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.

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's 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 after hearing 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 have no idea what a rare and precious opportunity it is for them to intern at Yue Traditional Chinese Medicine Hospital 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 want 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.

Through epidemiological research, genetic disease doctors 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 convulsions.

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

Doctors in the gastroenterology department also have opinions, saying 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 intestine, causing systemic inflammation, immune diseases and even organ function damage.

Intestinal microbes can not only regulate the synthesis of tight binding proteins and tight junction functions 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."

The other doctors were stunned for a moment. How could one disease have so many possible causes?

Anyone who is a doctor knows that if you cannot determine the cause of a disease, then you will definitely not be able to treat the disease or prescribe the right medicine.

Director Xia Hua was more experienced and knew that she should praise him at this time, because she felt that since what the dean said was clear and logical, he must have made his own unique discovery.

If a good subordinate wants to be the leader's favorite, he 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.

But no one had researched this correct answer in 1991. Chen Qi or the Yue Hospital of Traditional Chinese Medicine published it first, which is equivalent to cutting off another international-level medical conclusion.

"Well, I also have my own guess. Haha, the problem should still be in the genetic chromosomes."

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

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, as 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. The authors of the papers went to famous doctors one by one. Would she not be moved?

If you are not greedy for money as a doctor, 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 any weighty topics. We will 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 Implant Medical Center currently has too many subjects, and they lack manpower to keep them busy.

Therefore, 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 couldn’t close their mouths when they heard:

"Thank you, Dean Chen. Thank you, Dean Chen."

This chapter is not finished yet, please click on the next page to continue reading the exciting content! Zhong Hengyuan next to him was anxious, thinking that you should not rush to thank him yet, this patient is still here, 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 is in the treatment.

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

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

If you think it is caused by leaky gut, you need to supplement enough Omega-3 fatty acids and essential fatty acids to repair damaged brain nerve cells.

If someone thinks 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 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:

"Well, so far, there is no specific drug in the world that is specifically designed to treat Tourette's syndrome. You must be mentally prepared for this. This disease is lifelong and cannot be cured.

It must be treated, but what is the effect of the treatment? Whether it can be treated like a normal person is difficult to say, and the cost of treatment is not low. It is just like blood washing therapy, like hemodialysis for uremia. It needs to be done every once in a while.

The cost is beyond the reach of ordinary people.”

Du Wenjuan burst into tears upon hearing 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 should I 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 lead to wealth. (Reader asks: Isn’t it? The author answers: It needs to be the main theme.)

Chen Qi patted the parents on the shoulders:

"Don't be anxious, don't be anxious. There is bad news but also good news. Many patients with Tourette's syndrome often experience tics and sudden mania after puberty. Their tics and sudden mania will be reduced or controlled, and their intelligence will not be affected.

So now we can treat the symptoms 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 is also light.

Some."

Poor doctors don't start with the curative effect first, but choose the cheapest option based on the patient's financial ability.

I envy children abroad, treatment is almost all free.

For parents, Chen Qi's words are nothing short of good news that clears the air. In the past, they felt despair, but now they see hope. The mood is completely different.

For terminally ill family members, 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 receiving symptomatic treatment from 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 to swear or break things or hit people.

Chen Qi also took the opportunity to give a lecture on campus 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 Neurology Department of 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 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 syndrome;

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

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

Some are accompanied by involuntary vocalizations, throat clearing, or yelling, 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 the development of intelligence.
To be continued...