It's not because of how strong this mother is, so she looks tall in Sun Lien's eyes - Shen Qingmei is indeed a tall and strong woman.

I didn't have much impression of Sun Lien when I met him a few times before, but now that I look closely, Shen Qingmei, who is at least one meter and seventy-five meters tall, is indeed tall - she is even half a head taller than Director Liu.

"Wait a minute. Sun Lien stopped Shen Qingmei, who was about to leave.

Shen lightly wiped his tears, "What's the matter?"

"This ......," Sun Lien organized the language, "how tall is your husband?"

"One meter eighty-eight. Shen Qingmei was puzzled, "Why do you suddenly ask this?"

"Director Liu, I know what Chen Wen's illness is!" Sun Lien rushed into the rescue room, and he shouted excitedly at Liu Tangchun. The sound was too loud, which attracted the sideways glances of many medical staff around.

"Oh? A smile appeared on the corner of Liu Tangchun's mouth. The scene of the excited young doctor raising his hands and shouting "I know" excitedly is indeed very infectious.

"It was not warfarin that caused Chen Wen's skin damage and necrosis, but her high blood calcium. Sun Lien seemed to have a thousand words but didn't know where to start, and he explained incoherently, "Her blood clots, her mental symptoms, and even obesity and developmental delays...... Chen Wen is less than 1.4 meters tall now, and all of this makes sense!"

"So what?" asked Liu Tangchun, "what is your diagnosis?"

"She has Cushing's syndrome, and her body has been secreting excessive hormones!" Sun Lien pointed to Chen Wen who was lying on the bed, "There is no need to have gangrene removed, as long as the high blood calcium and high hormone levels in her body are corrected!"

Liu Tangchun listened carefully to Sun Lien's explanation, nodded with a smile, and then shook his head. "Blood tests did not indicate high hormone levels. Cushing's syndrome also does not cause hypercalcemia. She did not develop central obesity, did not develop a typical buffalo back, and there is insufficient evidence for your diagnosis. ”

"The high hormone levels caused by Cushing syndrome are cyclical, and we took a blood test for Chen Wen when she was first admitted to the hospital. Without constant monitoring, it's easy to miss periods of high hormone levels. Sun Lien explained that he saw Chen Wen lying on the hospital bed, and saw the new "high adrenocorticotropic hormone" status in her status bar. "Centripetal obesity does not always occur in children with Cushing syndrome, but there are also manifestations of developmental retardation and generalized obesity, and as long as her high hormone levels are addressed, she can recover!"

"At least one blood test is needed to confirm that she does have symptoms of high hormone levels. Liu Tangchun thought for a while, but still shook his head and said, "The traditional high-dose dexamethasone test takes two days, and she can't wait that long." I estimate that in two hours at most, her gangrene will break through her abdominal wall. Blood tests to detect high blood calcium are also too late. ”

"If it's Cushing's syndrome, then she can still be saved. If it weren't for Cushing's syndrome, she would still be life-threatening after we removed her breast tissue. Dr. Cao Yanhua, who treated Chen Wen, also agreed with Sun Lien's view. "Xiao Sun's view on the state of high blood calcium makes sense, and I think at least calcitonin can be considered. ”

"If Cushing is not diagnosed, it cannot be treated according to Cushing. This is a matter of principle. Liu Tangchun still insisted on refusing to give in, "Diagnostic treatment is strictly limited, and pediatric Cushing syndrome is certainly not one of them." It is even more unacceptable to treat a diagnosis as a rare disease simply because it has no evidence. It is impossible for me to agree to this treatment without conclusive evidence. ”

"Then give her an MRI. Sun Lien immediately decided, "This is not a treatment, nor is it an invasive examination, just an MRI, right?"

"You're so dizzy. Liu Tangchun finally couldn't help but reprimand in a low voice, "What are you going to do with an MRI, check her blood calcium index, or check her hormone levels?"

"I'm going to use an MRI to find the culprit behind Cushing's syndrome. Sun Lien did not flinch, and said to Liu Tangchun, "As long as the tumor is found, Cushing's syndrome can be confirmed." ”

Liu Tangchun was silent. Dr. Cao Yanhua and Sun Lien stood together, waiting for the final verdict.

"Go for it. Liu Tangchun nodded. "I hope you're right. ”

After taking Sun Lien and others into the monitoring room, Brother Luo sat in the chair. "Little grandson, do you also sit, do you drink Coke?"

The MRI monitoring room is probably the most comfortable place in a hospital. There is a separate bathroom, a refrigerator for the department, a sofa, and even a small second floor with two single beds for the video dogs on duty to snooze at night.

With Ice Coke in his hand, Sun Lien didn't rush to twist the lid, but sat in front of the monitor impatiently, "Brother Luo, saving lives is like fighting fire, hurry up." ”

"I want to hurry too. Brother Luo pressed a few buttons and leaned back on the chair behind him, and said helplessly, "But now this is the fastest speed." An MRI doesn't get any faster just because you kick it. ”

Sun Lien unscrewed the cola and poured a sip of carbonated drink. The urgency seemed to have been calmed by the cold and irritating liquid. "Start with the head and sweep her pituitary gland. ”

In fact, the "high adrenocorticotropic hormone" displayed in the status bar has directly and unmistakably explained the location of Chen Wen's lesion. She should have a tumor in her pituitary gland.

High adrenocorticotropic hormone, abbreviated as "ACTH". Secreted by the pituitary gland. As the name suggests, it acts directly on the body's adrenal glands, causing hyperplasia of adrenal tissue on both sides and triggering a high dose of cortisol. Its abnormal secretion is the main cause of Cushing's syndrome.

Excessive ACTH secretion can only be caused by an abnormality in the pituitary gland. Although elevated ACTH is also an important manifestation of primary adrenaline insufficiency, Chen Wen's symptoms are clearly inconsistent with this disease. Therefore, Sun Lien dared to directly argue with Director Liu, insisting that Chen Wen suffered from Cushing syndrome.

Since it was suspected that there was a lesion in the pituitary gland, Luo Ge naturally chose an MRI scan procedure that specifically targeted the sella region of the brain. The thickness of the scan layer has been deliberately adjusted to the standard of 1 mm of scan layer thickness.

"Found it. The MRI machine emitted all kinds of strange roars, and ten minutes later, Luo Ge's excited shouts came from the monitoring room. He grabbed Sun Lien, who was relaxed, and said excitedly while shaking Sun Lien, "You kid is really a god!" completely ignoring the Coke in Sun Lien's hand.

"I'm going to schedule surgery right away. Sun Lien also smiled, Chen Wen finally escaped the fate of mastectomy.