Dean Song was on the way. Sun Lien and a group of people entered the conference room. The security guard, Brother Liang, was quite excited and called a few security guards to help bring tea and water. Brother Luo from the Imaging Department was also regarded as a ready-made translator.
I was called to the scene and some medical vocabulary was really difficult to translate. Even though these vocabulary were basically spread from Japan to China.
"I want to hear about Kaoru Kobayashi's situation and current situation first." Associate Professor Yatomi Zelang of Juntendo Neurosurgery, who had been following Yutaka Kobayashi, first broke the silence in the room. "We heard from Tanaka-kun before that Kaoru Kobayashi may have
Acoustic neuroma requires craniotomy. Have you completed the surgery?"
"The diagnosis results show that the patient does not suffer from acoustic neuroma." Speaking of the content of his diagnosis, Sun Lien suddenly felt confident. "According to the diagnosis of our hospital, Xiaolin Xun's symptoms are caused by hyperthyroidism."
"Hyperthyroidism?" Professor Yatomi Zelang frowned, "Hyperthyroidism will not cause bleeding."
"Skull base fractures caused by car accidents will." Although he was a professor in front of him, Sun Lien was actually communicating directly with Brother Luo. This relieved a lot of pressure in his heart. "The hypertensive crisis caused by hyperthyroidism aggravated his ear disease.
The second ear canal bleeding was due to changes in blood pressure, not due to the swelling of the acoustic neuroma."
Yatomi's frown deepened, "I believe that your hospital has conducted corresponding examinations so that this symptom can be diagnosed. However, Mr. Kaoru Kobayashi conducts a physical examination in the company every year. The last physical examination was two months ago. There was no examination.
There is nothing wrong. Your hospital should pay more attention to this."
Sun Lien was shocked when he heard this.
Hyperthyroidism is not a rare disease. Basically, there are only a few causes of hyperthyroidism. Toxic diffuse goiter (graves' disease) caused by autoimmune problems is the most common, accounting for nearly 80% of the total, or infection leads to the destruction of the thyroid gland.
Transient hyperthyroidism caused by drugs, or drug-induced hyperthyroidism caused by drugs, etc.
Kaoru Kobayashi's hyperthyroidism was so severe that he had a hyperthyroid crisis, and he had not used any drugs that might cause exogenous hyperthyroidism after being admitted to the hospital. It is certain that Kaoru Kobayashi's hyperthyroidism should have been onset for some time because of the symptoms caused by hyperthyroidism.
Symptoms are not very obvious in the early stages, and often a large number of patients are not aware of the disease, and even do not seek medical treatment until several years after the onset of the disease.
"Company physical examination?" Sun Lien was a little unsure, "Is there a report?"
"These are it." Yatomi came prepared as expected. He took out a stack of printed documents from his briefcase and handed them over. "For the convenience of your hospital's reference, Mr. Kobayashi Yutaka specially asked a professional organization to do the translation. You
The copy you see is the translated copy.”
All the items were normal as expected. Although he was a little surprised that Japanese corporate physical examinations would also check thyroid stimulating hormone levels, Sun Lien had to admit that this inspection report could indeed prove that Kaoru Kobayashi did not have hyperthyroidism two months ago.
signs.
"About two months have passed since the physical examination." Sun Lien looked at Xiaolin Xun's height and weight column. He had lost nearly eight kilograms in the past two months.
Most patients with hyperthyroidism have obvious symptoms of wasting. They eat a lot, but still continue to lose weight. This is no longer the stage of "you can't get fat if you eat", but the stage of "you will lose weight no matter how you eat". December
In winter, Xiaolin Kaoru still only wore a thin suit jacket when he went to the doctor. This is another manifestation of hyperthyroidism.
Every symptom was hyperthyroidism, but only the course of the disease did not match. Sun Lien was completely confused. After thinking for a while, he said to Yatomi Zelang, "I can't explain this problem. If I want to explore the root cause, I need to ask
My superior doctor and other specialists came for consultation."
This is a standard procedure and is common to hospitals all over the world. Professor Yatomi naturally had no objection. He instead reminded, "What I'm worried about is that this may mean that Mr. Kaoru Kobayashi's brain
A tumor has appeared. If possible, I hope your hospital can arrange an MRI examination for Mr. Xiaolin."
