Sleepless Doctor

　　 "Mr. Wu, awesome!" Director Li of the burn department exclaimed sincerely behind him.

　　 He followed to see the excitement, but he couldn't beat him, his mentality was the most relaxed. Director Li put all his attention on Wu Mian, carefully watching every step.

　　 I knew this in my heart. I stood under the operating table without rushing and solved the operation with just one mouth. What is ability, this is ability!

　　 "Small experience, if Director Gao encounters similar things in the future, he can easily do it." Wu Mian narrowed his eyes and seemed to be smiling.

　　 "You do it, I will send Mr. Wu." Gao Boxiang and the group professor confessed, and then stepped down.

　　 "Mr. Wu, I know you are busy recently, I haven't dared to bother." Gao Boxiang said.

　　 "Well, it is." Wu Mian nodded, and then said, "Director of the chest department, right?"

　　 "Hello, Mr. Wu." Director Fang Jinshui of the chest department enthusiastically stretched out his hand.

　　, like Teacher Wu Mianwu, such a great master, who doesn't want to make friends. No one can guarantee that all his operations will be smooth sailing. If you encounter problems, even if Teacher Wu is not in the provincial capital, it is good to call for consultation.

　　 Wu Mian stretched out his hand, shook Director Fang Jinshui, and said, "I have a patient on hand, and I want to trouble the Director."

　　 "No problem." Fang Jinshui didn't ask any patients, he patted his chest and said, "First live in the general ward, and I will give you a high room for you to come out tomorrow."

　　 "The room is a small matter." Wu Mian said, "The patient considers Cushing syndrome."

　　"..."

　　 The directors present were a little bit confused, Cushing's syndrome, and dry wool in the thoracic department.

　　 Cushing syndrome refers to a clinical syndrome caused by long-term excessive secretion of glucocorticoids in the adrenal cortex caused by various reasons. Generally speaking, neurosurgery is required to prepare for surgical treatment.

　　 If the patient’s family refuses surgery for various reasons, endocrine therapy should also be given.

　　 Even if the ectopic ACTH syndrome, most of it appears in the position of the adrenal glands, and it still has nothing to do with thoracic surgery.

　　 "The patient has a full moon face, mental symptoms, high blood pressure, clinical manifestations caused by negative nitrogen balance, and concurrent gonadal changes. I saw the film, and there is no pituitary tumor, regardless of the primary lesion."

　　 "Existing data, the only possible location is in the lower lobe of the left lung, where there is an inflammatory reaction. It is recommended to do related examinations to determine Cushing's syndrome, and at the same time anti-inflammatory and symptomatic treatment, and re-examination of lung CT."

　　 "Teacher Wu, wait a moment." Director Fang Jinshui said hesitantly, "You are considering that the patient has a lung tumor, which rarely induces changes in glucocorticoid secretion?"

　　 "Yeah." Wu Mian smiled, Director Fang Jinshui's level is very high.

　　Most surgeons have very little knowledge of internal medicine, as long as they do the surgery superbly, who is fine to study so many things.

　　 Now the branch of medicine is getting more and more refined, and even the chest department is divided into two, becoming the heart and general chest. The cardiothoracic surgery and interventional surgery were taken over by the Department of Circulatory Medicine. The things in it are messy, and it's hard to say a word.

　　 Talk to yourself, Fang Jinshui knows what's going on, this person is really good.

　　 "That's rare to hear." Fang Jinshui lowered his head to ponder Cushing's syndrome. In fact, he didn't know much about Cushing's syndrome, but Mr. Wu diagnosed it in this way. Even if the probability is small, he must take it seriously.

　　 stepped down, Wu Mian refused Gao Baixiang's request for a meal, saying that he should concentrate on taking care of the patients in the burn ward. Fang Jinshui took the couple directly to go through the hospitalization procedures, preparing for a detailed examination.

　　 As soon as he glanced at Fang Jinshui, he knew that they were not ordinary people, and there were no ordinary people with bodyguards. Teacher Wu really is that this kind of VIP-level patient just throws at his side casually, and his attitude towards the burnt firefighter is countless light-years away.

　　 Director Fang Jinshui was also very careful. After all, it was the patient sent by Mrs. Wu Mianwu in the legend. He first approached the director of the relevant department to study the condition, and then he personally watched his doctors give orders.

　　 It’s not bad money anyway, the plasma cortisol level and circadian rhythm measurement, 24h urine free cortisol measurement, dexamethasone suppression test, midnight saliva cortisol measurement, these tests are usually not even named.

　　 However, intravenous antibiotics are a difficult problem. In the hospital's infection department, the whole hospital must have abnormal blood routine + C-reactive protein and abnormal imaging before antibiotics can be applied.

　　 But this violation is not a problem, it is all caused by those folk sciences. Ordinary people are exposed to antibiotics, and there are not many opportunities to take in large amounts of antibiotics from the hospital. The meat, eggs, and milk that they eat every day are the main source.

　　 But these have nothing to do with Director Fang Jinshui. He calmly followed the diagnosis and treatment of Teacher Wu's doctor.

　　 36 hours passed, and the inspection results came back one after another.

　　 Judging from various corresponding examinations, it must be Cushing’s syndrome, but is it caused by the tumor? Fang Jinshui took the test sheet, it was almost off work, he didn't mean to leave at all.

　　 He called the Director of Endocrinology to consult the relevant situation. The Director of Endocrinology just had a piece of information on hand. UU Read www.uukanshu.com Fang Jinshui sent a doctor to retrieve it.

　　 This is a "Nature" magazine. Doctors rarely read "Nature". Generally, it is a Chinese journal. More importantly, I read the Lancet or New England and other top journals.

　　 I found articles about the relationship between glucocorticoids, mental stress, and tumors, and Fang Jinshui read it eagerly.

　　 It is very clear in the article that after analysis of large data samples, mental stress is closely related to glucocorticoid secretion, tumor formation and metastasis.

　　 There are some descriptions in the article about the elevation of glucocorticoids caused by tumors, most of which are manifested as Cushing's syndrome.

　　 Based on the existing inspections, Director Fang believes that Wu Mian’s diagnosis is correct. Although it seems unbelievable, the facts prove that Mr. Wu’s conclusion is correct.

　　 After studying the English thesis, Director Fang felt that his energy was a little unhelpful, so he rubbed his eyes to take a break. The English of the whole article is still a remote academic vocabulary. Even if Director Fang Jinshui graduated with a Ph.D. and studied in the UK for 2 years, it seems to be strenuous.

　　 But when he closed the "Nature" magazine, he suddenly saw the author's name.

　　 Corresponding author, Wu Mian. The first author... Chu Zhixi.

　　 Fang Jinshui opened the impurities silently, staring at the "Nature" magazine, and was silent for a long time.

　　 Those two names look so dazzling, even a little dazzling.

　　 He didn't leave, but put the magazine in again, took out a ball pen, and began to translate the paper word by word. When I encountered a vocabulary that I didn't understand, I didn't let it go, but found a thick dictionary and started to look it up.

　　 Is the gonadal function abnormal due to lung cancer? It seemed really interesting, Fang Jinshui was very serious with a smile on his face.