This doctor has a system

Chapter 580 643.
The other patient was a 35-year-old woman. When Gao Feng and his colleagues arrived at the ward, there were quite a few people standing inside.

"Doctor, please check on her right away." A middle-aged man in his 50s said with a worried look, "This disease cannot be delayed!"

"Are you the patient's father?" Sun Zhengming asked.

"I am his leader." The middle-aged man's answer was a little unexpected to Gao Feng and others.

"You are a good leader." Gao Feng said to him. He could feel the other party's anxiety.

"What a good leader!" A middle-aged woman nearby said, "Xiao Xu from our family is exhausted like this at work!"

"People are like this, and this good leader still wants to drag us back to work!" she said angrily.

"We can't do anything about it. This project can't run without Xiao Xu." The leader was a little embarrassed. "Doctor, please make sure to treat her as soon as possible. Our unit can't do without Xiao Xu. She..."

"Stop for a moment, let's ask about the patient's medical history." Sun Zhengming interrupted him, "People who are not related should leave first. It's too noisy here, and it's not good for the patient."

Soon, everyone in the ward left, leaving only the patient and the middle-aged woman who had just spoken, who was the patient's mother.

The patient looked a little depressed and nodded to Gao Feng. She had an average appearance but was very tall and looked quite heroic.

After questioning, it was learned that the patient had speech difficulties without obvious cause six months ago, manifested by decreased speech clarity and longer pitch. The patient did not care, did not seek treatment, and worked like a slave at work.

Three months before admission, the patient's family discovered that he had memory loss, forgetting what had just happened from time to time, and had shaking right upper limbs, both when he was still and moving. Later, shaking of the right lower limb and right hand began, and the frequency and amplitude of the shaking gradually increased.

At this time, the patient was still working like a slave in the unit and had also secured a big order for the unit.

One month before she was admitted to the hospital, her family noticed that her head was shaking, but she still had to go to work and continue to work like a slave.

"I can't believe it, it's still a holy body of cattle and horses." Li Youliang on the side thought to himself.

"Is this child stupid?" the patient's mother said helplessly, "Their leader brainwashes my daughter all day long. He is a piece of shit."

The patient has a doctorate degree, denies a history of smoking or drinking, is unmarried, and has no children. He reported that he had tuberculosis in high school but has since recovered.

She was hospitalized in the local city center hospital for two weeks, but the cause of her illness was not found. Coincidentally, the provincial hospital had established a rare disease diagnosis and treatment center, and the doctor in charge suggested that she come to Z State for a check-up.

"Have you brought all the test results from there?" Sun Zhengming asked.

"I brought it." The patient's mother took out a file bag, which contained all the examinations and tests the patient had done at the local city center hospital. Gao Feng noticed that there was a copy of the results of an MRI.

Color Doppler ultrasound of the liver, gallbladder, spleen and pancreas showed diffuse liver lesions, echo nodules in the liver, rough gallbladder wall, slightly enlarged spleen. Liver elasticity measurement: liver stiffness 9.7.

Magnetic resonance imaging: suspicious abnormal signals in the bilateral thalamus; cerebellar atrophy cannot be ruled out. Please combine with clinical findings.

No abnormalities were found in liver and kidney function, electrolytes, myocardial enzymes, infectious diseases, and coagulation function.

Gao Feng conducted a neurological examination on her: she was conscious, had unclear articulation, and answered relevant questions.

Cranial nerve examination showed no abnormality. Limb muscle strength was grade 5, with slightly increased muscle tone in both upper limbs, which was more obvious during mirror movement. Resting and action tremors were seen in both upper limbs and right lower limb, with action tremor being the main tremor.

The tendon reflexes of the limbs were active (++), Pussep sign on the left, Babinski sign on the right (+), and Rossolimo sign on the right (+). No obvious abnormalities were found in the superficial and deep sensory examinations of the whole body.

There was no obvious abnormality in the ataxia movement, and the alternating movements were slow. There were negative signs of meningeal irritation and Romberg sign (-).

The heart rate was regular, the breath sounds in both lungs were coarse, no dry or wet rales were heard, the abdomen was soft and there was no tenderness. There was no edema in both lower limbs. "Let's go back and discuss it." Gao Feng said to the patient and his family, "We may need to do some more tests. Doctor Sun will communicate with you in detail later."

"Okay, it's better to check more carefully." The patient's mother said, "Their unit is paying for it anyway, so we can't let them get away with it!"

"Okay!" Sun Zhengming said with a smile.

The office of the Center for Rare Disease Medicine is very large, and since there is only one official doctor, Sun Zhengming, it seems quite empty. Fortunately, there are two interns here to accompany him.

"What kind of examination does He Xiaolei want to do?"

"Let's do an enhanced MRI of the head." Gao Feng said, "Let's do one on the second female patient named Xu as well. Her plain scan does seem to have some issues."

"By the way, He Xiaolei still needs to pay close attention to changes in blood pressure."

The rest are some routine examination items. These two patients have done a lot of examinations in other hospitals. Some of them do not need to be done again, but some still need to be reviewed again.

It has to be said that modern medicine is closely related to advanced examination technology. The development of science and technology has enabled medical personnel to master a lot of powerful tools. Diseases that previously required a lot of clinical experience to diagnose can now be detected under examination.

This is also the reason why the average human life expectancy has greatly increased compared to before.

"Do we want to eat at home or out?" Li Youliang asked.

"Let's eat outside." Gao Feng said. There are children and elderly people at home, so the dishes are relatively light.

There was a new Sichuan restaurant nearby that suited his taste very well, so he and Li Youliang liked to come here for a meal every now and then.

"Boss, stir-fried beef, garlic-fried vegetables, twice-cooked pork, and potato and chicken nuggets." Li Youliang said, "And another plate of steamed buns."

"Okay, please wait a moment." The boss attentively poured a glass of water for the two of them.

"The interview will be at 9 am the day after tomorrow. Officer Zhou from the Personnel Department has just sent all the applicants' resumes to your email." Li Youliang said, "They hope you can take a look in advance. If there is anything you need them to do, feel free to let us know."

"How many people have signed up?" Gao Feng asked.

"12 of them, one has a PhD, and the rest are all master's students."

"That's good." Gao Feng smiled. He was afraid that he couldn't get 5 people together.

"That's not the case. After all, the Provincial Hospital's sign is here." Li Youliang explained, "It's mainly because this is not the time for recruitment, otherwise there wouldn't be so few people."

Those who come to apply are either dissatisfied with their current jobs or were delayed in their job search some time ago.

"Okay, I'll go back and take a look."

After eating and drinking, Gao Feng returned home leisurely. Li Xinyao and the others were sitting in the living room watching TV. When they saw him come back, they asked a few questions.

"I've eaten." Gao Feng replied, and then went to the bedroom.

When Li Xinyao entered, she found her husband lying peacefully on the bed. "Are you tired today?"

"No, the department has admitted two difficult patients." Gao Feng said. He was doing research in the system space.

(End of this chapter)