Chapter 1992： Midwife hand
"Unfortunately, there is no physical examination and no further verification." Director Feng sighed.
"Hmm... Director Feng, do you want to do a facial nerve slam test?" Zheng Ren asked.
Director Feng nodded.
Zheng Ren also felt a little embarrassed, but after thinking about 1.23 seconds, he said: "If you don't want to check the body, then use the blood pressure cuff of ECG monitoring to do a beam arm compression test."
"Worried about the problem." Director Feng smiled a bit.
The beam arm press test means that the sphygmomanometer rubber bag is wrapped around the upper arm, and the bag is inflated to maintain the blood pressure above the systolic pressure, and the upper arm venous return is stopped for 2 to 3 minutes, which may cause local arm convulsion.
After that, the patient's hand will have a "midwife" hand-like change - tension sputum, in the upper limbs showed wrist flexion, finger extension, finger joint flexion, thumb adduction close to the palm and opposite the little finger.
This is a typical symptom of pseudohypoparathyroidism.
Director Feng did not continue to speak. He looked at Vice President Yuan and waited for him to take his idea.
Obviously, the reason why I don’t do it is because of Mao’s mother. This kind of thing, still have the dean to come back to the pot.
"Well, first do a beam arm compression test. If it is positive, I went to Chen Ayi and said that it is recommended to do thyroid B-ultrasound and other tests." Vice-President Yuan nodded.
Ringer quickly went to the doctors and nurses in the special needs ward to do the test.
Director Feng asked what to pay attention to when checking, and the atmosphere in the small meeting room was a little easier.
When you wait, it’s time for everyone to whisper.
"Zheng boss, what are you doing for me?" Lin Yuan also knows that he is biting his fingernails, but his father doesn't care, every time he squats.
I didn't expect the big girls in their twenties to be beaten by Zheng Boss with a ballpoint pen in front of so many directors and vice president Yuan.
She is very angry in her heart.
"In the hospital, even if you don't check your body, you will be exposed to a lot of bacteria, including infectious diseases." Zheng Rendao, "Don't bite later."
Of course, he said that Lin Yuan was extremely angry.
Why do you beat yourself!
However, if it is reasonable, he will lose no doubt. Lin Yuan suppresses his anger and prepares to fight back.
"Zheng Boss, pseudohypoparathyroidism is a rare familial disease. Are you sure you want to diagnose this?" Lin Yuan asked.
In this regard, she has a great grasp of the upper hand in the battle with Zheng boss.
"Do you think the patient's family is really unreasonable?" Zheng Ren suddenly asked.
"Oh..." Lin Yuan did not know why the topic was transferred to this.
Director Wei’s eyes lit up and nodded.
"Pseudohypoparathyroidism is actually nothing, most of them are in the age of 8-9. Some patients are okay when they are young, and they start to develop after adulthood. But they need oral calcium and vitamin d for life..." Zheng Ren said here. I paused.
Lin Yuan still doesn't understand what Zheng boss is talking about.
"Go back and think about it, you will understand." Zheng Ren smiled, it is too lazy to explain this clinical rookie too detailed.
During this period, many of them were speculations, but in the words of Director Feng, the meaning of the words is the same as his own thoughts. It is not a big deal to do a beam-arm compression test.
Soon, the results of the experiment came back, and doctors and nurses saw the standard midwife hand at the same time.
Zheng Ren did not speak, Director Feng began to summarize.
He suggested doing a lot of tests to determine the state of low calcium and high phosphorus in the blood of the hair, to symptomatic medication.
Although there was no final answer in the end, it was only a positive test of the beam arm pressure, and it could not explain too many problems, but after all, the direction of the inspection was there.
Looking at Zheng Ren and Lin Yuan left, the dark green isolation suit in the middle of the crowd was so conspicuous, and Vice Yuan Yuan smiled.
"President, that person is..." Ringer saw the doorway and asked to come over.
"Don't inquire, the less you know, the better." Vice-President Yuan laughed. "Arrange the director Mao to do the relevant inspections. If there are other opinions at home, you can do the work and you can't solve it and report to me."
Linger took the lead.
Ye Qingqiu takes care of the children at home, and now he is picking up his own medical office and science and education department. This is the peak moment of Ringer’s life.
Although he is still a deputy, he knows that his work at this time needs to be detailed and orderly, and he will show his ability to play a huge role in the future.
Vice-President Yuan Xiaoxiao left the special needs ward, but did not return to his office, took out his mobile phone, and called the phone to Yan Dean.
"Dean, are you busy? Something I want to report to you."
"Okay, then I will be there soon."
Put away the phone, Vice President Yuan went to the office building and went straight to the office of Yan Dean.
