This doctor has a system

Chapter 403 468. You say I am not a man?
"No, what I mean is, is there any regularity in it?" Gao Feng asked, "For example, does it appear on a specific day, or is there any incentive before it appears?"

"This." The patient began to think.

"I don't see any regularity. Sometimes it's there, sometimes it's not, but..."

"It seems like this blood and tears haven't appeared for a while."

At that time, she had a boyfriend. He didn’t like small umbrellas very much, and he was always direct
I understand everything I understand.

She often took birth control pills during that time, and her tears seemed to be normal all the time.

"Is the color of tears normal when taking birth control pills?" Gao Feng was curious now.

"Yes, there have been no tears of blood in more than a year." The patient said with certainty.

Gao Feng pondered for a moment and quickly thought of something in his mind.

"Do these bloody tears have anything to do with menstruation?" He asked again, "Think about it again, do bloody tears usually appear before and after menstruation?"

Caught in the middle is a high probability of hemiplegia.

Compensated menstruation refers to cyclic non-uterine bleeding similar to the menstrual cycle. The reason may be that changes in hormone levels cause mucosal blood vessels to dilate and become more fragile, making them prone to rupture and bleeding. The most common cause is "epistaxis", commonly known as "abnormal menstruation". Compensatory menstruation occurs most often in the nasal mucosa, accounting for about 1 /3. Secondly, it can occur in the external auditory canal, skin, gastrointestinal tract, breast and bladder.

"Something's wrong. It was clearly absorbed very well last time." A director frowned and said, "How long has it been? Why are there repeated cerebral hemorrhages?"

It is not a good thing for this disease to occur in the head. You must know that cerebral hemorrhage is not a small problem.

When the bleeding is small, the patient may only have a mild headache or no symptoms at all. However, if the amount of bleeding is large, it usually means that the person is unable to recover or is in a permanent vegetative state.

Cerebral hemorrhage certainly does not happen casually.

Head CT still showed cerebral hemorrhage in the same location.

"It seems to be true." The patient called up the menstrual recording software on his mobile phone and looked at it. "It usually occurs from 2 days before menstruation to the end of menstruation."

Generally speaking, this disease is still embarrassing to talk about.

Then more than a month later, the senior sister came over again.

"Maybe it's a coincidence." said the doctor in charge of the bed. "Be careful what you do after you go back. If anything happens, come here in time."

The diagnosis upon admission was cerebral hemorrhage.

After careful questioning, the bed doctor discovered that cerebral hemorrhage always occurred during menstruation. Finally, after multidisciplinary consultation, he was diagnosed with endometriosis.

While collecting medical history, Gao Feng accidentally discovered that the patient was also from their school and was considered his senior sister.

Active endometrial cells should only exist in the endometrium, but now they are naughty, ectopic, and move to a more tricky location.

"You don't need to worry too much." Gao Feng explained before leaving, "Just cry less usually."

But things are definitely not that simple, otherwise Gao Feng wouldn't remember it so clearly.

It was really a cerebral hemorrhage, and the location was almost the same as last time.

Gao Feng couldn't help but remember that when he was a graduate student, he was transferred to the Department of Neurology, and a 24-year-old female patient came in early in the morning.

"How can there be so much cerebral hemorrhage?" The doctor in charge last time smiled and told her not to think too much.

"I don't know what happened. I just suddenly felt a headache, and that's it." The senior sister looked confused, "I didn't do any strenuous exercise."

Most people would probably feel a burst of pain in their balls right away, but senior sister had no such thing, so she could only lie down on the bed again with a grimace.

The problem? Why do cerebral hemorrhages occur repeatedly?
This time, the doctor in charge was very considerate and asked the patient to undergo a cranial angiogram after his condition stabilized. However, no problem was found, and there was no vascular malformation such as moyamoya syndrome as expected.

The senior sister's boyfriend also hurried over at this time. The diagnosis of cerebral hemorrhage frightened him greatly.

It bleeds easily during menstruation, and the bleeding will stop on its own once the menstrual period is over.

However, it is relatively rare to occur on the eyelids.

"I still have a headache. I feel the same as last time." She looked a little pale. "Isn't it still a brain hemorrhage?"

The amount of bleeding that the senior sister had at that time was very small, so she was discharged from the hospital successfully after only receiving conservative treatment for a period of time without any sequelae.

