Chapter 1722 The Sea of ​​Fire

Under normal circumstances, Su Yun would not reluctantly decide not to go to dinner or something like that. The big deal is to go out for a drink, as long as there is wine for him.

"Apart from Master Yan, who else?" Zheng Ren briefly thought about it, then immediately connected several possible characters and asked in a low voice.

"You still remember the Anglo apprentice of Chunuangsai in a suit and leather shoes." Su Yun said with a smile: "I said I was coming over today, but I've been waiting for the call."

"Oh? Are you confident in technology?"

"Of course, why else would you rob your phone?" Su Yun said.

As expected, Zheng Ren smiled and said nothing.

I'm really looking forward to it. If I can get the relevant technology through Chunuangsai, and let's not talk about quantitative production, it's good to be able to try it out myself.

There are a few technologies that Zheng Ren wants to get the most, but Su Yun seems to have added countless things later, he is not sure if Chu Nuangsai can get all these things.

However, it is good to have feedback. Zheng Ren has a good impression of Chu Nuangsai.

He did not live up to his risk of [operator, death] to perform surgery on him.

Seeing Zheng Ren's expression, Su Yun knew what he was thinking, and said, "You're a man, say no with your mouth, and your body is always honest."

"It's okay, the key is that I don't know what to do. How did Master Yan and Chu Nuangsai get together?" Zheng Ren asked.

Both directors were dumbfounded.

The name of Master Yan's rotten street and the name of Chu Nuangsai, which sounds like a Nanyang person, are incomparably contradictory.

"Chunuangsai is still trustworthy. The disciple in the suit is called William, and he has a lot of background." Su Yun said with a smile.

"Not small?"

"Well, it is said to be the only normal man from an ancient family." Su Yun said with a smile.

Zheng Ren was too lazy to chat with him like this, except when Zheng Ren was willing to use his brain when analyzing his condition, he usually wanted to be a panda, hang lazily on a tree, eat and wait until he died.

After changing clothes, Zheng Ren waited for Xie Yi to come out, and called Lao He to take the car to the Tang Song Restaurant together.

Song Ying stood at the door, and when he saw Zheng Ren and his party coming, he greeted him with a spring breeze on his face.

"Boss Zheng, you are really proud of yourself recently." Song Ying said with a smile.

"No way."

A group of people walked in, talking and laughing, full of enthusiasm.

...

...

Massachusetts General Hospital.

Dr. Mark looked at the email, made a rather exaggerated gesture, and said, "Jason, is this the level of our new tenured professor?"

Jason frowned and said, "I want to check a thyroid B-ultrasound? Why is this?"

"I can't find the reason for the onset of the disease, so I talked nonsense. Thyroid, does he suspect that the patient has thyroid storm?" Dr. Mark said disdainfully: "Thyroid storm, usually doing Hashimoto's..."

Saying that, he was startled.

The CT enhancement done on admission, but a lot of iodine was used!

The typical symptoms of thyroid storm, such as high fever, sweating, tachycardia, irritability, anxiety, delirium, nausea, vomiting, and diarrhea, are so similar to the patients at hand.

Did you diagnose yourself wrong from the start? !

The disdainful expression on Mark's face solidified into ice, and he thought of many possibilities, the most serious and the one closest to the truth - his first diagnosis more than 10 weeks ago was a misdiagnosis!

Not some periodic vomiting syndrome at all, but a damn thyroid problem!

Dr. Jason also thought about it, but he didn't know the patient's situation as well as Mark, so he was still a little hesitant.

"No, I'm going to have a thyroid test right away!" Mark bounced off his chair, as if a spring had been installed under his butt.

The two most prominent findings, tachycardia and weight loss, suggest hyperthyroidism.

When Mark considers weight loss and tachycardia in the context of agitation, vomiting, and neuropsychiatric signs and symptoms, hyperthyroidism suddenly becomes one of the most important differential diagnoses.

Damn, why didn't you think of that?

This is nothing. In this hospitalization, I performed an enhanced CT for a patient with hyperthyroidism!

A large amount of iodine enters the body, and the function of the thyroid is immediately thrown into chaos...

Mark's sweat came out, and he pushed the B-ultrasound machine to the female patient's side.

On transverse and sagittal gray-scale and color Doppler ultrasound images of the thyroid, the sagittal size of the thyroid was at the upper limit of the normal range, and Dr. Mark saw mild heterogeneous parenchymal echoes.

On color Doppler images, the entire gland is clearly congested, which is a characteristic manifestation of Graves' disease, called the "sea of ​​fire sign"! ! !

This Doppler flow pattern has high specificity (88%-95%) and sensitivity (95%) for Graves' disease, and the peak systolic flow velocity in patients with Graves' disease is higher than that of other etiologies Thyroiditis patient!

Standard Graves disease, also known as toxic diffuse goiter, is caused by the presence of an irritant in the blood that excites the thyroid gland and is characterized by hypermetabolism, diffuse goiter, and exophthalmos.

The patient itself is not seriously ill, because of that damn enhanced CT, the condition has worsened, so that now he has to go to the ICU for rescue and treatment.

Jason also saw the sign of fire displayed on the ultrasound machine. Unlike Mark, he watched the live broadcast of the surgery a lot, and his admiration for the surgeon had already risen to worship.

"Mark, you stupid guy, see it! His diagnosis is correct!" Jason said behind Dr. Mark.

"It's good if you can find it, and do thyroid treatment now." Dr. Mark said quickly.

After the treatment with methimazole, Dr. Mark breathed a sigh of relief.

As long as the correct cause is found and the correct treatment is carried out, the patient will slowly get better after 3-5 days.

Heck periodic vomiting syndrome, that's not the diagnosis at all!

After finishing his work, Jason shrugged and said, "Mark, I suggest that you show enough respect to the tenured professor. See, your doubts will soon reveal your stupidity."

Dr. Mark sighed.

"The higher the degree of questioning at the beginning, the more stupid you are." Dr. Jason was very happy to see Dr. Mark's current state.

"Jason, can you give me the URL of the live broadcast of the surgery?" Dr. Mark did not refute. After he began to recall the entire diagnosis and treatment process, he expressed to the tenured professor that the correct diagnosis was obtained in more than an hour. surprise.

"You should write a warm thank you letter, without him, your patient would have died quickly," Dr. Jason advised.