I can see the status bar

Chapter 150 Dr. Pascale's Diagnostic Recommendations

Wei Jinshui was discharged from the hospital, which is a good thing.As long as the cerebral aneurysm does not rupture, many people can achieve "almost no sequelae" after GDC (Guglielmi Detachable Coil) treatment.

After saying goodbye to everyone, Wei Jinshui and his parents left the ward.Dr. Pascale looked at this ward, feeling quite emotional. "The inpatient wards in China are really tight."

"Is our hospital okay?" Sun Li'en didn't quite understand why Dr. Pascal made such a speech. He looked at the three-person ward and felt a little confused.The use time of the ward is not too long, and the family members of the patients and the cleaning staff also pay great attention to the cleanliness of the room.Although it is a specialized ward of an emergency center, it is better than the inpatient department of many old tertiary hospitals—at least the hospital provides free WIFI and bedside power supply for patients.

"To be honest, the last time I saw a double ward in the United States was 15 years ago." Dr. Pascale spread his hands, "The Massachusetts State Hospital where I work canceled all the double wards 15 years ago, and now there are only single wards. People's room..." He pointed to the LED light tube on the ceiling of the inpatient department, "Direct light is not good for patients to rest, and the state hospital changed all the light sources to reflector lights about five years ago."

Sun Lien explained helplessly, "We lack enough manpower, there are too many patients and the beds are too tight..." He suddenly remembered something, "How many beds and how many doctors are there in the inpatient department of your department?"

"One Nightingale division has 28 beds. We have 21 attending doctors and five residents." Dr. Pascal calculated with his fingers, "A total of 26 doctors."

"I don't know the specifics of our rheumatology and immunology department, but in terms of neurosurgery, we have two chief physicians, three deputy chief physicians, five attending physicians, three resident physicians, and this year we have a Gui Peisheng." Sun Lien He folded his hands and replied, "In addition to the daily outpatient service, these fourteen doctors also need to take care of 36 wards, each with three patients, a total of [-] patients. This is not counting the cases that sometimes appear. The situation of the extra bed." Sun Li'en said this, and suddenly began to feel very tired, although it is not as good as emergency, but it is also a real hard work. "Every Thursday is the operation day of neurosurgery. On this day, seven operating rooms will be handed over to neurosurgery. It means that half of the doctors in the entire department will perform operations on this day, and in order to free up as much as possible The hospital bed accepts new patients, and each of these neurosurgeons needs to perform at least three operations to ensure the circulation of the hospital bed."

Dr. Pascal was dumbfounded.He used to come to China, mainly to the western region, to provide medical assistance to local patients with autoimmune diseases, and at the same time train local grassroots physicians to understand autoimmune diseases.What he didn't expect was that there would be so many patients in the upper-level hospital, and the doctors in the upper-level hospital would work so hard.

"Make it into a single room?" Sun Lien continued with a wry smile, "The doctors' work may be much easier, but that means that more than two-thirds of the patients cannot receive treatment in time. Only a few hospitals in Ningyuan can do four For advanced neurosurgery, the beds are tense almost every day."

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Leaving this ward, Dr. Pascal followed Sun Lien, with a serious expression on his face. He looked at the building of the Fourth Central Hospital thoughtfully, and it seemed that he discovered for the first time that this huge hospital is also facing such a severe situation. challenge.

Passing by Qin Ya's ward, Sun Li'en stood at the door and took a look inside.The quilt was neatly folded on Qin Ya's hospital bed, and she didn't seem to be in the room.

Sun Li'en took out his phone and called Feng Ming, "Second brother, why isn't your wife in the ward?"

"Xiaoya and I are queuing up." Feng Ming smiled heartlessly on the other end of the phone, "We will get the certificate today."

"Huh?" Sun Lien raised his eyebrows, "In such a hurry?"

"It's okay to get the certificate earlier. We've been talking for several years anyway." Feng Ming chuckled, and the joy of the groom's officer almost overflowed from one end of the phone to the other, "Why did you suddenly remember to call me? "

Sun Li'en also laughed, "Marriage is a major event in life, congratulations." After finishing his congratulations, he said, "I was doing ward rounds and found that my sister-in-law was not in the room, so I remembered to call you Say."

"Please take care of the follow-up surgery." Before hanging up the phone, Feng Ming ordered again, "Get rid of it earlier, and I will also get rid of this mental burden earlier."

