding doctor in the Department of Neurology of the Vietnam Traditional Chinese Medicine Hospital. He devoted his life to the research of Tourette syndrome.

 In fact, you can also make an inspirational movie.

  The annual incidence rate of Tourette's syndrome is 0.5 to 1 per 100,000 population.

 For example, in Bay Province, almost one in every two hundred people suffers from Tourette's syndrome;

However, in the mainland, because there is no Tourette Syndrome Association, there is no official accurate number, but based on the ratio between Bay Province and Eagle Country, the number of patients in mainland China probably exceeds one million.

Tourette syndrome is not contagious, not fatal, and does not affect the patient's emotional and IQ. It only causes the patient to involuntarily twitch, such as shaking his head, winking, shrugging, making faces, etc.

 Some are accompanied by involuntary vocalizations, clearing the throat, or shouting, which are beyond their control.

To outsiders, patients with Tourette syndrome seem to be mentally abnormal, so patients can cause a lot of misunderstandings.

 In fact, Tourette's syndrome is neither a mental illness nor a mental problem. It is an abnormality of the central nervous system and will not affect intellectual development.

More than 20% of patients have an obvious family genetic history, and many are combined with comorbidities such as ADHD, obsessive-compulsive disorder, mood disorders, and learning disabilities. The learning and social difficulties caused by these comorbidities are often greater than those of Tourette syndrome itself.

 Children with pure Tourette's syndrome do not need to receive special education. Usually, only Tourette's children with ADHD or autism need to be placed in resource classes.

Therefore, the whole society should care for children with Tourette syndrome. Even if they don’t love them, at least they should not hate or bully them.

As soon as Chen Qi came out of the ward, he saw Dr. Tao Peiliang, a pediatrician, waiting outside the door, his face full of anticipation and excitement.

“Hey, Lao Tao, why are you here to inspect our work in Shenyang?”

Xia Hua and Tao Peiliang entered the hospital at the same time, so they were quite familiar with each other. They liked to say hello and joke when they met.

“I’m here to see Dean Chen. Hey, Dean, I’m here to tell you the good news. My wife is finally pregnant.”

The young doctor may not know Tao Peiliang or his family's situation, but the senior doctors all know what's going on, so they are all really happy for this honest doctor.

Xia Hua was the first to clap his hands:

“Oh, it’s great, it’s great, Lao Tao, it’s so hard for you. This is great news.”

Some other senior doctors and nurses also gathered around, and each one happily patted Tao Peiliang on the shoulder:

 “Old Tao, you have to treat me.”

“That is, set up a few tables first, and then set up a few tables after the full moon. This is good news that we have been waiting for for many years.”

 Chen Qi was also happy. After calculating the time, he was still a little surprised:

“My dear, I remember that your wife was taking injections and medicine to regulate her body. How did you get pregnant so quickly?”

Tao Peiliang smiled so hard that his molars were exposed:

"Professor Ding personally performed the dredging surgery for us. Later, she evaluated it and thought we could try it first. Originally, she thought we would always have to do a third or fourth stage test tube. But we succeeded the first time and removed a few... They left us a twin."

“Good guy, Lao Tao, if you don’t do it, you will do nothing, but if you do it, you will be astonishing.”

 Chen Qi is also happy. The Viet Nam Hospital of Traditional Chinese Medicine’s Implantation Center succeeded in in vitro fertilization for the first time, and it was an elderly couple. This is definitely a medical breakthrough in China:

“Okay, okay, Lao Tao, you have finally come to the end of your hardships. So, we should do more good deeds and serve the people more. God will make us happy in the end.”

Compared to the small commotion in Shenchi, the Shengzhi Medical Center was full of joy and laughter.

 A group of doctors were surrounding Teacher Du, telling her their parenting experiences.

Teacher Du’s face was flushed, he was so excited that tears were about to fall, and he asked with an uncertain look on his face:

“Are they really twins? I got pregnant with two at once.”

Professor Ding was also happy for the elderly couple. He held Teacher Du’s hand and said:

“If I weren’t afraid that you wouldn’t be able to bear it, it would have been more than just twins. Four embryos were successfully produced. In the end, we discussed with Dr. Tao and reduced the number of fetuses by two, leaving you with a pair of twins.”

 “Yeah, we still have a son and a daughter.”

Teacher Du was even happier now, and then burst into tears: "I thought that Lao Tao and I would have no children in our lives and would be alone for the rest of our lives. Thank you, thank you, thank you~~~"

Professor Ding and several other doctors were also helping to wipe away tears:

"Thank you, Dean Chen. It was he who strongly advocated the introduction of a complete set of equipment and the establishment of this bio-implantation medical center. This brought sunshine and hope to desperate couples like you. This is the ultimate goal of our medical career. goal."

The establishment of the Vietnam-Mayo Implantation Medical Center has a role and influence no less than that of a "Guanyin to send children".

Furthermore, the role of the birth center is not limited to "giving birth", but can also perform prenatal screening, which can enable pregnant women to have good health and prevent the birth of sugar babies and salt babies, and save many families on the verge of collapse.

 It’s really no exaggeration. If a family has a deformed or demented child, the family’s life will basically be ruined.

 Some families have problems with their first child, but refuse to give up and give birth to a second child, and the child is still as deformed as the first child. Such families will never have a chance to turn around in their lifetime.

So Chen Qi’s contribution is definitely great. In his next life, he will be reincarnated into the Ming Dynasty and become a prince.

 A week later, the genetic report of Zhong Minghao’s child came out. As Chen Qi had guessed, it was a genetic disease caused by three copies of chromosome 21 instead of two.

The Department of Neurology of Yuezhong Hospital also started writing the paper as quickly as possible.

Tourette's syndrome has actually been observed very early, but because it is a rare disease, not many doctors are studying it, and it is even less likely for pharmaceutical companies to study it. After all, the audience for rare disease drugs is too small, and it may even charge research and development costs. not coming back.

This gave Chen Qi a head start to use genetics to finally decipher the real cause of Tourette syndrome.

Yue Zhong Hospital’s high output of articles on rare diseases one after another has directly overwhelmed the editors of several major medical journals.

 (End of this chapter)