I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 626 Rare Disease, the first time I heard this name, it's trending again!

"Xiao Qiao, I can only offer one direction that I highly doubt."

Zhang Lingchuan looked at Qiao Wanning in the camera, his tone noticeably more somber than before.

"A definitive diagnosis must be made at a physical hospital by a neurologist or neuro-ophthalmologist after a physical examination."

"But judging from your current behavior, such as frequent blinking, involuntary eye closing, increased tension and fatigue, which are relieved after sleep, plus involuntary movements of the corners of your mouth and chin, you can focus on investigating a certain disease."

Qiao Wanning sat up straight.

"Dr. Zhang, what's wrong?"

Her voice sounded a little strained.

The live stream room fell silent for a moment.

Meige syndrome.

Zhang Lingchuan uttered five words.

"Meyer... syndrome?"

When those words came out, Qiao Wanning was clearly stunned.

"what is this?"

She had never heard of this name before.

Most viewers in the live stream had never heard of it either.

Meige syndrome?

"It sounds like a foreign name."

"Is this some kind of rare disease?"

"This is the first time I've heard of this."

"Is the inability to open your eyes related to this?"

"I just looked it up, and it's kind of scary!"

Song Wanqing, sitting behind the equipment, was also stunned at first.

Meige syndrome was a name that was very unfamiliar to her. Although she had recently seen many strange cases with Zhang Lingchuan, this was the first time she had ever heard of this disease.

Simply put, Meige syndrome is a type of focal dystonia.

Zhang Lingchuan looked at Qiao Wanning.

"Its most typical manifestation is blepharospasm, which is the uncontrollable and frequent closing of the eyelids. Sometimes it is accompanied by abnormalities in the muscles of the jaw and mouth, such as twitching of the corners of the mouth, tightening of the jaw, clenching of teeth, difficulty opening the mouth, and unnatural speech or eating."

"This condition isn't caused by you blinking intentionally, nor is it due to a lack of willpower; it's a problem with muscle control."

Zhang Lingchuan answered.

Qiao Wan Ning turned pale upon hearing this.

"Then, does mine already look very similar?"

She asked very carefully, hoping Zhang Lingchuan would shake his head, or even more so, that he was just suspicious and unlikely to be right.

"Very similar."

But Zhang Lingchuan didn't give her that kind of luck, and his answer was very direct.

That's why I told you to see a neurologist right away.

“You’ve had this for six months now, and the symptoms are getting worse, affecting your ability to ride a bike and cross the street. This can’t be explained simply by dry eye syndrome.”

His tone was also very serious.

There can be no room for complacency when dealing with patients.

This was the most memorable course that Professor Fang Yuan had ever taught him.

"But I really thought it was just dry eyes before. When I used eye drops, it did feel a little better."

Qiao Wan Ning's eyes reddened slightly; she felt somewhat at a loss.

"Didn't I just say that feeling more comfortable doesn't mean the fundamental problem is solved?"

Zhang Lingchuan repeated what he had just said.

"If you already have dry eyes, artificial tears can indeed make the ocular surface more comfortable, reduce irritation, and may temporarily reduce blinking. However, if the real underlying problem is blepharospasm, or even dystonia of the oromandibular joint, then just using eye drops is equivalent to treating the surface."

"It's like if the wall is cracked, you put on a sticker; if the water pipe bursts, you mop the floor. You seem busy, but the core problem remains unaddressed."

The words were spoken very bluntly.

Qiao Wan Ning's lips moved, but she didn't know what to say for a moment. The live stream chat exploded with comments.

"If the wall cracks, you put up a sticker; if the water pipe bursts, you mop the floor. That's a brilliant analogy."

"I understood, and I was terrified."

"Sister Qiao, please go to the hospital quickly."

"It's been half a year, we really can't delay any longer."

"I always thought that not being able to open my eyes was an eye problem, but I never imagined it might be a neurological issue."

……

"Of course, I can't give you a diagnosis right now, even though we're talking through a screen."

"After you go to the hospital, the doctor will perform a detailed neurological examination to check the degree of blepharospasm, whether other facial muscles are involved, and whether there are other signs of neurological diseases."

"At the same time, the ophthalmology department can continue to cooperate in assessing the condition of the ocular surface."

"If a diagnosis is made that resembles blepharospasm or Meige syndrome, the treatment will not simply involve using eye drops."

Zhang Lingchuan continued.

"Is the treatment very complicated?"

Qiao Wanning took a deep breath.

"Treatment may not be easy, but it's not impossible."

Zhang Lingchuan answered.

"If it really is this disease, common treatments include medication and local botulinum toxin injections. Many patients can improve their symptoms through standardized treatment. The key is that you can't keep delaying, especially you can't ride a bicycle."

And he emphasized it again.

This is the most crucial part.

If you can't open your eyes while driving.

That would truly be the end of the world.

