Chapter 2257: with translation of chapter title

Yesterday Gai De·Wu Zi's team left, and Zheng Ren finally breathed a sigh of relief. Academic affairs like giving lectures were especially unfamiliar to Zheng Ren.

Feeling light today, Director Kong and Lin Ge said they wanted to have a meal together, as a celebration banquet.

It is said that Director Yan has already approved Lin Ge's transfer; the report has reached the ministry, and it should come down in the past half month.

Although no one can predict what unexpected situation might occur before the final moment, if Director Yan's words about an internal cadre adjustment don't count, that would truly be bizarre.

After driving Dahungya away, Zheng Ren, Director Kong, and the Medical Team went downstairs together.

"Zheng Lao Ban, what disease was that medical disturbance just now?" Director Kong asked while walking. "Superior semicircular canal dehiscence syndrome; this disease is easily missed, it is a rare disease first discovered in 1998."

"A rare disease, you can tell at a glance?" Su Yun blew a breath, her black hair fluttering in front of her forehead.

"Just Doubt only, the patient's symptoms are similar. I suggest doing a temporal bone thin-layer CT plain scan, then we'll talk after." Zheng Ren laughed.

"What is superior semicircular canal dehiscence syndrome?" Director Kong, hearing about temporal bone thin-layer CT, became interested.

Such examinations rarely appear in clinical practice.

"Under normal circumstances, the bony structure around the inner ear has two holes. But in patients with superior semicircular canal dehiscence syndrome, the bony structure at the top of the inner ear becomes thin or missing, resulting in a third hole. Generally speaking, when flying, air pressure changes..."

"Boss, your ass is too crooked; we're all our own people, can you speak some straight talk?" Su Yun said disdainfully.

"Hey." Zheng Ren didn't refute, but smiled.

Director Kong, recalling the position of the temporal bone, also laughed.

Zheng Lao Ban said the bony structure at the top of the inner ear becomes thin or missing; this kind of very literary, very official wording is covering up a fact—trauma.

According to the account of that medical disturbance just now, it was after a fraud that they encountered a 'meddlesome' person. As for what happened afterward, everyone knows in their hearts.

"According to a survey by the United States rare disease organization, about 1% of people have a third hole in their inner ear. It is exactly this extra hole that causes hearing imbalance." Zheng Ren ignored Su Yun's words and continued, "Actually, it's not really a rare disease; it's just that detection is difficult, and it has only been confirmed in the past 20 or 30 years."

"It was only discovered in 1998, really late." Director Kong laughed.

"Hmm, Doctor Minor reported in 1998 a group of cases triggered by loud sound stimulation, middle ear pressure, or intracranial pressure changes, presenting clinically with vertigo, inner ear vibration sensation, and balance disorder."

"Temporal bone thin-layer CT shows that the defect in the bony part of the superior semicircular canal's top has an induced nystagmus direction consistent with the plane of the superior semicircular canal..."

"Boss, why don't you allow an electronystagmography test?"

"Too lazy to write." Zheng Ren said for the first time in an irresponsible manner.

Su Yun shrugged her shoulders, "Dahungya, if you keep going like this, you'll eventually die without a burial place."

"About right." Zheng Ren said, "But having this disease is really unpleasant. Being able to hear the sound of glandular secretion is something ordinary people cannot bear."

"Don't bother with him." Su Yun said, "If I were you, I'd admit him to the hospital for observation, check him for four or five days, then talk."

"I dare not admit him." Zheng Ren admitted, "If he truly can't bear it and has an emotional breakdown, taking revenge on society—what then? The wards are full of patients; harming anyone would be inappropriate."

"Hey, you think giving him a slip of paper with a suggested test will make him actually go do it?"

"Whether he does it or not, what does it have to do with me?" Zheng Ren laughed innocently.

There is a metaphor: everyone is queuing to walk a one-way road.

Doctors themselves, while in the queue, constantly pull some people out of the line and move them back a row, making the distance to that endpoint a little farther.

Skilled doctors can make that distance a bit longer; average doctors still have some effect. Meanwhile, some quacks, and even divine doctors, might do the opposite.

That's said, as for whether Dahungya believes it or not, when to get the test—Zheng Ren can't control it, nor does he want to.

Chatting and laughing, the Medical Team happily went to eat.

……

……

At this moment, in the Operating Room of Gu Tower Hospital, the largest Orthopedics Hospital in Di Du, Tian Jiaoshou, who had once gone to Hai Cheng for Flying Knife, was performing today's final surgery.

Here, the number of surgeries each day is so high that they can't be scheduled; patients from all over the country flock in. Moreover, Tian Jiaoshou specializes in spinal surgery, and his level nationally can rank among the top ten.

Tian Jiaoshou performed surgeries all day; this is the last case. The patient's condition is not serious, so it was scheduled for the afternoon.

The patient is a 55-year-old woman who, after lifting heavy objects a week ago, felt lower back pain but didn't pay attention at the time; she thought it was just a sprain that would get better after resting a couple days.

After resting a few days, the pain grew worse; oral painkillers had little effect. Moving hurt, and even lying down caused considerable pain.

At the local examination, L2 spinous process tenderness and percussion pain were positive; flexion and extension movement were limited; standing and walking were limited.

Lumbar spine X-ray showed no abnormality; lumbar spine Nuclear Magnetic Resonance indicated slight depression of the upper edge of the L2 vertebral body, disruption of bone continuity, fat-suppressed sequence showing high signal; diagnosis: L2 vertebral osteoporotic compression fracture, severe osteoporosis.

Local doctors recommended percutaneous vertebral plasty, commonly known as injecting bone cement locally, a surgery that props up the fractured and osteoporotic sites.

Upon hearing that surgery was needed, the family didn't dare delay; they immediately brought the patient to Di Du.

After all, it's spinal surgery; if done poorly, it can lead to lower limb paralysis—this is the simplest understanding ordinary people have of spinal surgery.

In itself, a lumbar vertebral compression fracture is just a minor ailment, but when linked to lower limb paralysis, it becomes a serious disease.

Nowadays, whether by air, high-speed rail, or highway, travel is very convenient; the only hassle is registering after arriving in Di Du.

Tian Jiaoshou admitted the patient, the diagnosis was clear, there were no preoperative contraindications for surgery, and he directly arranged the operation.

This surgery is minor; Tian Jiaoshou has performed it several hundred times. Compared to Orthopedics Department's hip joint replacement, vertebral resection, etc., percutaneous vertebral plasty is indeed a small surgery.

Although it is a minor surgery, Tian Jiaoshou reviewed the patient's lumbar spine Nuclear Magnetic Resonance again before the operation; the entire surgical process was already clear in his mind.

This is a habit; only if the surgeon is careful can complications be avoided as much as possible.

"Teacher Tian, please scrub up." After positioning the patient, Tian Jiaoshou's assistant reminded.

The Shou Bing is under local anesthesia; the patient assumes a prone position with hips and knees flexed.

Assuming this position is a bit uncomfortable, but the surgery doesn't take long, so it doesn't matter.

"The Shou Bing won't hurt, relax." Tian Jiaoshou comforted the patient, then went to put on lead clothing, scrub up, and mount the platform.

After finishing the Shou Bing in half an hour, he could get off work—Tian Jiaoshou thought to himself.