有没有操练research题目的地方啊---AUD# Accounting - 会计审计
s*n
1 楼
刚查了一下AA的规定，只能带一个最大不超过115cm的托运包，而且重量也不得超过40
磅。
可怜以前买的158cm托运包不能再用了。过几天得赶路了，明天赶紧买个小点的包。看
来美国是变穷乐，啥都得讲究个如何收费的问题？
磅。
可怜以前买的158cm托运包不能再用了。过几天得赶路了，明天赶紧买个小点的包。看
来美国是变穷乐，啥都得讲究个如何收费的问题？
s*s
2 楼
被Soomal评为跟HD650、K701在伯仲之间，美国似乎买不到，淘宝价六七百人民币。如
果水平真是如此，我就让人从国内扛一个回来。
果水平真是如此，我就让人从国内扛一个回来。
j*9
3 楼
职位：首席科学家。海归博士创立的生物科技公司，位于深圳，专注新型高端体外诊断
试剂的创新研发和产业化。
职责：1. 根据公司计划，负责设计和实施新产品的研发方案。2. 负责已有产品的优化
方案的设计和实施。3. 根据市场需求，为新项目提供意见供公司管理层决策。4. 为公
司对外合作提供参考意见。
要求：1. 生物学，生物工程，生物医学，有机化学，分析化学等专业的博士。2. 具有
在欧美生物科技公司或大学5年以上科研工作经验。有体外诊断试剂研发经验者优先。3
. 具有较强的独立研发新产品的工作能力。
微信同手机号：（858) 216-6481
电子邮件：[email protected]
试剂的创新研发和产业化。
职责：1. 根据公司计划，负责设计和实施新产品的研发方案。2. 负责已有产品的优化
方案的设计和实施。3. 根据市场需求，为新项目提供意见供公司管理层决策。4. 为公
司对外合作提供参考意见。
要求：1. 生物学，生物工程，生物医学，有机化学，分析化学等专业的博士。2. 具有
在欧美生物科技公司或大学5年以上科研工作经验。有体外诊断试剂研发经验者优先。3
. 具有较强的独立研发新产品的工作能力。
微信同手机号：（858) 216-6481
电子邮件：[email protected]
d*1
4 楼
Sorry I cannot type Chinese on this computer.
My wife (33 years old) has some 腿麻, 胳膊麻 etc lately. Her numbness is
sometimes on the left or right leg, arm, toes, fingers, and even face, but
never on all these places at the same time.
We went to our family doctor and he ordered a non-contrast brain MRI for her
. It turns out there is a sub-centimeter focus on her brain. Then our doctor
ordered a contrast MRI, the sub-centimeter focus is still there. Report 1)
below is the full report by the radiologist who read her non-contrast MRI
images. Report 2) below is the full report by the radiologist who read her
contrast MRI images. BTW, the contrast MRI was done 9 days after the non-
contrast MRI.
Now our family doctor suggested us to see a neurologist. I saw there are
several experts on this borad, so I am seeking some opinions here too.
3X a lot!
Report 1 (non-contrast MRI):
PROCEDURE REASON: Disturbance of skin sensation
* * * * Physician Interpretation * * * *
HISTORY: Disturbance of skin sensation
TECHNIQUE: Routine MRI of the brain without contrast.
MR Contrast: No gadolinium administered.
COMPARISON: None
RESULT:
Small, ovoid area of T2/FLAIR hyperintensity involving the pericallosal and
subcortical white matter of the left paramedian parietal lobe just dorsal to
the left posterior body of the corpus callosum demonstrates mild associated
T1 isointense signal and measures approximately 9 X 7 mm in maximum AP and
transverse dimension. There is no associated restricted diffusion,
susceptibility change or significant associated mass effect. Although
nonspecific, primary differential considerations include demyelinating
disease (considered more likely given given patient age and gender) or low-
grade glioma. Consider follow-up contrast-enhanced exam. The brain
parenchyma is otherwise normal in signal intensity and morphology.
There is no restricted diffusion to suggest the presence of an acute infarct
. The major intracranial vascular structures demonstrate flow voids
suggesting patency. No extra-axial collection present. No abnormal signal on
susceptibility weighted images to suggest sequelae of intraparenchymal
hemorrhage.
Ventricles and basal cisterns are normal in size and configuration.
Hypothalamic, pituitary and pineal regions are normal. Cerebellar tonsils
are normally positioned. No significant marrow replacement process
identified. The imaged paranasal sinuses are clear with exception of
moderate left axillary mucosal thickening.
IMPRESSION:
SINGLE SUBCENTIMETER OVOID FOCUS OF LEFT PERICALLOSAL T2/FLAIR
HYPERINTENSITY WITH DIFFERENTIAL CONSIDERATIONS AS ABOVE.
Report 2 (contrast MRI):
PROCEDURE REASON: Nonspecific (abnormal) findings on radiological and other
examination of skull a * * * * Physician Interpretation * * * *
MRI OF THE BRAIN WITH AND WITHOUT IV CONTRAST
HISTORY: Abnormal findings on other radiologic exam of skull COMPARISON: MRI
brain July 31, 2012
MR Contrast: Magnevist Contrast Dose: 11 cc Route of Administration: IV
RESULT: Again appreciated is a poorly delineated area of abnormal flair and
T2 signal involving cortex and subcortical white matter at the posterior
left cingulate gyrus. This has no mass effect or enhancement. No additional
white matter lesions are appreciated. The remainder of the brain shows no
additional focal parenchymal abnormality. Ventricles and sulci are normal in
size for the patient's age. No abnormal enhancement is present. Diffusion
and susceptibility weighted examinations are negative.
IMPRESSION: No significant interval change of nonspecific cortical and
subcortical white matter abnormality of posterior left cingulate gyrus.
In addition to benign focus or low-grade astrocytoma, an area of cortical
dysplasia and DNET should be considered in the differential. Three month
follow-up examination recommended.
My wife (33 years old) has some 腿麻, 胳膊麻 etc lately. Her numbness is
sometimes on the left or right leg, arm, toes, fingers, and even face, but
never on all these places at the same time.
We went to our family doctor and he ordered a non-contrast brain MRI for her
. It turns out there is a sub-centimeter focus on her brain. Then our doctor
ordered a contrast MRI, the sub-centimeter focus is still there. Report 1)
below is the full report by the radiologist who read her non-contrast MRI
images. Report 2) below is the full report by the radiologist who read her
contrast MRI images. BTW, the contrast MRI was done 9 days after the non-
contrast MRI.
Now our family doctor suggested us to see a neurologist. I saw there are
several experts on this borad, so I am seeking some opinions here too.
3X a lot!
Report 1 (non-contrast MRI):
PROCEDURE REASON: Disturbance of skin sensation
* * * * Physician Interpretation * * * *
HISTORY: Disturbance of skin sensation
TECHNIQUE: Routine MRI of the brain without contrast.
MR Contrast: No gadolinium administered.
COMPARISON: None
RESULT:
Small, ovoid area of T2/FLAIR hyperintensity involving the pericallosal and
subcortical white matter of the left paramedian parietal lobe just dorsal to
the left posterior body of the corpus callosum demonstrates mild associated
T1 isointense signal and measures approximately 9 X 7 mm in maximum AP and
transverse dimension. There is no associated restricted diffusion,
susceptibility change or significant associated mass effect. Although
nonspecific, primary differential considerations include demyelinating
disease (considered more likely given given patient age and gender) or low-
grade glioma. Consider follow-up contrast-enhanced exam. The brain
parenchyma is otherwise normal in signal intensity and morphology.
There is no restricted diffusion to suggest the presence of an acute infarct
. The major intracranial vascular structures demonstrate flow voids
suggesting patency. No extra-axial collection present. No abnormal signal on
susceptibility weighted images to suggest sequelae of intraparenchymal
hemorrhage.
Ventricles and basal cisterns are normal in size and configuration.
Hypothalamic, pituitary and pineal regions are normal. Cerebellar tonsils
are normally positioned. No significant marrow replacement process
identified. The imaged paranasal sinuses are clear with exception of
moderate left axillary mucosal thickening.
IMPRESSION:
SINGLE SUBCENTIMETER OVOID FOCUS OF LEFT PERICALLOSAL T2/FLAIR
HYPERINTENSITY WITH DIFFERENTIAL CONSIDERATIONS AS ABOVE.
