"It's a pity that there's no physical examination. We can't verify it further." Director Feng sighed.
"Hmm … Director Feng, do you want to do a facial nerve percussion 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 don't allow a physical examination, then let's do an arm compression test with the blood pressure cuff for cardioelectrical monitoring."
"I'm worried that there's a problem." Director Feng smiled bitterly.
The arm compression test was when a rubber bag of a sphygmomanometer was wrapped around the upper arm. The bag was pumped to maintain blood pressure above the systolic blood pressure. Stopping the upper arm venous return for two to three minutes could cause the arm to twitch.
After that, the patient's hand would show a "midwife's" hand change — tension spasm. In the upper limb, the wrist was flexed, fingers were extended, the metacarpal joints were flexed, and the thumb was adducted close to the palm and opposite the little finger.
This was a more typical symptom of pseudohypoparathyroidism.
Director Feng did not continue speaking. He looked at Deputy Director Yuan and waited for him to make a decision.
Obviously, the reason why he did not do it was because of Director Mao's mother. It was still up to the director to take the blame for this kind of thing.
"Okay, let's do an arm compression test first. If it's positive, I'll talk to Auntie Chen and suggest a thyroid ultrasound and other tests, "Deputy Director Yuan said with a nod.
Lin Ge quickly arranged for the doctors and nurses in the special needs ward to do this test.
Director Feng reminded them of the things they needed to pay attention to during the test. Then, the atmosphere in the small meeting room temporarily relaxed a little.
While they were waiting, it was time for them to whisper to each other.
"Boss Zheng, why did you hit me?" Lin Yuan also knew that it was because she had bitten her fingernails, but her old man did not care. Every time she meowed, it would pass.
She did not expect that a girl in her twenties would be hit by Boss Zheng with a ballpoint pen in front of so many directors and Deputy Director Yuan.
She was very angry.
"In the hospital, even if you don't have a physical examination, you will still be exposed to a lot of bacteria, including infectious diseases," Zheng Ren said. "Don't bite in the future."
He said it matter-of-factly, but Lin Yuan was extremely angry.
Why did he hit her!
However, if it was reasonable, she would definitely lose. Lin Yuan suppressed her anger and prepared to counterattack.
"Boss Zheng, pseudohypoparathyroidism is a rare family disease. Are you sure you want to diagnose it this way?" Lin Yuan asked.
In this regard, she was very confident that she could 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 had changed to this.
Department Director Wei's eyes lit up and he nodded.
"Pseudohypoparathyroidism is actually not a big deal. Most people develop symptoms at the age of eight or nine. Some patients were fine when they were young, but they started to get sick in adulthood. However, you'll need to take calcium supplements and vitamin D for the rest of your life … "Zheng Ren paused.
Lin Yuan still did not understand what Boss Zheng was talking about.
"You'll understand once you think about it." Zheng Ren smiled. He was too lazy to explain in detail to a clinical rookie.
During this period, there were a lot of guesses, but the meaning behind Dr. Feng's words was the same as what he was thinking. It was not a big deal to do an arm compression test.
Soon, the results of the experiment came back. The doctor and the nurse saw the standard midwife hands at the same time.
Zheng Ren did not speak, and Chief Feng began to summarize.
He suggested doing a lot of tests to determine the state of low calcium and high phosphorus in Chief Mao's blood so that the symptoms could be treated accordingly.
Although there was no definite answer in the end, it was just a positive arm compression test. It could not explain too many problems, but after all, there was a direction for the examination.
Deputy Director Yuan smiled as he watched Zheng Ren and Lin Yuan leave. The dark green isolation suit was so eye-catching among the group of white coats.
"Director, that is …" Lin Ge saw the door and came over to ask.
"Don't ask. The less you know, the better," Deputy Director Yuan said with a smile. "Arrange for Chief Mao to do the relevant tests. If the family has other opinions, you can do the work. If you really can't solve it, then report to me."
Lin Ge accepted the order.
Ye Qingqiu took care of the child at home. Now, he was in charge of the medical administration and science and education departments. This was the peak of Lin Ge's life.
Although he was still at the deputy division level, he knew that his work at this time had to be detailed and orderly. He had to show his ability so that it would play a huge role in the future.
Deputy Director Yuan left the special needs ward with a smile, but he did not go back to his office. He took out his phone and called Director Yan.
"Director, are you busy? I have something to report to you. "
"Okay, I'll be there right away."
After putting away the phone, Deputy Director Yuan walked to the machine building and went straight to Director Yan's office.
Although he did not stop, he walked very slowly. As he walked, he was thinking about something, and an indescribable smile appeared at the corner of his mouth.
When he entered Director Yan's office, the director who was reporting inside tactfully left and closed the door.
"Director, Director Kong of the Intervention Department has reported to you, right?" Deputy Director Yuan asked with a smile.
"Old Lin's matter? Yes. "Director Yan nodded." What do you think? "
"The whole hospital consultation just ended. Little Lin went there wearing an isolation suit."
"Huh?"
"I think he's anxious. He wants to gain a foothold in Boss Zheng's medical team as soon as possible," Deputy Director Yuan said lightly.
"Young people always have their own ideas. Old Lin didn't look for me directly because he was afraid that I would be in a difficult position." Director Yan's expression was very serious and serious.
"Yes, you're right."
"Just pretend that you don't know. Support Doctor Zheng's work appropriately and increase the burden." Director Yan seemed to have changed the topic, but Deputy Director Yuan knew what he meant.
"Lin Ge and Boss Zheng are very close, and their work support is also very strong."
"Yes, let's discuss it at the director's office meeting later." Director Yan nodded.
He did not seem to say anything practical, but this was enough. Director Yan had made his attitude clear on both matters.
The only daughter of Director Lin of the Imperial Capital Cancer Institute, the apple of his eye, had actually come to the 912. Then, he would increase the 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. Director Yan also felt that Boss Zheng's luck was really very good.
However, this involved some small thoughts between a few old people, so there was no need for outsiders to know.
As for Lin Ge, his work was very hard. Boss Zheng had contacted the people from the King's Hospital for technical exchange. If he did not reward such a great contribution, who would still work hard in the future?
After Deputy Director Yuan left, Director Yan leaned back on his chair and leisurely wrote a few words on the paper. Then, he used a shredder to shred it.
This matter was interesting.
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Note: This case was told at a meeting by the chief of the medical administration department of a well-known tertiary Grade A hospital (I was also listening to it). The meeting was not an academic meeting, but a meeting to prevent medical disputes. One could imagine a group of Ye Qingqiu sitting together, everyone discussing medical disputes. The ending of the matter was a little gloomy, so it was briefly mentioned so as not to affect the mood of the readers. In fact, it was almost done. It was roughly like this, but there was no description of that side. With this brush and ink, it was not as interesting as writing a few small cases.
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