Chapter 250: Something Unexpected in the Conference Room!
"Alright, you put your pants on."
After Lin Yi saw it, he knew it in his heart!
But in order to ensure accuracy, Lin Yi still opened two orders.
"I'm going to do a genetic test and a hormone test, both of which are pretty fast, and you can find out in a while."
After speaking, Lin Yi handed the list to the woman.
Holding the list, my mother's eyes were red, and she looked at Lin Yi and stopped.
After struggling for a while, she wanted to say something but didn't say anything, and took her son to go for an examination.
After a while, after Lin Yi looked at the two patients, the mother and son returned to the consultation room with a report in their hands.
After she saw Lin Yi, she immediately handed him the report.
"Doctor, my son's report is out, please take a look."
"Okay."
Lin Yi nodded, took it and took a closer look.
A few minutes later.
Lin Yi said in a deep voice:
"Now it can be diagnosed, your son's illness is ......"
"Is it Kallman syndrome?"
Before Lin Yi finished speaking, the woman took the lead in speaking.
Lin Yi was slightly stunned, and then said:
"That's right, it's Kallman syndrome."
After the woman listened, tears suddenly rolled in her eyes, and then she couldn't help sobbing:
"I checked the symptoms at whiteness before, and it said it was Kallman syndrome."
"I didn't expect it...... It turned out to be really, so what can I do! ”
Kallmann syndrome: hypogonadotropinic hypogonadism with anosmia or hyposmia.
It is a clinically and genetically heterogeneous disease, which can be familial or sporadic, and its inheritance mode is three: X-linked recessive inheritance, autosomal dominant inheritance, and autosomal recessive inheritance.
The disease does not affect life expectancy.
However, it can lead to indistinct gender characteristics, infertility, and loss of smell.
This is really painful for a boy.
"This disease can be treated with medication."
Subsequently, Lin Yi explained to them the root cause of Kallman syndrome.
The first root cause is hormones!
In childhood, the hormones in the human body are very low, and with growth and development, when it comes to development, the hormone reaches its peak, and some children even have acne because of excessive hormones, commonly known as pimples.
And patients with Kallman syndrome are precisely because of the lack of hormones!
Hormones are insufficient, in addition to the lack of development of sexual characteristics, there is even no body hair, axillary hair, leg hair, for this type of patients, hormone supplementation is required.
"For children with Kallman syndrome, there are generally three treatment options."
"The first to fight male hormones. Direct hormones are the best, but direct use of male hormones must be done in children under 14 years of age, so this method is not successful. ”
"The second is gonadotropins. Administration is HCG2000 to 5000 units intramuscularly twice a week, followed by HMG/FSH75 to 150 units intramuscularly 2 to 3 times a week when testosterone levels reach the median of normal adult males. ”
"But...... This treatment regimen, in addition to promoting the increase of male hormones, will also cause ** development, if overdeveloped, some female characteristics may appear. ”
"Therefore, this treatment option is also not recommended."
"And what I'm suggesting is a third option."
"GnRH Pulse Therapy."
"Using a portable infusion pump, GnRH is infused subcutaneously every 1.5 h-2 h pulse-like."
"According to the experiment, the cure rate of GnRH pulse treatment for 12 months was as high as 77%."
Hearing that there was a 77% cure rate, the woman once again saw hope, and she nodded again and again and said:
"Okay, then listen to you, just use this pulse therapy."
"But...... Is this treatment expensive? ”
After speaking, a trace of helplessness flashed in the woman's eyes, and she sighed and said:
"The child's father died early, and I pulled him up alone, but my conditions are okay, and the salary is not low, but if it is too expensive, I am afraid I will not be able to bear it."
Lin Yidao: "Pulse therapy, the first time to cost 29,000, mainly the cost of the instrument, the subsequent monthly medicine only needs about 1,000 yuan, six months for a course of treatment." ”
About 1,000 yuan a month!
It's okay too......
The woman immediately 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:
"Kallman syndrome is endocrinology, go to the endocrinology department, and let the doctor at the endocrinology department make a plan."
The woman nodded and said:
"Okay, thank you, doctor!"
Immediately afterwards, Lin Yi operated it on the computer.
After a while, Lin Yi said to her:
"Okay, you guys go over, endocrinology is on the fifth floor, I'll call the endocrinology department, notify you, you just go up."
"Okay, thank you!"
The woman left the room with the child.
Lin Yi dialed the number of 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.
The director of the Department of Cardiopulmonary Medicine was explaining the patient's condition on the stage.
Suddenly, there was a bang from the front seat!
This was followed by several anxious shouts!
"Director Liu! Director Liu, are you alright? ”
"Wake up! Don't scare us! ”
"What the hell is going on?"
Director Liu? Lin Yi frowned immediately after hearing it later.
This Director Liu is the director of the Department of Respiratory Medicine.
Lin Yi looked at him just now, and he 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, it was a bit like the color after the usual imaging examination.
So Lin Yi suspected that he had just finished the inspection and rushed over for a meeting.
As for the cause of the examination, it should be angina, and there is a suspicion of infarction, so an angiogram was done.
Someone shouted in front of them, and the entire conference room was immediately chaotic.
Young doctors rushed to the front to find out.
However, the fainted Director Liu was very lucky.
Because he fainted in a place full of doctors.
When Lin Yi walked to the front, many young doctors had already rushed over.
This is the leader of the hospital department fainting in front of him.
Don't you use this to show it?
One of them, a bespectacled and well-mannered young man, rushed to the front.
"Director Liu, what's wrong with you!"
After he rushed over, he immediately squatted down and probed Director Liu's snort, and then touched the carotid artery.
"The carotid artery hasn't disappeared yet, let's bring an oxygen bag first, and then take a flat car to the emergency department."
In Lin Yi's sight, this Director Liu was indeed not a sudden death.
That means that his current fainting has nothing to do with his heart attack.
Provide you with a popsicle for reasoning diagnosis: Big brother, your wife is drugged! Fastest update, in order for you to see the fastest update of this book next time, be sure to save your bookmarks!
Chapter 250: Something Unexpected in the Conference Room! Free to read.