Wei Jinshui was discharged from the hospital, which is a good thing. As long as the brain aneurysm does not rupture, many people are able to achieve "almost no sequelae" after GDC (Guglielmi DetachableCoil) treatment.

After saying goodbye to everyone, Wei Jinshui and his parents left the ward. Dr. Pascal looked at the room with some emotion. "Inpatient wards in China are really tight. ”

"Is our hospital alright?" Sun Lien didn't quite understand why Dr. Pascal had spoken like that, and he looked at the three-person ward, feeling a little confused. The wards are not used for too long, and the patients' families and cleaners are also very attentive to the cleanliness of the rooms. Although it is a specialist ward in an urgent care center, it is also better than the inpatient department of many old tertiary hospitals - at least the hospital provides free WIFI and bedside power for patients.

"To be honest, the last time I saw a double ward in the U.S. was fifteen years ago. "The Massachusetts State Hospital where I work eliminated all double rooms fifteen years ago, and now there are only single rooms...... "He pointed to the LED tubes on the ceiling of the inpatient department, "Direct light is not good for patients to rest, and the state hospital changed all light sources to reflectors about five years ago." ”

Sun Lien reluctantly explained, "We lack enough manpower, there are too many patients and the beds are too tight...... he suddenly remembered something, "How many beds and how many doctors are there in the inpatient department of your department?"

"A Nightingale subdivision has 28 beds, we have 21 attending physicians, and we have five resident physicians. Dr. Pascal snapped his fingers and counted, "Twenty-six doctors in all." ”

"I don't know the specific situation of our rheumatology and immunology department, but in terms of neurosurgery, we have two chief physicians, three deputy chief physicians, as well as five attending doctors, three resident physicians, and one regular trainee this year. Sun Lien clasped his hands on his chest and replied, "These fourteen doctors, in addition to the daily outpatient visits, also need to take on 36 wards, each ward has three patients, a total of one hundred and eight patients. And that's not even counting the extra beds that sometimes occur. When Sun Lien said this, he suddenly began to feel very tired, although it was not as good as the emergency department, but it was also really hard. "Every Thursday is the day of surgery in neurosurgery, and on this day there are seven operating rooms for neurosurgery. That's half the average day for half of the doctors in the department, and in order to free up as many beds as possible to accommodate new patients, each of these neurosurgeons needs to perform at least three surgeries to keep the beds flowing. ”

Dr. Pascal was dumbfounded. He used to come to China, mainly to the western region, to provide medical assistance to local patients with autoimmune diseases, and to train local primary internists in their understanding of autoimmune diseases. What he didn't expect was that there would be so many patients in a higher-level hospital, and the doctors in a higher-level hospital would work so hard.

"Do it a single room?" Sun Lien continued with a wry smile, "The doctors' job may be much easier, but that means that more than two-thirds of patients cannot be treated in time. There are only a few hospitals in Ningyuan that can do fourth-level neurosurgery, and the beds are tight almost every day. ”

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Leaving the room, Dr. Pascal followed Sun Lien, his expression a little serious, he looked thoughtfully at the building of the Fourth Central Hospital, as if for the first time, this huge hospital was also facing such a serious challenge.

Passing by Qin Ya's hospital room, Sun Lien stood at the door and glanced inside. Qin Ya's hospital bed was neatly folded with quilts, and she didn't look like she was in the room.

Sun Lien took out the phone and called Feng Ming, "Second brother, why isn't your daughter-in-law in the ward?"

"Xiaoya and I are in line. Feng Ming smiled heartlessly on the other end of the phone, "We got the certificate today." ”

"Huh?" Sun Lien raised his eyebrows, "So urgent?"

"It's okay to get your certificate early. It's been talking about it for years anyway. Feng Ming smiled, and the groom's joy was about to overflow from the other end of the phone to the other side of the phone, "Why did you suddenly remember to call me?"

Sun Lien also laughed, "Marriage is a major event in life, congratulations." After saying the words of congratulations, he said, "I was checking the room here and found that my sister-in-law was not in the room, so I remembered to call you." ”

"Follow-up surgery, please pay attention. Before Feng Ming hung up the phone, he instructed again, "Do it early, and I will get rid of this ideological baggage as soon as possible." ”

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The next stop on the rounds is the endocrinology department on the eighth floor. Kaoru Kobayashi is also preparing to be discharged from the hospital today. Brother Luo specially came over to help and sent this international friend who used to be considered a "neighbor" with himself, and this time he happened to be caught by Sun Lien as a translator.

