Under normal circumstances, Su Yun would not force himself to decide not to eat or anything like that. The worst he could do was go out and have a drink, as long as he had wine.
"Besides Master Yan, who else is there?" Zheng Ren thought briefly, immediately connected several possible characters, and asked in a low voice.
"You still remember the Anglo apprentice in a suit and tie from Chu Nuang Sai?" Su Yun said with a smile: "They said they were coming over today, but I've been waiting for the call."
"Oh? Do you have confidence in the technology?"
"Of course, otherwise why would I snatch your phone?" Su Yundao said.
As expected, Zheng Ren smiled and said nothing.
I'm really looking forward to it. If I can get relevant technology through Chu Nuang Sai, let alone quantitative production, it would be good for me to try it out.
There were several technologies that Zheng Ren hoped to get the most, but Su Yun seemed to have added countless things later. He was not sure whether Chu Nuangsai could get all of these things.
But it would be good to have feedback. Zheng Ren had a great impression of Chu Nuang Sai.
I lived up to the fact that I risked the death of the surgeon to perform the operation on him.
Seeing Zheng Ren's expression, Su Yun knew what he was thinking, and said, "You are a person. You say no with your mouth, but your body is always honest."
"It's okay, the key is that I don't know what to do. How did Master Yan and Chu Nuangsai get together?" Zheng Ren asked.
Both directors looked confused.
It is extremely inconsistent to put together the name "Master Yan", a bad street name, and the name Chu Nuangsai, who sounds like a Nanyang person.
"Chunu Angsai is quite trustworthy. The disciple in the suit and leather shoes is called William, and he has quite a lot of background." Su Yun said with a smile.
"Not small?"
"Well, it is said that he is the only normal man in an ancient family." Su Yun said with a smile.
Zheng Ren was too lazy to chat with him like this. Except when Zheng Ren was willing to use his brain when analyzing his condition, he usually wanted to be a panda, hang lazily on the tree, eat and wait for death.
After changing his clothes, Zheng Ren waited for Xie Yiren to come out and asked Lao He to ride with him to the Tang and Song Restaurant.
Song Ying stood at the door. When he saw Zheng Ren and his party coming, he went up to greet them with a cheerful face.
"Boss Zheng, you've been really proud of yourself lately." Song Ying said with a smile.
"No way."
A group of people walked in, chatting and laughing, full of enthusiasm.
…
…
Massachusetts General Hospital.
Dr. Mark looked at the email, made a rather exaggerated gesture, and said, "Jason, is this the level of our new tenured professor?"
Jason frowned and said, "You want to check the thyroid B-ultrasound? Why is that?"
"I can't find a reason for the onset of the disease, so I'm talking nonsense. Thyroid, does he suspect that the patient is suffering from thyroid storm?" Dr. Mark said disdainfully: "Thyroid storm is usually caused by Hashimoto's disease..."
As he said that, he was startled.
The enhanced CT done at the hospital used a lot of iodine!
The typical symptoms of thyroid storm, such as high fever, profuse sweating, tachycardia, irritability, anxiety, delirium, nausea, vomiting, and diarrhea, are so similar to the patients I have.
Could it be that his diagnosis was wrong from the beginning? !
The disdainful expression on Mark's face solidified into ice, and he thought of many possibilities. The most serious one, and the one closest to the truth, was that his first diagnosis more than 10 weeks ago was a misdiagnosis!
It's not cyclic vomiting syndrome at all, it's a damn thyroid problem!
Dr. Jason also thought of something, but he didn’t know the patient’s condition as well as Mark, so he still hesitated.
"No, we need to do a thyroid test immediately!" Mark jumped up from the chair, as if there were springs under his butt.
The two most prominent findings, tachycardia and weight loss, suggest hyperthyroidism.
When Mark considered weight loss and tachycardia in the context of agitation, vomiting, and neuropsychiatric signs and symptoms, hyperthyroidism suddenly became one of the most important differential diagnoses.
Damn it, why didn’t I think of that
This is nothing. During this hospitalization, I did a contrast-enhanced CT on a patient with hyperthyroidism!
When a large amount of iodine enters the body, the function of the thyroid gland immediately falls into chaos...
Mark broke out in sweat as he pushed the B-ultrasound machine to the female patient's side.
On the transverse, sagittal grayscale, and color Doppler ultrasound images of the thyroid, the sagittal dimensions of the thyroid were at the upper limit of the normal range, and Dr. Mark saw mildly heterogeneous parenchymal echogenicity.
On color Doppler images, the entire gland is obviously congested, which is a characteristic manifestation of Graves' disease and is called the "sea of fire sign"! ! !
This Doppler blood flow pattern has high specificity (88% to 95%) and sensitivity (95%) for Graves' disease, and the peak systolic flow velocity in patients with Graves' disease is higher than that of patients with other causes. Thyroiditis patients!
Standard Graves' disease, also called toxic diffuse goiter, is caused by the presence of an irritant in the blood that excites the thyroid gland. It has three major characteristics: high metabolism, diffuse goiter, and exophthalmos.
The patient's condition was not serious, but because of that damn enhanced CT, his condition worsened to the point that he now had to be admitted to the ICU for rescue and treatment.
Jason also saw the sea of fire sign displayed on the B-ultrasound machine. Unlike Mark, he has watched too many live broadcasts of surgeries, and his respect for the surgeon has long since risen to the level of worship.
"Mark, you stupid guy, see! His diagnosis is correct!" Jason said behind Dr. Mark.
"It's great if it can be discovered. Let's do thyroid-specific treatment now." Dr. Mark said quickly.
After applying methimazole for treatment, Dr. Mark breathed a sigh of relief.
As long as the correct cause is found and the correct treatment is carried out, the patient will slowly get better in 3-5 days.
Damn Cyclic Vomiting Syndrome, that’s not the diagnosis at all!
After finishing his work, Jason shrugged and said: "Mark, I suggest you show enough respect to the tenured professor. You see, your doubts will soon expose your stupidity."
Dr. Mark sighed.
"The higher the level of doubt at the beginning, it also proves your stupidity from the side." Dr. Jason was very happy to see Dr. Mark's current state.
"Jason, can you give me the URL where you watched the live broadcast of the surgery?" Dr. Mark did not refute. After he began to recall the entire diagnosis and treatment process, he expressed his gratitude to the tenured professor for getting the correct diagnosis in more than an hour. surprise.
"You should write a warm thank you note, because if it weren't for him, your patient would be dead very quickly," Dr. Jason advises.