It wasn't because this mother acted so strong that in Sun Lien's eyes Shen Qingmei looked tall and she was indeed a tall and strong woman.
I didn't have much impression of Sun Lien when I met him several times before, but now I take a closer look and I can see that Shen Qingmei, who is at least 1.75 meters tall, is indeed tall. She is even almost half a head taller than Director Liu.
"Wait a minute." Sun Lien stopped Shen Qingmei who was about to leave.
Shen Qingmei wiped her tears and asked, "Is there anything else?"
"This..." Sun Lien organized his words, "How tall is your husband?"
"One meter eighty-eight." Shen Qingmei said confused, "Why do you ask this suddenly?"
"Director Liu, I know what's wrong with Chen Wen!" Sun Lien rushed into the emergency room and shouted excitedly to Liu Tangchun. The voice was so loud that it attracted the attention of many medical staff around him.
"Oh? Tell me." Liu Tangchun smiled. The excited young doctor raised his hands in the air and shouted "I know" excitedly. This scene was indeed very contagious.
"It was not warfarin that caused Chen Wen's skin damage and necrosis, but her hypercalcemia." Sun Lien seemed to have a thousand words to say but didn't know where to start. He explained incoherently, "Her blood clot, her hypercalcemia." Mental symptoms, even obesity and developmental delay... Chen Wen is now less than 1.4 meters tall, so these can all be explained!"
"So?" Liu Tangchun asked, "What is your diagnosis?"
"She has Cushing's syndrome, and her body has been secreting excessive hormones!" Sun Lien pointed to Chen Wen lying on the bed, "There is no need to perform gangrene removal, as long as the high blood calcium and high hormone levels in her body are corrected. Got it!"
Liu Tangchun listened carefully to Sun Lien's explanation, nodded with a smile, and then shook his head. "The blood test did not indicate that she had high hormone levels. And Cushing's syndrome does not cause hypercalcemia. She does not have central obesity. Without the typical buffalo hump, your diagnosis is insufficient."
"The high hormone levels caused by Cushing's syndrome are cyclical. We took Chen Wen's blood test when she was just admitted to the hospital. Without continuous monitoring, it is easy to miss her period of high hormone levels." Sun Lien explained, He saw Chen Wen lying on the hospital bed, and saw the newly added "high adrenocorticotropic hormone" status in her status bar. "Children with Cushing's syndrome do not necessarily have central obesity, but also developmental retardation and It's a symptom of systemic obesity. As long as her high hormone levels are addressed, she can recover!"
"At least one blood test is needed to confirm that she does have symptoms of high hormone levels." Liu Tangchun thought for a while, but still shook his head and said, "The traditional high-dose dexamethasone test takes two days, and she can't wait that long. I guess Within two hours at most, her gangrene would break through her abdominal wall. A blood test to detect hypercalcemia would be too late."
"If it's Cushing's syndrome, then she can still be saved. If it's not Cushing's syndrome, she will still face life threats after we remove her breast tissue." Dr. Cao Yanhua, who treated Chen Wen, also agreed with Sun Li'en. Opinion. "Xiao Sun's views on hypercalcemia are reasonable. I think calcitonin should at least be considered."
"If Cushing's syndrome is not diagnosed, we cannot treat it according to Cushing's. This is a matter of principle." Liu Tangchun still insisted and refused to give in. "There are strict restrictions on diagnostic treatment, and Cushing's syndrome in children is definitely not one of them. Just relying on the lack of evidence If a diagnosis is made, it should be treated as a rare disease, which is even more unacceptable. Without conclusive evidence, it is impossible for me to agree to such treatment."
"Then let her do an MRI." Sun Lien made a quick decision, "This is not a treatment or an invasive examination. It's just an MRI, right?"
"You are really dizzy." Liu Tangchun finally couldn't help but scolded in a low voice, "What are you going to use MRI for? To check her blood calcium index or to check her hormone levels?"
"I want to use MRI to find the culprit of Cushing's syndrome." Sun Lien said to Liu Tangchun without flinching, "As long as the tumor is found, Cushing's syndrome can be confirmed."
Liu Tangchun was silent. Dr. Cao Yanhua and Sun Lien stood together, waiting for the final verdict.
"Go for it." Liu Tangchun nodded. "I hope you are right."
After entering the monitoring room with Sun Lien and others, Luo Ge sat down in the chair. "Xiao Sun, you also sit down, do you want a Coke?"
The MRI monitoring room is probably the most comfortable place in the hospital. There is a separate bathroom, a department-specific refrigerator, a sofa, and even a small second floor with two single beds.
, for the video dogs on duty to take a nap at night.
With the iced Coke in his hand, Sun Lien did not rush to unscrew the lid, but sat impatiently in front of the monitor, "Brother Luo, saving lives is like putting out fires, hurry up."
"I want to go faster too." Brother Luo pressed a few buttons and leaned back on the chair behind him, saying helplessly, "But now this is already the fastest speed. The MRI won't kick it because of you.
It becomes faster.”
Sun Lien opened the Coke and took a deep sip of the carbonated drink. His anxious mood seemed to have calmed down a bit because of the cold and stimulating liquid. "Start from the head first and scan her pituitary gland."
In fact, the "high adrenocorticotropic hormone" displayed in the status bar has directly and unmistakably explained the location of Chen Wen's lesion. There should be a tumor in her pituitary gland.
High adrenocorticotropic hormone, abbreviated as "acth" in English, is secreted by the pituitary gland. Just like its name, it directly acts on the adrenal glands of the human body, causing the hyperplasia of adrenal tissue on both sides and triggering a large amount of cortisol secretion. Its abnormal secretion is
The main cause of Cushing's syndrome.
Excessive secretion of acth can only be caused by abnormalities in the pituitary gland. Although increased acth is also an important manifestation of primary adrenergic insufficiency, Chen Wen's symptoms are obviously not consistent with this disease. Therefore, Sun Lien dared to directly talk to Liu
The director challenged and insisted that Chen Wen suffered from Cushing's syndrome.
Since he suspected that there was a disease in the pituitary gland, Luo Ge naturally chose an MRI scanning procedure specifically targeting the sella turcica area of the brain. The scanning layer thickness was specially adjusted to the standard of 1 mm.
"Found it." The MRI machine made various strange roaring sounds. About ten minutes later, Luo Ge's excited shout came from the monitoring room. He grabbed the relaxed Sun Lien and shook Sun Lien while getting excited.
He said, "You are really amazing!" He completely ignored the fact that the Coke in Sun Lien's hand was scattered all over the floor.
"I'll arrange the surgery right away." Sun Lien also smiled, and Chen Wen finally escaped the fate of mastectomy.