"Still in the same spot!"

This is not a rare disease. It just means that doctors in grassroots hospitals see fewer strange diseases and cannot think of this disease for a while.

As the type of disease with the highest mortality rate among acute cerebrovascular diseases, cerebral hemorrhage accounts for 20% to 30% of acute cerebrovascular diseases. About 80% of hemorrhages occur in the cerebral hemispheres, and about 20% of hemorrhages occur in the brainstem and cerebellum.

The severity of the condition is related to the bleeding site, amount of bleeding and complications.

The patient then left with peace of mind.

"It was fine yesterday." The senior sister's boyfriend even wondered if there was a mistake, "Can this kind of cerebral hemorrhage happen casually?"

However, just to be on the safe side, the senior sister did another head CT, and the subsequent results were shocking.

However, when a woman gets older, she will almost reach menopause when she is in her 50s, and her disease will be cured by this time.

Now everyone was dumbfounded, and many directors came running over.

The treatment for this situation is not difficult. You only need to take birth control pills regularly for a period of time, but it may relapse later.

As soon as he said this, the patient's expression immediately changed.

About a month later, the senior sister appeared again.

"Then you should have compensatory menstruation." Gao Feng said to her.

In the end, the senior sister had no choice but to undergo surgery. She was relatively lucky because the location of the lesion was relatively peripheral.

If it grows inside, it will be troublesome. You can only take oral contraceptive pills for a long time and wait for menopause——
"The fight is about to begin!" Gao Feng was drinking water in the consulting room when he heard someone shouting outside.

Li Youliang immediately stood up and ran out. The boss must be very interested in this, and he must grasp the situation immediately.

"Be careful." Gao Feng shouted.

The current doctor-patient environment is not very good, and hospitals have become one of the places with a high incidence of violent conflicts.

Soon Li Youliang came back.

"There was a patient in the reproductive clinic who was causing trouble. It seemed that there was something wrong with the test results." He said to Gao Feng, "The doctor who was attending the consultation also received a lot of beatings."

"Are you beating someone yet?" Gao Feng was surprised.

"That's right," Li Youliang said. "After the beating, the patient was lying on the ground howling. The security guard also passed by."

"Why is he howling when he moves his hand?" Gao Feng wondered, "The doctor is so shameless that his hand pinched him?" "That's why it's not guaranteed." Li Youliang said.

The two of them walked to the reproductive clinic together. The reproductive clinic was located in Area D on the third floor and was relatively independent from them.

When Gao Feng arrived, the patient had been helped up and was sitting on a stool crying.

The person who was beaten was a female doctor about 40 years old. There was an obvious five-finger mark on the left face of her face, which showed that the patient's attack was relatively heavy.

Standing at the front were people from the Medical Administration Office. They rushed over as soon as they received the news.

Generally speaking, the conflicts between doctors and patients at Union Medical College are very minor. Even if many patients have bad tempers, they rarely dare to act out in such a top hospital.

The person from the medical administration office asked the patient to come to the office to communicate, but the patient was unwilling to go.

Gao Feng listened for a long time and roughly figured out what was going on.

This patient mainly sought medical treatment because of infertility. He and his wife have been married for five years. They live a harmonious marriage, love each other, and have a regular diet and daily routine.

However, the fruit of love has not been welcomed in the past five years. Not only the elderly in the family are worried, but the husband and wife can't sit still.

So we came to the hospital together more than 10 days ago.

After understanding the situation, the doctor who treated them did a routine blood draw and color ultrasound, and also asked for advice and prescribed a chromosome test.

I came here to see the results today, but I didn’t expect something went wrong.

"His chromosomes are 46, XX." The doctor who suffered a big fight felt aggrieved, "We even did a review."

The onlookers didn't understand very well, but Gao Feng understood it immediately.

Normally, male chromosomes should be 46XY, and female chromosomes should be 46XX.

This patient is obviously a male, so how could he have 46XX? There must be a reason for this.

The doctor who attended the consultation told him the results. The patient was definitely not willing to accept it, which was expected.

From a medical point of view, human gender can be divided into chromosomal gender (genetic gender), gonadal gender (ovary or egg) and phenotypic gender. Although the patient's phenotype and gonads are male, the chromosome is female 46XX , which is also clinically known as "46,XX male syndrome."

