"Unfortunately, there is no physical examination, so it can't be further verified." Director Feng sighed.

"HMM... director Feng, do you want to do facial nerve percussion test?" Zheng Ren asked.

Director Feng nodded.

Zheng Ren also felt a little embarrassed, but after thinking about it for 1.23 seconds, he said, "don't let me do a physical examination, so let's do a beam arm compression test with the blood pressure cuff monitored by electricity."

"Worry about the problem." Director Feng smiled bitterly.

Arm compression test refers to that the sphygmomanometer rubber bag is wrapped around the upper arm, the bag is inflated to maintain the blood pressure above the systolic pressure, and the upper arm venous reflux is stopped for 2 ~ 3 minutes, which can cause local arm convulsions.

After that, the patient's hand will have a "midwife" like change - tension spasm, which is manifested in wrist flexion, finger extension, palmar joint flexion, thumb adduction close to the palm and opposite to 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 make up his mind.

Obviously, the reason why I didn't do it was because of Director Mao's mother. This kind of thing still needs the dean to carry the pot.

"OK, let's do a beam arm compression test first. If it's positive, I'll talk to Aunt Chen and suggest doing 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 told the matters needing attention when doing the examination, and then the atmosphere in the small meeting room was a little relaxed for the time being.

While waiting, it is time for everyone to whisper.

"Boss Zheng, why did you hit me?" Lin Yuan also knew it was because he bit his fingernails, but his old man didn't care. Every time he meowed, he passed.

I didn't expect that all the girls in their twenties were beaten by boss Zheng in front of so many directors and vice president yuan with a ball pen.

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 the bacteria 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 is reasonable, he will lose. Lin Yuan suppresses his anger and is ready to make a detour to fight back.

"Boss Zheng, pseudohypoparathyroidism is a rare familial disease. Are you sure you want to make such a diagnosis?" Lin Yuan asked.

In this regard, she is very confident that she can win the battle with boss Zheng.

"Do you think the patient's family members are really unreasonable?" Zheng Ren suddenly asked.

"Er..." Lin Yuan didn't know why the topic shifted to this.

Director Wei's eyes lit up and nodded.

"In fact, pseudohypoparathyroidism is nothing. Most of them come on at the age of 8-9. Some patients are fine when they are young and begin to come on in adulthood. However, they need to take calcium and vitamin D orally for life..." Zheng Ren said here and paused.

Lin Yuan still doesn't understand what boss Zheng is talking about.

"Go back and think about it, and you'll see." Zheng Ren smiled. He was too lazy to explain it in too much detail with this clinical rookie.

During this period, many people are speculating, but director Feng's words have the same meaning as his own. It's not a big deal to do a beam arm compression test.

Soon, the experimental results came back, and the doctor and nurse saw the standard midwife's hand at the same time.

Zheng Ren didn't 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 Director Mao, so as to use symptomatic drugs.

Although there is no definite answer in the end, only a positive beam arm compression test can not explain too many problems, but after all, the direction of inspection has changed.

Seeing Zheng Renhe and Lin Yuan leave, the dark green isolation suit was so conspicuous among the white coats that vice president yuan smiled.

"Dean, that's..." ringer saw the doorway and asked.

"Don't inquire. The less you know, the better." Vice President Yuan said with a smile, "arrange Director Mao to do relevant inspections. If there are other opinions at home, you can't solve it and report to me again."

Ringer takes orders.

Ye Qingqiu takes care of her children at home. Now she is shoulder to shoulder with the medical department and the science and education department. This is the peak of Ringer's life.

Although he is still at the deputy department level, he knows that his work at this time should be detailed and orderly and show his ability, which will play a great role in the future.

Vice President yuan smiled and left the special needs ward, but did not return to his office. He took out his mobile phone and called President Yan.

"Dean, are you busy? I'd like to report something to you."

"OK, I'll be right there."

Put away the phone, vice president Yuan went to the office building and went straight to President Yan's office.

Although he didn't stop, he walked very slowly. He thought about something while walking, and a faint smile of indescribable meaning appeared in the corners of his mouth.

After entering Dean Yan's office, the director who reported the work inside left knowingly and closed the door by the way.

"Dean, director Kong of the intervention Department reported to you." Vice President yuan asked with a smile.

"What about Lao Lin? I told you." Dean Yan nodded, "what do you think?"

"Just after the hospital consultation, XIAOLINZI went in isolation clothes."

"Huh?"

"I guess I'm worried and want to get 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. I'm afraid I'm embarrassed." Dean Yan's expression was very serious and unsmiling.

"Well, you're right."

"Just don't know, Dr. Zheng's work, give appropriate support and add a burden." President Yan seems to have changed the topic, but vice president yuan knows what he means.

"Ringer and boss Zheng are very close, and their work support is also very strong."

"Well, we'll discuss it at the dean's office meeting later." Dean Yan nodded.

There seems to be no practical problem, but that's enough. President Yan expressed his attitude on both matters.

The only daughter of Dean Lin, the only daughter of the emperor's cancer president, came to 912. Then put more burden on boss Zheng's medical team and let boss Zheng try to keep Lin Yuan.

This opportunity really fell from the sky. Dean Yan also felt that boss Zheng was really lucky.

However, this involves some careful thinking among several elderly people, which is not enough for external humanity.

As for ringer, the work is very hard. Boss Zheng contacted the people of King hospital for technical exchange. If you don't reward this great achievement, who will work hard in the future?

After vice president yuan left, President Yan leaned back in his chair, leisurely wrote several words of small forest on the paper, and then stirred it with a paper shredder.

It's interesting.

……

……

Note: this case was told by the director of the medical department of a well-known third class hospital at a meeting (I also listened to the report). The conference is not an academic conference, but a conference to prevent medical disputes. You can imagine a group of Ye Qingqiu sitting together, discussing medical disputes. The end of the matter is a little gloomy. I'll simply pass it, so as not to affect the mood of your book friends. In fact, it's almost the same. It's probably the same thing, but there's no description of that side. With these pen and ink, it's better to write a few small cases.