Chapter 94 - Sleepless Doctor - NovelsTime

Sleepless Doctor

Chapter 94

Author: Makuma Hatsumi
updatedAt: 2025-05-02

"Miss Wu, awesome!" director Li of the burn department said heartily in the back.

    He followed to see the excitement. He couldn''t hit eight poles. His mentality was the most relaxed. Director Li focused all his attention on Wu Mian and looked very carefully at every step.

    People know this in their mind. They are not in a hurry. They stand under the operating table and solve the operation with just one mouth. What is ability? That''s ability!

    "Little experience, it''s easy for director Gao to do similar things in the future." Wu Mian narrowed his eyes and seemed to be smiling.

    "You do it, I''ll send Mr. Wu off." Gao Baixiang explained to the professor with the group, and then stepped down.

    "Miss Wu, I know you''ve been busy recently. I haven''t dared to disturb you." Gao Baixiang said.

    "Well, indeed." Wu Mian nodded and then said, "director of chest department, isn''t he?"

    "Hello, Miss Wu." director Fang Jinshui of chest Department warmly extended his hand.

    Like Miss Wu Mian, who doesn''t want to make friends. No one dares to ensure that all his operations are smooth. If there are problems, even if Mr. Wu is not in the provincial capital, it''s good to call for consultation.

    Wu Mian reached out, shook hands with director Fang Jinshui and said, "I have a patient on hand. I want to trouble the director."

    "No problem." Fang Jinshui didn''t ask any patients. He patted his chest and said, "stay in the general ward first. I''ll pour you a high room tomorrow."

    "The room is a small matter," said Wu Mian. "The patient is considered to be Cushing''s syndrome."

    “……”

    The directors present were a little confused. Cushing''s syndrome lived in chest dry wool.

    Cushing''s syndrome is a clinical syndrome caused by the long-term secretion of too much glucocorticoid in the adrenal cortex caused by many reasons. Generally speaking, it needs to live in neurosurgery to prepare for surgical treatment.

    If the patient''s family members refuse surgery for various reasons, they should also be treated in endocrine therapy.

    Even ectopic ACTH syndrome mostly occurs in the adrenal gland and still has nothing to do with chest.

    "The patient''s full moon face, clinical manifestations caused by mental symptoms, hypertension and negative nitrogen balance, and gonadal changes. I saw the film, and there was no pituitary tumor. I didn''t consider it as a primary lesion."

    "According to the existing data, the only possible location is in the lower lobe of the left lung, where there is inflammatory reaction. It is recommended to do relevant examination first to determine Cushing''s syndrome, anti-inflammatory symptomatic treatment and recheck lung CT."

    "Miss Wu, wait a minute." director Fang Jinshui hesitated. "Are you considering that the patient has lung tumors, which rarely induce changes in glucocorticoid secretion?"

    "HMM." Wu Mian smiled. Director Fang Jinshui''s level is very high.

    Most surgeons have little knowledge of internal medicine. As long as the operation is done skillfully, who has nothing to study so many things.

    Now the branches of medicine are becoming more and more sophisticated. Even chest is divided into two, becoming cardiothoracic and general chest. The cardiothoracic and interventional surgery were taken over by the circulatory department, which was messy and unspeakable.

    Just say it yourself. Fang Jinshui knows what''s going on. He''s really a good man.

    "That''s rare." Fang Jinshui bowed his head and thought about Cushing''s syndrome. In fact, he didn''t know much, but Mr. Wu diagnosed it so that even the smallest probability should be taken seriously.

    After stepping down, Wu Mian refused Gao Baixiang''s request for dinner, saying that he wanted to concentrate on nursing patients in the burn ward. Fang Jinshui directly took the couple to go through the hospitalization procedures and prepared to have a detailed examination.

    As soon as you look at Fang Jinshui, you know that they are not ordinary people. How can ordinary people bring bodyguards. Mr. Wu is really that this VIP patient threw it at his side casually, which is countless light-years different from the attitude towards the burned firefighter.

    Director Fang Jinshui was also very careful. After all, he was a patient sent by the legendary teacher Wu Mian. He first found the director of the relevant department to study his condition, and then watched his doctor give orders himself.

    Anyway, it''s not bad money. The tests of plasma cortisol level and circadian rhythm, 24h urinary free cortisol, dexamethasone inhibition test and midnight salivary cortisol are all on.

    However, static antibiotics are a difficult problem. The hospital infection department monitors the whole hospital. Antibiotics can only be applied if there are abnormal blood routine + C-reactive protein and imaging abnormalities.

    However, this violation is not a matter. It is all caused by those civil subjects. Ordinary people are exposed to antibiotics. There are few opportunities to take a large amount of antibiotics from the hospital. The meat, eggs and milk they eat every day is the main source.

    However, these have nothing to do with director Fang Jinshui. He makes diagnosis and treatment safely according to teacher Wu''s medical advice.

    After 36 hours, the inspection results came back one after another.

    From various corresponding examinations, it must be Cushing''s syndrome, but is it caused by tumor? Fang Jinshui took the test sheet. It was almost time to get off work. He didn''t mean to go at all.

    He called the endocrinology director to inquire about the relevant situation. The endocrinology director happened to have a piece of information on hand. Fang Jinshui sent a doctor to get it back.

    This is a "nature" magazine. Doctors rarely read "nature", which is generally a Chinese Journal. They read more top journals such as the lancet or New England.

    Find articles about the relationship between glucocorticoids, mental stress and tumors, and Fang Jinshui reads them eagerly.

    It is clear in the article that after large data sample analysis, mental stress is closely related to glucocorticoid secretion, tumor formation and metastasis.

    There are some descriptions about the increase of glucocorticoids caused by tumors, most of which are Cushing''s syndrome.

    Based on the existing inspection, director Fang believes that Wu Mian''s diagnosis is not wrong. Although it looks like a wild horse, the facts have proved that Mr. Wu''s conclusion is correct.

    After studying his English thesis, director Fang felt that he was in a bad mood. He rubbed his eyes and prepared to have a rest. The English of the whole article is still a remote academic vocabulary. Even if director Fang Jinshui graduated from Ph.D. and studied in the UK for two years, it seems difficult.

    But when he closed Nature magazine, he suddenly saw the author''s name.

    Corresponding author, Wu Mian. The first author... Chu Zhixi.

    Fang Jinshui silently opened the impurities and looked at Nature magazine with his eyes. He was silent for a long time.

    Those two names look so dazzling, even some dazzling.

    Instead of leaving, he put the magazine away again, took out a tube of ballpoint pen and began to translate the paper word by word. When I met a word I didn''t understand, I didn''t put it in the past, but found a thick dictionary and began to look it up.

    Is gonadal dysfunction caused by lung cancer? It looked really interesting. Fang Jinshui smiled and was very serious.

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