It's bad for yourself and even worse for others.

"I see."

Qiao Wan Ning's face turned pale.

"Well, pay attention to safety on the road."

Zhang Lingchuan nodded.

The video call ended.

There was a few seconds of silence in the live stream, and then the chat started scrolling wildly again.

"Sunset eye, spina bifida occulta, clubbing of fingers, Meige syndrome... I feel like my medical knowledge has increased significantly after watching this live broadcast."

"It's time to go home, isn't it?"

"I really like it, Dr. Zhang, please don't end the broadcast, I want to keep watching."

At this moment, Zhang Lingchuan, watching the comments on camera, couldn't help but rub his temples.

"Friends, we've almost reached our target number of patients for today, so let's end this live stream here."

tired.

It's time to end the broadcast.

Live broadcasts of doctors giving consultations in front of a camera are very physically demanding.

"Huh? No way!"

"It ended as soon as it got going?"

"Zhang the veterinarian, are you ending your broadcast already?"

"I haven't heard enough yet!"

"Keep going, keep going!"

……

The number of viewers is increasing.

Everyone hoped that Zhang Lingchuan wouldn't end the broadcast.

"Everyone, let's continue next time."

Zhang Lingchuan waved his hand.

"Hahahaha, let's continue with the medical thriller series next time."

"Thank you for your hard work, Dr. Zhang!"

"Comrade Xiao Song, you've worked hard!"

"Remember to let us know in advance for your next live stream!"

It seems Zhang Lingchuan is determined to end the broadcast.

No one knew what to say.

All I can say is we'll try again next time.

Zhang Lingchuan looked at the comments and took the last sip of water.

"Finally, let me remind you one last time. Sunset eyes, clubbed fingers, and abnormal blinking over a long period of time are not meant to scare you at home, but rather to remind you to go to the hospital if you notice any abnormalities."

"Don't attribute all problems to the child being cute, having a poor constitution, being stressed, or having dry eyes. Get them checked if necessary. Okay, that's all for today's live stream."

"See you next time, everyone."

The live stream has been shut down.

The moment the screen went black, Zhang Lingchuan leaned back in his chair.

"call……"

He let out a long breath.

"This live stream is inhuman."

He remarked with emotion.

"Zhang Laoshi, your followers have gone crazy again today."

Song Wanqing took off her headphones and looked at him with a smile.

"It's gone crazy?" Zhang Lingchuan raised his eyelids slightly.

"So this is trending again?"

Speaking of which, every live stream of hers makes it to the trending topics.

"It hasn't officially made it to the trending topics yet, but it's already climbing the charts."

Song Wanqing stared at the backend data.

"Today's live stream had a peak of over three million concurrent viewers, and the total number of viewers exceeded ten million. Moreover, your follower count was still increasing when you just ended the stream. Roughly speaking, you gained at least several hundred thousand followers today. With the spread of short video clips, the number of followers will likely continue to rise."

He then smiled, revealing his little tiger teeth.

"Hundreds of thousands?"

Zhang Lingchuan perked up a little when he heard about the hundreds of thousands of followers.

After all, isn't all that hard work just to gain more followers?

"Yes, the total number of fans is now approaching 69 million."

Song Wanqing nodded.

"Even the hard work of oxen and horses has some effect."

Zhang Lingchuan paused for a moment, then gently exhaled.

"Of course it's useful."

Song Wanqing said with a smile.

“Zhang Laoshi, your live stream today, with its sunset eyes, clubbing, and Meige syndrome, could each be edited into a viral video on its own, especially the one with the sunset eyes. I feel that if the family members give us feedback, the popularity will surge again.”

After all, he graduated with a degree in journalism.

She wouldn't have been able to manage her account if she didn't have this level of awareness of public opinion.

"I hope the child is alright."

Zhang Lingchuan sighed.

"With your advance warning, Teacher Zhang, they'll definitely be fine. Let me make you some tea to soothe your throat."

After Song Wanqing finished speaking, she stood up and went to the small tea table next to her to make tea.

Although Sister Zhu's studio is small, it is decorated quite comfortably. There is a small tea table against the wall, and tea sets are also provided.

"Master Zhang, have some tea to soothe your throat."

Song Wanqing's movements weren't particularly professional, but she brewed the tea very carefully, and soon, a cup of hot tea was placed in front of Zhang Lingchuan.

"Not bad, Comrade Xiao Song, you're becoming more and more professional as an assistant."

Zhang Lingchuan took the teacup.

"Absolutely."

Song Wanqing smiled.

"After all, I am a professional assistant."

Song Wanqing patted her chest and chuckled.

"What an excellent Comrade Xiao Song!"

Zhang Lingchuan smiled wistfully.

"Speaking of Zhang Laoshi, you really need to start preparing for the TCM competition and TCM program early next month. Sister Zhu asked again today, saying that the process and materials from CCTV will be finalized in a few days."

