Chen Wen's disease is Cushing syndrome, but it is not Cushing syndrome.

Sun Lien looked at the crying Shen Qingmei, and his heart was mixed. From a doctor's point of view, in fact, he prefers that Chen Wen's illness is just a simple Cushing syndrome. In this way, as long as the tumor near her pituitary gland is removed, it can be completely cured.

But hydatid disease doesn't work.

Echinococosis is probably one of the most troublesome parasitic diseases in the world. Its harm to the patient can be very serious and even lead to death. However, it is possible that the harm is so small that there are no symptoms at all times. It may not be discovered until the patient undergoes surgery for other reasons, or it may not be noticed until the patient dies naturally. The symptoms and severity of echinococcosis, its progression and duration, all depend on three most critical factors – which organ the eggs land on in the bloodstream, how big they are, and how many cysts there are.

The eggs of echinococcosis are like cancers that begin to spread through the blood and lymphatic system. When it enters the brain, it is cerebral echinococcosis. When it enters the lungs, it becomes pulmonary echinococcosis. The most common cases are when the eggs pass through the intestine and follow the bloodstream directly into the liver. Hepatic echinococcosis, also known as "pastoral cancer".

It is different from the traditional sense that you can recover by taking medicine to repel worms. None of the drugs currently made by humans can cure echinococcosis. Echinococcosis can only be treated by surgically removing all the cysts as cleanly as possible.

And where the twenty-seven cysts are...... Sun Lien felt desperate just thinking about it. The eggs travel through the brain tissue along the blood vessels, and then settle down in the deep brain tissue. It then slowly develops into cysts.

There are worm cysts deep in the brain tissue, like peas embedded in tofu. It is an almost impossible task to remove peas without spoiling the tofu.

Removing peas from tofu with surgical instruments means that surgical injuries are inevitable. The specific mechanism of action of the human brain is still not fully understood by modern medicine. Although a surgical approach can be planned according to the different locations of the eggs, it still cannot avoid damaging Chen Wen's brain function. The scariest thing is that no one knows what kind of damage she will have. It may just become weak and upside down. But it can also be deranged, memory loss, or even a vegetative state.

"If it's hydatid disease, her recovery can be a long one. There may even be recurrences of the condition. Sun Lien took a few deep breaths and continued to explain to Shen Qingmei, who was already about to collapse. The biopsy he mentioned earlier is called "Directed Stereotype Intracerebral Lesion Biopsy". According to the current standards, it is a standard tertiary surgery. It needs to be reported to the department head, and the surgery must be performed by a senior attending physician or associate chief physician.

"This biopsy will be presided over by Xu Yourong, the youngest deputy chief physician of the Department of Neurosurgery. Sun Lien approved Xu Yourong's promotion in advance without authorization. She is an M.D. graduate of Johns Hopkins University, which has the highest level of neurosurgery in the world. ”

Shen Qingmei signed.

Chen Wen's condition has not become stable since the diagnosis of cerebral echinococcosis. The gangrene on her chest was still there and it was deepening. With the intervention of Vice President Liu, the Department of Neurosurgery and General Surgery of the Fourth Hospital quickly organized a capable surgical team. In terms of neurosurgery, Xu Yourong was in charge, and she also brought the assistant she had when she operated on Lin Lan in the morning. The general foreign side sent Professor Zhao Saijuan, who is known as the first knife in Ningyuan's breast.

Prof. Saijuan Zhao and Prof. Li from the Department of Haematology are colleagues. But she is also an old-timer of Professor Lai. Professor Zhao Saijuan, who is 79 years old this year, is a specially appointed expert who was specially hired back by Ningyuan Medical College. In the past 60 years of medical practice, Professor Zhao Saijuan has performed as many as 10,000 breast surgeries, and it is almost wishful thinking to find a doctor in China who can have the same rich experience in breast surgery as Professor Zhao Saijuan.

Due to the approach of the surgical position, Chen Wen could only sit on the operating table. The head is firmly held by the retainer, and Xu Yourong will sit in front of her, manipulating the sampling needle through her nasal cavity and into the skull.

During this period, Professor Zhao Saijuan, who is nearly eighty years old, will work with her students and assistants to monitor the progress of gangrene in the part of Chen Wen's chest. If they decided that gangrene would break through the abdominal wall, the brain sampling would have been stopped and a mastectomy would have been performed instead, as Chen Wen's heart had suffered a heart attack in the morning, and her body was too weak. If necrotizing fasciitis occurs, Chen Wen's risk will be much higher than that of the average person.

There is nothing to see about this surgery. Although he was appointed by Director Liu as the "doctor in charge", Sun Lien really didn't have time to go to the operating room to watch the progress of Chen Wen's surgery - he still had three patients to worry about. As for whether Chen Wen needs to have her breasts removed, or when she will have them removed, Sun Lien believes that Professor Zhao Saijuan must know better than herself.

In addition to not being able to help, there was another reason why Sun Lien stayed in the emergency room - Zheng Xiaoyu's cerebrospinal fluid test results came out.

"A large number of pallchetes were detected. Hu Jing, the head nurse, handed the checklist to Sun Lien. "The results of the liver biopsy are not out yet, but they should be soon. ”

"First treat it as neurosyphilis. Give him prednisone first. Sun Lien put down the checklist, neurosyphilis means that the course of syphilis has entered an advanced stage. At this time, if penicillin is used rashly, a large number of dead leptochetes will release a large amount of toxins and waste products into the body. This triggers a systemic immune response. This immune response, called the Heckler reaction, can cause headaches, fever, muscle pain, shortness of breath, and even disseminated clotting in the lungs, which can eventually lead to death. The use of hormones before formal antibiotic therapy can effectively suppress the activity of the body's own immune system. In this way, the occurrence of the Hearst reaction is weakened or even completely avoided.

On the other hand, there was not very good news from Dr. Jiang Lun, who spoke Sichuanese. The middle-aged woman who was habitually flirtatious, as well as a large number of young men who had "been with her for a long time", all tested positive for syphilis in blood tests. This aunt is calling the other lads who have "not been with her for long". I guess there will be sixty or seventy more.

At the same time, nearly 100 people were found to have positive syphilis reactions, and the staff on duty at the Ningyuan Center for Disease Control and Prevention almost choked to death by their own saliva after receiving a call from the Fourth Central Hospital.