Zheng Ren was relieved when Gerd Woods' team left yesterday. Zheng Ren is particularly unaccustomed to routine work such as giving lectures.
I felt relaxed today. Director Kong and Lin Ge said they wanted to have dinner together as a celebration banquet.
It is said that Dean Yan has agreed to Lin Ge's transfer, and the report will be released in the next half month after it reaches the ministry.
Although no one can predict what unexpected situation will happen until the last moment, it would be weird if Dean Yan, the hospital's cadre adjuster, doesn't care.
After driving Da Huangya away, Zheng Ren, Director Kong, and the medical team went downstairs.
"Boss Zheng, what was the medical problem just now?" Director Kong asked as he walked away. "Superior semicircular canal fissure syndrome is easily missed. This is a rare disease that was first discovered in 1998."
"Rare diseases, can you tell at a glance?" Su Yun blew, his black hair floating in front of his forehead.
"It's just a suspicion. The patient's symptoms are similar. I suggest you do a thin-section CT scan of the temporal bone and we'll talk about it after it's done." Zheng Ren said with a smile.
"What is superior semicircular canal fissure syndrome?" Director Kong listened to the temporal bone thin-section CT and became interested.
This kind of examination rarely appears clinically.
"Normally, there are two holes in the bone structure around the inner ear. But in patients with superior semicircular canal fissure syndrome, the bone at the top of the inner ear will be thinned or missing, resulting in a third hole. Generally speaking, when flying on an airplane, there will be a change in air pressure. …”
"Boss, your butt is too crooked. We are all our own people. Can you tell the truth?" Su Yun said scornfully.
"Hey." Zheng Ren did not retort, but smiled.
Director Kong recalled the position of the temporal bone and smiled.
Boss Zheng said that the top bone of the inner ear will be thinned or missing. This very written and official term is to cover up the fact - trauma.
According to what the doctor just said, he met a "nosy" person after a fraud. As for what happened next, everyone knew it.
"A survey by the American Rare Disease Organization shows that about 1% of people will have a third hole in their inner ears. It is this extra hole that causes hearing imbalance." Zheng Ren ignored Su Yun's words and continued, "Actually, They are not considered rare diseases, but they are difficult to detect and have only been identified in the last 2 to 30 years.”
"I discovered it in 1998, which was really late." Director Kong said with a smile.
"Well, Dr. Minor reported in 1998 a group of cases with clinical manifestations of vertigo, vibrating sensations in the ears, and balance disorders induced by strong sound stimulation, middle ear pressure, or changes in intracranial pressure."
"Thin-section CT of the temporal bone shows that the top bone of the superior semicircular canal is partially defective, and the direction of the induced nystagmus is consistent with the plane of the superior semicircular canal... "
"Boss, why don't you let me do electronystagmography?"
"Too lazy to write." Zheng Ren said irresponsibly for the first time.
Su Yun shrugged, "If Dahuangya continues like this, he will die sooner or later without a burial place."
"Absolutely." Zheng Ren said, "But it's really uncomfortable to have this disease. You can hear the sound of gland secretion, which most people can't bear."
"Don't pay attention to him." Su Yun said, "If I were you, I would admit him to the hospital and check him for four or five days first."
"I dare not admit him to the hospital." Zheng Ren said frankly, "What if I really can't bear it and break down emotionally to retaliate against society. The ward is full of patients, and it's not appropriate to hurt anyone."
"Hey, do you think you'd just give him a note suggesting a checkup and he'd do it?"
"Whether you do it or not has nothing to do with me?" Zheng Ren smiled honestly.
There is a metaphor that everyone is queuing up to take a road of no return.
The doctor himself was also queuing up, constantly taking some people out of the queue and lining up a little further away from the end point.
A doctor with a high level of skill can make this distance longer, and a doctor with an average level of skill can also have an effect to some extent. And some quack doctors and even miracle doctors even do the opposite.
Having said that, Zheng Ren has no control over whether Dahuang Ya believes it or when he will have a checkup, and he doesn't want to.
Talking and laughing, the medical team went to eat happily.
…
…
At this time, in the operating room of Guta Hospital, the largest orthopedic hospital in the imperial capital, Professor Tian, who had gone to Haicheng to perform knife surgery, was performing the last operation of the day.
There are so many surgeries here every day that there is no queue, and patients from all over the country come in droves. Professor Tian specializes in spinal surgery, and his level is ranked among the top ten in the country.
Professor Tian performed one day of surgery, and this was the last case. The patient's condition was not very serious, so the procedure was scheduled for the afternoon.
The patient is a 55-year-old female. She felt pain in her waist after lifting heavy objects a week ago, but she didn't pay attention at the time. I thought it was a sprain or something, and it would be fine after just two days of treatment.
After resting for a few days, the pain became worse and worse, and oral painkillers did not have a particularly good effect. It hurts when I move, and even when I lie down, the pain is quite severe.
At the local examination, the L2 spinous process tenderness and percussion pain were positive, and the flexion and extension activities were limited, and standing and walking were limited.
The X-ray of the lumbar spine showed no abnormalities; the MRI of the lumbar spine showed that the upper edge of the L2 vertebral body was slightly depressed, the bone continuity was interrupted, and the fat-suppression sequence showed high signal; the diagnosis was an osteoporotic compression fracture of the L2 vertebral body and severe osteoporosis.
The local doctor recommended percutaneous kyphoplasty, which is commonly known as local bone cementing to support fractures and osteoporosis.
As soon as they heard that surgery was going to be performed, the family did not dare to neglect it and immediately brought the patient to the imperial capital.
After all, it is a spinal surgery. If it is not done well, paralysis of the lower limbs will occur. This is the simplest understanding of spinal surgery by ordinary people.
In itself, lumbar compression fracture is just a minor problem, but when combined with paralysis of the lower limbs, it becomes a serious illness.
Nowadays, whether it is aviation, high-speed rail or highway, it is very convenient. It is a bit troublesome to register after coming to the imperial capital.
Professor Tian took the patient in. The diagnosis was clear and there were no contraindications for surgery before surgery, so he immediately arranged the surgery.
This kind of surgery is not a big one and Professor Tian has done hundreds of cases. Compared with orthopedic hip replacement, vertebral body resection and other surgeries, percutaneous kyphoplasty is indeed a minor surgery.
Although it was a minor surgery, Professor Tian looked at the patient's lumbar spine MRI again before the operation, and the overall surgical process was already clear.
This is a habit, and only if the surgeon is careful can complications be avoided as much as possible.
"Teacher Tian, please brush your hands." Professor Tian's assistant reminded the patient after positioning him.
The surgery is performed under local anesthesia, with the patient positioned prone with hips and knees flexed.
It's a little uncomfortable to be in this position, but the surgery doesn't take long, so it doesn't matter.
"The surgery won't hurt, just relax." Professor Tian comforted the patient, and then went to put on lead clothes, brush his hands, and go on stage.
After half an hour of finishing the operation, you can get off work, Professor Tian thought to himself.