Chapter 1807： This is love

"Transformation surgery, is the condition estrogen stimulating?" Linger felt a little bored and asked casually.

"Estrogen not only promotes and maintains the physiological role of female sz organs and secondary sexual characteristics, but also has obvious effects on endocrine, cardiovascular, metabolic system, bone growth and maturation, skin, etc." Su Yun does not mind Telling Ringe in detail about the effects of estrogen on the body after a sex-change surgery.

Linger did things very simply, Su Yun still quite appreciated, it was a chat.

"Dr. Su, do you have heart failure, is it related to estrogen?" Ringer asked.

"The estrogens commonly used in clinical practice are mostly artificially synthesized derivatives of estradiol, such as estradiol benzoate, estradiol valerate, ethinyl estradiol, ethinyl estradiol, and progesterone. The effects of these drugs on the heart are not small, patients with heart failure, and persistent failure, estimated to be related to the injection of estrogen."

Oh, this price is still quite big, Ringer thought.

However, as an individual human, how to choose their own gender, Linger feels that others have no right to set it.

I want to be clear, happy, and what others say.

It's just that the price is a bit big, using estrogen for life, and there are so many side effects.

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

Su Yun sighed and seemed to have the same attitude as Ringer on the point that the patient chose his own gender.

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

I can bravely choose my own gender, and it seems that there is still a vampire who has always loved her and her life is very happy.

Only a few decades later, various diseases have come to the door.

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

In Su Yun's view, this case has no meaning at all. Her body has a series of reactions with drug metabolism, and now it should be no cure.

After 5 minutes, Zheng Ren took off his glasses.

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

"Yes." Zheng Ren said very clearly, "Director Lin, please come back first."

"..." Ringer is at a loss.

Just a case of a transgender, why should you avoid talking to yourself?

What does Zheng boss mean...

Su Yun is also a bit surprised, looked at Zheng Ren, there are countless questions in his eyes.

"Director Lin, I am sorry, involving confidential tasks." Zheng Ren said apologetically.

After reading the medical records, he combined with the medical history stated by Su Yun and found a small problem.

It’s just that this involves the task, and it’s not that Ringer can listen.

"Then I went back to sleep first, and the two were busy." Linger did not care, smiled and stood up and turned away.

Working for a long time, as long as the two words of the task, there are some strange moves are normal.

I don’t ask, don’t ask, the farther the distance, the better. This is the principle of Ringer.

"That won't send you." Zheng Ren stood up, very polite.

"You are busy first, sleep early, pay attention to your body." Linge said, "I will return first. Don't think about the family at the time of the mission. There is a director and me, and there should be no problem."

"Thanks."

Sending Ringe away, Zheng Ren returned to the small classroom.

"Boss, what is the secret of God?" Su Yun asked.

"The patient had brown urine before 4 days ago, did you intentionally give it a miss." Zheng Ren asked.

"Yes." Su Yun replied directly. "On the RV, you also saw that Christian should drink whole blood and absorb hemoglobin in the gastrointestinal tract."

"There is almost no research in this area." Zheng Ren said, "I can't arbitrarily confuse brown urine with drinking whole blood."

"Just use estrogen for too long, causing cardiovascular and cerebrovascular diseases." Su Yundao, "Hey, boss, this is love."

Zheng Ren glanced at him. Su Yun’s three views were not correct. Did he reach this level?

Seeing a consultation case can bring love.

Zheng Ren has no opinion on the transsexual operation, but this case still has some places that he does not understand.

"Estrogen has been stopped for 2 years, and there should be no sustained progression of myasthenia and chronic cerebral infarction." Zheng Rendao.

"35 years! You must not ignore this problem." Su Yundao, "No matter what medicine you use for 35 years, the amount of accumulation in the body is a big amount!"

Zheng Ren grinned, although Su Yun said it makes sense, but he still feels a little problem.

"There is nothing special about the laboratory test, except that the serum phosphokinase is raised to 20,793 ul, and other indicators including inflammation indicators such as erythrocyte sedimentation rate and c-reactive protein are not abnormal." Su Yundao, "The increase in serum phosphokinase is just right." proved……"

"No." Zheng Rendao, "The high levels of estrogen accumulated in the body do cause seizures 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 there is only one serum phosphokinase that is elevated and has no clinical diagnostic significance.”

"This is true." Zheng Ren is still thinking.

"I did not do thymus ct, but look at the chest ct, I feel no problem with the thymus, not like myasthenia gravis." Su Yundao.

"Well, no." Zheng Ren is still thinking about a few suspicious indications. "I think again, I will understand what happened when I saw the patient."

Su Yun eyes squinted and stared at Zheng Ren.

"how?"

"What do you know when you look at the patient?" Su Yun asked.

"Check the body!" Zheng Ren Shen said "Do you not check the body?"

"Cut, you have to knock before you buy watermelon, because others knock, is that true?" Su Yun said.

"Not Zheng Ren is very sure to answer "It is possible that the doctors in Massachusetts have missed any special symptoms. I have to look at the patients and personally check the body and ask for the reason." ”

Su Yun does not think that Zheng Ren personally can do all the answers. The various inspections, physical examinations and medical history of the Massachusetts General Hospital have been exhaustive.

"Boss, are you saying that there is a problem between porphyria and estrogen?"

"No, if there is a problem, it will not last for 35 years." Zheng Rendao "The high probability is that estrogen is used for a long time, leading to cardiovascular and cerebrovascular diseases. What is needed now is to eliminate the disease with a small probability."

......

......

at the same time.

Doctors and nurses in white clothes are busy in the castle that is not seen all day long.

"In the past 24 hours, the amount of urine has almost dried up. Ms. Vandy's condition is not optimistic, and her life may only be 4,872 hours," a doctor said.