Report 2 (contrast MRI):
PROCEDURE REASON: Nonspecific (abnormal) findings on radiological and other
examination of skull a * * * * Physician Interpretation * * * *
MRI OF THE BRAIN WITH AND WITHOUT IV CONTRAST
HISTORY: Abnormal findings on other radiologic exam of skull COMPARISON: MRI
brain July 31, 2012
MR Contrast: Magnevist Contrast Dose: 11 cc Route of Administration: IV
RESULT: Again appreciated is a poorly delineated area of abnormal flair and
T2 signal involving cortex and subcortical white matter at the posterior
left cingulate gyrus. This has no mass effect or enhancement. No additional
white matter lesions are appreciated. The remainder of the brain shows no
additional focal parenchymal abnormality. Ventricles and sulci are normal in
size for the patient's age. No abnormal enhancement is present. Diffusion
and susceptibility weighted examinations are negative.
IMPRESSION: No significant interval change of nonspecific cortical and
subcortical white matter abnormality of posterior left cingulate gyrus.
In addition to benign focus or low-grade astrocytoma, an area of cortical
dysplasia and DNET should be considered in the differential. Three month
follow-up examination recommended.
z*c
5 楼
请教一个J1换到O1的问题.
小弟现在拿的是J1 签证, 4月30号 到期, 但是我的J1没有来得及豁免.
公司打算给我support O1, 但是公司的律师说不管是J1 到H1 或者到O1, 我都有可能要
离境再签回来. 不知道这里有没有大虾办过同样的case. 我真不希望离境再返签,因为
基本可以肯定是要被check 的.
谢谢.
小弟现在拿的是J1 签证, 4月30号 到期, 但是我的J1没有来得及豁免.
公司打算给我support O1, 但是公司的律师说不管是J1 到H1 或者到O1, 我都有可能要
离境再签回来. 不知道这里有没有大虾办过同样的case. 我真不希望离境再返签,因为
基本可以肯定是要被check 的.
谢谢.
D*6
7 楼
这两天立春，是吧？
a*7
8 楼
半生肝胆效坡仙， 千骑卷平川＊。 怎知冷月孤影，藏小箭连环。
天欲晓，酒微酣，向谁谵？梦中寒暑，镜里流年，纸上江山。
＊：语本东坡《江城子·密州出猎》：老夫聊发少年狂。 左牵黄， 右擎苍。锦帽貂裘
， 千骑卷平冈。
天欲晓，酒微酣，向谁谵？梦中寒暑，镜里流年，纸上江山。
＊：语本东坡《江城子·密州出猎》：老夫聊发少年狂。 左牵黄， 右擎苍。锦帽貂裘
， 千骑卷平冈。
w*w
9 楼
老者此举仿佛是，个信号，其余还在缠斗元婴修士也突然施展各种不可思议秘术
，或一阵白光后在原地消失不见，或口喷精血化为诡异血光逃走，一个个宁肯精元大损
，也拼命抛开对手而逃。
哼”一声冰寒刺骨冷哼从半空中传出，金蛟王脸上狞色一现，单手一挥，一声霹
雳声后，一道金银两色异芒激射而出。
此妖竟然将手中金枪直接冲清瘦老者使劲投了出去。
异芒方一出手，就诡异一闪即逝 在虚空中不见了踪影。
“不好！”
远处清燕老者一直注意着金蛟王一承一动，一见此幕，心中一颤，猛然将手中的
那面青色镜子向后一抛。
青光大放间，一轮圆月幻化浮现，数丈之大，青光蒙蒙，将老者身形全都淹没在
了其中。
而几乎在清月形成的瞬间，一杆幻化十余丈巨的金枪在近在咫尺处浮现而出，上
面银色电芒一闪，就发出雷鸣的击在了清月中心处。
清月表面竟镜子般的寸寸碎裂，巨枪一下没入了月中，并将其一击而散。
“啊，目睹此景，清瘦老者大惊，身上紫光一晃，就想施展什么秘术逃走。
但就在这一瞬间，体形缩小了近半的金枪，就从残存月影中射出，一
，或一阵白光后在原地消失不见，或口喷精血化为诡异血光逃走，一个个宁肯精元大损
，也拼命抛开对手而逃。
哼”一声冰寒刺骨冷哼从半空中传出，金蛟王脸上狞色一现，单手一挥，一声霹
雳声后，一道金银两色异芒激射而出。
此妖竟然将手中金枪直接冲清瘦老者使劲投了出去。
异芒方一出手，就诡异一闪即逝 在虚空中不见了踪影。
“不好！”
远处清燕老者一直注意着金蛟王一承一动，一见此幕，心中一颤，猛然将手中的
那面青色镜子向后一抛。
青光大放间，一轮圆月幻化浮现，数丈之大，青光蒙蒙，将老者身形全都淹没在
了其中。
而几乎在清月形成的瞬间，一杆幻化十余丈巨的金枪在近在咫尺处浮现而出，上
面银色电芒一闪，就发出雷鸣的击在了清月中心处。
清月表面竟镜子般的寸寸碎裂，巨枪一下没入了月中，并将其一击而散。
“啊，目睹此景，清瘦老者大惊，身上紫光一晃，就想施展什么秘术逃走。
但就在这一瞬间，体形缩小了近半的金枪，就从残存月影中射出，一
M*e
10 楼
旬 （煮男随想）
烈火把云水冰纹凝在我的刀身
我的前世
叫大马士革刃
大漠记得我闪过的寒光
几番轮回
投生在你的厨房
戈壁冷月
我心里有你不懂的苍凉
四菜一汤
我带你去舌尖上的天堂
你可是我记得的
那位楼兰新娘吗
愿与你相伴
荒草斜阳
或是姑苏小巷
共徜徉
汗血宝马
或是永久凤凰
与你共乘
欢畅
永难忘
不管是敌酋肢体
还是瓜菜生姜
青锋飒爽
为你铿锵
为你忙
老婆
先来一碗汤
烈火把云水冰纹凝在我的刀身
我的前世
叫大马士革刃
大漠记得我闪过的寒光
几番轮回
投生在你的厨房
戈壁冷月
我心里有你不懂的苍凉
四菜一汤
我带你去舌尖上的天堂
你可是我记得的
那位楼兰新娘吗
愿与你相伴
荒草斜阳
或是姑苏小巷
共徜徉
汗血宝马
或是永久凤凰
与你共乘
欢畅
永难忘
不管是敌酋肢体
还是瓜菜生姜
青锋飒爽
为你铿锵
为你忙
老婆
先来一碗汤
f*r
11 楼
Highlight:
Fred Brooks in the Mythical Man Month wrote that programmers
seemed to generate about the same amount of code per day
regardless of the language. When I first read this in my early
twenties, it was a big surprise to me and seemed to have huge
implications.
It meant that (a) the only way to get software written faster was to
use a more succinct language, and (b) someone who took the
trouble to do this could leave competitors who didn't in the dust.
http://paulgraham.com/power.html
Fred Brooks in the Mythical Man Month wrote that programmers
seemed to generate about the same amount of code per day
regardless of the language. When I first read this in my early
twenties, it was a big surprise to me and seemed to have huge
implications.
It meant that (a) the only way to get software written faster was to
use a more succinct language, and (b) someone who took the
trouble to do this could leave competitors who didn't in the dust.
http://paulgraham.com/power.html
b*0
12 楼
想PRACTICE一下AUD research题目，有没有哪里可以search standard的地方？我去了
SAMPLE TEST，但是一进去RESEARCH界面就说出了严重错误，没有办法SEARCH，还有其
他地方么？
SAMPLE TEST，但是一进去RESEARCH界面就说出了严重错误，没有办法SEARCH，还有其
他地方么？
j*g
13 楼
115指的是Carry On的Size，托运还是2个158免费
l*h
14 楼
this is a case that there is no standard answer to the question what to do
next in the short term. if you go to different doctors, you will get
different opinions that can be mainly classified as the following:
1. close follow-up with MRI, do nothing in the interim.
2. close follow-up with MRI, treat as demyelinating disease in the interim.
3. biopsy.
if the description of her symptoms is accurate, the probability of a
demyelinating disease (such as multiple sclerosis) is much higher than other
diseases such as low grade tumors (low grade glioma, DNET etc.) MRS may be
considered, but its use in differentiating demyelinating diseases and low
grade tumors is not standard and the interpretation requires a
neuroradiologist who has done some research in this area.
has she had limb weakness? has she had seizure?
her
doctor
)
【在 d********1 的大作中提到】
: Sorry I cannot type Chinese on this computer.
