"Uh……"
"This is a test list. I haven't seen any abnormality for the time being." Director Luo did not laugh, but directly handed over the test list that he had seen to Zheng Ren.
Zheng Ren saw that Director Luo was open-minded and smiled. He took the test and looked through it.
The values of the test sheets are normal, and nothing is seen.
Zheng Ren began to ponder the patient's symptoms described by the patient's family - general weakness? What to consider? Is it the fatigue or electrolyte imbalance caused by the tumor, or other diseases?
Then there is the diagnosis of intestinal obstruction, but the detailed examination excludes the diagnosis.
Is this a false intestinal obstruction, or is there a problem with the local hospital diagnosis? Zheng Ren soon found out that he was in the Imperial Capital, and it was indeed different from Haicheng.
In Haicheng, the family members of the patients will not trust the local doctors. As long as they are intractable, the possibility of staying for treatment is not great.
However, in the Imperial Capital, the family members of the patients usually come with the film and the inspection report, and the patient is not seen. And the patient's family is full of expectations, as if no matter what disease, can be seen in the emperor.
Faced with this expectation, Zheng Ren felt great pressure.
In Haicheng, patients and their families can be advised to go to a higher level hospital. But now I am standing in the superior hospital, which is almost the last stop of all kinds of incurable diseases.
Zheng Ren looked at the test sheet while feeling the new environment and new problems.
Director Luo looked very carefully. He didn't take a look at the list because he had a lot of people outside.
From time to time, he asked some details and looked very casual, but Zheng Ren was able to judge the true intention of Director Luo.
It is not a dietary problem, nor is it an ion disorder. Intestinal obstruction can be temporarily determined as pseudo-intestinal obstruction.
Pseudo-intestinal obstruction is caused by neuroinhibition, toxin stimulation or lesions of the smooth muscle of the intestinal wall, resulting in dysfunction of the intestinal wall muscles.
Clinically, there are symptoms and signs of intestinal obstruction, but there is no intestinal intestinal obstruction factor, so it is also called dynamic intestinal obstruction. It is a syndrome without intestinal lumen obstruction.
Simply put, there is a problem with intestinal peristalsis.
This kind of intestinal obstruction is not a particularly good way, just pay attention to the diet.
It should be like this, but it can't be easily diagnosed. Zheng Ren quietly took over all the information that Director Luo had read.
Suddenly, an inspection report appeared in Zheng Ren’s field of vision.
The examination of the electromyogram, the result of the lowest return is written - no abnormalities in myoelectricity.
No abnormality?
Zheng Ren has never seen an EMG before. It is an examination of the scope of medical kinematics, which is basically required for neurosurgery and orthopedics and traumatology. Even with them, there are not many EMGs.
However, in the operation and diagnosis of Nanchuan Town and the day after night, Zheng Ren’s auxiliary examination was comprehensively improved.
A list of EMG caught his attention. In the EMG spectrum, Zheng Ren read out countless pieces of information.
In the system space, he did not notice the branch skill tree of the EMG. But at this moment, the estimation is also expected to increase with the improvement of skills such as CT and MR.
EMG, there is a problem! The diagnosis given by the local hospital is wrong.
"Director Luo, you can take a look at the EMG." Zheng Ren whispered.
“Well?” Director Luo snorted. He didn’t understand the EMG. After all, he was a doctor in the Department of Gastroenterology. He never looked at myoelectricity.
Director Luo glanced at the report and was somewhat puzzled. "Zheng boss, what do you think?"
"The local diagnosis is wrong." Zheng Rendao.
"..." Director Luo was speechless.
His speechlessness is not because the local diagnosis is wrong. Because in the Imperial City, I can often see the wrong diagnosis of the lower level hospital. Even if you look at dozens or hundreds of patients every day, if you don't encounter a wrong diagnosis, Director Luo will feel amazing.
But... This is the EMG, Xiaozhen boss also understands?
Director Luo did not speak, just looked at Zheng Ren, his eyes revealed the meaning of the inquiry.
Zheng Ren nodded slightly and said: "According to the performance of the EMG, I think it may be..."
“Hmm?” Director Luo felt the hesitation of Zheng Ren. Is it a rare disease?
"It is mitochondrial myopathy." Zheng Ren whispered.
The patient's family stunned, mitochondria? What the **** is that? Sounds weird.
Not only her, but even Director Luo stunned.
Director Luo was very cautious. He did not directly answer Zheng Ren’s words. After a few seconds of indulging, he picked up his mobile phone and dialed a phone.
"Hey, I am Luoshan."
"I have a patient here, with a local EMG, and now I suspect that there is an error in the local diagnosis, please take a look."
"Well, I let the patient's family go to you. You write down your diagnosis, thank you."
After that, Director Luo asked the patient's family to go to the myoelectric room to find a certain director, and then come back.
The patient's family was puzzled, but still followed the director's embarrassment and took the EMG. While still walking, I remembered the name of mitochondrial myopathy, but I can't remember it now, just remember the three words of mitochondria.
Other information, Director Luo did not let the belt, said it was trouble.
But Zheng Ren knows that he may have to ask himself a lot of questions.
The family members of the patient went out. Director Luo specially went to the door to say a few words and appeased several other people who came to see the doctor. This closed the door and looked at Zheng Ren. He asked: "Zheng boss? How do you diagnose it?"
Director Luo's tone is not heavy, but through a serious, academic strength ~ www.novelhall.com ~ Zheng Ren knows that to get the approval of Director Luo, now is the key.
The previous diagnosis of Crohn's disease patient, his own judgment, like Director Luo, can show part of the ability, but not enough.
Academic, only close to academics. Of course, things like peers are also there, and they are more likely to be closer to each other.
In other words, if you don't have two brushes, don't say that doing research in the Imperial Capital is difficult even if you stand firm.
I can't really rely on the few beds given by Director Kong to make the Nobel Prize.
Of course, you can also apply to the above and get support from the health department. In that case, the timeline will be extended indefinitely. Moreover, the 912 hospital is not affiliated with the Ministry of Health.
Zheng Ren does not want this.
He got up and smiled and said: "Because the patient has a problem with the electromyogram, and according to the patient's family, the patient is easily tired. If you don't guess wrong, it should be extremely easy to get tired."
"How do you guess?" Director Luo helped the glasses, stared at the nose and face, and looked at the a little funny young man, who was not polite.
"Because of intestinal obstruction." Zheng Rendao: "I came from the hospital below. The local hospital doctors know that there are not many people with mitochondrial myopathy. Oh...sorry, when you say it, you will run off the subject."