"Mr. Kobayashi. Sun Lien came over and shook hands with Kaoru Kobayashi. "You look pretty good. ”

The hematoma on Kaoru Kobayashi's face has begun to subside, and from this point of view, the bulging eyes caused by hyperthyroidism are still there. It's just that after receiving medication, his thyroid hormone levels have subsided quite a bit.

"Mr. Sun!" Kaoru Kobayashi held Sun Lien's hand tightly, "Thank you for saving me, as well as my wife." ”

Sun Lien wanted to comfort him a few words, but he was a little worried that if he was too humble, what would happen if Xiao Lin Feng suddenly decided not to donate. I could only glance at the "amnesia" that still existed on his head with some embarrassment, and asked in a low voice, "You still don't remember your father?"

"It's like a lie...... But I'm really not impressed. Kaoru Kobayashi shook his head a little bitterly, "I saw the family photos and family photos he brought, as well as some of the things I used when I was a child." But...... I don't remember anything. ”

"Amnesia may only be temporary. After all, the working principle of the human brain is still very complicated, and maybe you will be able to remember it slowly when you get home. Sun Lien patted him on the shoulder, "Are you planning to go back to Japan as soon as you are discharged from the hospital?"

"Nope. Kaoru Kobayashi shook her head, "I'm going to wait until Lin Ya's second surgery is over, and then take her to Japan with me." ”

"Second ......" Sun Lien's eyes widened, Lin Ya must have told Kobayashi Kaoru everything about herself, otherwise he would never know the plan for the second operation.

Kaoru Kobayashi smiled and patted the guardrail next to the bed, "It's really amazing to say." My wife is chromosomely male, but she is also really different – she doesn't respond to male hormones at all. He smiled and asked, "The average woman also has a male hormone in her body, and they will become ...... because of the increase in the level of this hormone Somewhat aggressive. And the purest women who don't react to male hormones are actually men, doesn't that sound ironic?"

It is strange to say that "women" like Lin Ya have very fair and delicate skin, as well as beautiful faces. Although a large proportion of patients will be diagnosed with androgen hyposensitivity syndrome due to malformations of the external genitalia at birth, Lin Ya should obviously belong to the category with intact female external genitalia structure.

"She used to be bothered by irregular menstrual cycles, and now it seems that we don't have to worry about that anymore. Kaoru Kobayashi really doesn't seem to care about the fact that his wife is actually a man. "I've consulted a lot of doctors and they say that as long as the surgery is done, there is no more risk. ”

"Irregular menstruation?" Sun Lien frowned, he felt that there might be something wrong in this matter.

Xu Yourong also frowned, "Male hormone insensitivity syndrome...... Isn't it supposed to be primary amenorrhea?"

Dr. Pascal suddenly asked, "Have you done genetic testing based on her reproductive malformations?"

Sun Lien shook his head, "She was admitted to the hospital because of serious trauma. The previous situation has been unstable, and the follow-up tests have not yet had time to be done. ”

"Probably...... Not AIS (androgen insensitivity syndrome). Dr. Pascal mused, "Irregular menstruation, female external genitalia, this sounds like PMDS (Müllerian Tunnel Syndrome) to me." ”

Mullerian syndrome is a reproductive malformation that is less common than AIS. There are two sets of reproductive systems in the patient's body, one male and one female. Depending on the type of reproductive malformation, the patient may exhibit male or female sexual characteristics.

"But...... Lin Lan's appearance is indeed female, yes. Sun Lien had never heard of PMDS at all, and he still used his mobile phone to find the disease on a professional website, he looked at the diagnosis guide on it and hesitated, "If it is a female deformity of PMDS, Lin Lan should show some male characteristics." ”

"AIS does not have menstruation. Dr. Pascal stood by his opinion. "I have previously diagnosed two patients with lupus erythematosus who are of a male gender but have high levels of estrogen in their bodies. I later found out that they were PMDS male deformities. ”

Dr. Sun...... I don't understand......" Kaoru Kobayashi said confusedly, "You're discussing my wife's problem?"

Sun Lien nodded, "Her gender issue...... It may not be consistent with our initial diagnosis. I'll add a few checks as soon as possible. ”

She ...... It's going to be okay, right?" the expression on Kobayashi's face became serious, "This shouldn't be a very serious condition, right?"

"Of course. Sun Lien patted Kaoru Kobayashi on the shoulder, "You don't have to be so nervous, maybe we can check out a good news in the end." ”8)