: My wife (33 years old) has some 腿麻, 胳膊麻 etc lately. Her numbness is
: sometimes on the left or right leg, arm, toes, fingers, and even face, but
: never on all these places at the same time.
: We went to our family doctor and he ordered a non-contrast brain MRI for her
: . It turns out there is a sub-centimeter focus on her brain. Then our doctor
: ordered a contrast MRI, the sub-centimeter focus is still there. Report 1)
: below is the full report by the radiologist who read her non-contrast MRI
: images. Report 2) below is the full report by the radiologist who read her
: contrast MRI images. BTW, the contrast MRI was done 9 days after the non-
next in the short term. if you go to different doctors, you will get
different opinions that can be mainly classified as the following:
1. close follow-up with MRI, do nothing in the interim.
2. close follow-up with MRI, treat as demyelinating disease in the interim.
3. biopsy.
if the description of her symptoms is accurate, the probability of a
demyelinating disease (such as multiple sclerosis) is much higher than other
diseases such as low grade tumors (low grade glioma, DNET etc.) MRS may be
considered, but its use in differentiating demyelinating diseases and low
grade tumors is not standard and the interpretation requires a
neuroradiologist who has done some research in this area.
has she had limb weakness? has she had seizure?
her
doctor
)
【在 d********1 的大作中提到】
: Sorry I cannot type Chinese on this computer.
: My wife (33 years old) has some 腿麻, 胳膊麻 etc lately. Her numbness is
: sometimes on the left or right leg, arm, toes, fingers, and even face, but
: never on all these places at the same time.
: We went to our family doctor and he ordered a non-contrast brain MRI for her
: . It turns out there is a sub-centimeter focus on her brain. Then our doctor
: ordered a contrast MRI, the sub-centimeter focus is still there. Report 1)
: below is the full report by the radiologist who read her non-contrast MRI
: images. Report 2) below is the full report by the radiologist who read her
: contrast MRI images. BTW, the contrast MRI was done 9 days after the non-
d*i
15 楼
是啊，连我们这里都难得出了太阳，耶！
【在 D******6 的大作中提到】
: 这两天立春，是吧？
【在 D******6 的大作中提到】
: 这两天立春，是吧？
l*1
16 楼
君不闻不经苦难难励志，君不见虎落平川受犬欺。
(啥意思， 你还怕唐门的暗器？抢)
【在 a*********7 的大作中提到】
: 半生肝胆效坡仙， 千骑卷平川＊。 怎知冷月孤影，藏小箭连环。
: 天欲晓，酒微酣，向谁谵？梦中寒暑，镜里流年，纸上江山。
: ＊：语本东坡《江城子·密州出猎》：老夫聊发少年狂。 左牵黄， 右擎苍。锦帽貂裘
: ， 千骑卷平冈。
(啥意思， 你还怕唐门的暗器？抢)
【在 a*********7 的大作中提到】
: 半生肝胆效坡仙， 千骑卷平川＊。 怎知冷月孤影，藏小箭连环。
: 天欲晓，酒微酣，向谁谵？梦中寒暑，镜里流年，纸上江山。
: ＊：语本东坡《江城子·密州出猎》：老夫聊发少年狂。 左牵黄， 右擎苍。锦帽貂裘
: ， 千骑卷平冈。
y*d
17 楼
看到金枪不倒，跑跑很气愤
【在 w***w 的大作中提到】
: 老者此举仿佛是，个信号，其余还在缠斗元婴修士也突然施展各种不可思议秘术
: ，或一阵白光后在原地消失不见，或口喷精血化为诡异血光逃走，一个个宁肯精元大损
: ，也拼命抛开对手而逃。
: 哼”一声冰寒刺骨冷哼从半空中传出，金蛟王脸上狞色一现，单手一挥，一声霹
: 雳声后，一道金银两色异芒激射而出。
: 此妖竟然将手中金枪直接冲清瘦老者使劲投了出去。
: 异芒方一出手，就诡异一闪即逝 在虚空中不见了踪影。
: “不好！”
: 远处清燕老者一直注意着金蛟王一承一动，一见此幕，心中一颤，猛然将手中的
: 那面青色镜子向后一抛。
【在 w***w 的大作中提到】
: 老者此举仿佛是，个信号，其余还在缠斗元婴修士也突然施展各种不可思议秘术
: ，或一阵白光后在原地消失不见，或口喷精血化为诡异血光逃走，一个个宁肯精元大损
: ，也拼命抛开对手而逃。
: 哼”一声冰寒刺骨冷哼从半空中传出，金蛟王脸上狞色一现，单手一挥，一声霹
: 雳声后，一道金银两色异芒激射而出。
: 此妖竟然将手中金枪直接冲清瘦老者使劲投了出去。
: 异芒方一出手，就诡异一闪即逝 在虚空中不见了踪影。
: “不好！”
: 远处清燕老者一直注意着金蛟王一承一动，一见此幕，心中一颤，猛然将手中的
: 那面青色镜子向后一抛。
s*l
18 楼
很棒！
【在 M****e 的大作中提到】
: 旬 （煮男随想）
: 烈火把云水冰纹凝在我的刀身
: 我的前世
: 叫大马士革刃
: 大漠记得我闪过的寒光
: 几番轮回
: 投生在你的厨房
: 戈壁冷月
: 我心里有你不懂的苍凉
: 四菜一汤
【在 M****e 的大作中提到】
: 旬 （煮男随想）
: 烈火把云水冰纹凝在我的刀身
: 我的前世
: 叫大马士革刃
: 大漠记得我闪过的寒光
: 几番轮回
: 投生在你的厨房
: 戈壁冷月
: 我心里有你不懂的苍凉
: 四菜一汤
x*g
19 楼
what is the link for the sample test? thanks
s*n
20 楼
谢谢！
受教育了。
受教育了。
d*1
21 楼
3X a lot for your detailed response!
The description of her symptoms is as accurate as I can describe (she has
some 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right
leg, arm, toes, fingers, and even face, but never on all these places at
the same time).
She did not have obvious limb weakness.
What do you mean by "seizure"? 抽搐/癫痫？If so, she does not have it. But
some times (very occasionally, I would say less than 6 times a year in
recent years), she has brief leg/foot抽筋。Not sure whether this is sth. to
consider.
BTW, our family doctor also mentioned that it could simply be some kind of
先天发育问题。He also said that if it is some kind of tumor, usually there
are several focuses, rather than just one focus in her case. What do you
think about these?
3X again!
this is a case that there is no standard answer to the question what to do
next in the short term. if you go to different doctors, you will get
different opinions that can be mainly classified as the following:
1. close follow-up with MRI, do nothing in the interim.
2. close follow-up with MRI, treat as demyelinating disease in the interim.
3. biopsy.
if the description of her symptoms is accurate, the probability of a
demyelinating disease (such as multiple sclerosis) is much higher than other
diseases such as low grade tumors (low grade glioma, DNET etc.) MRS may be
considered, but its use in differentiating demyelinating diseases and low
grade tumors is not standard and the interpretation requires a
neuroradiologist who has done some research in this area.
has she had limb weakness? has she had seizure?
【在 l*h 的大作中提到】
: this is a case that there is no standard answer to the question what to do
: next in the short term. if you go to different doctors, you will get
: different opinions that can be mainly classified as the following:
: 1. close follow-up with MRI, do nothing in the interim.
: 2. close follow-up with MRI, treat as demyelinating disease in the interim.
: 3. biopsy.
: if the description of her symptoms is accurate, the probability of a
: demyelinating disease (such as multiple sclerosis) is much higher than other
: diseases such as low grade tumors (low grade glioma, DNET etc.) MRS may be
: considered, but its use in differentiating demyelinating diseases and low
The description of her symptoms is as accurate as I can describe (she has
some 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right
leg, arm, toes, fingers, and even face, but never on all these places at
the same time).
She did not have obvious limb weakness.
What do you mean by "seizure"? 抽搐/癫痫？If so, she does not have it. But
some times (very occasionally, I would say less than 6 times a year in
recent years), she has brief leg/foot抽筋。Not sure whether this is sth. to
consider.
BTW, our family doctor also mentioned that it could simply be some kind of
先天发育问题。He also said that if it is some kind of tumor, usually there
are several focuses, rather than just one focus in her case. What do you
think about these?
3X again!
this is a case that there is no standard answer to the question what to do
next in the short term. if you go to different doctors, you will get
different opinions that can be mainly classified as the following:
1. close follow-up with MRI, do nothing in the interim.
2. close follow-up with MRI, treat as demyelinating disease in the interim.
