"Dr. Carl, that''s a pity," Zheng Kaixuan said. "I also want to learn interventional surgery with you. I didn''t expect you to go to Canada. But I think the news may be happy. After all, the Montreal Institute of Neurology judged that it was not a malignant tumor."


    "Hope," Saban Karl shrugged his shoulders. "It''s not a malignant tumor, but it''s not diabetes. My blood sugar is fine. It''s all right."


    Just then, the door of the ward was opened, and Wu Mian and Chu Zhixi came in.


    "Carl, I have good news for you," said Wu Mian with a smile.


    "Huh?"


    "The A1C level of your glycosylated hemoglobin is 14.7%. The normal range of our measuring machine is 4.3% ~ 6%, which means that your glycosylated hemoglobin level is on the high side." Wu Mian said and handed the test sheet to Saipan Carr.


    "Wu," Saipan Carr said, glancing at the data on the test sheet, "Montreal, Canada..."


    "Neurology research center? They don''t have a doctor who can see a doctor," Wu Mian said with certainty.


    "..." Saipan Carr and Zheng Kaixuan were stunned.


    No one expected Wu Mian to give such a sentence directly.


    To say that a doctor can''t see a doctor is the most serious and even severe statement.


    "I didn''t see the patient, and Carl, I don''t think your medical history of Montreal is complete, is it?" Wu Mian asked with a smile.


    "Er..." Saipan Carl looked at Wu Mian. Is the medical history so important?


    "If you don''t know about your fatigue and eating more than before recently, give me a diagnosis?" Wu Mian said.


    "Wu, I think I''m tired from flying back and forth across the ocean," Saipan Carr explained.


    "Carl, do they say it may be some rare genetic system defect?" Wu Mian asked.


    Saipan Carl stared at Wu Mian in a daze. At this moment, he felt that he was being watched. Otherwise, why would Wu say what he just said so accurately.


    "Believe me, it''s just the most common diabetes, and you didn''t notice it," said Wu Mian gently. "Lie down, I''ll make you wear your waist."


    "Why?"


    "Carle, if it is diabetes, the glucose monitoring of cerebrospinal fluid will increase by hormone therapy." Wu Mian said, "if you want to go to Canada, if you want to go to Canada, I will not stop you."


    Saipan Carl looked at Wu Mian deeply. After a few seconds, he nodded, lay on the hospital bed, and turned his back to Wu Mian.


    "Miss Wu, what can I do for you?" Zheng Kaixuan asked.


    "Just look at it." Wu Mian said, "doctors should always carefully collect medical history and physical examination to guide the preliminary evaluation. First, we should eliminate common causes. We should not hold on to some rare causes because of reflex."


    Isn''t it better to give a diagnosis of rare diseases at the first time? Zheng Kaixuan thought to himself.


    "It''s called a common disease because most of the patients we meet are in this situation. It''s not easy to be optimistic about common diseases. I always think so." Wu Mian said, putting on stuley''s gloves and starting to make waist clothes for Saipan Carl.


    "Wu, I am showing an asymmetric enhancement in my head by magnetic resonance imaging, which can not be explained by diabetes," Saipan Carle said sideways.


    "With regard to the interpretation of this result, I prefer a meaningless imaging manifestation."


    "..." Saipan Carl was speechless.


    "Carl, think for the best. The causes of lateral ventricular cysts, hydrocephalus and intracranial space occupying lesions have been ruled out. I watched the film for a long time, and the final conclusion is that the image is meaningless."


    Zheng Kaixuan sighed slightly. Mr. Wu really dared to say. If this goes out of the clinic and the patient says so, I''m afraid I can''t be scolded to death by the patient?


    Patients don''t care what is meaningful or meaningless. If they do this with their families, they will probably welcome a sentence - it''s useless to give me any tests, you quack.


    After the waist piercing, Wu Mian left the ward with the specimen extracted by puncture, leaving Saipan Carl and Zheng Kaixuan, the "partners" who didn''t do a single operation, staring at each other.


    Zheng Kaixuan looked at Saipan Carr silently. The doctor who used to be legendary in cognition now looks so helpless. Not only him, but also the doctors in Montreal are called "unable to see a doctor" by Mr. Wu.


    Accustomed to Wang Qingshan''s good way of speaking abroad, Zheng Kaixuan felt a little confused when he came into contact with Wu Mian''s thinking.


    He wanted to comfort Dr. Carl, but Zheng Kaixuan was not good at words and didn''t know what to say.


    "Zheng, do you believe in Dr. Wu?" Saipan Carr asked after a long time.


    His voice is a little hoarse. Zheng Kaixuan even has the illusion of Saipan Carr''s vocal cord paralysis.


    "Dr. Carl, I believe Mr. Wu." Zheng Kaixuan thought and said seriously, "in our country, the diagnostics that medical students want to learn is compiled by Mr. Wu."


    "But he thinks I''m just diabetes," Saban Karl can''t believe. "Although I hope I''m just a series of physiological changes caused by elevated blood sugar, it''s just a good wish."


    "Dr. Carl, Mr. Wu has ruled out the changes of diseases such as neuronodular changes. I think you should wait for the test report." Zheng Kaixuan said, "Mr. Wu is right. We should start with the basic diseases to judge a symptom. Those rare diseases are called rare diseases because they are really rare."


    Saipan Carr listened to Zheng Kaixuan''s rap like views in English with an Australian accent, even with a heavy heart and a smile.


    Maybe. I hope Wu is right.


    At least so far, I haven''t heard of his failure in any field.


    "Zheng, when did you come here?" Saipan Carr began to chat with Zheng Kaixuan.


    Waiting is so hard. Only chatting can make Saipan Carl forget that he is "seriously ill".


    Soon, the door was pushed open, and Wu Mian appeared in front of Saipan Carl with a smile.


    "Carl, which do you want to hear first, a good news or a bad news?" asked Wu Mian.


    "Good news," Saipan Carr said without hesitation.


    "Glucocorticoid content in lumbar cerebrospinal fluid increased significantly after the treatment of empiric glucocorticoid pulse therapy, reaching 22.64mmolL," Wu Mian said. "Plus blood tests, glycosylated hemoglobin increased. Considering your condition is due to undiagnosed diabetes caused by microvascular ischemia, asymmetric enhancement on MRI is an accidental finding."


    "What about the bad news?" Saipan Carr asked nervously before he had time to be happy.


    "You have diabetes, and you may need insulin to maintain your blood sugar in the future."