"Teacher Wu, awesome!" said Director Li of the burn department in the back.

He followed to see the excitement, the eight poles couldn't be beaten, and his mentality was the most relaxed. Director Li paid all his attention to Wu Mian's body, and watched every step very carefully.

People know this in their hearts, they are not in a hurry, standing under the operating table, and solving the operation with just one mouth. What is the ability, this is the ability!

"With a little experience, if Director Gao encounters something similar in the future, it will be easy to do it. Wu Mian's eyes narrowed, as if he was smiling.

"You do it, I'll send Teacher Wu. Gao Baixiang and the professor who led the group explained, and then stepped down.

"Teacher Wu, knowing that you have been busy recently, I have not dared to disturb you. Gao Baixiang said.

"Well, indeed. Wu Mian nodded, and then said, "Director of the Chest Department, right?" ”

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

Like Mr. Wu Mian and Mr. Wu, who doesn't want to make friends. No one dares to guarantee that all their surgeries will be smooth sailing, and if they encounter problems, even if Mr. Wu is not in the provincial capital, it is good to make a phone call to consult.

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

"No problem. Fang Jinshui didn't ask any patients, he patted his chest directly and said, "Live in an ordinary ward first, and I'll pour you a high room tomorrow." ”

"The room was the little thing. "The patient is considered to have Cushing syndrome. ”

“......”

Several directors present were a little confused, Cushing's syndrome, and the dry wool of the thoracic department.

Cushing's syndrome is a clinical syndrome caused by excessive secretion of glucocorticoids by the adrenal cortex for a long time, which generally requires neurosurgery for surgery.

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

Even if it is ectopic ACTH syndrome, most of them appear in the adrenal glands, and they still have nothing to do with the thoracic department.

"The patient's full moon face, psychiatric symptoms, hypertension, clinical manifestations caused by negative nitrogen balance, and also complicated by gonadal changes. I watched the film, there was no pituitary tumor, not considering it as a primary lesion. ”

"The only possible location is in the lower lobe of the left lung, where there is inflammation. It is recommended to do relevant tests to determine Cushing syndrome, and at the same time treat the symptoms with anti-inflammatory, and repeat CT of the lungs. ”

"Teacher Wu, wait a minute. Director Fang Jinshui said hesitantly, "Are you considering that the patient has a lung tumor, which is very rare to induce changes in glucocorticoid secretion?"

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

Most surgeons have very little knowledge of internal medicine, as long as the surgery is done exquisitely, who has nothing to study so many things.

Now the branch of medicine is becoming more and more refined, and even the chest department is divided into two, becoming cardiothoracic and general chest. And cardiothoracic and interventional surgery were taken over by the Department of Circulatory Medicine, and the things in this were messy and difficult to explain.

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

"That's a rarity. Fang Jinshui lowered his head and pondered Cushing's syndrome, in fact, he didn't know much, but Mr. Wu diagnosed it like this, even if the probability was small, he had to take it very seriously.

After stepping down, Wu Mian refused Gao Baixiang's request for dinner, saying that he wanted to concentrate on caring for patients in the burn ward. Fang Jinshui directly took the couple to go through the hospitalization procedures, preparing to have a detailed examination.

As soon as he glanced at Fang Jinshui, he knew that they were not ordinary people, how could there be ordinary people with bodyguards. Teacher Wu is really, this kind of VIP-level patient casually throws it at his side, and the attitude towards the burned firefighter is countless light years away.

Director Fang Jinshui was also very careful, after all, it was the patient sent by the legendary teacher Wu Mian Wu, he first found the director of the relevant department to study the condition, and then personally watched his doctors give medical advice.

Anyway, it's not bad for money, what plasma cortisol level and circadian rhythm measurement, 24-hour urine free cortisol measurement, dexamethasone suppression test, midnight salivary cortisol measurement, these are all tests that I usually can't even call names.

However, intravenous antibiotics are a difficult problem, and the infectious disease department of the hospital monitors the whole hospital, and it is necessary to have blood routine + C-reactive protein abnormalities and imaging abnormalities before antibiotics can be used.

But this violation is not a problem, it is all caused by those people. Ordinary people are exposed to antibiotics, and there are not many opportunities to ingest a large amount of antibiotics from hospitals, and the main source is the meat, eggs and milk they eat every day.

However, these have nothing to do with Director Fang Jinshui, he calmly diagnoses and treats according to Mr. Wu's medical advice.

Thirty-six hours passed, and the results came back one after another.

Judging from the various corresponding examinations, it must be Cushing's syndrome, but it is caused by the tumor? Fang Jinshui took the test sheet, which was almost the point of getting off work, and he had no intention of leaving.

He made a phone call to the endocrinology director to inquire about the relevant situation, and the endocrinology director happened to have a document on hand, and Fang Jinshui sent a doctor to retrieve it.

This is a "Nature" magazine, doctors rarely read "Nature", generally Chinese journals, and even higher look at top journals such as The Lancet or New England.

Finding an article on the relationship between glucocorticoids and mental stress and tumors, Fang Jinshui read it hungrily.

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

There are also some descriptions in the article about tumors causing glucocorticoids to rise, and most of them manifest as Cushing's syndrome.

Based on the existing examinations, Director Fang believes that Wu Mian's diagnosis is not wrong, although it seems to be fanciful, but it turns out that Mr. Wu's conclusion is correct.

After studying the English paper, Director Fang felt a little unrefreshed, and he rubbed his eyes to rest. The whole article is still a remote academic vocabulary, even if Director Fang Jinshui graduated with a doctorate and studied in the UK for 2 years, it seems to be difficult.

But the moment he closed the journal Nature, he suddenly saw the author's name.

Corresponding author, Wu Mian. First Author...... Chu Zhixi.

Fang Jinshui silently turned on the impurities, looked at the "Nature" magazine with his eyes, and was silent for a long time.

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

Instead of leaving, he put the magazine back in place, took out a ballpoint pen, and began translating the paper word by word. When I encountered a word I didn't understand, I didn't let it go, but found a thick dictionary and started looking it up.

Is there abnormal gonadal function caused by lung cancer? It looks really interesting, Fang Jinshui had a smile on his face, and he was very serious.