I can see the status bar

Chapter 151
The good news Sun Lien said is based on the characteristics of PMDS deformity patients-they will have two sets of reproductive systems in their bodies.If Lin Lan is indeed a PMDS patient, then there must be a set of immature uterus hidden in her body.

If the diagnosis is confirmed, maybe after removing the cryptorchidism in Lin Lan's pelvis, hormone therapy can be used to promote the redevelopment of her uterus, so as to gain fertility—but the eggs need to rely on donors, Lin Lan I don't have this ability.

It's just that this set of treatment content can only be handed over to other general hospitals.After all, the Fourth Central Hospital is a hospital that is biased towards emergency treatment, and it is more appropriate to entrust this kind of treatment to a hospital that is good at endocrinology and reproductive medicine.What the Fourth Central Hospital can do now is to diagnose Lin Lan's condition.

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"I think... Director Liu's judgment was not wrong at first." Sun Lien led the way in the corridor, and he suddenly whispered, "Lin Lan's situation is not right." Sun Lien suddenly discovered a logical blind spot, a Dr. Pascal and Xu Yourong couldn't find a huge loophole right away - in the status bar, Lin Lan was "male", not "female".

The genetic sex of PMDS patients should be consistent with their social sex. Although they suffer from reproductive system disorders, they generally do not show transgenic sex.In general, male PMDS patients with the XY gene may present with an inguinal hernia.The content of the inguinal hernia is the immature uterus.

In contrast, female PMDS patients with XX gene show no obvious external differences and have a relatively normal female reproductive system-but the ovaries are replaced by cryptorchid testes.These female patients are generally sent to the hospital for treatment due to irregular menstruation or infertility.

There is no error in the status bar, at least so far, the prompts in the status bar are [-]% correct.Since the status column thinks that Lin Lan is male, it means that Lin Lan's genetic sex must be XY male, not female.But if it is a male with XY gene, it is impossible to show PMDS female deformity.

This makes no sense.

"Something's wrong?" Xu Yourong frowned, "It's not suitable to discuss this in the corridor, go to my office."

It is one of the hospital's rules and regulations not to discuss the patient's condition in public.

Today is not an operation day, but there are still not many doctors in the office.After greeting the two doctors who were acquainted in the office, Xu Yourong directly opened the door of the small conference room.

"Actually, there is nothing to discuss. Just do genetic testing." Dr. Pascal spread his hands after hearing Sun Lien's doubts. "I insist on my own judgment. If it is AIS, she should not have menstrual cycle symptoms."

Sun Li'en opened his mouth, but he didn't know how to explain his discovery.Of course, the fact that Lin Lan's gender was judged by the status bar cannot be mentioned.

"I think the biggest point is the location of Lin Lan's cryptorchidism." Xu Yourong called up Lin Lan's abdominal CT image from the computer and projected it on the screen with a projector. If it is PMDS, the cryptorchidism should be in the pelvic cavity, replacing the position of the ovaries. This position is too low."

"Let's do a genetic test." Dr. Pascal continued to spread his hands, "This is the most direct way to check."

Sun Li'en was about to nod, but suddenly saw a somewhat strange organizational structure on the picture. "Here..." He stood up from his seat and pointed at a small high-density area on the screen, "Isn't this location bladder tissue?"

The part Sun Lien pointed at could barely see a small bump, about two centimeters thick.

"It might just be a simple anatomical abnormality." Among the three doctors present, only Xu Yourong was a surgeon, and he was also a neurosurgeon.Sun Lien was inexperienced, and Dr. Pascal certainly did not look at CT images as often as Xu Yourong.The three of them were naturally a little uncertain looking at the change in this position.Looking at this pelvic CT image, she seemed a little hesitant.

"It seems that we still need at least one surgeon in our team." Sun Lien joked helplessly, "Please ask the gynecologist to take a look."