Although he did not stop, he walked slowly, thinking about something while walking, and his mouth showed a hint of incomprehensible meaning.
Into the Yan Dean's office, the director who reported the work went away, and closed the door by the way.
"President, Interventional Director Kong Confucius reported to you." Yuan Vice President smiled and asked.
"What happened to Lao Lin? Said." Yan Yuan nodded. "What do you think."
"The just-concluded hospital consultation, Xiaolinzi went in isolation suit."
"Ok?"
"I estimate that I am in a hurry and want to gain a foothold in Zheng’s medical team as soon as possible.” Vice President Yuan said in an understatement.
"Young people always have their own ideas, Lao Lin did not directly look for me, it is estimated that I am afraid of my embarrassment." Yan Dean's expression is very serious, not smirking.
"Well, you are right."
"When I don't know, Dr. Zheng's work on the other side, support him appropriately, plus one plus burden." Yan Dechang seems to have changed the topic, but Vice President Yuan knows what he means.
"Linge and Zheng Boss are very close, and their work support is also very strong."
"Well, I will discuss it again during the office meeting of the Dean." Yan Yuan nodded.
It seems that there is no practical problem, but this is enough. Two things, Yan Yuanchang have shown their attitude.
The only daughter of the president of the Tudor Cancer ForestThe Pearl of the Pocket actually ran to 912, which added a burden to the medical team of Zheng Boss, so that Zheng Boss tried to retain Lin Yuan.
This kind of opportunity is really falling in the sky. Yan Dean also feels that Zheng’s luck is really good.
However, this involves some careful thinking between the elderly, not enough for outsiders.
As for Ringer, the work was very hard, and Zheng Boss contacted the people at King’s Hospital for technical exchanges. If this kind of great merit is not rewarded, who will still work hard in the future?
After the deputy director Yuan left, Yan Yuan leaned on the chair and wrote a few small forest words on the paper, and then shredded with a shredder.
This is interesting.
......
......
Note: This case was told by the head of the medical department of a well-known top three hospital (I also listened to the report). The conference is not an academic conference, but a conference to prevent medical disputes. Imagine a group of Ye Qingqiu sitting together and everyone talking about medical disputes. The ending of the matter is a bit gray, and it is a simple one, so as not to affect the mood of the book friends. In fact, the talk is almost the same, probably just like this, but there is no description of that side. With these pens, it is better to write a few small cases.
Surgery live room https://
"Hmm... Director Feng, do you want to do a facial nerve slam test?" Zheng Ren asked.
Director Feng nodded.
Zheng Ren also felt a little embarrassed, but after thinking about 1.23 seconds, he said: "If you don't want to check the body, then use the blood pressure cuff of ECG monitoring to do a beam arm compression test."
"Worried about the problem." Director Feng smiled a bit.
The beam arm press test means that the sphygmomanometer rubber bag is wrapped around the upper arm, and the bag is inflated to maintain the blood pressure above the systolic pressure, and the upper arm venous return is stopped for 2 to 3 minutes, which may cause local arm convulsion.
After that, the patient's hand will have a "midwife" hand-like change - tension sputum, in the upper limbs showed wrist flexion, finger extension, finger joint flexion, thumb adduction close to the palm and opposite the little finger.
This is a typical symptom of pseudohypoparathyroidism.
Director Feng did not continue to speak. He looked at Vice President Yuan and waited for him to take his idea.
Obviously, the reason why I don’t do it is because of Mao’s mother. This kind of thing, still have the dean to come back to the pot.
"Well, first do a beam arm compression test. If it is positive, I went to Chen Ayi and said that it is recommended to do thyroid B-ultrasound and other tests." Vice-President Yuan nodded.
Ringer quickly went to the doctors and nurses in the special needs ward to do the test.
Director Feng asked what to pay attention to when checking, and the atmosphere in the small meeting room was a little easier.
When you wait, it’s time for everyone to whisper.
"Zheng boss, what are you doing for me?" Lin Yuan also knows that he is biting his fingernails, but his father doesn't care, every time he squats.
I didn't expect the big girls in their twenties to be beaten by Zheng Boss with a ballpoint pen in front of so many directors and vice president Yuan.
She is very angry in her heart.
"In the hospital, even if you don't check your body, you will be exposed to a lot of bacteria, including infectious diseases." Zheng Rendao, "Don't bite later."
Of course, he said that Lin Yuan was extremely angry.
Why do you beat yourself!
However, if it is reasonable, he will lose no doubt. Lin Yuan suppresses his anger and prepares to fight back.
"Zheng Boss, pseudohypoparathyroidism is a rare familial disease. Are you sure you want to diagnose this?" Lin Yuan asked.