3. biopsy.
if the description of her symptoms is accurate, the probability of a
demyelinating disease (such as multiple sclerosis) is much higher than other
diseases such as low grade tumors (low grade glioma, DNET etc.) MRS may be
considered, but its use in differentiating demyelinating diseases and low
grade tumors is not standard and the interpretation requires a
neuroradiologist who has done some research in this area.
has she had limb weakness? has she had seizure?
【在 l*h 的大作中提到】
: this is a case that there is no standard answer to the question what to do
: next in the short term. if you go to different doctors, you will get
: different opinions that can be mainly classified as the following:
: 1. close follow-up with MRI, do nothing in the interim.
: 2. close follow-up with MRI, treat as demyelinating disease in the interim.
: 3. biopsy.
: if the description of her symptoms is accurate, the probability of a
: demyelinating disease (such as multiple sclerosis) is much higher than other
: diseases such as low grade tumors (low grade glioma, DNET etc.) MRS may be
: considered, but its use in differentiating demyelinating diseases and low
k*g
22 楼
昨天立春，不过今夜有暴风雪。。。
【在 D******6 的大作中提到】
: 这两天立春，是吧？
【在 D******6 的大作中提到】
: 这两天立春，是吧？
a*7
23 楼
其实这是我儿子写的，忘记帮他署名了，都是我的错。。。
－－－－－－－－－－－
半生肝胆效坡仙， 千骑卷平川 －－ 这两句用典，说我于他，正如东坡之如大黄；
“半生肝胆”是赞我们父子相得、肝胆相照、把臂同游。
怎知冷月孤影，藏小箭连环 －－ 棒子惨遭太史公之刑，月下伤心在所难免。我总是
劝他多想无益，不过还是让时间慢慢抚平他的伤痕吧。
天欲晓，酒微酣，向谁谵？ －－ 葡萄美酒那是没有的事，他还未成年呢；不过前两
日他跟我讨了好几颗葡萄吃倒是有的。谁知葡萄于狗却是大凶之物，小东西吐得一塌糊
涂，彻夜难眠，看我在旁边睡得香，心中不爽也是有的。
梦中寒暑，镜里流年，纸上江山。 －－梦中寒暑，那是抱怨我给他买衣服太晚，他受
了凉；镜里流年我没太看懂，估计是嘲笑我老，小小出了口怨气；纸上江山么，他老人
家有个坏毛病，爱吃纸巾，前天晚上还为了这个咬了我一小口，大概是爱纸巾如爱江山
之故了。
小儿初学写诗，未免粗陋，各位方家指正！
裘 ， 千骑卷平冈。
【在 l**********1 的大作中提到】
: 君不闻不经苦难难励志，君不见虎落平川受犬欺。
: (啥意思， 你还怕唐门的暗器？抢)
－－－－－－－－－－－
半生肝胆效坡仙， 千骑卷平川 －－ 这两句用典，说我于他，正如东坡之如大黄；
“半生肝胆”是赞我们父子相得、肝胆相照、把臂同游。
怎知冷月孤影，藏小箭连环 －－ 棒子惨遭太史公之刑，月下伤心在所难免。我总是
劝他多想无益，不过还是让时间慢慢抚平他的伤痕吧。
天欲晓，酒微酣，向谁谵？ －－ 葡萄美酒那是没有的事，他还未成年呢；不过前两
日他跟我讨了好几颗葡萄吃倒是有的。谁知葡萄于狗却是大凶之物，小东西吐得一塌糊
涂，彻夜难眠，看我在旁边睡得香，心中不爽也是有的。
梦中寒暑，镜里流年，纸上江山。 －－梦中寒暑，那是抱怨我给他买衣服太晚，他受
了凉；镜里流年我没太看懂，估计是嘲笑我老，小小出了口怨气；纸上江山么，他老人
家有个坏毛病，爱吃纸巾，前天晚上还为了这个咬了我一小口，大概是爱纸巾如爱江山
之故了。
小儿初学写诗，未免粗陋，各位方家指正！
裘 ， 千骑卷平冈。
【在 l**********1 的大作中提到】
: 君不闻不经苦难难励志，君不见虎落平川受犬欺。
: (啥意思， 你还怕唐门的暗器？抢)
m*n
24 楼
嗯，跑跑面前耍金枪，哪壶不开提哪壶
M*e
25 楼
谢谢观赏！
m*d
26 楼
吓死我了哈哈
l*h
27 楼
"BTW, our family doctor also mentioned that it could simply be some kind of
先天发育问题。"
this is possible but not likely, judging from her symptoms.
"He also said that if it is some kind of tumor, usually there
are several focuses, rather than just one focus in her case."
This is NOT correct.
right
to
【在 d********1 的大作中提到】
: 3X a lot for your detailed response!
: The description of her symptoms is as accurate as I can describe (she has
: some 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right
: leg, arm, toes, fingers, and even face, but never on all these places at
: the same time).
: She did not have obvious limb weakness.
: What do you mean by "seizure"? 抽搐/癫痫？If so, she does not have it. But
: some times (very occasionally, I would say less than 6 times a year in
: recent years), she has brief leg/foot抽筋。Not sure whether this is sth. to
: consider.
先天发育问题。"
this is possible but not likely, judging from her symptoms.
"He also said that if it is some kind of tumor, usually there
are several focuses, rather than just one focus in her case."
This is NOT correct.
right
to
【在 d********1 的大作中提到】
: 3X a lot for your detailed response!
: The description of her symptoms is as accurate as I can describe (she has
: some 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right
: leg, arm, toes, fingers, and even face, but never on all these places at
: the same time).
: She did not have obvious limb weakness.
: What do you mean by "seizure"? 抽搐/癫痫？If so, she does not have it. But
: some times (very occasionally, I would say less than 6 times a year in
: recent years), she has brief leg/foot抽筋。Not sure whether this is sth. to
: consider.
b*l
28 楼
飞雪迎春到，版上花枝俏。
【在 k***g 的大作中提到】
: 昨天立春，不过今夜有暴风雪。。。
【在 k***g 的大作中提到】
: 昨天立春，不过今夜有暴风雪。。。
l*1
29 楼
赞，这写得比你好多了。
俺不性方，所以即不正。但这篇是无可厚非的。
【在 a*********7 的大作中提到】
: 其实这是我儿子写的，忘记帮他署名了，都是我的错。。。
: －－－－－－－－－－－
: 半生肝胆效坡仙， 千骑卷平川 －－ 这两句用典，说我于他，正如东坡之如大黄；
: “半生肝胆”是赞我们父子相得、肝胆相照、把臂同游。
:
: 怎知冷月孤影，藏小箭连环 －－ 棒子惨遭太史公之刑，月下伤心在所难免。我总是
: 劝他多想无益，不过还是让时间慢慢抚平他的伤痕吧。
: 天欲晓，酒微酣，向谁谵？ －－ 葡萄美酒那是没有的事，他还未成年呢；不过前两
: 日他跟我讨了好几颗葡萄吃倒是有的。谁知葡萄于狗却是大凶之物，小东西吐得一塌糊
: 涂，彻夜难眠，看我在旁边睡得香，心中不爽也是有的。
俺不性方，所以即不正。但这篇是无可厚非的。
【在 a*********7 的大作中提到】
: 其实这是我儿子写的，忘记帮他署名了，都是我的错。。。
: －－－－－－－－－－－
: 半生肝胆效坡仙， 千骑卷平川 －－ 这两句用典，说我于他，正如东坡之如大黄；
: “半生肝胆”是赞我们父子相得、肝胆相照、把臂同游。
:
: 怎知冷月孤影，藏小箭连环 －－ 棒子惨遭太史公之刑，月下伤心在所难免。我总是
: 劝他多想无益，不过还是让时间慢慢抚平他的伤痕吧。
: 天欲晓，酒微酣，向谁谵？ －－ 葡萄美酒那是没有的事，他还未成年呢；不过前两
: 日他跟我讨了好几颗葡萄吃倒是有的。谁知葡萄于狗却是大凶之物，小东西吐得一塌糊
: 涂，彻夜难眠，看我在旁边睡得香，心中不爽也是有的。
c*5
30 楼
有人上门送降灵符了
c*d
31 楼
哈哈哈哈哈，刚刚入手了一把用来对付素菜和熟食。
看了这首诗顿觉高大上起来了。
【在 M****e 的大作中提到】
: 旬 （煮男随想）
: 烈火把云水冰纹凝在我的刀身
: 我的前世
: 叫大马士革刃
: 大漠记得我闪过的寒光
: 几番轮回
: 投生在你的厨房
: 戈壁冷月
: 我心里有你不懂的苍凉
: 四菜一汤
看了这首诗顿觉高大上起来了。
【在 M****e 的大作中提到】
: 旬 （煮男随想）
: 烈火把云水冰纹凝在我的刀身
: 我的前世
: 叫大马士革刃
: 大漠记得我闪过的寒光
: 几番轮回
: 投生在你的厨房
: 戈壁冷月
: 我心里有你不懂的苍凉
: 四菜一汤
d*1
32 楼
3X!
