"Is the condition caused by estrogen stimulation?" Linge felt a little bored and asked casually.

"Estrogen not only promotes and maintains female SZ organs and secondary sexual characteristics, but also has a significant impact on endocrine, cardiovascular, metabolic system, bone growth and maturity, skin, etc.." Su Yun did not mind telling Linge in detail the impact of estrogen on the body after sex change surgery.

Linger was very straightforward in doing things, and Su Yun still admired them very much, just pretending to be a chat.

"Doctor Su, do you think heart failure has something to do with estrogen?" Linge asked.

"The commonly used estrogen drugs in clinical practice are mostly derivatives synthesized by estradiol as the parent, such as estradiol benzoate, estradiol valerate, ethinyl estradiol, ethinyl ether, prenatal horst, etc. These drugs have a significant impact on the heart. Patients experience heart failure and continue to fail, which is probably related to the injection of estrogen."

Alas, this is quite expensive, Linge thought.

However, as an individual human, how to choose their own gender, Linger felt that others had no right to argue with it.

Just think it through yourself and be happy, why do others say anything?

But this is a bit expensive, and lifelong estrogen has so many side effects.

"Long-term large doses of estrogen may increase the risk of breast cancer, may also increase the risk of endometrial cancer, and may increase the risk of cardiovascular and cerebrovascular diseases and venous thrombosis."

Su Yun sighed. It seemed that when the patient chose gender, he and Linger had the same attitude.

Su Yun also felt a little sorry for this elderly patient.

He can choose his gender bravely, and it seems that there is a vampire who has always loved her, and his life is quite happy.

But decades later, all kinds of diseases came to the door.

Whether it is heart failure or cerebral infarction, it is related to injecting estrogen.

In Su Yun's opinion, this case has no meaning of consultation at all. Her body triggered a series of reactions as drug metabolism occurs, and now there should be no cure.

Five minutes later, Zheng Ren took off his glasses.

"Boss, do you have any comments?" Su Yun asked.

"Yes." Zheng Ren said clearly: "Director Lin, please come back first."

"..." Linge was stunned.

It's just a case of transgender people, why should you avoid talking to yourself?

What does Boss Zheng mean...

Su Yun was also a little surprised and looked at Zheng Ren with countless questions in his eyes.

"Director Lin, sorry, it involves confidentiality tasks." Zheng Ren said apologetically.

After reading the medical records, he found a little problem based on Su Yun's medical history.

But this involves the task, and it is not something Linger can hear.

"Then I'll go back to bed first, you're busy." Linge didn't care, and stood up with a smile and turned around and left.

After working for a long time, it is normal to have any strange actions when you talk about the word "task".

If you don’t ask yourself or ask, the farther the better, this is Linger’s principle.

"I won't give it to you." Zheng Ren stood up and said politely.

"You are busy first, go to bed early and take care of your health." Linge said: "I'll go back first. Don't think about home affairs when you go on a mission. With Director Kong and I here, there shouldn't be any problem."

"Thank you."

After sending Ling away, Zheng Ren returned to the briefing classroom.

"Boss, what's the secret?" Su Yun asked.

"The patient had brown urine 4 days ago. Did you deliberately miss it?" Zheng Ren asked.

"Yes." Su Yun replied directly: "In the RV, you also saw that Christian should have drunk whole blood and absorbed heme with the gastrointestinal tract."

"There is almost no research in this regard." Zheng Ren pondered, "We cannot arbitrarily mix tea-colored urine with drinking whole blood."

"It's just that the cardiovascular and cerebrovascular diseases caused by using estrogen for too long." Su Yun said, "Tsk tsk, boss, this is love."

Zheng Ren glanced at him. Is Su Yun’s three views so bad, and he is so at this level?

If you look at a consultation case, it can be related to love.

Zheng Ren has no objection to sex change surgery, but this case still has something he can't understand.

"I have been off estrogen for 2 years, and there should be no continuous progress in muscle weakness and chronic cerebral infarction." Zheng Ren said.

"35 years! You must never ignore this problem." Su Yun said, "No matter what medicine you use for 35 years, the amount of accumulation in your body is a huge amount!"

Zheng Ren pursed his lips. Although Su Yun’s words made sense, he still felt something was wrong.

"There is nothing special about the test. Except for the increase of serum phosphate kinase to 20793u/l, other indicators including inflammation indicators such as red blood cell sedimentation rate, c-reactive protein, etc., no abnormalities were seen." Su Yun said, "And the increase of serum phosphate kinase just confirms..."

"No." Zheng Ren said, "The high content of estrogen accumulated in the body can indeed lead to the attack of cardiovascular and cerebrovascular diseases. But compared with previous medical records, don't you think this value is too high?"

"It's meaningless." Su Yun waved his hand, "I think there is only one serum phosphate kinase increase, and there is no clinical diagnostic significance."

"That's true." Zheng Ren was still thinking.

"I didn't do thymus ct, but looking at the chest ct, I feel that there is no problem with the thymus, not like myasthenia gravis." Su Yun said.

"Well, no." Zheng Ren was still thinking about a few suspicious signs, "I think about it again, and after seeing the patient, I understand what's going on."

Su Yun narrowed his eyes and stared at Zheng Ren.

"how?"

"What does it mean to know what's going on after seeing a patient?" Su Yun asked.

"Check the body!" Zheng Ren said in a deep voice: "Don't you check the body?"

"Cut, you have to knock it before buying watermelon, because others also knock it, is that true?" Su Yun said contemptuously.

"No." Zheng Ren answered with certainty: "It is possible that the doctor in Massachusetts missed some special symptoms. I have to look at the patient, check the body personally, and ask for the diagnosis to find the cause."

Su Yun didn't think Zheng Ren could get any answers when doing all this himself. The various examinations, physical examinations and medical history of Massachusetts General Hospital were already very detailed.

"Boss, do you think there is something wrong with porphyria and estrogen?"

"No, if there is a problem, it will not last for 35 years." Zheng Ren said: "There is a high probability that it will take for a long time to use estrogen, which will lead to cardiovascular and cerebrovascular diseases. What we need to do now is to rule out small-probability diseases."

...

...

at the same time.

In the castle where the sun is gone all year round, doctors and nurses in white clothes are busy.
Chapter completed!