In this regard, she has a great grasp of the upper hand in the battle with Zheng boss.
"Do you think the patient's family is really unreasonable?" Zheng Ren suddenly asked.
"Oh..." Lin Yuan did not know why the topic was transferred to this.
Director Wei’s eyes lit up and nodded.
"Pseudohypoparathyroidism is actually nothing, most of them are in the age of 8-9. Some patients are okay when they are young, and they start to develop after adulthood. But they need oral calcium and vitamin d for life..." Zheng Ren said here. I paused.
Lin Yuan still doesn't understand what Zheng boss is talking about.
"Go back and think about it, you will understand." Zheng Ren smiled, it is too lazy to explain this clinical rookie too detailed.
During this period, many of them were speculations, but in the words of Director Feng, the meaning of the words is the same as his own thoughts. It is not a big deal to do a beam-arm compression test.
Soon, the results of the experiment came back, and doctors and nurses saw the standard midwife hand at the same time.
Zheng Ren did not speak, Director Feng began to summarize.
He suggested doing a lot of tests to determine the state of low calcium and high phosphorus in the blood of the hair, to symptomatic medication.
Although there was no final answer in the end, it was only a positive test of the beam arm pressure, and it could not explain too many problems, but after all, the direction of the inspection was there.
Looking at Zheng Ren and Lin Yuan left, the dark green isolation suit in the middle of the crowd was so conspicuous, and Vice Yuan Yuan smiled.
"President, that person is..." Ringer saw the doorway and asked to come over.
"Don't inquire, the less you know, the better." Vice-President Yuan laughed. "Arrange the director Mao to do the relevant inspections. If there are other opinions at home, you can do the work and you can't solve it and report to me."
Linger took the lead.
Ye Qingqiu takes care of the children at home, and now he is picking up his own medical office and science and education department. This is the peak moment of Ringer’s life.
Although he is still a deputy, he knows that his work at this time needs to be detailed and orderly, and he will show his ability to play a huge role in the future.
Vice-President Yuan Xiaoxiao left the special needs ward, but did not return to his office, took out his mobile phone, and called the phone to Yan Dean.
"Dean, are you busy? Something I want to report to you."
"Okay, then I will be there soon."
Put away the phone, Vice President Yuan went to the office building and went straight to the office of Yan Dean.
Although he did not stop, he walked slowly, thinking about something while walking, and his mouth showed a hint of incomprehensible meaning.
Into the Yan Dean's office, the director who reported the work went away, and closed the door by the way.
"President, Interventional Director Kong Confucius reported to you." Yuan Vice President smiled and asked.
"What happened to Lao Lin? Said." Yan Yuan nodded. "What do you think."
"The just-concluded hospital consultation, Xiaolinzi went in isolation suit."
"Ok?"
"I estimate that I am in a hurry and want to gain a foothold in Zheng’s medical team as soon as possible.” Vice President Yuan said in an understatement.
"Young people always have their own ideas, Lao Lin did not directly look for me, it is estimated that I am afraid of my embarrassment." Yan Dean's expression is very serious, not smirking.
"Well, you are right."
"When I don't know, Dr. Zheng's work on the other side, support him appropriately, plus one plus burden." Yan Dechang seems to have changed the topic, but Vice President Yuan knows what he means.
"Linge and Zheng Boss are very close, and their work support is also very strong."
"Well, I will discuss it again during the office meeting of the Dean." Yan Yuan nodded.
It seems that there is no practical problem, but this is enough. Two things, Yan Yuanchang have shown their attitude.
The only daughter of the president of the Tudor Cancer ForestThe Pearl of the Pocket actually ran to 912, which added a burden to the medical team of Zheng Boss, so that Zheng Boss tried to retain Lin Yuan.
This kind of opportunity is really falling in the sky. Yan Dean also feels that Zheng’s luck is really good.
However, this involves some careful thinking between the elderly, not enough for outsiders.
As for Ringer, the work was very hard, and Zheng Boss contacted the people at King’s Hospital for technical exchanges. If this kind of great merit is not rewarded, who will still work hard in the future?
After the deputy director Yuan left, Yan Yuan leaned on the chair and wrote a few small forest words on the paper, and then shredded with a shredder.
This is interesting.
......
......
Note: This case was told by the head of the medical department of a well-known top three hospital (I also listened to the report). The conference is not an academic conference, but a conference to prevent medical disputes. Imagine a group of Ye Qingqiu sitting together and everyone talking about medical disputes. The ending of the matter is a bit gray, and it is a simple one, so as not to affect the mood of the book friends. In fact, the talk is almost the same, probably just like this, but there is no description of that side. With these pens, it is better to write a few small cases.
Surgery live room https://
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