Do you have any follow-up comments based on my answers to your previous
questions?
Sorry for so many questions. We are really concerned :-(
She did not have obvious limb weakness.
What do you mean by "seizure"? 抽搐/癫痫？If so, she does not have it. But
sometimes (very occasionally, I would say less than 6 times a year in recent
years), she has brief leg/foot抽筋。Not sure whether this is sth. to
consider.
Do you have any follow-up comments based on my answers to your previous
questions?
Sorry for so many questions. We are really concerned :-(
She did not have obvious limb weakness.
What do you mean by "seizure"? 抽搐/癫痫？If so, she does not have it. But
sometimes (very occasionally, I would say less than 6 times a year in recent
years), she has brief leg/foot抽筋。Not sure whether this is sth. to
consider.
d*i
33 楼
待到香玉满坑时，他在坑中叫。
【在 b*****l 的大作中提到】
: 飞雪迎春到，版上花枝俏。
【在 b*****l 的大作中提到】
: 飞雪迎春到，版上花枝俏。
h*r
34 楼
好一个父子相得、肝胆相照、把臂同游！赞！
【在 a*********7 的大作中提到】
: 其实这是我儿子写的，忘记帮他署名了，都是我的错。。。
: －－－－－－－－－－－
: 半生肝胆效坡仙， 千骑卷平川 －－ 这两句用典，说我于他，正如东坡之如大黄；
: “半生肝胆”是赞我们父子相得、肝胆相照、把臂同游。
:
: 怎知冷月孤影，藏小箭连环 －－ 棒子惨遭太史公之刑，月下伤心在所难免。我总是
: 劝他多想无益，不过还是让时间慢慢抚平他的伤痕吧。
: 天欲晓，酒微酣，向谁谵？ －－ 葡萄美酒那是没有的事，他还未成年呢；不过前两
: 日他跟我讨了好几颗葡萄吃倒是有的。谁知葡萄于狗却是大凶之物，小东西吐得一塌糊
: 涂，彻夜难眠，看我在旁边睡得香，心中不爽也是有的。
【在 a*********7 的大作中提到】
: 其实这是我儿子写的，忘记帮他署名了，都是我的错。。。
: －－－－－－－－－－－
: 半生肝胆效坡仙， 千骑卷平川 －－ 这两句用典，说我于他，正如东坡之如大黄；
: “半生肝胆”是赞我们父子相得、肝胆相照、把臂同游。
:
: 怎知冷月孤影，藏小箭连环 －－ 棒子惨遭太史公之刑，月下伤心在所难免。我总是
: 劝他多想无益，不过还是让时间慢慢抚平他的伤痕吧。
: 天欲晓，酒微酣，向谁谵？ －－ 葡萄美酒那是没有的事，他还未成年呢；不过前两
: 日他跟我讨了好几颗葡萄吃倒是有的。谁知葡萄于狗却是大凶之物，小东西吐得一塌糊
: 涂，彻夜难眠，看我在旁边睡得香，心中不爽也是有的。
l*e
35 楼
What happened to 土甲龙? isn't it supposed to very exciting of finding
treasures?
treasures?
w*a
36 楼
这把菜刀好多情！
没看懂“旬”指什么？结尾两句是换了人称么，呵呵。真有趣。
【在 M****e 的大作中提到】
: 旬 （煮男随想）
: 烈火把云水冰纹凝在我的刀身
: 我的前世
: 叫大马士革刃
: 大漠记得我闪过的寒光
: 几番轮回
: 投生在你的厨房
: 戈壁冷月
: 我心里有你不懂的苍凉
: 四菜一汤
没看懂“旬”指什么？结尾两句是换了人称么，呵呵。真有趣。
【在 M****e 的大作中提到】
: 旬 （煮男随想）
: 烈火把云水冰纹凝在我的刀身
: 我的前世
: 叫大马士革刃
: 大漠记得我闪过的寒光
: 几番轮回
: 投生在你的厨房
: 戈壁冷月
: 我心里有你不懂的苍凉
: 四菜一汤
l*h
37 楼
yes, they were included in my thoughts.
I suggest you read something about multiple sclerosis, including patients'
own accounts of their symptoms. Be prepared that on her first visit to a
neurologist, a lumbar puncture is very likely to be done. Protein analysis
will be done in addition to routine analysis.
recent
【在 d********1 的大作中提到】
: 3X!
: Do you have any follow-up comments based on my answers to your previous
: questions?
: Sorry for so many questions. We are really concerned :-(
: She did not have obvious limb weakness.
: What do you mean by "seizure"? 抽搐/癫痫？If so, she does not have it. But
: sometimes (very occasionally, I would say less than 6 times a year in recent
: years), she has brief leg/foot抽筋。Not sure whether this is sth. to
: consider.
I suggest you read something about multiple sclerosis, including patients'
own accounts of their symptoms. Be prepared that on her first visit to a
neurologist, a lumbar puncture is very likely to be done. Protein analysis
will be done in addition to routine analysis.
recent
【在 d********1 的大作中提到】
: 3X!
: Do you have any follow-up comments based on my answers to your previous
: questions?
: Sorry for so many questions. We are really concerned :-(
: She did not have obvious limb weakness.
: What do you mean by "seizure"? 抽搐/癫痫？If so, she does not have it. But
: sometimes (very occasionally, I would say less than 6 times a year in recent
: years), she has brief leg/foot抽筋。Not sure whether this is sth. to
: consider.
D*6
38 楼
我们这里在下雪。。。：（
【在 d**i 的大作中提到】
: 是啊，连我们这里都难得出了太阳，耶！
【在 d**i 的大作中提到】
: 是啊，连我们这里都难得出了太阳，耶！
a*7
39 楼
替我儿子谢谢你
【在 l**********1 的大作中提到】
: 赞，这写得比你好多了。
: 俺不性方，所以即不正。但这篇是无可厚非的。
【在 l**********1 的大作中提到】
: 赞，这写得比你好多了。
: 俺不性方，所以即不正。但这篇是无可厚非的。
a*o
40 楼
我看小蛇要玄。
M*e
41 楼
旬 是菜刀品牌。用钢为大马士革钢。为古代四大名刃之一。怪我没有注明。呵呵。
【在 w*a 的大作中提到】
: 这把菜刀好多情！
: 没看懂“旬”指什么？结尾两句是换了人称么，呵呵。真有趣。
【在 w*a 的大作中提到】
: 这把菜刀好多情！
: 没看懂“旬”指什么？结尾两句是换了人称么，呵呵。真有趣。
d*1
42 楼
3X a lot!
We will pay our first visit to a neurologist later today, and will update
here how it goes.
You are so helpful!
【在 l*h 的大作中提到】
: yes, they were included in my thoughts.
: I suggest you read something about multiple sclerosis, including patients'
: own accounts of their symptoms. Be prepared that on her first visit to a
: neurologist, a lumbar puncture is very likely to be done. Protein analysis
: will be done in addition to routine analysis.
:
: recent
We will pay our first visit to a neurologist later today, and will update
here how it goes.
You are so helpful!
【在 l*h 的大作中提到】
: yes, they were included in my thoughts.
: I suggest you read something about multiple sclerosis, including patients'
: own accounts of their symptoms. Be prepared that on her first visit to a
: neurologist, a lumbar puncture is very likely to be done. Protein analysis
: will be done in addition to routine analysis.
