Zhang You was squeezed by Director Tang and glared at her fiercely.

The more you are like this, the more you can't be cowardly, otherwise you will be run to death. Zhang You knows this very well.

"I said it has nothing to do with thoracic surgery." Zhang You emphasized.

"No, how did I remember that I was talking about surgery from the beginning, and I didn't talk about external thoracic surgery or surgery for breast aphrodisiac surgery." Director Tang broke Zhang You's words and was in a good mood. He continued to listen to Zhou Congwen's speech.

"The surgical procedure mentioned by the boss just now means that such patients may experience hyperparathyroidism. If it is secondary, Cinacasse can be treated first. If the effect is not good, please consult the erectile dysty surgery to remove the hyperplastic parathyroid gland."

“It’s basically that.”

After Zhou Congwen finished his brief lecture, he glanced at several directors in the office.

Director Tang raised his hand like a student.

"Director Tang, you said."

"Is the high-density shadow in the lungs calcification deposition?" Director Tang asked.

"Yes." Zhou Congwen said with certainty, "The calcification deposition of the alveolar wall, which is particularly obvious black lung images. Basically, after seeing the chest X-ray, you can tell that it is kidney failure tied to calcification defense caused by long-term dialysis. The imaging performance is quite typical, and you will not forget it after watching it once."

Calcification deposition should be white, why is it called black lung? Director Tang and Zhang You are both experts in pulmonary disease. When they turn around, they think of the answer and do not continue to ask.

But... Zhou Congwen said that he would know that this was a typical symptom and could confirm the diagnosis, which made it difficult for Zhang You to accept.

"The patient is now diagnosed with calcification defense combined with metastatic pulmonary calcification, and hyperparathyroidism is suspected."

"After a while, the subsequent treatment is the right symptom and surgical intervention may be required."

"The patient's condition is very serious." Director Cui of the Department of Nephrology asked.

"Not heavy." Deng Ming smiled, "The recent patient with calcification defense came from the countryside. When we saw it, four of the patient's left toe fell off."

“…”

"At that time, the patient came to 912, not because of anything else, but because his toes fell off for no reason and had very little bleeding. The local doctor was frightened, and some people said that this was a supernatural phenomenon." Deng Ming held the thermos and took a sip.

"It's inexplicably falling off?!"

"Subcutaneous nodules, ulcers, and dry gangrene, so the peripheral limbs were necrotic and fall off. Because the blood vessel walls were blocked, there was no bleeding." Deng Ming said gently, "As I walked, one of my toes fell off. That's what the patient said at the time."

“…”

Several directors have never seen such a serious patient, nor have they seen such a bizarre medical record.

"Symptom-based treatment, the patient is likely to be fine. In the future... Director Cui." Deng Ming looked at the director of Nephrology.

"Director Deng, yes, yes." Director Cui bowed 30°.

"I'll leave you a phone number. I'll send a text message to the director of the hospital's nephrology department and tell him. If you don't understand anything during the treatment process, if you can't take it accurately, please contact our director."

"Okay, okay."

"Haha, it's okay, it's all about the patient, don't disturb me." Deng Ming said with a smile.

The B-ultrasound was pushed by the bedside, and the result was the same as Huang Lao guessed that the patient had parathyroid hyperplasia.

According to Zhou Congwen, you can take medication first for control. If it is not ideal, you will ask for consultation with the breast aphrodisiac surgery to see if it can be treated surgically.

In addition, Deng Ming left the phone number of the director of the 912 Nephrology Department to Director Cui, and everyone had nothing to ask.

If the diagnosis is clear, if the treatment is done... Mr. Huang must not follow from beginning to end. After all, the treatment of internal medicine diseases is a very long process, and it is enough to be able to make a clear diagnosis.

"If there is nothing else, I will send the boss and Director Deng back first." Zhou Congwen saw this and said to several people.

"Old Huang, thank you, thank you." Director Cui kept thanking.

"It's okay." Huang Lao said lightly, "Read more books, you are all directors, and you are not a grassroots hospital. The surrounding radiates to tens of millions of people, so you should know some rare diseases."

Mr. Huang said it very gently, just like talking about the principles of being a human being with his children and grandchildren, and felt ashamed of the words of several directors.

"A few days ago, a relative of our nurse's family gave birth to a child in another place. The child was in a breeze position and his neck was always crooked after giving birth. The local doctor diagnosed it as torticollis, and he had to undergo surgery when he grew up, which made the patient's family cry in a hurry."

As Huang Lao said, he stood up and took off the borrowed white clothes and returned them to Director Cui.

"Later, they took the child to give me a look. It was not natural torticollis, and the patient was a typical birth injury. The child was injured during the delivery process and formed a lump. I pressed it for three days and the child was cured."

"Fortunately, it was not delayed. If I didn't deal with it in a few days, it would probably leave a lifelong problem."

Mr. Huang walked out with his back and bowed his hands, and casually nagged about a misdiagnosis, which made the backs of several directors say were covered with white hair and sweat.

It is not a serious sin to not be diagnosed with an extremely rare disease such as calcification defense. However, although Mr. Huang said it very gently, several directors seemed to have been scolded by the head teacher, and they did not dare to say a word with their heads down.

"The patient comes to the provincial capital and trusts you, and cannot let this trust down."

Zhou Congwen smiled, this is the boss’s daily values.

I looked at Deng Ming and saw that his face was normal. I guess I had already been tolerant of the values ​​instilled by the boss and didn't take it to my heart at all.

Zhou Congwen felt a little happy as he was still the same.

"Let's go back, read more books in your daily life." Mr. Huang waved his hand and said goodbye to several directors.

"Old Huang, I'll give you a gift." Director Cui stepped forward with a guilty look on his face and said to Old Huang.

Mr. Huang did not refuse, and walked forward with his hands behind his back. Zhou Congwen took a few quick steps and pressed the elevator.

"There are all kinds of auxiliary examinations. Even if you don't know how to do it, you should know who is doing it well in the hospital." Seeing that the elevator was not arrived, Huang Lao continued to mutter, "Last year, an acquaintance of the patient's family came to me for treatment. The best doctor in the local hospital had a B-ultrasound. He judged it was breast cancer and had surgery. After I came, I gave an ultrasound. What is breast cancer, it was a cyst."

"The patient will be cured by the ultrasound guide and then sclerosis with alcohol after being pulled out. However, the only regret is that the patient is too intolerant of alcohol, and the sclerosis alcohol has caused the patient to be drunk for 3 days."

As he said that, Huang Lao sighed leisurely.

Deng Ming smiled and explained to Zhou Congwen, "The patient said he could not drink alcohol before the operation, but he did not have alcohol allergies. The boss deliberately used a limited amount of sclerosis alcohol. As a result, the patient was sleeping drowsy after the operation, which scared the house very much."

"If it weren't for 912, it might have been a medical dispute." Zhou Congwen said with a smile.
Chapter completed!