"It's a pity that there is no physical examination, so further verification cannot be carried out." Director Feng sighed.
"Um... Director Feng, do you want to do a facial nerve tapping test?" Zheng Ren asked.
Director Feng nodded.
Zheng Ren also felt a little embarrassed, but after thinking for 1.23 seconds, he said: "If you are not allowed to do a physical examination, then use an ECG monitoring blood pressure cuff to do an arm compression test."
"I'm worried about something going wrong." Director Feng smiled bitterly.
The arm compression test refers to wrapping a sphygmomanometer rubber bag around the upper arm, inflating the bag to maintain the blood pressure above the systolic pressure, and stopping the venous return of the upper arm for 2 to 3 minutes, which can cause local arm twitching.
Thereafter, the patient's hands will experience "midwife" hand-like changes - catatonic spasms, manifested in the upper limbs as wrist flexion, finger extension, metacarpal joint flexion, and thumb adduction close to the palm and opposite to the little finger.
This is a typical symptom of pseudohypoparathyroidism.
Director Feng did not continue speaking. He looked at Vice President Yuan, waiting for him to make up his mind.
Obviously, the reason why he didn't do it was because of Director Mao's mother. For this kind of thing, the dean still has to take the blame.
"Okay, let's do a brachial compression test first. If it's positive, I'll tell Aunt Chen and recommend a thyroid B-ultrasound and other tests." Vice President Yuan nodded.
Ringer quickly arranged for doctors and nurses in the special needs ward to do the examination.
Director Feng gave instructions on what to pay attention to during the inspection, and then the atmosphere in the small conference room temporarily relaxed a little.
While waiting, it was time for everyone to whisper to each other.
"Boss Zheng, why are you hitting me?" Lin Yuan also knew that it was because he bit his fingernails, but his old man didn't care and just meowed away every time.
Unexpectedly, a girl in her twenties would be hit with a ball pen by Boss Zheng in front of so many senior directors and Vice President Yuan.
She was very angry.
"In the hospital, even if you don't have a physical examination, you will be exposed to a lot of bacteria, including germs of infectious diseases." Zheng Rendao, "Don't bite me in the future."
What he said was natural, but Lin Yuan was extremely angry.
Why should you hit yourself
However, if he was being reasonable, he would definitely lose. Lin Yuan suppressed his anger and prepared to counterattack in a roundabout way.
"Boss Zheng, pseudohypoparathyroidism is a rare familial disease. Are you sure you want to diagnose it this way?" Lin Yuan asked.
In this regard, she is very confident that she can gain the upper hand in the battle with Boss Zheng.
"Do you think the patient's family is really unreasonable?" Zheng Ren suddenly asked.
"Uh..." Lin Yuan didn't know why the topic changed to this.
Director Wei's eyes lit up and he nodded.
"Pseudohypoparathyroidism is actually nothing. Most of the patients develop symptoms at the age of 8-9. Some patients are fine when they are children but start to develop symptoms as adults. However, they need to take oral calcium and vitamin D for life..." Zheng Ren said here, There was a pause.
Lin Yuan still didn't understand what Boss Zheng was talking about.
"You will understand when you go back and think about it carefully." Zheng Ren smiled, but he was too lazy to explain in too much detail to this clinical rookie.
During this period, a lot of it was just speculation, but Director Feng's words had the same meaning as his own thoughts, so just do an arm compression test, it's not a big deal.
Soon, the experimental results came back, and the doctor and nurse saw the standard midwife's hands at the same time.
Zheng Ren said nothing, and Director Feng began to summarize.
He suggested doing a lot of tests to determine the status of low calcium and high phosphorus in Director Mao’s blood, so that appropriate medication can be given.
Although there was no definite answer in the end, it was just a positive arm compression test, which didn't explain too many problems, but after all, the direction of the inspection was clear.
Watching Zheng Ren and Lin Yuan leave, their dark green isolation uniforms so conspicuous among the white coats, Vice President Yuan smiled.
"Dean, who is..." Lin Ge saw the doorway and came over to ask.
"Don't ask, the less you know, the better." Vice President Yuan said with a smile, "Arrange Director Mao to do relevant examinations. If the family has other opinions, you can do the work. If you really can't solve the problem, then report to me."
Ringer took the order.
Ye Qingqiu takes care of the children at home, and now he is responsible for the medical department and science and education department. This is the pinnacle moment of Lin Ge's life.
Although he is still at the deputy director level, he knows that his work at this time must be detailed and orderly and demonstrate his abilities, so that it will play a huge role in the future.
Vice President Yuan left the special needs ward with a smile, but did not return to his office. He took out his mobile phone and called President Yan.
"Dean, are you busy? I have something to report to you."
"Okay, I'll be there soon."
Putting away the phone, Vice President Yuan walked towards the office building and went straight to Dean Yan's office.
Although he didn't stop, he walked very slowly, thinking about something as he walked, with an inexplicable smile on his lips.
After entering Dean Yan's office, the director who reported the work inside walked away knowingly and closed the door.
"Dean, has Director Kong of the Intervention Department reported to you?" Vice Dean Yuan asked with a smile.
"What about Lao Lin? I told you." Dean Yan nodded, "What do you think?"
"Xiao Linzi went to the hospital-wide consultation that just ended wearing an isolation gown."
"Um?"
"I guess I'm anxious and want to gain a foothold in Boss Zheng's medical team as soon as possible." Vice President Yuan said lightly.
"Young people always have their own ideas. Lao Lin didn't come to me directly because he was probably afraid of embarrassing me." Dean Yan's expression was serious and unsmiling.
"Well, you're right."
"Just pretend you don't know about Dr. Zheng's work. Give him some support and increase his burden." Dean Yan seemed to change the topic, but Vice Dean Yuan knew what he meant.
"Linger and Boss Zheng are very close and provide great support at work."
"Well, let's discuss it at the dean's office meeting later." Dean Yan nodded.
There didn't seem to be any practical issues, but that was enough. Dean Yan made his attitude clear on both matters.
The only daughter and daughter of Dr. Lin, the oncology director of the Imperial Capital, came to 912. This would put an extra burden on Boss Zheng's medical team and let Boss Zheng work hard to retain Lin Yuan.
This kind of opportunity really fell from the sky, and Dean Yan also felt that Boss Zheng was really lucky.
However, this involves some small thoughts between several elderly people, which is not enough for outsiders.
As for Lin Ge, the work was very hard, so Boss Zheng contacted people from King's Hospital for technical exchanges. If we don’t reward such great achievements, who will work hard in the future
After Vice President Yuan left, Dean Yan leaned on his chair and leisurely wrote a few words about Xiao Linzi on the paper, and then shred it with a paper shredder.
This is interesting.
…
…
Note: This case was told by the director of the medical department of a well-known tertiary hospital during a meeting (I also listened to the narration). The conference is not an academic conference, but a conference on the prevention of medical disputes. You can imagine a group of Ye Qingqiu sitting together, discussing medical disputes. The ending of the matter is a bit gloomy, so I will briefly mention it so as not to affect the mood of all you book lovers. In fact, it's pretty much the same story, that's about it, but there's no description of that side. With these pens and inks, it is not as interesting as writing a few small cases.