Dean Song was on his way here. Sun Lien and a group of people entered the conference room. Brother Liang, the security guard, was quite excited, and called a few security guards to come over and help serve tea and pour water. And Brother Luo from the imaging department was also called to the scene as a ready-made translator - some medical words are really difficult to translate. Even if these words are basically spread from Japan to China.

"I would like to hear about Kaoru Kobayashi's situation and current situation first. Yatomi Sawaro, an associate professor of neurosurgery who had been following Yutaka Kobayashi, was the first to break the silence in the field. "We heard Tanaka-kun say that Kaoru Kobayashi may have an acoustic neuroma and needs a craniotomy. Have you already had the surgery?"

"The diagnosis showed that the patient did not have an acoustic neuroma. When it comes to the content of his diagnosis, Sun Lien suddenly has some confidence. "According to the diagnosis of our hospital, Kaoru Kobayashi's symptoms were caused by hyperthyroidism. ”

"Hyperthyroidism?" Professor Yatozawa frowned, "Hyperthyroidism doesn't cause bleeding. ”

"A basilar skull fracture from a car accident can. Although he was a professor in front of him, Sun Lien was actually communicating directly with Brother Luo. This reduced the pressure on his heart a lot. "A hypertensive crisis caused by hyperthyroidism aggravated bleeding from his ear canal. The second ear canal bleeding is due to a change in blood pressure, not because of a decrease in swelling from an acoustic neuroma. ”

Yafu's brow furrowed even deeper, "I believe that your hospital has done a corresponding examination to determine this symptom." However, Mr. Kobayashi undergoes a medical examination in the company every year. The last check-up was two months ago. Didn't check out anything wrong. Your hospital should pay more attention to this. ”

Sun Lien was shocked when he heard this.

Hyperthyroidism is not a rare disease, basically, there are only a few causes of hyperthyroidism. Toxic diffuse goiter (Graves' disease) caused by autoimmune problems is the most, accounting for about eighty percent of the total, or transient hyperthyroidism caused by the destruction of the thyroid gland due to infection, or drug-induced hyperthyroidism caused by drugs.

Kaoru Kobayashi's hyperthyroidism was so severe that he developed a hyperthyroid crisis, plus he had not used any drugs that could cause exogenous hyperthyroidism since he was admitted to the hospital. It is certain that Kaoru Kobayashi's hyperthyroidism should have been onset for some days - because the symptoms caused by hyperthyroidism are not very obvious at the beginning, and a large number of patients often suffer from the disease without knowing it, and even come to the doctor years after the onset of the disease.

"Company physical examination?" Sun Lien was a little unsure, "Is there a report?"

"That's it. Yatomi came prepared, he pulled out a stack of printed papers from his briefcase and handed them over. "In order to facilitate your reference, Mr. Kobayashi Yutaka specially asked a professional organization to do the translation, and the one you see is a translated copy. ”

All items are normal as they turn out. Although he was a little surprised that the Japanese company's physical examination would also check thyroid-stimulating hormone levels, Sun Lien had to admit that this examination report could indeed show that Kaoru Kobayashi did not have any signs of hyperthyroidism two months ago.

"About two months have passed since the medical examination. Sun Lien focused on the height and weight column of Kaoru Kobayashi. He lost nearly eight kilograms in two months.

Most patients with hyperthyroidism have significant symptoms of wasting. They eat a lot more, but they continue to lose weight. This is no longer the level of "not getting fat if you eat", but the stage of "no matter how you eat, you will lose weight". In the winter of December, Kaoru Kobayashi was still wearing only a light suit jacket when she went to the doctor. This is another manifestation of hyperthyroidism.

Every symptom is hyperthyroidism, but the course of the disease is not correct. Sun Lien was completely confused. After thinking for a while, he said to Yatozawa, "I can't explain this problem, if I want to find out the root cause, I need to ask my senior doctor and other specialists to consult. ”

This is standard procedure and is common to hospitals all over the world. Naturally, Professor Yatomi didn't have any opinions, but instead he reminded, "My concern is that this may mean that Mr. Kobayashi has a tumor in his brain. If you can, I would like your hospital to arrange an MRI for Mr. Kobayashi. ”

Sun Lien nodded, took out the phone and called Liu Tangchun, "Director Liu, Kaoru Kobayashi's family has arrived." I'm in the main conference room with them......" He paused, glancing at Director Qiao, who was still wiping his sweat sitting on the side, "The people from the city's foreign affairs office are also there." ”

When Liu Tangchun came over, he was accompanied by the director of the endocrinology department and Xu Yourong.

