Dumped At The Start, The First Surgery Shocked The World

Chapter 488 Kallman Syndrome

"Is it Kallman Syndrome?"

Before Xia's words could be spoken, my mother spoke first.

"That's right."

"It's Kallman Syndrome." Xia Tian nodded.

There is a nest of clear springs in my mother's eyes, and the appearance of pear flowers in the rain is lovable. This mother must have been a great beauty when she was young. She handed a tissue in the summer, and she wiped her tears and said glutinously.

"I checked the symptoms online and it said it was Kallman syndrome."

"I didn't expect it, it really is."

"This is how to do ah?"

Kallman syndrome: Hypogonadotropic hypogonadism with anosmia or hyposmia.

It is a disease with clinical and genetic heterogeneity. KS can be familial or sporadic, and there are three modes of inheritance: X-linked recessive inheritance, autosomal dominant inheritance, and autosomal recessive inheritance.

This disease does not affect life expectancy.

However, hermaphroditism will be indistinct, infertility, loss of smell, etc.

For a boy... It's very sad to be unable to have children, and it's not enough... If you think about it, you can't go to the public bathhouse if you feel inferior.

"This disease can be treated with medication."

"Sit down first."

Summer invited the two to a seat and explained the root cause of Kallman syndrome.

The first root cause: hormones!

During childhood, the human body's hormones are very low. With growth and development, the hormones reach their peak during the developmental period. Some children even develop acne due to excessive hormones, commonly known as acne.

However, patients with Kallman syndrome are precisely because of the lack of hormones!

Hormone is not enough, in addition to the lack of development of sexual characteristics, there is even no body hair, little armpit hair, and very little leg hair. For this type of patients, hormone supplementation is required.

"There are generally three treatment options for kids with Kallman syndrome."

"First: hit testosterone."

"The effect of direct injection of hormones is the best, but direct use of male hormones must be in children under the age of 14, so this method is unsuccessful."

"Second: Gonadotropins."

"HCG 2,000-5,000U is administered intramuscularly twice a week, and when testosterone levels reach the median normal adult male, then HMG/FSH 75-150U is administered intramuscularly 2-3 times a week."

"However... this treatment plan, in addition to promoting the increase of male hormones, will also cause breast development. If the development is excessive, some male and female characteristics may appear."

Peanut beans have grown up, and so have breasts...

Cut breasts or cut peanuts?

(●￣(?)￣●)

"So, this kind of treatment is not recommended."

"Am I suggesting a third treatment option?"

"GnRH Pulse Therapy."

"Use a portable infusion pump to infuse GnRH subcutaneously in a pulse-like manner every 1.5h-2h."

"According to the experiment, GnRH pulse therapy for 12 months, the cure rate is as high as 77%."

After hearing about the 77% cure rate, my mother saw hope again. She nodded again and again: "Okay, I listened to Dr. Xia, so let's use this pulse therapy."

"Is this treatment expensive?"

There was a hint of helplessness in the mother's eyes, and she said quietly: "I have divorced the child's father, and the child's father has not paid child support for seven or eight years. My conditions are OK, and the salary is not low...but it's too expensive... ...I'm afraid I won't be able to take it."

Another woman who was pitted by a scumbag.

Xia Xia said: "The first time for pulse therapy is 29,000 yuan, which is mainly due to the cost of the equipment. Afterwards, each month's drugs only cost 980 yuan, and six months is a course of treatment."

980 per month!

fine……

Mom breathed a sigh of relief, and a smile appeared on her face: "Thank you Dr. Xia, do you prescribe medicine here?"

Xia Xia said: "Kalman syndrome belongs to endocrinology, go to the endocrinology department, and the doctor in the endocrinology department will make the plan."

Mom nodded: "Okay, thank you Dr. Xia."

Referral, fill in patient information, sign the form, and operate directly on the computer.

Then, Xia Tian smiled and said, "It's done, you guys can go over there. Endocrinology is on the 8th floor. I'll call the endocrinology department and let me know, you can just go up."

The two left the emergency room.

I called the endocrinology department in the summer.

...

Department of Endocrinology.

The little nurse walked into the doctor's office and asked, "There is a 16-year-old boy with Kallman's syndrome, who would you like to see?"

The three doctors shook their heads at the same time.

"I don't pick it up."

"I don't want to either."

"Old Li, take it."

Lao Li: "Why didn't you answer?"

"I don't want to take it."

Lao Li: "I don't want to..."

Kallman syndrome is very complicated to treat and needs to be followed up and communicated every month. If it is just a condition, as a doctor, I am still willing to help.

As soon as I heard about the 16-year-old boys, they all fell down.

Children with Kallman Syndrome have some psychological problems because of their lack of physical development. They refuse to cooperate, refuse to communicate, and they are rebellious at the age of 16.

Last month, a doctor was punched by a boy with Kallman syndrome, breaking the bridge of his nose.

When they heard about the 16-year-old boy, the doctors instinctively resisted.

Little nurse: "The patient was transferred from the emergency department."

The three remained motionless.

Little nurse: "It's Dr. Xia's patient."

For a moment.

All three stood up.

"I took it."

"Lao Li, take a rest, I'll take this patient."

"You two, stop arguing, I'll pick it up! Whoever robs the patient, whoever I'm in a hurry with!"

"You think you're in a hurry, and I'll be in a hurry too!"

Five minutes later, the little nurse hurried to the director's office and exclaimed, "Director, take a look, Brother Li and the three of them are fighting."

The director was stunned.

"why?"

Little nurse: "Because of robbing patients."

The director was furious: "Because a patient fought, what kind of patient is this?"

Little Nurse: "Kalman Syndrome Patient."

The director frowned: "Kalman syndrome is not a special disease, what is there to grab?"

Little nurse: "It was sent by Dr. Xia."

The director froze and said to the little nurse, "Tell them to stop beating, this patient has been arranged."

Little nurse: "Who is arranged?"

The director sorted out the white coat: "I took it."

Little nurse: "????"