Director Cai of the Department of Dermatology pulled Lin Yi aside and said to him with a solemn expression:

"I don't have a clear idea of the patient's condition right now, but I can see that her condition is urgent, and if it continues like this, she may not survive a day."

"In this case, it is impossible for us to give her an item-by-item test, and it will definitely be too late!"

"So...... The only way I can now think of saving her life is to have her necrotic musculature removed. ”

At this moment, Yin Liang also came over and said to Lin Yi:

"Brother Yi, I injected her with heparin just now, but now it seems that there is no effect, which means that it is not a problem with warfarin."

Lin Yi nodded slightly after listening, then looked at Director Cai and said:

"Director Cai, you go on."

Director Cai nodded and said with a sad face:

"It's just that if it is removed, the abdomen and back are fine, but she also has a piece of her chest, and if she is removed, she may need to remove both breasts........."

"It's really ......... for such a young child"

Speaking of this, Director Cai couldn't help but sigh.

Lin Yi pondered for a moment and nodded in agreement:

"That's right, judging from the degree of necrosis of her skin, the necrotic cells must have invaded the adipose tissue, and if the breast F is removed, it will definitely not be saved."

"Unless we can find out the true cause of her illness and treat it, then surgery can be avoided."

"Besides, I don't think surgery is a good solution in the first place, once the removal is not complete, it will take less than two days, and the necrotic tissue will come back."

Director Cai shook his head and said:

"That's what I said."

"But where is the cause so easy to find, there is really not much time left.........

Lin Yi didn't speak, but kept thinking with his head down.

After a while, Director Cai sighed and said:

"That's the only way it is, I'm going to tell the patient's mother now, let her sign it, and start the operation as soon as possible."

After speaking, Director Cai walked directly to the hospital bed and explained the situation to his mother.

When Hanhan's mother heard this, she immediately shouted excitedly:

"What? Want to cut off the breast F?! ”

"What are you kidding! Hanhan is only thirteen years old! How the hell are you going to let me spend the rest of her life, ah? ”

Looking at Hanhan's mother, who was emotionally out of control, Director Cai was also helpless, so he had to comfort her:

"Ma'am, we understand your feelings."

"But the priority now is to save her life, which is the most important thing."

"Otherwise, it's too late, you should think about it."

Next, Hanhan's mother cried and made trouble, but no matter how she vented, the matter still needed to be resolved.

"Okay, I'll sign it."

After a while, she stared straight ahead with blank eyes and muttered.

"Good ........."

Director Cai nodded slightly, and then shouted energetically to the doctor who came over with his department:

"Xiao Tang, you arrange it and prepare for the operation!"

"Yes!"

The doctor said yes and immediately turned and walked out of the room.

"Hey, wait a minute, Director Cai!"

At this moment, Lin Yi, who was standing on the side, suddenly opened his eyes wide and shouted at Director Cai.

"Huh? Dr. Lin, what's wrong? ”

Director Cai turned his head to look at Lin Yi suspiciously, and asked puzzledly.

"Director Cai, don't arrange the operation yet, you give me an hour, I already have some clues!"

Lin Yi stared at him and said.

"This ......... The patient's condition is critical, and every minute is dangerous. ”

Director Cai hesitated.

"I know that, but let's wait."

Lin Yi continued to insist.

Seeing this, Hanhan's mother on the side immediately walked up and asked excitedly:

"Doctor, what do you mean? Do you have a clue about the cause of Hanhan? ”

"That......... Otherwise, let's wait. ”

After all, the operation requires the removal of breast F, and she desperately does not want to do this.

At this time, when she saw a glimmer of hope, she immediately had a fantasy and put forward an idea.

Seeing this situation, Director Cai had no choice but to nod and say:

"Okay then, but Dr. Lin, you have to hurry."

"yes, I know."

Lin Yi nodded,

"Let's go, Director Cai, let's go to my office together."

After saying that, the group returned to the office.

"Doctor Lin, if you have any ideas, please tell me quickly."

Director Cai stared at Lin Yi and asked.

"I think I was wrong in the first place!"

Suddenly, Lin Yi said directly.

"Huh? What's wrong? ”

The first sentence was to deny himself, and Wu Jiang on the side suddenly asked.

"Her obesity and skin necrosis are most likely not caused by a single cause!"

Lin Yi stared at it and said in a deep voice,

"We look at these symptoms together, and we have no clue to find the cause."

"But if you look at it separately, there are many possibilities."

"There are many causes of obesity, hormonal effects, brown tissue fat abnormalities, and genetics."

"And hereditary this......... I hadn't thought it through before. ”

Then, Lin Yi's eyes flashed and he muttered.