Song Wanqing suddenly became serious.

After all, the TCM competition is a very important event.

"Life is like this."

Upon hearing this, Zhang Lingchuan rubbed his temples, feeling utterly inferior.

I used to say they were worse than dogs.

In reality, the dog is much more comfortable.

The oxen and horses are a little tired.

But now, when you really compare them, they're not even as good as cattle or horses.

“Master Zhang, don’t make that face. This is a great opportunity to gain followers. National masters of traditional Chinese medicine such as Professor Ru Jiming and Professor Shen Xuanqin will be on the same stage. CCTV is leading the effort, and resources are being maximized.”

Song Wanqing sat next to her.

I wonder how many people want to participate in this competition.

It's no exaggeration to say that people were fighting tooth and nail for it.

“I understand the logic, but the problem is, I’m working at the hospital, doing live streaming, training, and preparing for a TCM program all at the same time. It’s like I’m a fully automated, high-speed ox or horse!”

Zhang Lingchuan took a sip of tea.

“Zhang Laoshi, your description is getting more and more outrageous.”

Song Wanqing almost burst out laughing.

"Life is just outrageous, sigh..."

Zhang Lingchuan leaned back in his chair.

"But seriously, Zhang Kaoshi, Sister Zhu is super supportive of you. You can use this studio as long as you want. She also said that you shouldn't always look for places at school to do your live streams, it's too troublesome. From now on, this place will be your permanent location."

Song Wanqing said.

"No problem at all! We couldn't be happier to have such a wonderful place!"

Zhang Lingchuan nodded, picked up his teacup, and took another sip.

It also showed the progress of their task completion.

[Saturday, October 10th.]

I. Professional Reputation.

[Currently needed reputation: 20 / 20 "Completed"]

II. Timely Tasks.

[Current total followers: 6900 million / 8000 million [1100 million]]

[Surgery Live Stream Video: 6/50 "No Data Available"]

International visits: 5/5 "Completed"

Number of international conferences: 5/5 "Completed"

[Number of patients seen this week: 50/50]

III. Simulated Assessment.

[Level 1 "Sequence of Life" is complete. Level 2 "Silent Killer" and Level 3 "Triple Delivery Room of Hell" are also complete.]

……

[Professional Reputation: LV10: 22.00/20 (Resident Physician)]

Total fans: 69 million.

We are still eleven million short of eighty million.

The number of live surgery videos has finally reached six.

With 220,000 professional reputation points, numerically speaking, this day was definitely worthwhile.

But physically, he felt like he had been exploited by the system.

the other side.

Hu Juan and Xiao Hao have arrived at the hospital.

While the two were registering, Hu Juan kept urging Xiao Hao.

"Hurry up, hurry up. You go to neurosurgery first, and I'll go to cardiology. Let's split up and neither of us should run away."

Xiao Hao was both amused and exasperated.

"I'm already at the hospital, where else could I run to?"

He said it in an annoyed tone.

"Who knows? You kept saying you were fine! Luckily, Dr. Zhang had a keen eye!"

Hu Juan glared at him.

Xiao Hao didn't refute it, after all, facts proved that sometimes his girlfriend's intuition was more reliable than his own.

They went to the neurosurgery department first. After listening to Xiao Hao's description and examining the skin condition of his lumbosacral region, the doctor's expression did become more serious.

"Abnormal hair growth along the midline of the lumbosacral region, along with skin depressions, suggests that you definitely need to be examined for occult spina bifida and tethered spinal cord."

His tone was serious.

"Doctor, is there really a problem?"

Xiao Hao's heart skipped a beat when he heard this.

"We cannot make a complete judgment based solely on the naked eye at this time."

The doctor replied.

"However, this is a fairly typical sign, especially since you also have lower back pain and leg numbness. I recommend an MRI of the lumbar and sacral spine. If it is just a simple bony occult fracture without nerve traction, it can be observed. But if there is spinal cord tethering, then further evaluation and hospitalization are necessary."

Hu Juan listened with a very serious expression.

"You need to be hospitalized? My God, your problem is way too serious!"

Hu Juan exclaimed in shock.

"And you're the one talking! Your finger is terrible!!"

Xiao Hao held Hu Juan's hand.

"Oh dear... don't get agitated, it might not be anything serious! Didn't Dr. Zhang say that we need to wait for the doctor's assessment?"

Speaking of his hands.

Hu Juan was still a little worried.

"Whether it's serious or not, you'll find out when you go to the cardiology department. Let's go."

Xiao Hao pulled his girlfriend Hu Juan's head.

Soon, the two went to the cardiology department. Compared to Xiao Hao's department, the doctor on Hu Juan's side had a more serious expression.

As soon as the doctor saw her fingers, he told her to sit down.

The two men observed this formation.

They all unconsciously swallowed.

...(End of this chapter)

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