"Miss Wu."


    Wu Mian got on the 120 ambulance. A doctor on the ambulance said, "the child still has breath."


    "Take the catheter, monitor the urine volume and observe how diabetes insipidus is," Wu Mian said.


    "OK." the doctor turned back and gave the child a urinary catheter.


    "Miss Wu, what''s wrong with the child?" the doctor asked while he was busy.


    "Han Xue Ke''s syndrome," said Wu Mian.


    Wait for the doctor to finish the catheter and start a physical examination.


    "Suspended teeth are the most typical manifestation of Hansel Kirschner syndrome," said Wu Mian. "Unilateral convex eyes and osteolytic changes can be basically judged."


    "How to rescue when you go back?" the doctor looked at the value of ECG monitoring and asked in distress.


    Hansel Kirschner syndrome, he... Doesn''t know what it is.


    "It''s OK to treat hypokalemia." Wu Mian sat back in his seat and said faintly, "by the way, don''t needle any treatment for diabetes insipidus."


    “……”


    "I met a similar patient before. The hospital gave pituitrin and dihydrogram urinary plug. As a result, there was a big problem. After symptomatic treatment, the blood potassium increased directly from 1.5 to 6.2, and almost didn''t die."


    "Uh... No treatment?"


    "Well." Wu Mian nodded, "the patient''s diabetes insipidus is due to the lack of ADH, resulting in the loss of a large amount of hypotonic fresh water from the urine, and the sodium is not eliminated. In this way, the body becomes a salt bath, and the sodium will be higher and higher."


    "The characteristic of this kind of patients is that they drink a lot of water every day, about 10000ml. After drinking it, they urinate." Wu Mian sighed. "It''s OK not to do treatment. If you use the existing technology for treatment, the children will soon have complications such as epilepsy. That group of traffickers give the children drugs to treat diabetes insipidus, so the serum ions will react quickly."


    "The compressed tablet of oral acetic acid deamination was found in the woman''s bag and handed over to the police." Wu Mian said naturally, looking at the child without blinking.


    Incurable diseases... 120 emergency doctors were stunned.


    Rehydration, symptomatic, the child''s state is better after 30 minutes. The emergency doctor finally breathed a sigh of relief and sometimes asked what had happened.


    "Miss Wu, what''s the matter today? It''s the first time I''ve seen the special police go out."


    "A gang of human traffickers," said Wu Mian, "in the past, they bought children with congenital diseases in remote villages all over the country, mainly due to congenital heart disease. For example, Hansel Kirschner syndrome is rare."


    "Ah? Why buy sick children?"


    "As early as ten or twenty years ago, in a place with a large flow of people like the railway station, there were children with congenital heart disease who begged, and the business was very good. After all, there were still many kind-hearted people. If a person gave $80, he would earn hundreds of dollars a day."


    I didn''t think it was much money, but the 120 emergency doctor couldn''t help smacking his tongue when he thought it was 20 years ago.


    And there is not only one child, but many children. This income is very considerable.


    "It''s wicked."


    "There are a lot of immoral things. You should have seen a lot when you are a doctor." Wu Mian said, "six years ago, I assisted the Ministry of public security and participated in the detection of this major case as a technical diagnostic expert. I didn''t expect to miss the net. I met it today."


    "How dare the mastermind commit another crime and not be afraid to be recognized?" 120 emergency doctors asked suspiciously.


    "He had cosmetic surgery, and his former associates probably didn''t know him." Wu Mian said, "and now the railway station is different from before. Their main energy is spent on the hospital. You''ve heard that holding a dead child to the hospital to prescribe medicine is like this."


    "..." the 120 emergency doctor was stunned, "I didn''t expect it was still a gang."


    "Generally not, this is different."


    120 the emergency doctor was confused. He was called in a hurry to cooperate. At that time, the blood was boiling. I thought it was to arrest criminals. Unexpectedly, Mr. Wu went up and beat people honestly with a few mouths and a fall on his back.


    "Miss Wu, did you know that early in the morning?"


    "After I heard the news, I took a look at the news." Wu Mian said, "later, President Zhou sent me a video. The child looked like a typical Han Xueke syndrome. At that time, I wondered if there would be any accidents."


    "What happened later?" 120 emergency doctors were interested. They could blow it for several years.


    "Section chief Duan sent another picture. When I saw the person negotiating, I knew it was a missed fish, so there was no doubt."


    "Isn''t it cosmetic?" the 120 emergency doctor caught a flaw in Wu Mian and asked.


    "Well, it''s really difficult to distinguish between cosmetic surgery now." Wu Mian nodded, "but there are always some places that can''t be corrected, such as the distance between frontal bones, nostrils and eyebrows. After changing a face, these places generally don''t move, because no one will notice."


    "..." 120 the emergency doctor was stunned.


    Frontal bones are rarely worn. They usually wear cheeks and cheekbones. And the size of the nostrils... Who cares. Then there is the distance between eyebrows, which sounds like a fantasy.


    "Miss Wu, can you tell clearly?" the 120 emergency doctor asked in surprise.


    "Well, you can see it at a glance." Wu Mian smiled, "especially the frontal bone. There are many neurosurgical craniotomy operations. You can know the size of the frontal bone at a glance and what impact it has on the operation."


    "What''s the impact?"


    "You''re not a neurosurgeon. You don''t understand what you say." Wu Mian smiled. "Cosmetic surgery is basically useless for me. Even if I change my face, I rarely do it on the frontal bone."


    "..." 120 emergency doctor sighed with emotion, "Miss Wu, you really have a super brain."


    "It''s not a super brain," said Wu Mian with a smile. "Brother Shui can find the one he''s seen before from 520 water cups of the same type. Such people and things are not uncommon."


    120 the emergency doctor smacked his tongue. Teacher Wu didn''t talk about his own world. Those people should be geniuses.


    "Are you ok?" asked the 120 emergency doctor.


    "Almost." Wu Mian smiled.


    "Miss Wu, you haven''t finished. How did you make a clear diagnosis?"


    "It''s very simple. Ordinary diseases won''t cause a wide range of fluctuations in serum ions in a short time. They fooled themselves. They thought they had left hard evidence, but they didn''t expect that there was no flawless means to deceive people."


    "Coupled with the typical body surface signs of suspended teeth, there is no problem in diagnosis."


    "CT images show extensive osteolytic destruction of the mandible with suspension of teeth. The lesions are often circular or quasi circular bone defects. When the bone cortex of the mandible is invaded, soft tissue swelling can appear around the mass. This sign is a common sign of eosinophilic granuloma of bone when the lesion occurs in the jaw."


    Wu Mian smiled when he saw that the 120 emergency doctor was like a duck listening to thunder. "I can hardly find a complete tooth. The remaining loose teeth are like floating on the gums, which is called floating teeth. It''s rare. You can have a look and you won''t be misdiagnosed in the future."


    "When you encounter such patients, you must be careful and don''t treat them." Wu Mian said, "it''s a rare disease."