Chapter 1991 The Midwife's Hand
"It's a pity that there is no physical examination and no further verification." Director Feng sighed.
"Hmm...Director Feng, do you want to do a facial nerve percussion experiment?" Zheng Ren asked.
Director Feng nodded.
Zheng Ren also felt a little embarrassed, but after thinking for 1.23 seconds, he said: "If you don't allow a physical examination, then use the blood pressure cuff for ECG monitoring to do an arm compression test."
"I'm worried there's something wrong." Director Feng smiled wryly.
Brace-arm compression test means that the rubber bag of the sphygmomanometer is wrapped around the upper arm, and the bag is inflated to maintain the blood pressure above the systolic pressure. The venous return of the upper arm is stopped for 2 to 3 minutes, which can cause local arm convulsions.
Afterwards, the patient's hand will have a "midwife" hand-like change-tonic spasm, manifested in upper limb flexion of the wrist, extension of the fingers, flexion of the metacarpal joints, and adduction of the thumb close to the palm and facing the little finger.
This is a typical symptom of pseudohypoparathyroidism.
Director Feng didn't continue to speak, he looked at Vice President Yuan, waiting for him to make up his mind.
Obviously, the reason for not doing it was because of Director Mao's mother. For this kind of thing, the director still has to take the blame.
"Okay, let's do a compression test first. If it's positive, I'll go and tell Aunt Chen, and I suggest doing a thyroid B-ultrasound and other tests." Vice President Yuan nodded and said.
Ringer quickly arranged for the doctors and nurses in the special needs ward to do the examination.
Director Feng instructed the things that need to be paid attention to during the inspection, and then the atmosphere in the small meeting room temporarily relaxed a little.
While waiting, it is time for everyone to whisper and whisper.
"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 every time he meowed, he passed away.
Unexpectedly, a girl in her twenties was beaten by Boss Zheng with a ballpoint pen 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 Ren said, "Don't bite in the future."
What he said was natural, but Lin Yuan was extremely angry.
Why beat yourself!
However, if he was reasonable, he would definitely lose. Lin Yuan suppressed his anger and prepared to counterattack in a roundabout way.
"Boss Zheng, pseudohypoparathyroidism is a rare family disease, are you sure you want to diagnose it?" Lin Yuan asked.
In this regard, she is very confident that she will gain the upper hand in the battle with Boss Zheng.
"Do you think the patient's family is really unreasonable?" Zheng Ren asked suddenly.
"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, and most of them develop at the age of 8-9. Some patients have nothing to do when they are young, and they start to develop symptoms in adults. However, the treatment is not very troublesome, but they need to take calcium and vitamin D orally for life... ..." Zheng Ren paused after saying this.
Lin Yuan still didn't understand what Boss Zheng was talking about.
"Go back and think about it carefully, and you'll understand." Zheng Ren smiled, he was really too lazy to explain in too much detail to this clinical rookie.
During this period, a lot of guesses were made, but Director Feng had the same meaning inside and out as he thought, so let's do a compression test of the arms, and it's not a big deal.
Soon, the results of the experiment came back, and the doctors and nurses saw the standard midwife's hand at the same time.
Zheng Ren didn't speak, Director Feng began to summarize.
He suggested that a lot of tests should be done to determine the low calcium and high phosphorus status of Director Mao's blood, so as to treat the symptoms.
Although there was no definitive answer in the end, it was just a positive arm pressurization test, which could not explain too many problems, but after all, the direction of the inspection has been determined.
Seeing Zheng Ren and Lin Yuan leave, the dark green isolation suit was so conspicuous among the white coats, Vice President Yuan smiled.
"Dean, that's..." Linge saw the doorway and leaned over to ask.
"Don't inquire, the less you know, the better." Vice President Yuan smiled, "Arrange Director Mao to conduct relevant inspections. If the family has other opinions, you can go to work and report to me if you can't solve it."
Ringo took the lead.
Ye Qingqiu takes care of the children at home, and now he is responsible for the medical affairs department and the science and education department. This is the peak moment of Ringer's life.
Although he is still at the deputy director level, he knows that his work at this time has to be detailed and orderly, and show his ability, so that it will play a huge role in the future.
Vice President Yuan left the special needs ward with a smile, but didn't go back to his office. He took out his mobile phone and called President Yan.
"Dean, are you busy? There is something I want to report to you."
"Okay, then I'll be right there."
Putting away the phone, Vice President Yuan walked to the office building and went straight to President Yan's office.
Although he didn't stop, he walked very slowly. While walking, he was thinking about something, and there was an inexplicable smile on the corner of his mouth.
After entering Dean Yan's office, the director who reported the work inside walked away knowingly, and closed the door by the way.
"Dean, Director of Intervention Department Kong has reported to you." Vice President Yuan asked with a smile.
"What about Lao Lin? I told you." Dean Yan nodded, "What do you think?"
"The hospital-wide consultation just ended, and Xiao Linzi went there wearing an isolation suit."
"Um?"
"I guess I'm in a hurry and want to gain a firm 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, probably because he was afraid that I would make things difficult for him." Dean Yan's expression was very serious, serious and unsmiling.
"Well, you're right."
"Just pretend that you don't know about Dr. Zheng's work. Give him proper support and add more burden." Dean Yan seemed to change the subject, but Vice Dean Yuan knew what he meant.
"Boss Lin Ge and Zheng are very close, and the work support is also very strong."
"Well, let's discuss it at the dean's office meeting later." Dean Yan nodded.
Nothing of practical importance seemed to be said, but that was enough. Dean Yan expressed his attitude towards both matters.
Dean Lin's only daughter, the jewel in the palm of the eye, even came to 912, so he would put more burden on Boss Zheng's medical team and let Boss Zheng work hard to keep Lin Yuan.
This kind of opportunity really fell from the sky, and Dean Yan also felt that Boss Zheng's luck was really good.
However, this involves some small thoughts among several elderly people, which is not enough for outsiders.
As for Linge, the work was very hard, and Boss Zheng contacted the people from the King's Hospital for technical exchanges. If this kind of great achievement is not rewarded, who will work hard in the future?
After Vice President Yuan left, President Yan leaned back on the chair, leisurely wrote a few words of Xiao Linzi on the paper, and then shredded it with a shredder.
It's 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 report).
The meeting is not an academic meeting, but a meeting to prevent medical disputes. One 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 you book friends.
In fact, the story is almost the same, and that’s about it, but there is no description of that side. With these pens and inks, it is more interesting to write a few small cases.