:
: recent
d*i
43 楼
我在这里穿了件小薄毛衣，看满坑满谷的学生都短袖了，还有半裸奔秀身材的～～
【在 D******6 的大作中提到】
: 我们这里在下雪。。。：（
【在 D******6 的大作中提到】
: 我们这里在下雪。。。：（
a*7
44 楼
哈哈，嗯，这东西就是太粘人，受不了受不了，唉
【在 h*********r 的大作中提到】
: 好一个父子相得、肝胆相照、把臂同游！赞！
【在 h*********r 的大作中提到】
: 好一个父子相得、肝胆相照、把臂同游！赞！
n*n
45 楼
此妖并非真发现了什么东西，而身为天地灵兽的冥冥感应，催使其做出这种下意
识举动的。
【在 w***w 的大作中提到】
: 老者此举仿佛是，个信号，其余还在缠斗元婴修士也突然施展各种不可思议秘术
: ，或一阵白光后在原地消失不见，或口喷精血化为诡异血光逃走，一个个宁肯精元大损
: ，也拼命抛开对手而逃。
: 哼”一声冰寒刺骨冷哼从半空中传出，金蛟王脸上狞色一现，单手一挥，一声霹
: 雳声后，一道金银两色异芒激射而出。
: 此妖竟然将手中金枪直接冲清瘦老者使劲投了出去。
: 异芒方一出手，就诡异一闪即逝 在虚空中不见了踪影。
: “不好！”
: 远处清燕老者一直注意着金蛟王一承一动，一见此幕，心中一颤，猛然将手中的
: 那面青色镜子向后一抛。
识举动的。
【在 w***w 的大作中提到】
: 老者此举仿佛是，个信号，其余还在缠斗元婴修士也突然施展各种不可思议秘术
: ，或一阵白光后在原地消失不见，或口喷精血化为诡异血光逃走，一个个宁肯精元大损
: ，也拼命抛开对手而逃。
: 哼”一声冰寒刺骨冷哼从半空中传出，金蛟王脸上狞色一现，单手一挥，一声霹
: 雳声后，一道金银两色异芒激射而出。
: 此妖竟然将手中金枪直接冲清瘦老者使劲投了出去。
: 异芒方一出手，就诡异一闪即逝 在虚空中不见了踪影。
: “不好！”
: 远处清燕老者一直注意着金蛟王一承一动，一见此幕，心中一颤，猛然将手中的
: 那面青色镜子向后一抛。
M*e
46 楼
结尾白日梦醒
d*1
47 楼
Just came back from the neurologist. His major opinions:
1) The sub-centimeter focus is too small to cause the symptoms (she has some
腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
, arm, toes, fingers, and even face, but never on all these places at the
same time). He thought her numbness was caused by other factors, but not by
the brain focus.
2) If the focus is some kind of tumor, her symptoms will stay and will not
go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
duration/degree of numbness. BTW, her numbness has been on and off since the
beginning.
3) He simply said her symptoms do not look like multiple sclerosis, but did
not provide any reasons/explanations.
4) Biopsy is not necessary for now. But if MRI shows the focus grows in size
after several months, biopsy may be needed.
5) He mentioned the brain focus might simply be some kind of inflamation,
but this again needs to be confirmed by future brain MRI (to see if the
focus diappears).
He ordered several tests for my wife, including some blood tests, MRI
Cervical Spine (W/ and W/O Contrast), EMG/NCT (2 Extremities Left upper ext
Left lower ext), and VERS (Visual Evoked Potential Test). He said depending
on the results of these tests, he will decide if a spinal tap (I think this
is the same as lumbar puncture) is necessary.
Any comments on these above?
3X!
1) The sub-centimeter focus is too small to cause the symptoms (she has some
腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
, arm, toes, fingers, and even face, but never on all these places at the
same time). He thought her numbness was caused by other factors, but not by
the brain focus.
2) If the focus is some kind of tumor, her symptoms will stay and will not
go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
duration/degree of numbness. BTW, her numbness has been on and off since the
beginning.
3) He simply said her symptoms do not look like multiple sclerosis, but did
not provide any reasons/explanations.
4) Biopsy is not necessary for now. But if MRI shows the focus grows in size
after several months, biopsy may be needed.
5) He mentioned the brain focus might simply be some kind of inflamation,
but this again needs to be confirmed by future brain MRI (to see if the
focus diappears).
He ordered several tests for my wife, including some blood tests, MRI
Cervical Spine (W/ and W/O Contrast), EMG/NCT (2 Extremities Left upper ext
Left lower ext), and VERS (Visual Evoked Potential Test). He said depending
on the results of these tests, he will decide if a spinal tap (I think this
is the same as lumbar puncture) is necessary.
Any comments on these above?
3X!
f*s
48 楼
看得你非要来找和尚了? :P
【在 d**i 的大作中提到】
: 我在这里穿了件小薄毛衣，看满坑满谷的学生都短袖了，还有半裸奔秀身材的～～
【在 d**i 的大作中提到】
: 我在这里穿了件小薄毛衣，看满坑满谷的学生都短袖了，还有半裸奔秀身材的～～
wh
49 楼
最后一句很赞啊，你看你就比我消极，我感谢网友一起纸上江山，你却伤感镜里流年，
哈哈，我都没流，你流什么流！哈哈哈。
【在 a*********7 的大作中提到】
: 半生肝胆效坡仙， 千骑卷平川＊。 怎知冷月孤影，藏小箭连环。
: 天欲晓，酒微酣，向谁谵？梦中寒暑，镜里流年，纸上江山。
: ＊：语本东坡《江城子·密州出猎》：老夫聊发少年狂。 左牵黄， 右擎苍。锦帽貂裘
: ， 千骑卷平冈。
哈哈，我都没流，你流什么流！哈哈哈。
【在 a*********7 的大作中提到】
: 半生肝胆效坡仙， 千骑卷平川＊。 怎知冷月孤影，藏小箭连环。
: 天欲晓，酒微酣，向谁谵？梦中寒暑，镜里流年，纸上江山。
: ＊：语本东坡《江城子·密州出猎》：老夫聊发少年狂。 左牵黄， 右擎苍。锦帽貂裘
: ， 千骑卷平冈。
c*r
50 楼
嗯，一比就看出实力落了下风啦。
【在 a*o 的大作中提到】
: 我看小蛇要玄。
【在 a*o 的大作中提到】
: 我看小蛇要玄。
wh
51 楼
日本牌子怎么没用日本钢技术？日本刀也是名刃啊。
写得好玩！永久凤凰，一代人的记忆啊。
【在 M****e 的大作中提到】
: 旬 是菜刀品牌。用钢为大马士革钢。为古代四大名刃之一。怪我没有注明。呵呵。
写得好玩！永久凤凰，一代人的记忆啊。
【在 M****e 的大作中提到】
: 旬 是菜刀品牌。用钢为大马士革钢。为古代四大名刃之一。怪我没有注明。呵呵。
l*h
52 楼
Overall, I agree it is a reasonable approach.
"1) The sub-centimeter focus is too small to cause the symptoms (she has
some
腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
, arm, toes, fingers, and even face, but never on all these places at the
same time). He thought her numbness was caused by other factors, but not by
the brain focus."
I agree.
"2) If the focus is some kind of tumor, her symptoms will stay and will not
go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
duration/degree of numbness. BTW, her numbness has been on and off since the
beginning."
I agree.
"3) He simply said her symptoms do not look like multiple sclerosis, but did
not provide any reasons/explanations."
From the tests he ordered, he didn't rule MS out. Her symptoms don't look
like a typical severe MS. For mild onset MS, it may take a long time to
establish the diagnosis.
"4) Biopsy is not necessary for now. But if MRI shows the focus grows in
size
after several months, biopsy may be needed."
I agree.
"5) He mentioned the brain focus might simply be some kind of inflamation,
but this again needs to be confirmed by future brain MRI (to see if the
focus diappears)."
Inflammation includes many things. MS is also an inflammation.
"He ordered several tests for my wife, including some blood tests, MRI
Cervical Spine (W/ and W/O Contrast), EMG/NCT (2 Extremities Left upper ext
Left lower ext), and VERS (Visual Evoked Potential Test). He said depending
on the results of these tests, he will decide if a spinal tap (I think this
is the same as lumbar puncture) is necessary."
I agree. cervical spine should be looked at, not very likely, but possible.
From the tests he ordered, he is focusing on degeneration and demyelinating
disorders.
Demyelinating disorders, especially MS, often cause symptoms that cannot be
explained by local findings on MRI. The reason is that demyelination can be
repaired at one location and then occur at another location.
some
leg
by
the
【在 d********1 的大作中提到】
: Just came back from the neurologist. His major opinions:
: 1) The sub-centimeter focus is too small to cause the symptoms (she has some
: 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
: , arm, toes, fingers, and even face, but never on all these places at the
: same time). He thought her numbness was caused by other factors, but not by
: the brain focus.
: 2) If the focus is some kind of tumor, her symptoms will stay and will not
: go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
: duration/degree of numbness. BTW, her numbness has been on and off since the
: beginning.