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"It's a uterus, an immature uterus." Feng Chujie, the chief gynecologist who came for consultation, made a judgment almost instantly.But as soon as she made a judgment, she encountered another difficulty, "This picture is wrong."

"The shape of the pelvis is wrong." Sun Lien and Xu Yourong said in unison.Feng Chujie looked at the two of them, "Where did you find the picture?"

Sun Lien spread his hands, "This is the patient we admitted to the emergency department a few days ago."

"Transfer to our department." Dr. Feng straightened his hair and pinned it behind his ears skillfully. "This should be a hermaphrodite, right?"

"It's not confirmed yet. He has been lying in the ICU and regained consciousness the day before yesterday." Sun Lien frowned, "This patient has not yet been diagnosed."

Dr. Feng glanced at Sun Lien strangely, "What's there to diagnose? PMDS." She directly supported Professor Pascal's judgment. "Immature uterus plus cryptorchidism, it's obvious."

"PMDS won't have this kind of pelvis." Xu Yourong joined Sun Lien's camp, "AIS is more likely."

The meeting room became lively, and neurosurgeons began to peek inside the door watching the excitement.Ningyuan Medical College has a lively style of study, and it has almost become a habit for everyone to discuss together.Seeing the lively atmosphere in the conference room, they also joined in the fun.

"No...it's not just PMDS." Listening to the discussion, Sun Lien suddenly had a flash of inspiration. "This is a compound case!"

The conference room fell silent, Xu Yourong stared at Sun Lien expectantly.She vaguely felt that Lin Lan's case might be more complicated than anyone imagined.

"I think..." Sun Lien was still immersed in the excitement of his discovery, and he didn't even notice that everyone around him became quiet.He stood up and pointed to the image on the screen, "Permanent Müllerian duct syndrome caused her to have immature uterus and fallopian tubes in her body, and AIS caused her to have a low cryptorchidism, but the cryptorchidism still exists in the pelvic cavity In... the patient suffers from both PMDS and AIS at the same time!"

Dr. Feng was about to refute, but Sun Lien asked, "If she is a female PMDS patient, she will show some masculine traits, right?"

Doctor Feng nodded hesitantly.Due to the relatively active cryptorchidism in the body, most female PMDS patients will have symptoms such as heavy hair, dark skin, deep voice, and hormonal disorders.

"Lin Lan is very beautiful." Xu Yourong probably understood what Sun Lien meant, "Her skin is very good, and her complexion is also very fair."

"What kind of evidence is this?" Dr. Feng shook his head and said, "Could it be that I have PMDS because I stay up late every day on duty and my face is full of acne? Dr. Xu's skin is also very good, and she is also an AIS patient?"

Sun Li'en was stunned by Dr. Feng's theory, "But other than that, there is no reasonable explanation."

"Seeing a doctor not only depends on logic and explanations, but we also rely on evidence. Modern medicine is evidence-based medicine." Dr. Feng did not mean any harm. The legend of Sun Li'en these days has gradually spread to the entire hospital, even she has heard.She didn't think that Sun Li'en said that for the sake of showing off, after all, he was still young and sometimes inexperienced. "Do a genetic test. This evidence is the most important."

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When eating at noon, Hu Jia heard that her boyfriend had eaten up in the morning, not only did not comfort him, but burst out laughing.

"Why?" Sun Li'en was a little depressed, "Is it worth laughing at my mistakes?"

"You." Hu Jia wiped his mouth with a tissue, looked at the depressed Sun Lien and laughed, "You really should look in the mirror and see yourself. This expression is exactly the same as Director Liu's when he lost in a fight."

Sun Lien was startled, "Director Liu ever lost a fight?"

"Of course." Hu Jia squinted his crescent-like eyes, "I saw Director Liu and Dean Song lose a fight last year, and this expression has been on his face for several days."

　I feel much better today, my stomach doesn't hurt much!

　　The 3K update will resume tomorrow.

　　
　
(End of this chapter)