"Director Miao?" Zhou Congwen shouted softly.

"Ah?" Director Miao responded immediately after leaving the grief.

Although Zhou Congwen was young, Director Miao knew clearly that this person must be a Taishan Beidou-level existence in the future of cardiothoracic surgery, so he did not dare to underestimate him at all and looked at Zhou Congwen with the same eyes as his peers.

"The boss means to have a appointment with a superstar, and the boss will do it himself." Zhou Congwen said, "Then take some blood and then check the level of parathyroid hormone.

"Uh... OK." Director Miao hesitated for a moment, but nodded.

Even though he did not agree with Mr. Huang’s statement, Director Miao still honestly followed suit.

"Xiao Miao, what's wrong with you recently?" asked Mr. Huang.

"Uh" Director Miao was a little confused.

"A normal question for medical history," Zhou Congwen explained.

"" Director Miao was stunned for a moment, "Mr. Huang, I have had serious diarrhea recently. I checked serum ions because I was worried about potassium deficiency, but the potassium ions were pretty good."

"Oh, I understand." Mr. Huang suddenly laughed, "You go and contact and hurry up."

Seeing Director Miao walk out of the office with staggering steps to contact and inspect, Deng Ming felt a little sad.

"Boss, Director Miao is really going to retire. You said he is only over fifty years younger than me, that's it." Deng Ming said this, shook his head and held the thermos and tightened his hands.

"Not necessarily." Zhou Congwen smiled slightly and said.

"Hmm?" Deng Ming was puzzled.

"Didn't the boss say that it might be a parathyroid gland." Zhou Congwen said, "I have to do it and see the situation. I hope there is a parathyroid adenoma. If that's the case, I'll just have a surgery."

"..." Deng Ming frowned and looked at Zhou Congwen.

"Zhou Congwen, tell me what you think." Mr. Huang sat on the chair in the director's office, closed his eyes and said slowly.

"Parathyroid hormones are synthesized and secreted too much, which leads to calcium, phosphorus and bone metabolism disorders, although relatively rare, but not rare."

"By the way!" Zhou Congwen said, and suddenly smiled, "I met a patient who broke his fibula as he walked."

"..." Deng Ming was stunned for a moment, "Pathological fracture? Or is there a problem with the parathyroid gland."

In fact, if it were normal, Deng Ming would definitely think it was caused by pathological fractures and tumor erosion.

But today the boss and Zhou Congwen talk about parathyroid tumors. It is estimated that Zhou Congwen wants to give a similar example.

Deng Ming looked at Zhou Congwen's face and felt helpless.

In theory, Zhou Congwen would never have such rich clinical experience. He may have made up any mistakes when he encountered a patient.

But Deng Ming could not have arguing Zhou Congwen randomly because of such a thing.

Besides, my boss didn't even say anything, so I'd better hold it in my mind.

"At that time, we all thought it was a pathological fracture, which scared the patient's family. They all transferred to the fibula, and were afraid that patients with advanced cancer would be out of salvation." Zhou Congwen said with a smile, "But later, the examination result found that it was a fracture caused by abnormal parathyroid hormone secretion, so everyone breathed a sigh of relief."

"What then?" Deng Ming asked.

"I later studied it." Zhou Congwen said, "Most patients have no symptoms and signs in the early stage. When the disease develops to a certain extent, their clinical manifestations are diverse and lack specificity.

Bone pain, urinary stones, renal colic may occur, pathological fractures may occur in severe cases, and a small number of patients may experience gastrointestinal symptoms, such as ulcer disease, pancreatitis, and neurological symptoms may occur in some patients."

"Many patients with kidney stones also have parathyroid problems, and of course there are patients who are misdiagnosed with Parkinson's disease."

"..." Deng Ming concluded.

This is a disease in the endocrinology department or thyroid surgery department, and Deng Ming didn't know much. He looked at Zhou Congwen's confident expression and turned his eyes to his boss in confusion.

"The diagnosis of Parkinson's disease is to rule out the increase in blood calcium. The young seedlings are so young, and there is still little possibility of Parkinson's. Although blood calcium is only the upper limit of the normal value, it is also necessary to check it."

As he said that, Mr. Huang's voice gradually lowered.

Deng Ming pricked his ears and vaguely heard the boss's murmur, "If it were the parathyroid problem, it would be fine, and a small operation would be solved. Hope...

Yes."

This is also the norm, Deng Ming thought to himself. Many families of patients are like this, hoping that the patient's "terminal illness" is another treatment disease.

But in most cases, they will return disappointed.

There are not so many rare diseases in clinical practice.

"Old Huang, the contact with the super room is over." Director Miao walked in with a cotton swab in his hand and pressed the blood vessels on his arm, reporting to Huang Laohui.

He had just finished collecting blood, and his fingers pressing the cotton swab were still trembling.

In this state, let alone surgery, Zhou Congwen was afraid that Director Miao would not even be able to hold his job when he was having a meal for a while.

Director Miao’s job is probably lost, whether it is the job in the hospital or the job in the family.

Mr. Huang stood up, bowed his hands and walked out of Director Miao's office. Director Miao followed aside. His limbs were stiff and he looked slower and slower than Mr. Huang.

When Deng Ming saw Director Miao staggeringly walking, he felt like he was a hero in his heart.

I just hope I can experience this symptom a few years later.

He does not expect that he can still undergo surgery in his 80s like his boss, and can also study new techniques, but he certainly hopes that these geriatric diseases will be the best for a few years at night.

When he arrived at the super room, Huang Lao sat down calmly and applied coupling agent to Director Miao's neck.

"Old Huang, what if it weren't?" Director Miao suddenly asked nervously.

"No, that's a pity." Huang Lao said, "Now it seems that if it weren't for the parathyroid problem, it was Parkinson's. The world's research on Parkinson's disease has not been very in-depth, including the principles and treatments.

"…" Director Miao's hope dispersed.

"If not." The super probe in Mr. Huang's hand fell on Director Miao's neck, "You have to buy a crutch and put on the nameplate. If you get lost one day, you can send you home according to the address on the nameplate."

Director Miao almost cried when he heard Mr. Huang say this.

Although you know all this, Mr. Huang, don’t say it so directly.

"Here." Old Huang held the B-ultrasound probe in his right hand and pressed it on Director Miao's neck. After less than 10 seconds, he suddenly paused and raised his left arm.

Pointing the screen with your left index finger, "Here."

"Old Huang, what did you see?" Director Miao asked.

"Don't talk, you can move your head and move your position." Huang Lao said, "There is no need to prepare the crutches and nameplate. You can find time to have surgery."

Deng Ming was stunned and looked at his boss's finger.

He is not a doctor in the imaging department and knows little about B-ultrasound, but abnormal hyperplasia can be seen vaguely on the ultrasound images.

It's really a parathyroid problem!
Chapter completed!