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The next stop of the ward round is the endocrinology department on the eighth floor.Kobayashi Kaoru is also preparing to be discharged from the hospital today.Luo Ge specially came to help, and sent off this international friend who used to be regarded as a "neighbor" with him, but Sun Li'en happened to be caught by Sun Li'en as an interpreter.

"Mr. Xiao Lin." Sun Lien came over and shook hands with Xiao Lin Xun. "You look fine."

The hematoma on Kobayashi Kaoru's face has begun to subside. From this point of view, the bulging eyes caused by hyperthyroidism still exist.It's just that after receiving drug treatment, his thyroid hormone levels have subsided a lot.

"Mr. Sun!" Xiaolin Xun held Sun Lien's hand tightly, "Thank you for saving me and my wife."

Sun Li'en wanted to comfort him, but he was a little worried about what would happen if Xiao Linfeng suddenly decided not to donate if he was too modest.I could only glance at the "amnesia" that still existed on his head with some embarrassment, and asked in a low voice, "You still don't remember your father?"

"It sounds like a lie...but I really don't have any impression." Kobayashi shook his head bitterly, "I saw the family group photo and family portrait he brought, and some things I used when I was young .But...I don't remember anything."

"Amnesia may only be a temporary phenomenon. After all, the working principle of the human brain is still very complicated. Maybe you will be able to remember it after you go home." Sun Lien patted him on the shoulder, "Are you planning to leave the hospital? Are you going back to Japan immediately?"

"No." Xiao Linxun shook his head, "I will take Lin Lan to Japan with her after her second operation is over."

"The second time..." Sun Li'en opened his eyes wide. Lin Lan must have told Xiao Linxun everything about him, otherwise he would never know the plan for the second operation.

Kobayashi smiled and patted the railing beside the bed, "It's really amazing to say it. My wife is male in chromosome structure, but she is indeed different—she doesn't respond to male hormones at all." He laughed Then asked rhetorically, "Generally, women also have testosterone in their bodies, and they will become... a little aggressive because of the increase in the level of this testosterone. The purest women who have no response to testosterone are actually men, Doesn't that sound ironic?"

It's strange to say that "female" like Lin Lan has very fair and delicate skin, as well as a beautiful face.Although a large number of patients will be diagnosed with androgen insensitivity syndrome due to external genital deformities at birth, Lin Lan should obviously belong to the category with complete female external genital structures.

"She used to be bothered by irregular menstrual cycles, and now it seems that we don't have to worry about that in the future." Kobayashi seems to be really indifferent to the fact that his wife is actually a man. "I have consulted with many doctors, and they said that as long as the operation is done, there will be no more risks."

"Irregular menstruation?" Sun Lien frowned. He felt that there might be something wrong with this matter.

Xu Yourong also frowned, "Androgen insensitivity syndrome... Shouldn't it manifest as primary amenorrhea?"

Dr. Pascal suddenly asked, "Have you done any genetic testing based on her reproductive deformities?"

Sun Lien shook his head, "She was admitted to the hospital due to severe trauma. The previous condition has been unstable, and the follow-up test has not yet been done."

"Probably...not AIS (Androgen Insensitivity Syndrome)." Dr. Pascale pondered, "Irregular menstruation, female external genitalia, this sounds more like PMDS (Müllerian Duct Syndrome) to me."

Müllerian duct syndrome is a less common reproductive malformation than AIS.There will be two sets of reproductive systems in the patient's body, one male and one female.Depending on the type of reproductive malformation in the patient, the patient will show male or female sexual characteristics.

"But... Lin Lan's appearance is indeed female." Sun Lien had never heard of PMDS at all, and he still found this disease on a professional website with his mobile phone. He looked at the diagnosis guide above and hesitated. , "If it is the female deformity of PMDS, Lin Lan should show some male characteristics."

"AIS does not have menstruation." Dr. Pascale insisted on his views. "I previously diagnosed two patients with lupus who were male in their social gender but had high levels of estrogen in their bodies. It was only later that I found out that they were male dysmorphic patients with PMDS."

"Doctor Sun... I don't quite understand..." Kobayashi asked in confusion, "Are you discussing my wife's problem?"

Sun Li'en nodded, "Her gender problem...may not be consistent with our initial diagnosis. I will add a few more tests as soon as possible."

"She...will be okay?" Xiaolin Xun's expression became serious, "This shouldn't be a very serious illness, right?"

"Of course." Sun Li'en patted Xiao Linxun on the shoulder, "You don't have to be so nervous, maybe we can finally find out some good news."

(End of this chapter)