"1) The sub-centimeter focus is too small to cause the symptoms (she has
some
腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
, arm, toes, fingers, and even face, but never on all these places at the
same time). He thought her numbness was caused by other factors, but not by
the brain focus."
I agree.
"2) If the focus is some kind of tumor, her symptoms will stay and will not
go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
duration/degree of numbness. BTW, her numbness has been on and off since the
beginning."
I agree.
"3) He simply said her symptoms do not look like multiple sclerosis, but did
not provide any reasons/explanations."
From the tests he ordered, he didn't rule MS out. Her symptoms don't look
like a typical severe MS. For mild onset MS, it may take a long time to
establish the diagnosis.
"4) Biopsy is not necessary for now. But if MRI shows the focus grows in
size
after several months, biopsy may be needed."
I agree.
"5) He mentioned the brain focus might simply be some kind of inflamation,
but this again needs to be confirmed by future brain MRI (to see if the
focus diappears)."
Inflammation includes many things. MS is also an inflammation.
"He ordered several tests for my wife, including some blood tests, MRI
Cervical Spine (W/ and W/O Contrast), EMG/NCT (2 Extremities Left upper ext
Left lower ext), and VERS (Visual Evoked Potential Test). He said depending
on the results of these tests, he will decide if a spinal tap (I think this
is the same as lumbar puncture) is necessary."
I agree. cervical spine should be looked at, not very likely, but possible.
From the tests he ordered, he is focusing on degeneration and demyelinating
disorders.
Demyelinating disorders, especially MS, often cause symptoms that cannot be
explained by local findings on MRI. The reason is that demyelination can be
repaired at one location and then occur at another location.
some
leg
by
the
【在 d********1 的大作中提到】
: Just came back from the neurologist. His major opinions:
: 1) The sub-centimeter focus is too small to cause the symptoms (she has some
: 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
: , arm, toes, fingers, and even face, but never on all these places at the
: same time). He thought her numbness was caused by other factors, but not by
: the brain focus.
: 2) If the focus is some kind of tumor, her symptoms will stay and will not
: go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
: duration/degree of numbness. BTW, her numbness has been on and off since the
: beginning.
d*i
53 楼
还要麻烦丽狼引路，nnd，这个context~~
【在 f*****s 的大作中提到】
: 看得你非要来找和尚了? :P
【在 f*****s 的大作中提到】
: 看得你非要来找和尚了? :P
a*7
54 楼
我是广东人嘛，流年读起来跟榴莲同音，所以呢，我只不过是想吃榴莲了而已，伤神马感
【在 wh 的大作中提到】
: 最后一句很赞啊，你看你就比我消极，我感谢网友一起纸上江山，你却伤感镜里流年，
: 哈哈，我都没流，你流什么流！哈哈哈。
【在 wh 的大作中提到】
: 最后一句很赞啊，你看你就比我消极，我感谢网友一起纸上江山，你却伤感镜里流年，
: 哈哈，我都没流，你流什么流！哈哈哈。
l*h
55 楼
there are also MS patients who have only one attack in the life and a
diagnosis is only established many years later retrospectively.
some
leg
by
the
【在 d********1 的大作中提到】
: Just came back from the neurologist. His major opinions:
: 1) The sub-centimeter focus is too small to cause the symptoms (she has some
: 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
: , arm, toes, fingers, and even face, but never on all these places at the
: same time). He thought her numbness was caused by other factors, but not by
: the brain focus.
: 2) If the focus is some kind of tumor, her symptoms will stay and will not
: go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
: duration/degree of numbness. BTW, her numbness has been on and off since the
: beginning.
diagnosis is only established many years later retrospectively.
some
leg
by
the
【在 d********1 的大作中提到】
: Just came back from the neurologist. His major opinions:
: 1) The sub-centimeter focus is too small to cause the symptoms (she has some
: 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
: , arm, toes, fingers, and even face, but never on all these places at the
: same time). He thought her numbness was caused by other factors, but not by
: the brain focus.
: 2) If the focus is some kind of tumor, her symptoms will stay and will not
: go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
: duration/degree of numbness. BTW, her numbness has been on and off since the
: beginning.
k*g
56 楼
我这儿也在下雪，一点儿也不像春天
【在 D******6 的大作中提到】
: 我们这里在下雪。。。：（
【在 D******6 的大作中提到】
: 我们这里在下雪。。。：（
d*1
57 楼
3X again for your comments!
I will update here when her new tests are completed. Hopefully good news
will come!
leg
by
not
【在 l*h 的大作中提到】
: Overall, I agree it is a reasonable approach.
: "1) The sub-centimeter focus is too small to cause the symptoms (she has
: some
: 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
: , arm, toes, fingers, and even face, but never on all these places at the
: same time). He thought her numbness was caused by other factors, but not by
: the brain focus."
: I agree.
: "2) If the focus is some kind of tumor, her symptoms will stay and will not
: go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
I will update here when her new tests are completed. Hopefully good news
will come!
leg
by
not
【在 l*h 的大作中提到】
: Overall, I agree it is a reasonable approach.
: "1) The sub-centimeter focus is too small to cause the symptoms (she has
: some
: 腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
: , arm, toes, fingers, and even face, but never on all these places at the
: same time). He thought her numbness was caused by other factors, but not by
: the brain focus."
: I agree.
: "2) If the focus is some kind of tumor, her symptoms will stay and will not
: go away. Now my wife's numbness is better than 2 weeks ago, i.e. less
b*l
58 楼
替丽狼哭一个：这都什么角色啊。。。
【在 d**i 的大作中提到】
: 还要麻烦丽狼引路，nnd，这个context~~
【在 d**i 的大作中提到】
: 还要麻烦丽狼引路，nnd，这个context~~
d*i
59 楼
梅香？haha. 可不是寻梅去么。面壁吧你。～～
【在 b*****l 的大作中提到】
: 替丽狼哭一个：这都什么角色啊。。。
【在 b*****l 的大作中提到】
: 替丽狼哭一个：这都什么角色啊。。。
l*f
60 楼
赶紧澄清：寻梅寻梅
【在 d**i 的大作中提到】
: 还要麻烦丽狼引路，nnd，这个context~~
【在 d**i 的大作中提到】
: 还要麻烦丽狼引路，nnd，这个context~~
f*s
61 楼
实惠啊....哈哈
用我们的术语, 这叫consulting.
【在 b*****l 的大作中提到】
: 替丽狼哭一个：这都什么角色啊。。。
用我们的术语, 这叫consulting.
【在 b*****l 的大作中提到】
: 替丽狼哭一个：这都什么角色啊。。。
l*f
62 楼
感慨句，我们古典文化太博大精深了
不是说版哈
【在 b*****l 的大作中提到】
: 替丽狼哭一个：这都什么角色啊。。。
不是说版哈
【在 b*****l 的大作中提到】
: 替丽狼哭一个：这都什么角色啊。。。
d*i
63 楼
nod，俺们寻梅，不管他们做啥，keke.
【在 l*****f 的大作中提到】
: 赶紧澄清：寻梅寻梅
【在 l*****f 的大作中提到】
: 赶紧澄清：寻梅寻梅
d*i
64 楼
河马要不要再面壁一个，keke.
【在 l*****f 的大作中提到】
: 感慨句，我们古典文化太博大精深了
: 不是说版哈
【在 l*****f 的大作中提到】
: 感慨句，我们古典文化太博大精深了
: 不是说版哈
k*g
65 楼
serious 的说，这样的角色在古代该叫做什么？
【在 l*****f 的大作中提到】
: 感慨句，我们古典文化太博大精深了
: 不是说版哈
【在 l*****f 的大作中提到】
: 感慨句，我们古典文化太博大精深了
: 不是说版哈
b*l
66 楼
留几面墙给兄弟们。
【在 d**i 的大作中提到】
: 河马要不要再面壁一个，keke.
【在 d**i 的大作中提到】
: 河马要不要再面壁一个，keke.
d*i
67 楼
我挂“第四堵墙”，keke.
【在 b*****l 的大作中提到】
: 留几面墙给兄弟们。
【在 b*****l 的大作中提到】
: 留几面墙给兄弟们。
l*f
68 楼
叫啥？
【在 k***g 的大作中提到】
: serious 的说，这样的角色在古代该叫做什么？
【在 k***g 的大作中提到】
: serious 的说，这样的角色在古代该叫做什么？
k*g
69 楼
红娘？ @ @
【在 l*****f 的大作中提到】
: 叫啥？
【在 l*****f 的大作中提到】
: 叫啥？
d*i
70 楼
co-ask
【在 l*****f 的大作中提到】
: 叫啥？
【在 l*****f 的大作中提到】
: 叫啥？
b*l
71 楼
本来留了天花板给你的。
【在 d**i 的大作中提到】
: 我挂“第四堵墙”，keke.
