Chapter 1806 This Is Love (Monthly Ticket 21000 Plus × 42)

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

"Estrogen not only has the physiological effect of promoting and maintaining female sexual organs and secondary sexual characteristics, but also has obvious effects on endocrine, cardiovascular, metabolic system, bone growth and maturation, skin, etc." Su Yun didn't mind Tell Ringer about the effects on the body of taking estrogen after sex reassignment surgery.

Su Yun admired Linger's straightforwardness in doing things, so it was just a small talk.

"Doctor Su, do you say that heart failure has something to do with estrogen?" Linger asked.

"Most of the estrogen drugs commonly used in clinical practice are artificially synthesized derivatives based on estradiol, such as estradiol benzoate, estradiol valerate, ethinyl estradiol, ethinyl estradiol, and euma estrone. The impact of these drugs on the heart is not small, and the patient developed heart failure and continued to fail, which is estimated to be related to the injection of estrogen."

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

However, as an individual human being, how to choose his own gender, Ringer feels that other people have no right to comment.

Think clearly for yourself, just be happy, why do others make irresponsible remarks.

It's just that the price is a bit high, and estrogen is used for 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, and may increase the risk of cardiovascular and cerebrovascular diseases and venous thrombosis."

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

Su Yun felt a little sorry for this elderly patient.

Being able to bravely choose her own gender, and it seems that there is a vampire who has always loved her, life is very happy.

Only decades later, all kinds of diseases came to him.

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

From Su Yun's point of view, this kind of case has no meaning of consultation at all. Her body triggered a series of reactions as the drug was metabolized, and there should be no cure for it now.

After 5 minutes, Zheng Ren took off his glasses.

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

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

"..." Linge was stunned.

Just a transgender case, why avoid talking to yourself?

What does Boss Zheng mean...

Su Yun was also a little surprised. He looked at Zheng Ren with countless doubts in his eyes.

"Director Lin, I'm sorry, it involves a confidentiality task." Zheng Ren said apologetically.

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

It's just that this involves a task, so Ringer can't listen to it.

"Then I'll go back to sleep first, the two of you are busy." Ringer didn't care, stood up with a smile, turned around and left.

After working for a long time, as long as the word task is mentioned, any strange behavior is normal.

Don't inquire or ask yourself, the farther the better, this is Ringe's principle.

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

"You are busy here, go to bed early, and pay attention to your body." Linge said: "I will go back first. Don't think about family affairs when you are on a mission. With Director Kong and I here, there shouldn't be any problems. "

"Thanks."

After sending Linge away, Zheng Ren returned to Xiaoshi's classroom.

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

"The patient had tea-colored urine 4 days ago, did you omit it on purpose?" Zheng Ren asked.

"Yes." Su Yun replied directly: "In the RV, you also saw that Christian probably drank whole blood and absorbed heme through the gastrointestinal tract."

"There is almost no research in this area." Zheng Ren pondered, "You can't arbitrarily confuse tea-colored urine with drinking whole blood."

"It's just the cardiovascular and cerebrovascular diseases caused by using estrogen for too long." Su Yun said, "Tsk tsk, boss, this is love."

Zheng Ren glanced at him, Su Yun's three views are not correct, has it reached this level?

Looking at a consultation case, it can be related to love.

Zheng Ren didn't have any opinion on sex reassignment surgery, but there were still some things he didn't understand about this case.

"Estrogen has been stopped for 2 years, and it is supposed that there should be no progressive muscle weakness and chronic cerebral infarction." Zheng Ren said.

"35 years! You must not ignore this problem." Su Yundao, "No matter what medicine you take for 35 years, the amount accumulated in your body is a huge amount!"

Zheng Ren pursed his lips. Although what Su Yun said was reasonable, he still felt something was wrong.

"The laboratory tests are nothing special. Except for the increase of serum phosphokinase to 20793 U/L, other indicators including inflammatory indicators such as erythrocyte sedimentation rate and C-reactive protein are not abnormal." Su Yundao, "The increase of serum phosphokinase Gao, it just confirms..."

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

"It doesn't make sense." Su Yun waved his hand, "I think only one serum phosphokinase is elevated, which has no clinical diagnostic significance."

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

"I didn't do a thymus CT, but I saw a chest CT, and I feel that the thymus is fine, not like myasthenia gravis." Su Yun said.

"Well, no." Zheng Ren was still thinking about a few suspicious indications, "I'll think about it again, and I'll understand what's going on after seeing the patient."

Su Yun narrowed his eyes and stared at Zheng Ren.

"how?"

"What does it mean to know what's going on after seeing the patient?" Su Yun asked.

"Physical examination!" Zheng Ren said in a deep voice, "Don't you even have a physical examination?"

"Cut, before you buy a watermelon, you have to knock it, because others knock it too, is that so?" Su Yun said contemptuously.

"No." Zheng Ren replied with certainty: "It is possible that the doctors in Massachusetts missed some special symptoms. I have to see the patient, have a physical examination, and ask a doctor to find out the cause."

Su Yun didn't think that Zheng Ren could get any answers by doing all these himself. The various examinations, physical examinations, and medical histories at Massachusetts General Hospital were already very detailed.

"Boss, do you think there may be some problem between porphyria and estrogen?"

"No, if there is a problem, it won't last for 35 years." Zheng Ren said: "The high probability is that estrogen will be used for a long time, which will lead to cardiovascular and cerebrovascular diseases. What we need to do now is to rule out diseases with a small probability."

...

...

at the same time.

In the old castle that never sees the sun, doctors and nurses in white clothes are busy.

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