The attending doctor also explained this to the patient, but the patient's condition is that you are talking nonsense! You are talking nonsense! I don’t listen, I don’t listen!
"Are you kidding me? My development and married life are normal!" The patient could not accept such a result.

"Can a woman do this?"

I was so fierce at that time, you said I was a woman?
I'll catch you.
"That may be because you think you are normal." The attending doctor said, and then she suffered a big fight.

"What do you mean I think I'm normal!"

"I'm just normal!"

This matter is quite difficult, and the people in the Medical Administration Department don't know what to do.

The doctor who attended the consultation had a very firm attitude, that is, the patient must be held legally responsible.

"I've been working for so many years, and I've never been beaten like today!" She was also very excited, "Call the police!"

"How about we discuss it again." Someone from the Medical Administration Office said, "The patient is not very emotionally stable right now. Let's communicate first."

The doctor who attended the consultation was very unhappy. He was emotionally unstable. Am I emotionally stable? I'm going to explode too!
"A man actually hit a woman like me!"

"I'm not a man, isn't that what you said?" the person from the medical administration office whispered.

"Women can't hit women." The attending doctor said aggrievedly.

"You have to consider the other person's mental capacity for this." The two people from the medical administration office tried to persuade each other, "This is a major mental blow. It's normal for him to lose his temper."

Gao Feng also felt speechless for a while, there was really nothing he could say about this matter.

A good man came to have his blood drawn and became a woman.

Who can bear this?

But it is definitely wrong to hit someone, and there is no way to vent your dissatisfaction on the attending doctor, especially since she made no obvious mistakes.

"There is a patient, the triage nurse is calling." Li Youliang came over and said, Gao Feng hurried back.

This patient was very special because he was so skinny that he was pushed up while lying on a flat car.

Patient Zhou Feng, male, 20 years old, is currently a prospective freshman.

"I received the admission notice, but now I can only apply for suspension of study." The patient's father shed tears when talking about this.

Zhou Feng suddenly felt discomfort in his waist while moving bookcases in different classes after returning to school, but he didn't take it to heart. It was not until more than 10 days later that he discovered that the pain had not disappeared but had become more severe that he and his family realized the seriousness of the problem.

"One day when I came back from shopping for groceries, I saw my son suddenly sneezed and fell to the ground..." Zhou Feng's mother said.

This scared them, and Zhou Feng had to take leave for treatment. When he returned to class, it was the day before the college entrance examination.

After leaving campus, Zhou Feng's parents took him to many hospitals inside and outside the province for medical consultation. Because the condition is rare, he was finally diagnosed with Langerhans pleocytosis in a hospital in Shanghai.

This is a blood disease that can cause problems in the immune system or blood system, resulting in weight loss or fatigue.

Although there is a diagnosis, there is no effective treatment plan, and the patient can only lie in bed and endure the pain most of the time.

While other senior high school students were preparing for the college entrance examination, Zhou Feng had to lie in bed all day due to a sudden illness, let alone review for the college entrance examination.

However, he was strong and optimistic and did not give up. Finally, with the help of his family and society, he realized his dream of taking the college entrance examination.

But then his condition progressed again, and now the main symptoms are pain all over the body and loss of consciousness in the lower body.

Seeing their son getting depressed day by day was definitely unacceptable as a parent, so Zhou Feng's parents decided to come to the capital to see if they could find any hope.

Although the patient's eyes were gloomy, he was very polite and tried to smile at Gao Feng, which made Gao Feng feel good about the patient.

"Let me take a look at the previous test results."

Zhou Feng's parents hurriedly handed over a large pile of thick information. From this, it can be seen that the patient has experienced a lot of pain during this period.

General diseases are not obvious, but when you are seriously ill, it is always difficult to seek medical treatment, especially when the family's financial situation is not very good.

Zhou Feng's family should be very ordinary, which can be seen from the clothes of his parents.

"I think it will take a while to finish watching. You guys sit down first." Li Youliang moved two stools over.

Zhou Feng's parents waved their hands repeatedly, indicating that they could just stand.

"Your diagnosis of Langerhans pleocytosis seems not very clear." Gao Feng hesitated and said, "What did the doctor over there say? Please tell me in detail."

(End of this chapter)