【在 d**i 的大作中提到】
: 我挂“第四堵墙”，keke.
l*f
72 楼
无毒无公害？
【在 k***g 的大作中提到】
: 红娘？ @ @
【在 k***g 的大作中提到】
: 红娘？ @ @
d*i
73 楼
hahahaha，有才有私情，haha.
【在 l*****f 的大作中提到】
: 无毒无公害？
【在 l*****f 的大作中提到】
: 无毒无公害？
d*i
74 楼
谁来给个横批？
【在 d**i 的大作中提到】
: hahahaha，有才有私情，haha.
【在 d**i 的大作中提到】
: hahahaha，有才有私情，haha.
d*i
75 楼
估计我还是抬出正大光明来吧，haha.
【在 d**i 的大作中提到】
: 谁来给个横批？
【在 d**i 的大作中提到】
: 谁来给个横批？
l*f
76 楼
唯莫小二
//rocket
【在 d**i 的大作中提到】
: 谁来给个横批？
//rocket
【在 d**i 的大作中提到】
: 谁来给个横批？
d*i
77 楼
画作版标吧，haha.我武威扬～～
【在 l*****f 的大作中提到】
: 唯莫小二
: //rocket
【在 l*****f 的大作中提到】
: 唯莫小二
: //rocket
d*i
78 楼
【在 d**i 的大作中提到】
: 画作版标吧，haha.我武威扬～～
r*y
79 楼
交给三宝
【在 d**i 的大作中提到】
: 画作版标吧，haha.我武威扬～～
【在 d**i 的大作中提到】
: 画作版标吧，haha.我武威扬～～
d*i
80 楼
谁来对一个：三宝画二宝
【在 r****y 的大作中提到】
: 交给三宝
【在 r****y 的大作中提到】
: 交给三宝
t*n
81 楼
正忙着
要不面壁那位给整个老照片风格的，将功折罪
【在 r****y 的大作中提到】
: 交给三宝
要不面壁那位给整个老照片风格的，将功折罪
【在 r****y 的大作中提到】
: 交给三宝
d*i
82 楼
nnd，今天都是整装待发啊
【在 t*******n 的大作中提到】
: 正忙着
: 要不面壁那位给整个老照片风格的，将功折罪
【在 t*******n 的大作中提到】
: 正忙着
: 要不面壁那位给整个老照片风格的，将功折罪
d*i
83 楼
想起八十年代的一个剧。
【在 t*******n 的大作中提到】
: 正忙着
: 要不面壁那位给整个老照片风格的，将功折罪
【在 t*******n 的大作中提到】
: 正忙着
: 要不面壁那位给整个老照片风格的，将功折罪
d*i
84 楼
天花乱坠，你们几个能不沾衣的，keke.
【在 b*****l 的大作中提到】
: 本来留了天花板给你的。
【在 b*****l 的大作中提到】
: 本来留了天花板给你的。
l*f
85 楼
不敢对...
【在 d**i 的大作中提到】
: 谁来对一个：三宝画二宝
【在 d**i 的大作中提到】
: 谁来对一个：三宝画二宝
d*i
86 楼
对啥？各自惴惴ing...
【在 l*****f 的大作中提到】
: 不敢对...
【在 l*****f 的大作中提到】
: 不敢对...
d*i
87 楼
打死你，哈哈哈哈。
【在 l*****f 的大作中提到】
: 不敢对...
【在 l*****f 的大作中提到】
: 不敢对...
l*f
88 楼
环顾ing
那就只剩doha la...
【在 d**i 的大作中提到】
: 打死你，哈哈哈哈。
那就只剩doha la...
【在 d**i 的大作中提到】
: 打死你，哈哈哈哈。
d*i
89 楼
我潜逃，是不是能嫁祸多哈～～
【在 l*****f 的大作中提到】
: 环顾ing
: 那就只剩doha la...
【在 l*****f 的大作中提到】
: 环顾ing
: 那就只剩doha la...
d*i
90 楼
来版杀吧，haha，河马有不在场证据～～
【在 d**i 的大作中提到】
: 我潜逃，是不是能嫁祸多哈～～
【在 d**i 的大作中提到】
: 我潜逃，是不是能嫁祸多哈～～
l*f
91 楼
最后还活着的两个究竟谁，是凶手？
那个无人生还就这样的哎！
【在 d**i 的大作中提到】
: 来版杀吧，haha，河马有不在场证据～～
那个无人生还就这样的哎！
【在 d**i 的大作中提到】
: 来版杀吧，haha，河马有不在场证据～～
d*i
92 楼
估计还有装死的～～
【在 l*****f 的大作中提到】
: 最后还活着的两个究竟谁，是凶手？
: 那个无人生还就这样的哎！
【在 l*****f 的大作中提到】
: 最后还活着的两个究竟谁，是凶手？
: 那个无人生还就这样的哎！
l*f
93 楼
就是这样阿，凶手就是先装死的
来版杀？你不做杀手可惜了。。。：）
【在 d**i 的大作中提到】
: 估计还有装死的～～
来版杀？你不做杀手可惜了。。。：）
【在 d**i 的大作中提到】
: 估计还有装死的～～
d*i
94 楼
赶紧活蹦活跳一下：装死的可不是我，keke.
【在 l*****f 的大作中提到】
: 就是这样阿，凶手就是先装死的
: 来版杀？你不做杀手可惜了。。。：）
【在 l*****f 的大作中提到】
: 就是这样阿，凶手就是先装死的
: 来版杀？你不做杀手可惜了。。。：）
f*s
95 楼
很傻很天真!
【在 l*****f 的大作中提到】
: 无毒无公害？
【在 l*****f 的大作中提到】
: 无毒无公害？
k*g
96 楼
说，你看了几张？超过24张要拘留
【在 f*****s 的大作中提到】
: 很傻很天真!
【在 f*****s 的大作中提到】
: 很傻很天真!
k*g
97 楼
还好是“唯 莫小二”， 不是“唯莫 小二”
【在 l*****f 的大作中提到】
: 唯莫小二
: //rocket
【在 l*****f 的大作中提到】
: 唯莫小二
: //rocket
d*i
98 楼
大喜一秒钟几十万上下的，何止二十四帧。。。
【在 k***g 的大作中提到】
: 说，你看了几张？超过24张要拘留
【在 k***g 的大作中提到】
: 说，你看了几张？超过24张要拘留
b*l
99 楼
横批：卿本佳人？
【在 f*****s 的大作中提到】
: 很傻很天真!
【在 f*****s 的大作中提到】
: 很傻很天真!
k*g
100 楼
难道不是娇生冠养
【在 b*****l 的大作中提到】
: 横批：卿本佳人？
【在 b*****l 的大作中提到】
: 横批：卿本佳人？
d*i
101 楼
要不要我来校书一下？haha
【在 k***g 的大作中提到】
: 难道不是娇生冠养
【在 k***g 的大作中提到】
: 难道不是娇生冠养
b*l
102 楼
得先修电脑。
【在 k***g 的大作中提到】
: 难道不是娇生冠养
【在 k***g 的大作中提到】
: 难道不是娇生冠养
k*g
103 楼
现在人的习惯都不好，比如旧硬盘，以为 format 就没有问题，但是 。。。
【在 b*****l 的大作中提到】
: 得先修电脑。
:
:
【在 b*****l 的大作中提到】
: 得先修电脑。
:
:
b*l
104 楼
介绍一下经验？
【在 k***g 的大作中提到】
: 现在人的习惯都不好，比如旧硬盘，以为 format 就没有问题，但是 。。。
【在 k***g 的大作中提到】
: 现在人的习惯都不好，比如旧硬盘，以为 format 就没有问题，但是 。。。
k*g
105 楼
我从来不卖就硬盘，haha
【在 b*****l 的大作中提到】
: 介绍一下经验？
:
:
【在 b*****l 的大作中提到】
: 介绍一下经验？
:
:
b*l
106 楼
竟然有人卖旧硬盘。。。 我向来都是扔。。。
【在 k***g 的大作中提到】
: 我从来不卖就硬盘，haha
【在 k***g 的大作中提到】
: 我从来不卖就硬盘，haha
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