"Heredity is not taken into account? How so? ”

As soon as he finished speaking, Wu Jiang retorted,

"Didn't you think about whether her heart disease was genetic, but her mother directly denied it, saying that no one in their family had heart disease."

"I don't mean heart disease."

Lin Yi shook his head.

"It's not heart disease, it's obesity? Or skin necrosis? ”

After hearing this, Wu Jiang couldn't help but raise his eyebrows, and then said:

"If you are obese, we did find out that her mother used to be fat, but her mother took diet pills and it worked, and she didn't work, so let's not just analyze her obesity is pathological."

"I've been talking about it for a long time now, why did you come back again?"

"If you're saying that skin necrosis is genetic......... That's unlikely, her mother doesn't have this symptom either! ”

Lin Yi shook his head and said:

"You don't understand what I mean, I think genetics means, referring to her height."

"What? Height? ”

At this moment, Wu Jiang and the others were even more stunned, not knowing what Lin Yi was going to say.

Why did this pull in height again for no reason, and does this have anything to do with her illness?

"Yes, the patient is thirteen years old, and although she is very fat, her height is a bit short for her age."

Lin Yi nodded and said.

Yin Liang pondered for a moment and nodded:

"Well, that's right, it's a little short, I noticed it, but I thought it was all nutrients used to grow meat, and I didn't grow one, so I didn't care."

Lin Yi continued:

But her mother's height is nearly 178, and she inadvertently mentioned in the previous chat that the father of the patient who has divorced her is taller than her.

"So from a normal genetic point of view, patients shouldn't be so short!"

"But this ............ What does it matter? ”

Everyone was suddenly confused and asked suspiciously.

They can't keep up with Lin Yi's train of thought now!

"Growing short has nothing to do with her skin necrosis, right? Why are you bothering about her height? ”

Subsequently, Wu Jiang still raised his doubts.

"Of course it does!"

Lin Yi said directly,

"She's surprisingly short, so it's possible that she's stunting."

"And once it can be proven that she is stunted, then her cause can be solved!"

"Stunting? I don't understand what you mean. ”

Wu Jiang and Yin Liang glanced at each other and said truthfully.

Lin Yi was also very patient and continued to explain to them:

"Think about it, if a patient has stunting, obesity, high blood pressure, and blood clots, what could it be?"

"This ........."

After Lin Yi finished speaking, several people immediately thought in their brains.

But after a while, they frowned tightly, and their expressions were a little embarrassed.

I can't think of it at all!

"Brother Yi, just say it directly, don't let us think about it."

Then, Wu Jiang said to Lin Yi with a smile.

"Cushing's disease!"

Time was pressing, so Lin Yi didn't sell it and said to him directly.

"Cushing's disease?"

Wu Jiang asked in unison.

Because Cushing's disease is an extremely rare disease, they have a little impression, but they don't know much about it.

Subsequently, Wu Jiang pondered for a while and immediately said:

"Brother Yi, I had some impressions of this disease before, but I remember that this disease will not cause skin necrosis of patients, right?"

Lin Yi nodded and said:

"That's right! Cushing's disease does not indeed cause skin necrosis, but in certain special cases, it can cause hypercalcemia. ”

"Hypercalcemia, on the other hand, causes skin necrosis!"

After listening to this, Wu Jiang thought about it a little.

Hypercalcemia is a condition in which the concentration of calcium ions in the serum is abnormally elevated.

Symptoms include confusion and skin necrosis!

But Wu Jiang couldn't help but ask suspiciously:

"But......... If I'm not mistaken, people with hypercalcemia should be able to detect cortisol abnormalities when they have a blood test. ”

"But the blood test results of Hanhan before didn't show abnormal cortisol!"

Lin Yi looked at him and said:

"Not checking for abnormal cortisol doesn't mean anything."

"Because hypercalcemia is cyclical, it may be that the timing of our examination is not right if it is not detected."

So that's it............

Hearing this, Wu Jiang and the others couldn't help but nod slightly.

"Our top priority now is to diagnose Hanhan with hypercalcemia as soon as possible and cure it."

"Now her skin is necrosis so fast, we don't have much time left!"

"Once it drags on, no one can afford the consequences!"

Lin Yi said with a solemn face.

"What then?"

Wu Jiang questioned, and then immediately said:

"Then I'll arrange for the patient to have a blood test now to check if she has hypercalcemia."

"No, it's too late, what I just told Director Cai was an hour, and now nearly ten minutes have passed,"

Lin Yi directly denied.

"It's too late, there's no way, this is the only way to check, if you don't check, you can only go for surgery!"