Sun Lien nodded, took out his phone and called Liu Tangchun, "Director Liu, Xiao Linxun's family members are here. I'm with them in the main conference room..." He paused and glanced at the person sitting aside who was still wiping.
Khan's Director Qiao said, "People from the Municipal Foreign Affairs Office are also here."
When Liu Tangchun came over, he was accompanied by the director of the Department of Endocrinology and Xu Yourong.
"We have finished talking to Gao Yan's parents." Xu Yourong pulled out the chair and sat next to Sun Lien. She said in a low voice, "Zhou Ce is arranging the treatment, and the results will be available in about three days."
Sun Lien nodded, and before he could speak, Liu Tangchun spoke first. "Old Qiao, you came to the courtyard in such a big way, did you tell our Dean Song?"
"I've already called Dean Song." Director Qiao threw the small towel in front of him to wipe the sweat. "It happened suddenly. After Deputy Consul Hamada and his car got off the highway, the consulate called us.
Call me, this is not a surprise attack for me, Old Qiao." In foreign affairs work, the first thing to do is to make proper arrangements. Basically everyone who works in foreign affairs has a tendency to be more or less a control freak. Surprises and other things are in their sight.
There is no difference between coming and being frightened. Director Qiao was joking, but in fact he was expressing dissatisfaction to Hamada. "Dean Song is having a meeting at the municipal committee, and she said she would come back as soon as the meeting is over."
After speaking, Director Qiao stood up and introduced to Liu Tangchun, "This is Mr. Yutaka Kobayashi, the chairman of the board of directors of Takeda Pharmaceutical Industry. The person next to him is Vice Consul Hamada. This is the neurosurgery department of Juntendo University Hospital.
Professor Mr. Yatomi Zelang.”
The introduction is knowledgeable. Kobayashi Yutaka is undoubtedly the most important person in the group, and Yatomi Zelang, who is placed at the end, is the most troublesome guy.
"Professor Yatomi?" Liu Tangchun frowned, and then suddenly laughed, "I have interviewed Professor Kamino Tetsuo several times, but I have never met Professor Yatomi."
Yatomi Zelang smiled nonchalantly, "Mr. Kamino is a well-known professor in the Department of Yingkei University in the Kanto region. Although the history of Yingkei University's Department of Medicine is not as long as ours in Juntendo, its strength is already very good."
Although in the eyes of outsiders, Juntendo School of Medicine is far less famous than Tokyo University School of Medicine. In fact, Juntendo University’s School of Medicine has the longest history in Japan. Founded in Tenho 9 (1838), Juntendo University not only
The medical school of Juntendo University ranks first among Japanese private universities. As the foundation of modern medicine in Japan, Juntendo University Medical School is also a hospital for members of the royal family. Although it is not as well-known in China as Professor Kamino, Yatomi Sawaro is.
We completely ignore this compatriot who has made important contributions to Chinese neurosurgery.
"I just mentioned to Dr. Sun that your hospital should arrange an MRI for Mr. Kaoru Kobayashi to clarify the cause of the diagnosis of hyperthyroidism." Yatomi Zelang regained control of the conversation, "Follow Mr. Kaoru Kobayashi's instructions for two months.
According to the previous physical examination report, the onset of hyperthyroidism was too short and the disease progressed too quickly. This is likely to be hyperthyroidism caused by a pituitary gland tumor."
"Li'en, what's your opinion?" Liu Tangchun didn't seem to hear what Luo Ge translated. He just turned to Sun Li'en and asked, "Xiao Linxun is your patient, what do you think?"
"I think..." Sun Lien thought carefully about the prompt in the status bar, shook his head and said, "It shouldn't be hyperthyroidism."
"What's the reason?" Liu Tangchun didn't say anything in particular, but continued to ask.
"There is no evidence to support pituitary tumors." Sun Lien replied, "Of course, it is safest to arrange an MRI examination, but I think it is of little significance. Kaoru Kobayashi's symptoms of hyperthyroidism were not obvious when he was admitted. And Tanaka, who is under consular protection
After the quarrel, obvious hyperthyroidism crisis appeared. If his hyperthyroidism was caused by a pituitary gland tumor, he should have shown obvious symptoms of hyperthyroidism crisis when he was admitted to the hospital."
Instructing Brother Luo to translate all these words, Liu Tangchun replied with a smile, "You also heard that our doctor does not support your judgment."