Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

"Okay, put your pants on."

After Lin Yi saw it, he knew it!
But to ensure accuracy, Lin Yi still made two orders.

"Go for a genetic test and a hormone test. These two tests are very fast and can be found out in a while."

After finishing speaking, Lin Yi handed the list to the woman.

Holding the list, her mother's eyes were red, and she looked at Lin Yi and hesitated to speak.

After struggling for a while, he hesitated to speak, wanted to say something but didn't say it, and took her son for an examination.

After a while, after Lin Yi saw the two patients, the mother and son returned to the consulting room with a report in their hands.

After seeing Lin Yi, she immediately handed him the report.

"Doctor, my son's report is out, please take a look."

"Ok."

Lin Yi nodded, took it over and looked at it carefully.

After a few minutes.

Lin Yi said in a deep voice:

"It can be diagnosed now. Your son's illness is..."

"Is it Kallmann syndrome?"

Before Lin Yi could finish speaking, the woman spoke first.

Lin Yi was taken aback for a moment, then said:

"That's right, it's Kallmann's syndrome."

After the woman finished listening, tears rolled in her eyes, and then she couldn't help sobbing:
"I checked the symptoms in Baidu before, and it said it was Kallmann's syndrome."

"I didn't expect...it really is, so what should I do!"

Kallmann syndrome: hypogonadotropic hypogonadism with anosmia or hyposmia.

It is a clinically and genetically heterogeneous disease that can be familial or sporadic. There are three ways of inheritance: X-linked recessive inheritance, autosomal dominant inheritance, and autosomal recessive inheritance.

The disease does not affect life expectancy.

But it will lead to inconspicuous sexual characteristics, infertility, loss of smell and so on.

This is really painful for a boy.

"This disease can be treated with medication."

Later, Lin Yi explained the root cause of Kallman syndrome to them.

The first root cause is hormones!
During childhood, the human body's hormones are very low. With growth and development, the hormones reach their peak at the developmental stage. Some children may even develop acne due to excessive hormones, commonly known as acne.

And patients with Kallman syndrome, precisely because of the lack of hormones!
Insufficient hormones, in addition to the lack of sexual characteristics, there is even no body hair, armpit hair, and very little leg hair. For this type of patients, hormone supplementation is needed.

"There are generally three treatment options for children with Kallmann syndrome."

"The first type is male hormone injection. The effect of direct hormone injection is the best, but direct use of male hormone must be for children under the age of 14, so this method is not successful."

“第二种是促性腺激素。给药方式为HCG 2000-5000U，每周2次肌内注射，当睾酮水平达正常成年男性中值后，再加用HMG/FSH 75-150U 每周2-3次肌内注射。”

"However... This treatment plan, in addition to promoting the increase of male hormones, will also cause the development of breasts. If the development is excessive, some female characteristics may appear."

"So, this kind of treatment plan is not recommended."

"And what I'm suggesting is a third treatment option."

"GnRH Pulse Therapy."

"Use a portable infusion pump to infuse GnRH subcutaneously in pulses every 1.5h-2h."

"According to the experiment, GnRH pulse treatment for 12 months, the cure rate is as high as 77%."

Hearing that the cure rate was 77%, the woman saw hope again, she nodded repeatedly and said:

"Okay, then listen to you, let's use this kind of pulse therapy."

"But... is this treatment expensive?"

After finishing speaking, a trace of helplessness flashed in the woman's eyes, she sighed and said:

"The child's father died early, and I raised him alone. But my conditions are not bad, and my salary is not low, but if it's too expensive, I'm afraid I won't be able to bear it."

Lin Yidao: "Pulse treatment costs 2.9 yuan for the first time, mainly due to the cost of the equipment, and the subsequent monthly medicines only cost about 1000 yuan, and a course of six months is a course of treatment."

About 1000 yuan per month!
okay too...

The woman breathed a sigh of relief, and a smile appeared on her face: "Thank you doctor, do you prescribe medicine here?"

Immediately afterwards, Lin Yi said again:
"Kalman's syndrome belongs to endocrinology. Let's go to the endocrinology department. The doctors in the endocrinology department will make a plan."

The woman nodded and said:
"Okay, thank you doctor!"

Immediately afterwards, Lin Yi began to operate on the computer.

After a while, Lin Yi said to her:
"It's done, you guys go there, endocrinology is on the fifth floor, I'll call the endocrinology department and let me know, you can just go up there."

"okay, thank you!"

The woman left the consulting room with the child.

Lin Yi called the endocrinology department and asked them to make arrangements.

………………

Early the next morning, Lin Yi was called to attend a consultation with a patient with lung problems.

While the director of the cardiopulmonary department was explaining the patient's condition on the stage.

Suddenly, there was a sound from the front seat!
Immediately afterwards, several anxious shouts sounded!
"Director Liu! Director Liu, are you okay!"

"Wake up! Don't scare us!"

"What exactly is going on?"

Director Liu?Lin Yi frowned when he heard it from behind.

Director Liu is the director of the Department of Respiratory Medicine.

Lin Yi just met him face to face and felt that he looked a little strange.

Because the color of the blood in the blood vessels on his body is a little different from the normal color.

Lin Yi thought about it carefully, and it was a bit like the color after the contrast examination.

So Lin Yi suspected that he rushed over for a meeting not long after the examination.

As for the reason for the examination, it should be angina pectoris, and an infarction was suspected, so an angiography was performed.

Someone shouted in front, and the whole meeting room suddenly became chaotic.

Young doctors rushed to the front to find out.

But Director Liu who fainted was very lucky.

Because he passed out in a place full of doctors.

When Lin Yi walked to the front, many young doctors rushed over.

This is the leader of the hospital department fainting in front of him.

Why don't you use this to show off?
One of them, a well-mannered young man wearing glasses, rushed to the front.

"Director Liu, what's wrong with you!"

After rushing over, he immediately knelt down and checked Director Liu's breath, and then touched the carotid artery.

"The carotid artery hasn't disappeared yet. Let's bring the oxygen bag first, and then bring a flat car and send it to the emergency department."

From Lin Yi's point of view, Director Liu did not die suddenly.

That is to say, his current fainting has nothing to do with his myocardial infarction.