Wu Jiang immediately spread out his hands when he heard this, and said anxiously.

Lin Yi didn't reply immediately, but kept searching in his brain.

A moment later, his eyes suddenly lit up, and an idea came to his mind.

"In such a short period of time, it is really too late to determine whether there is hypercalcemia through blood tests, but we can start with the cause, and if the cause of hypercalcemia is directly found, then it can also be diagnosed!"

Immediately afterwards, Lin Yi told everyone what he thought.

Because hypercalcemia is caused by Cushing's disease, but Cushing's disease can only be counted as a catalyst, while hypercalcemia has a fundamental cause.

"Hmm......... It's good. ”

Yin Liang nodded, and then asked:

"But that's what we say, but how do we find the root cause of it?"

"MRI."

Lin Yi thought for a moment, and then blurted out.

"MRI?"

Yin Liang couldn't help but widen his eyes in surprise, and asked rhetorically,

"Using MRI to diagnose hypercalcemia? This...... How is this going on? ”

"I mean, an MRI to find out what caused her to have hypercalcemia."

"Because there is a more than 95% probability that hypercalcemia is caused by malignancy."

"So if we find this, we will be able to diagnose hypercalcemia on the side."

After listening to Lin Yi's thinking logic, several people couldn't help but nod their heads in admiration.

His logic is so clear that even in this tense situation, he can start from the aspect of height genetics and think about stunting.

In this way, the possible diseases can be inferred based on the symptoms, and then corroborated from the side.

It can be described as interlocking, drip-proof!

"Okay, don't be stunned, let's act quickly!"

Then, Lin Yi clapped his hands and said to them.

"Okay, I'll take the patient to the imaging department for an MRI now!"

Wu Jiang immediately agreed, and then walked out.

Back in the ward, Wu Jiang immediately arranged for Hanhan to be pushed into the MRI room.

Lin Yi then arrived.

After Hanhan is pushed into the machine, the inspection begins!

A picture suddenly appeared on the screen.

Lin Yi and the others stared at it tightly.

"There is no problem with the thyroid ........."

"The adrenal glands are also not ........."

Lin Yi stared at it tightly and kept saying in his mouth.

But when the picture showed Xiao Shu's pituitary gland, Lin Yi's eyes opened suddenly, and then he said loudly to the medical staff of the imaging department:

"Stop! Freeze on the pituitary gland! ”

The radiologist was a little shocked by Lin Yi's sudden shout, and then hurriedly followed what he said and froze the picture!

And Wu Jiang next to him looked puzzled.

What's the matter, I didn't see anything special just now, did you?

After frozen, Lin Yi immediately pointed to the position of the pituitary gland on the screen and said:

"Look at the little black dot here!"

Only then did everyone look in the direction of his finger, and when they looked closely, they saw that there was indeed a small black dot the size of a sesame seed on the pituitary gland.

"Brother Shen!"

"Hmm!"

Shen Changqing walked on the road, and when he met someone he knew well, he would say hello to each other or nod his head.

But it doesn't matter who it is.

There was no superfluous expression on everyone's face, as if they were very indifferent to everything.

on this.

Shen Changqing is used to it.

Because this is the Demon Suppression Division, it is an institution that maintains the stability of Great Qin, and its main responsibility is to kill demons and monsters, and of course there are some other side jobs.

Arguably.

In the Demon Suppression Division, everyone has a lot of blood on their hands.

When a person is accustomed to seeing life and death, then he will become indifferent to many things.

When he first came to this world, Shen Changqing was a little uncomfortable, but over time he got used to it.

The Demon Suppression Division is huge.

The people who can stay in the Demon Suppression Division are all powerful masters, or people who have the potential to become masters.

Shen Changqing belongs to the latter.

Among them, the Demon Suppression Division is divided into two professions, one is the town guard and the other is the demon exterminator.

Anyone who enters the Demon Suppression Division starts with the lowest level of demon slayer.

Then step by step, he is expected to become a town guard.

Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level of the demon slayer envoys.

Have memories of the predecessor.

He is also very familiar with the environment of the Demon Suppression Division.

It didn't take long for Shen Changqing to stop in front of an attic.

Unlike other places full of slaughter, the attic here seems to stand out from the crowd, and in the bloody Demon Suppression Division, it presents a different tranquility.

At this time, the attic door is open, and there are occasional people entering and exiting.

Shen Changqing only hesitated for a moment, and then stepped in.

Access to the attic.

The environment has changed in vain.

A burst of ink fragrance mixed with the faint smell of blood came to his face, making his brow furrow instinctively, but quickly stretched.

The smell of blood on everyone's body in the Demon Suppression Division is almost impossible to clean.