Chapter 1807

"Sex change surgery, is the condition stimulated by estrogen?" Ringer felt a little bored, so he asked casually.

"Estrogen not only plays a physiological role in promoting and maintaining female SZ organs and secondary sexual characteristics, but also has a significant impact on endocrine, cardiovascular, metabolic system, bone growth and maturation, skin, etc." Su Yun doesn't mind telling ringer about the effect of estrogen on his body after sex change surgery.

Linge does things very simply. Su Yun still appreciates it. It's just a chat.

"Dr. Su, do you think heart failure has anything to do with estrogen?" Asked ringer.

"Most of the commonly used estrogen drugs in clinic are synthetic derivatives with estradiol as the mother, such as estradiol benzoate, estradiol valerate, ethinylestradiol, ethinylester, pregnancy horse estrone, etc. these drugs have a great impact on the heart. Patients have heart failure and continue to fail, which is estimated to be related to estrogen injection."

Alas, the price is still quite high, thought ringer.

However, as an individual human, how to choose his own gender, ringer feels that others have no right to speak.

Think it out for yourself. Just be happy. What do others say.

It's just a little expensive. I use estrogen all my life, and there are so many side effects.

"Long term high-dose estrogen use may increase the risk of breast cancer, and may also increase the risk of endometrial cancer, which may increase the risk of cardiovascular and cerebrovascular diseases and venous thromboembolism."

Su Yun sighed. It seems that he and Ringer have the same attitude towards the patient's choice of gender.

For this elderly patient, Su Yun also has some regrets.

Can bravely choose their own gender, and it seems that there is a vampire who has always loved her. Life is very happy.

Just a few decades later, all kinds of diseases came to the door.

Whether it is heart failure or cerebral infarction, it is related to estrogen injection.

In Su Yun's view, this case has no significance of consultation. Her body triggered a series of reactions with drug metabolism. Now there should be no medicine to cure.

After five minutes, Zheng Ren took off his glasses.

"Boss, do you have any comments?" Su Yun asked.

"Yes." Zheng Ren clearly said, "director Lin, please go back first."

"..." ringer was stunned.

It's just a case of transgender people. Why avoid talking to yourself?

What does boss Zheng mean

Su Yun was also surprised. He looked at Zheng Ren and there were countless questions in his eyes.

"Director Lin, sorry, it involves confidentiality." Zheng Ren said with some apology.

After reading the medical record, he found a small problem in combination with the medical history stated by Su Yun.

It's just that this involves the task, so it's not what ringer can listen to.

"Then I'll go back to bed first. You're busy." Ringer didn't care. He stood up with a smile and turned around and left.

After working for a long time, it's normal to do anything strange when it comes to tasks.

It is Ringer's principle not to inquire or ask, and the farther the distance, the better.

"I won't see you off." Zheng Ren stood up and said politely.

"You're busy first. Go to bed early and pay attention to your health." Linge said, "I'll go back first. Don't think about the family when I'm on duty. There should be no problem with director Kong and me."

"Thanks."

Send ringer away and Zheng Ren returns to Xiaoshi classroom.

"Boss, what's so mysterious?" Su Yun asked.

"The patient had brown urine 4 days ago. Did you deliberately miss it?" Zheng Ren asked.

"Yes." Su Yun directly replied: "in the RV, you also saw that Christian should have drunk whole blood and absorbed heme through the gastrointestinal tract."

"There is little research in this area." Zheng Ren pondered, "we can't arbitrarily confuse brown urine with drinking whole blood."

"Just use estrogen for too long, causing cardiovascular and cerebrovascular diseases." Su Yun said, "tut Tut, boss, this is love."

Zheng Ren glanced at him. Su Yun's Three Outlooks were not right. Did he reach this level?

Looking at a consultation case can involve love.

Zheng Ren has no problem with transsexual surgery, but there are still some things he doesn't understand about this case.

"Estrogen has been stopped for 2 years. It is said that there should be no continuous progressive myasthenia and chronic cerebral infarction." Zheng Rendao.

"35 years! You must not ignore this problem." Su Yun said, "no matter what medicine is used for 35 years, the accumulation in the body is a natural quantity!"

Zheng Ren pursed his mouth. Although Su Yun said it was reasonable, he still felt there was a problem.

"There is nothing special about the test. Except that the serum phosphokinase increased to 20793 U / L, other indicators including inflammatory indicators, such as erythrocyte sedimentation rate and C-reactive protein, were not abnormal." Su Yun said, "the increase of serum phosphokinase just confirms..."

"No." Zheng Rendao said, "the high content of estrogen accumulated in the body will indeed lead to the attack of cardiovascular and cerebrovascular diseases. But compared with previous medical records, don't you think this value is too high?"

"It doesn't make sense." Su Yun waved, "I think only one serum phosphokinase increased, which has no clinical significance."

"That's true." Zheng Ren is still thinking.

"I didn't do thymus CT, but when I look at chest CT, I feel that the thymus is OK. It doesn't look like myasthenia gravis." Su yundao.

"Well, No." Zheng Ren is still thinking about several suspicious indications. "I'll think about it again. After looking at the patient, I'll understand what's going on."

Su Yun narrowed his eyes and stared at Zheng Ren.

"What?"

"What do you mean you know what's going on after seeing the patient?" Su Yun asked.

"Physical examination!" Zheng Ren said in a deep voice, "don't you check your body?"

"Cut, knock before buying watermelon, because others knock too, is that right?" Su Yun said contemptuously.

"No." Zheng Ren definitely replied, "it's possible that the doctors in Massachusetts have missed any special symptoms. I have to see the eye patients, check up and consult in person to find out the reason."

Su Yun doesn't think Zheng Ren can get any answers by doing all this himself. The various examinations, physical examinations and medical history of Massachusetts General Hospital have been very detailed.

"Boss, do you think there is a problem between porphyria and estrogen?"

"No, if there's a problem, it won't last 35 years." Zheng Ren said: "the probability is that estrogen has been used for a long time, leading to cardiovascular and cerebrovascular diseases. What we need to do now is to eliminate diseases with small probability."

……

……

meanwhile.

Doctors and nurses in white clothes are busy in the castle where there is no sun all year round.

"The urine output in the past 24 hours has almost dried up. Ms. Fandi's condition is not optimistic. Her life may be only 48-72 hours." A doctor said.