Chapter 2180

Zheng Rencai was relieved when the gaid woods team left yesterday. Zheng Renlai is not used to routine work such as lectures.

Today, director Kong and Lin Ge said they were going to have dinner together. It was a celebration banquet.

It is said that Dean Yan has agreed to the transfer of Ringer. When it is reported to the Ministry, it will be down in the last half a month.

Although no one could say what would happen before the last minute, it would be a strange thing if Dean Yan of the hospital's cadre adjustment didn't count.

Get rid of rhubarb teeth. Zheng Renhe, director Kong and the medical team go downstairs.

"Boss Zheng, what's the problem with the medical trouble just now?" Director Kong asked as he walked. "Superior semicircular canal fissure syndrome, which is easy to be missed. It is a rare disease and was first found in 1998."

"Rare diseases, you can see at a glance?" Su Yun breathed, his black hair floating on his forehead.

"It's just a suspicion. The patient's symptoms are more similar. I suggest doing thin-layer CT plain scan of temporal bone, and we'll talk about it after it is done." Zheng Ren smiled.

"What is superior semicircular canal fissure syndrome?" Director Kong is interested in listening to thin-layer CT of temporal bone.

This kind of examination rarely appears in clinic.

"Normally, there are two holes in the bone structure around the inner ear. However, in patients with superior semicircular canal fissure syndrome, the bone at the top of the inner ear will become thinner or missing, resulting in a third hole. Generally speaking, when making an airplane, there will be changes in air pressure..."

"Boss, your ass is too crooked. It's all your own. Can you tell the truth?" Su Yun despised.

"Hey." Zheng Ren did not refute, but smiled.

Director Kong recalled the position of the temporal bone and smiled.

Boss Zheng said that the bones at the top of the inner ear would become thinner or missing. This very written and official word is masking a fact - trauma.

According to the medical trouble just now, I met a "nosy" person after a fraud. As for what happened later, everyone knows.

"A survey by the American rare diseases organization shows that about 1% of people have a third hole in their inner ear. It is this extra hole that makes their hearing unbalanced." Zheng Ren ignored Su Yun's words and continued, "in fact, it is not a rare disease, but it is difficult to find it. It has been determined in the last 2 or 30 years."

"It was late enough to find out in 1998." Director Kong smiled.

"Well, in 1998, Dr. minor reported a group of cases with vertigo, intra ear vibration and balance disorder induced by strong sound stimulation, changes in middle ear pressure or intracranial pressure."

"Thin slice CT of temporal bone showed partial bone defect at the top of the superior semicircular canal, and the direction of nystagmus induced by it was consistent with the plane of the superior semicircular canal..."

"Boss, why don't you let me have an electronystagmography?"

"Too lazy to write." Zheng Ren said irresponsibly for the first time.

Su Yun shrugged. "If rhubarb teeth go on like this, they will die sooner or later."

"Almost." Zheng Ren said, "but it's really hard to get this disease. Ordinary people can't bear to hear the sound secreted by glands."

"Ignore him." Su Yun said, "if I were you, I would put him in the hospital and check it for four or five days."

"Dare not enter the hospital." Zheng Ren said frankly, "if you can't stand it, you will collapse and retaliate against the society. The ward is full of patients, and it's inappropriate to hurt anyone."

"Hey, do you think he'll do it if you give him a note suggesting inspection?"

"Does it have anything to do with me?" Zheng Ren smiled foolishly.

There is a metaphor that everyone is lining up to take a road of no return.

When the doctor himself was in line, he kept pulling some people out of the line and lined up a row back, a little farther from the end.

A high-level doctor can make this distance a little longer, and a mediocre doctor will also play a role. Some quack doctors and even miracle doctors will even do the opposite.

As for whether rhubarb believes it or not, Zheng Ren can't and doesn't want to control when to have an examination.

Talk and laugh, the medical group went to dinner happily.

……

……

At this time, in the operating room of Guta hospital, the largest orthopedic hospital in the imperial capital, Professor Tian, who once went to Haicheng to fly a knife, was performing the last operation today.

There are many rows of operations here every day, and patients from all over the country flock to them. Professor Tian is mainly engaged in spinal surgery, which can rank among the top ten in China.

Professor Tian had a day's operation. This is the last case. The patient's condition is not very serious, so it is scheduled to be done in the afternoon.

The patient was a 55 year old female patient. She felt lumbar pain after lifting heavy objects one week ago, but she didn't pay attention at that time. I thought it was a sprain or something. I'll be fine after two days.

After a few days of rest, the pain became more and more serious, and oral painkillers had no particularly good effect. It hurts when you move, even when you lie down.

According to the local prosecutor, the tenderness and percussion pain of L2 spinous process were positive, the activities of flexion and extension were limited, and the standing and walking were limited.

X-ray film of lumbar spine showed no abnormality; Lumbar MRI showed that the upper edge of L2 vertebral body was slightly sunken, bone continuity was interrupted, and lipid suppression sequence showed high signal; It was diagnosed as L2 vertebral osteoporotic compression fracture and severe osteoporosis.

Local doctors recommend percutaneous kyphoplasty, which is often called local cementation to support the position of fracture and osteoporosis.

As soon as they heard that they were going to have an operation, the family did not dare to neglect it. They immediately took the patient to the imperial capital.

After all, it is spinal surgery. Once it is not done well, lower limb paralysis will occur. This is the simplest understanding of spinal surgery by ordinary people.

Itself, lumbar compression fracture is only a small problem, but it becomes a serious disease associated with lower limb paralysis.

Now, whether it's air, high-speed rail or expressway, it's very convenient. It's a little annoying to register after coming to the imperial capital.

Professor Tian collected the patient, made a clear diagnosis, had no surgical contraindications before the operation, and directly arranged the operation.

This kind of operation is not big. Professor Tian has done hundreds of cases. Compared with orthopedic hip arthroplasty and vertebrectomy, percutaneous kyphoplasty is indeed a small operation.

Although it was a minor operation, Professor Tian looked at the patient's lumbar MRI again before the operation, and the overall operation process was already clear to the chest.

This is a habit. Only when the operator is careful can complications be avoided as much as possible.

"Mr. Tian, brush your hands." Professor Tian's assistant reminded the patient after positioning him.

The operation was local anesthesia, and the patient was in prone hip flexion and knee flexion position.

This position is a little uncomfortable, but the operation time is not long, it doesn't matter.

"The operation won't hurt. Relax." Professor Tian comforted the patient, then went to wear lead clothes, brush hands and go on stage.

After the operation in half an hour, Professor Tian thought to himself that he could get off work.