1533 Parkinson's? Check blood calcium first
"..." Director Miao concluded.
"It's a hybrid surgery, not an interventional surgery." Huang Lao said, "The difficulty of interventional surgery is too great and meaningless. Besides, it's a cardiothoracic surgery competition. How can you win the first place with interventional surgery?"
"Hybrid surgery?" Director Miao was stunned, "How do you always do it?"
Zhou Congwen took over the conversation and explained the operation to Director Miao.
The operation itself is not difficult. Director Miao will immediately understand it. This is a blind spot of thinking and technically speaking, it is not difficult.
If it is difficult, there are some problems. The difficulty lies in the need of cooperation between cardiothoracic surgery and circulatory interventional departments.
Ordinary hospitals do not have this condition at all, whether it is valve surgery or cardiac interventional surgery.
Director Miao was dumbfounded after hearing this, and was silent for a long time before looking at his hand sadly.
"Old Huang, I really regret it." Director Miao lowered his head and said softly.
"I regret drinking heavily?" asked Mr. Huang.
"I.…
Director Miao just said a word, tears dripped on his hand that was slightly shaking his forehead.
Although Director Miao understood the operation and must have tried it out of instinct, he is not allowed to go to the operating table again in the current situation.
I watched a mountain of gold right in front of me, but I took every step forward, and it felt like thousands of arrows piercing my heart.
Instead of ridiculing Director Miao, Mr. Huang raised his hand and patted him on the shoulder, "I always feel that there is something wrong, so go and watch the movie first."
Director Miao's lips moved, but he did not brush the old man's kindness.
When he came to Director Miao's office, he respectfully asked Mr. Huang to sit down and stood beside Mr. Huang with various information.
What can Mr. Huang do after seeing it? It’s useless, Director Miao knows it in his heart.
"Click~" Zhou Congwen inserted the NMR film into the film viewer.
Huang Lao and Zhou Congwen look at the nuclear magnetic field together.
Deng Ming stood behind with a thermos cup in his hand and glanced. It was as if Director Miao said. The images on the film showed that Director Miao had an old cerebral infarction accompanied by degenerative white matter lesions.
It’s indeed Parkinson. Do you need to take care of yourself? Deng Ming was alert.
Director Miao is about the same age as himself.
Thinking of this, Deng Ming tightened his hands and held the thermos in the palm of his hand vigorously.
It seems that I have done it to the extreme, and I have very few tobacco and alcohol, except for occasionally smoking some second-hand smoke from my boss.
It seems that people should pay attention to their own body. Director Miao is about the same age as him, and they have degenerative lesions of white matter.
If Director Miao is not old in a few years, he will not even recognize himself.
Deng Ming did not watch the film carefully, and there was indeed nothing good about the magnetic film. Professional doctors could diagnose it as soon as they caught their eyes.
He looked at Director Miao with some pity and warned himself that he must start going to bed early and get up early from today, and strive to live until he is 80 and still be on the operating table like his own boss.
But the boss is an alien, and his daily routine and living habits are like an ascetic. Deng Ming felt that if he became a boss, it would seem like he was not very interesting to live.
Huang Lao and Zhou Congwen watched the movie for 5 minutes, and Zhou Congwen picked up the EEG and handed it to the boss.
The same is true for EEG, and Director Miao’s description is not omitted.
Zhou Congwen sighed in his heart, and picked up the test form to look through it with the boss.
Suddenly, Zhou Congwen's eyes lit up and the test sheet stopped on the serum ion test.
"Xiaomiao, the normal value of calcium ions here is 2.15-2.55 m l/L?" Huang Lao asked suddenly.
"Yes." Director Miao nodded in a daze.
"The upper limit of normal value." Old Huang said softly.
"The 2-point end method, the reports issued by the detection instrument Roche C501 are basically the same." Zhou Congwen said, "Boss, do you think it is used for B-ultrasound?
"Continue to watch."
Huang Lao and Zhou Congwen talked in an inexplicable and strange way, and they were speechless. Not to mention Director Miao, even Deng Ming was a little confused.
2-point end method, detection instrument Roche C501, is this yarn?
Although it can be heard from the context before and after, it is a test method in the laboratory department, who would care about these?
It is already very good to know the normal value of the test and what it means. How can you even know the details of the laboratory department?
Besides, this doesn't make any sense.
Although that's the case, Zhou Congwen and Huang Lao both knew the meaning of this passage.
Deng Ming squinted his eyes at Director Miao, recalling what Zhou Congwen just said in his mind.
"Director Miao, have you been supplementing calcium?" Deng Ming and Director Miao asked in a chat.
"Yeah." Director Miao nodded, "I had a physical examination in the unit two years ago. I was calcium-deficient, so I have been taking oral calcium tablets in the past two years, and occasionally promoted calcium gluconate and regularly took vitamin D2."
"This calcium supplements a lot." Deng Ming habitually wanted to joke with Director Miao, but he saw Director Miao's trembling hands from the corner of his eyes.
While swallowing all the rest of the words.
"Oh." Director Miao sighed deeply.
"Do you do super, collect some blood." Mr. Huang said after reading all the test sheets.
"Ah?" Director Miao was stunned, "Old Huang, why are you doing the examination?"
"The blood calcium seems to be a little problem, and I'm not sure." Huang Lao said, "Look at the parathyroid gland.
Parathyroid gland?
This matter is quite remote, and clinical doctors generally do not pay attention to it.
The same is true for Director Miao.
As the name suggests, the parathyroid glands are located on the back of the left and right lobes, or buried in the middle and lower parts of it. They are the size of soybeans and secrete parathyroid hormones.
"Insufficient parathyroid gland secretion causes blood calcium to gradually decrease, while blood phosphorus gradually increases, resulting in hypocalcological convulsions and even death. Replenishing parathyroid glands and calcium salts can temporarily relieve the symptoms.
When the parathyroid gland is hyperfunctioning and the parathyroid gland secretes too much, bone calcium is allowed to enter the blood, and the kidneys reabsorbate calcium, and at the same time activate vitamin D3 to become active D3, promoting the absorption of calcium by the small intestine, making blood calcium too high, and inhibiting the kidneys reabsorbing of phosphate.
Promote the excretion of phosphorus in the urine, making the blood phosphorus too low, thus leading to abnormal deposition of calcium salts in some tissues, causing pathological calcification of the tissues.
And it may form kidney stones.”
Huang Lao explained briefly.
"There are symptoms such as hand shaking."
“!
Deng Ming and Director Miao were both stunned for a moment, and a flame of hope rose in Director Miao's heart.
Not Parkinson?
But as soon as the thought changed, he smiled bitterly.
Mr. Huang just said it very clearly, but he was not sure. He probably saw a test result with a normal upper limit, in order to check it out.
The MRI film clearly shows that I have Parkinson.
Director Miao lowered his head, feeling sad inexplicably.
Chapter completed!