The Surgeon's Studio

"Sex change surgery? was the condition stimulated by estrogen?" Lin Ge felt a little bored, so he asked.

"Not only does estrogen promote and maintain the physiological effect of a woman's TZ organs and secondary sexual characteristics, but it also has obvious effects on endocrine, cardiovascular, metabolic system, the growth and maturity of bones, skin, and so on." Su Yun did not mind explaining to Lin Ge in detail the effects of estrogen on the body after a sex change operation.

Lin Ge was very straightforward in his actions, and Su Yun appreciated that. She treated it as a casual chat.

"Doctor su, do you think heart failure is related to estrogen?" Asked Lin Ge.

"The commonly used estrogen drugs in clinical medicine are mostly artificially synthesized derivatives of estrogen, such as benzodimestrel, isodinor valenate, chininiminogran, chininiminite, phistinite, and so on. The effects of these drugs on the heart are not small. The patient's heart failure and the continuous failure are probably related to the injection of estrogen. "

Sigh, this price is quite big, thought Lin Ge.

However, Lin Ge felt that no one else had the right to comment on how a human would choose his or her gender.

He had thought it through and was happy. Why did others make such irresponsible remarks?

It was just that the price was a little high. Using estrogen for a lifetime and there were so many side effects.

"Long - term large dose of estrogen may increase the risk of breast cancer, as well as the risk of uterine cancer, cardiovascular diseases, and venous thrombosis."

Su Yun sighed. It seemed like he had the same attitude as Lin Ge when it came to the gender of the patient.

Su Yun felt a little pity for this elderly patient.

She was brave enough to choose her own gender, and it seemed like there was a vampire who always loved her. Her life was quite happy.

However, after a few decades, all kinds of diseases came to him.

Whether it was a heart failure or cerebral infarction, they were all related to the injection of estrogen.

In Su Yun's opinion, there was no point in a consultation for such a case. Her body had a series of reactions due to the drug's metabolism, and there should be no cure for it now.

After five minutes, Zheng Ren took off his glasses.

"Do you have any suggestions, boss?" Su Yun asked.

"There is." "Director Lin, please leave," Zheng Ren said very clearly.

Lin Ge was stunned.

It's just a case of a sex change patient, why is he avoiding me?

What did boss Zheng mean ...

Su Yun was also a little surprised. She looked at Zheng Ren with countless questions in her eyes.

"Director Lin, I'm sorry, this is a confidential mission." Zheng Ren said apologetically.

After he finished reading the medical records and combined them with Su Yun's description, he noticed a small problem.

However, this involved a mission, so it was not something Lin Ge could listen to.

"Then I'll go back to sleep first, you two are busy." Lin Ge didn't mind. He chuckled, stood up, and turned to leave.

After working for a long time, as long as the word "mission" was mentioned, it was normal for them to have some strange behavior.

Lin GE's principle was to stay as far away as possible and not ask about anything.

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

"You should go to bed early and take care of your health." "I'll go back first,"Lin Ge said. Don't think about your family when you're out on a mission. With Department Director Kong and me around, there shouldn't be any problems. "

"Thanks."

After sending Lin Ge off, Zheng Ren returned to the small demonstration room.

"Boss, what's the matter?" Su Yun asked.

"The patient had brown urine four days ago. Did you miss it on purpose?" Zheng Ren asked.

"Yes." "You saw Christian in the RV," Su Yun replied."He must have drunk full blood and used his gastrointestinal tract to absorb hemoglobin."

"There's almost no research in this area." Zheng Ren muttered to himself,"you can't arbitrarily confuse brown urine with drinking whole blood."

"It's just that she used estrogen for too long, which caused cardiovascular and cerebrovascular diseases. " Su Yun said,"tsk, tsk, boss, this is love."

Zheng Ren glanced at him. Su Yun's three views were not right, had it actually reached such an extent?

He could even talk about love while looking at a consultation case.

Zheng Ren did not have any objections to the sex change operation, but there were still some things he could not understand about this case.

"He has stopped injecting estrogen for two years. By right, there shouldn't be any continuous progression of muscle weakness or chronic cerebral infarction." Zheng Ren said.

" 35 years! You can't ignore this problem. " Su Yun said,"no matter what medicine is used for 35 years, the amount accumulated in the body will be a heavenly amount!"

Zheng Ren pouted. Although what Su Yun said made sense, he still felt that there was a problem.

"There's nothing special about the laboratory tests. Other than the increase in blood phosphate enzyme to 20793 U/L, there are no abnormalities in the other indicators, including inflammation indicators such as red blood cell sedimentation rate, C - reaction protein, and so on. " Su Yun said,"and the increase in blood phosphate enzyme just confirms that ..."

"That's not right. " Zheng Ren said,"the high amount of estrogen accumulated in the body can indeed lead to the attack of cardiovascular and cerebrovascular diseases. But don't you think that this value is too high when you compare it with the previous medical records?"

"It's meaningless. " Su Yun waved her hand."I think that only one of the factors is an increase in blood phosphate kidone. There is no clinical diagnosis."

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

"We didn't do a CT scan for the chest, but looking at the chest CT scan, I don't think there's anything wrong with the chest. It doesn't seem like it's due to chronic muscular deficiency." Su Yun said.

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

Su Yun's eyes narrowed as she stared at Zheng Ren.

"What's wrong?"

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

"Check my body!" "Don't you do a physical examination?"Zheng Ren asked in a low voice.

"Tsk, you have to knock before buying watermelons because other people do the same. Is that right?" Su Yun said in disdain.

"No." "It's possible that the Massachusetts doctors have missed out on some special symptoms," Zheng Ren answered with certainty."I have to see the patient, personally check her body, and ask a doctor to find the cause."

Su Yun did not think that Zheng Ren would be able to get any answers by doing all of this himself. The Massachusetts General Hospital's various examinations, physical examinations, and medical history were already very detailed.

"Boss, do you think it's possible that there's a problem between the Parkinson's disease and estrogen?"

"That shouldn't be the case. If there's a problem, he wouldn't have been able to last for 35 years." Zheng Ren said,"the high probability is that the duration of using estrogen is longer, which leads to cardiovascular and cerebrovascular diseases." What we're going to do now is to eliminate diseases with a small probability. "

……

……

At the same time.

In the castle that never saw the light of day for the rest of the year, doctors and nurses in white were busy.

"Her urine output has almost dried up in the past 24 hours. Ms. Van Di's condition is not optimistic. She may only have 48 to 72 hours left to live." One of the doctors said.