"I've finished talking to Gao Yan's parents. Xu Yourong pulled out a chair and sat next to Sun Lien. She said in a low voice, "Zhou Ce is arranging treatment, and the results will be available in about three days." ”

Sun Lien nodded, and before he could speak, Liu Tangchun took the lead in speaking. "Old Qiao, did you come to the courtyard and tell our Dean Song?"

"I've already called Dean Song. Director Qiao threw the small towel in front of him, "It happened suddenly, after Vice Consul Hamada and their car got off the highway, the consulate called us, this is not my old Qiao is going to make a surprise attack." "The first thing to do in foreign affairs is to make proper arrangements. Basically everyone who works in foreign affairs has some kind of control-freak tendency - surprise or something seems to them to be no different from fright. Director Qiao was joking, but in fact he was expressing his dissatisfaction with Hamada. Dean Song held a meeting at the municipal party committee, and she said that as soon as the meeting was over, she would rush back as soon as possible. ”

After speaking, Director Qiao stood up and introduced to Liu Tangchun, "This is Mr. Yutaka Kobayashi, Chairman of the Board of Directors of Takeda Pharmaceutical Industry, and this is Vice Consul Hamada next to him, and this is Mr. Yatomisawaro, a professor of neurosurgery at Juntendo University Hospital. ”

The introduction is learned. Yutaka Kobayashi is undoubtedly the most important one in the group, and Yatozawaro, who was placed last, is the most troublesome guy.

"Professor Yafuki?" Liu Tangchun frowned, and then suddenly laughed, "I've met Professor Tetsuo Kamino a few times, but I've never met Professor Yafu. ”

Yatozawa smiled disapprerovingly, "Mr. Kanno is a well-known professor in the first department of Okei University in the Kanto region. Although the history of the medical department of Onkyung University is far less than that of our Shunten, the strength is already very good. ”

Although in the eyes of outsiders, Juntendo Medical College is far less famous than the University of Tokyo School of Medicine. In fact, Juntendo University's Faculty of Medicine has the longest history in Japan. Founded in 1838 in the 9th year of Tempo, Juntendo University is not only the first private university in Japan to be the first in the Faculty of Medicine, but also the foundation of modern medicine in Japan, and the Faculty of Medicine of Juntendo University is also a hospital for members of the Imperial Family. Although he is not as well-known in China as Professor Kanno, Yatozawa does not take this compatriot who has made important contributions to Chinese neurosurgery in his eyes at all.

"I have just mentioned to Dr. Sun that I suggest that your hospital arrange an MRI for Mr. Kobayashi to clarify the cause of the diagnosis of hyperthyroidism. "Yatomisawaro has regained control of the conversation," judging from Mr. Kobayashi's medical examination report two months ago, his hyperthyroidism was too short to onset, and the disease progressed too quickly. This is most likely hyperthyroidism caused by a pituitary tumor. ”

"Lien, what is your opinion?" Liu Tangchun didn't seem to hear what Brother Luo translated, but just turned his head to look at Sun Lien and asked, "Kaoru Kobayashi is your patient, what do you think?"

"I think it......" Sun Lien thought carefully about the prompt in the status bar, shook his head and said, "It shouldn't be hyperthyroidism." ”

"What is the reason?" Liu Tangchun didn't say anything special, but continued to ask.

"There is no evidence to support a pituitary tumor. Sun Lien replied, "Of course, it is safest to arrange an MRI examination, but I don't think it makes much sense." Kaoru Kobayashi's symptoms of hyperthyroidism were not noticeable at the time of admission. After arguing with Tanaka, who was under consular protection, a pronounced hyperthyroid crisis appeared. If his hyperthyroidism is caused by a pituitary tumor, he should have been admitted to the hospital with obvious symptoms of hyperthyroidism. ”

Motioning to Brother Luo to translate these words, Liu Tangchun replied with a smile, "You also heard, our doctor does not support your judgment. ”

.m.