Zheng Ren smiled, stood up, bowed his waist slightly, and asked Director Luo to sit down, while he stood in front of Director Luo.

Young, capable, but not arrogant, Director Luo is still very satisfied with Zheng Ren's performance.

Zheng Ren immediately said: "The hospital below uses a vertical peritoneal dysfunction or based on clinical symptoms. According to the patient's family, intestinal obstruction was diagnosed several times, but the diagnosis was overturned at the inpatient department. I guess this means that in the inpatient department, intestinal obstruction will be resolved. And it is the kind of person who has no medication and is cured by himself."

Director Luo listened quietly without interrupting Zheng Ren.

"So, I guess the patient's intestinal obstruction is only short-term and temporary. In addition, the patient's family said that the patient is prone to fatigue, so I have guessed whether the patient has both skeletal muscle and smooth muscle. If this is the case, then the possibility of mitochondrial encephalomyosis is relatively high."

Dr. Chen was stunned...

He had seen Zheng Ren's surgery and knew that the interventional surgery of this boss Zheng was quite high. Half a year ago, the ophthalmic artery opening surgery opened Dr. Chen's eyes wide.

At that time, I almost licked the screen, but was scolded by Director Kong.

At Boss Zheng's level, it is possible that he can be nominated for the Nobel Prize. Dr. Chen thinks this is quite reasonable.

However, is his diagnosis of rare diseases so good?

Mitochondrial encephalomyosis? What the hell is that? Dr. Chen was suddenly confused.

As a doctor of medicine, he had no idea about the conversation between Zheng Ren and Director Luo, and his face was a little red.

"So, you just looked at the electromyography?" Director Luo asked.

"Local hospitals basically treat headaches and feet. But electromyography is a test... IMHO, in local hospitals, the amount is very small, and it is usually done by neurology."

"Oh? Then what?"

"Because I didn't hear the patient's family say that he went to the neurological department for medical treatment, I guess it was an electromyography examination prescribed by the emergency doctor during a major inability to attack." Zheng Ren said frankly: "This kind of examination is rather blind, but it just happened to hit the key."

Take a chance...

Director Luo felt angry and funny about Zheng Ren's directness. This little guy was really honest about his words.

Who would admit to being a doctor?

However, due to the scientific level and diagnosis level, even in the imperial capital, many diseases have the elements of taking chances, let alone in local hospitals.

Especially for particularly rare diseases such as mitochondrial encephalomyosis.

This disease has nothing to do with the Department of Gastroenterology, so Director Luo did not study it. What he was curious about was how the little doctor in front of him diagnosed it.

Can a Nobel Prize candidate be such a powerful interdisciplinary diagnosis?

Things are starting to become more and more interesting.

"There are abnormalities in the electromyography, but the abnormal radio waves are not obvious.

The electromyography is the most common narrow-sense electromyography in local hospitals. The percentage of multiphase waves is generally not more than 20%, but there are several stages, slightly exceeding. Different muscles have different normal values, but in the short period of time of undergoing electromyography, they have gradually returned to normal later."

At this time, not only Dr. Chen, but also Director Luo was a little dazed.

What is Boss Zheng talking about?

"Report a single handwritten conclusion, such as interfering phase, mixed phase, simple phase, pathological interference equally, but if you look at the waveform, you will find that at the beginning, the waveform is wrong for a few seconds." Zheng Ren said.

Silence, when Zheng Ren stopped talking, there was silence in the director's office.

Soon, Zheng Ren's voice broke the silence again.

"My judgment is that electromyography is problematic, not neuronal, but a change in the muscle itself. This speculation is consistent with the symptoms of general weakness described by the patient's family. If electromyography changes, smooth muscle will occasionally experience changes, only mitochondrial encephalomyosis."

Zheng Ren said it was very certain, and before he knew it, Director Luo had already believed it.

Because of meticulous logic and the halo of Nobel Prize candidates.

Mitochondrial encephalomyosis is a multi-system disease mainly caused by brain and muscle involvement caused by rare mitochondrial structural or functional abnormalities.

It is generally maternal inheritance, and is more common in women. The time of onset is not certain, and it is possible from infancy to old age.

Since muscles and brain tissues are highly dependent on metabolism such as oxidative phosphorylation, whether ndna or mtdna is defective alone or both are involved at the same time, the clinical symptoms are often systemic.

However, due to the different degrees of involvement of each enzyme system, the clinical manifestations have different focuses, and mitochondrial diseases are artificially divided into two major categories, namely mitochondrial myopathy and mitochondrial encephalopathy.

The patient in front of him should be manifested in mitochondrial myopathy.

This is relatively mild and prone to death in patients, which is mitochondrial encephalopathy.

"Are they all guesses and inferences?" Director Luo said softly.

It was like asking Zheng Ren, or it seemed like he was talking to himself.

Zheng Ren's words sounded like a fog if he didn't understand them, but Director Luo heard a little.

Due to his professional nature, Director Luo’s first idea is to “find faults”!

Without solid evidence, this is the biggest problem.

However, the examination brought by the patient's family cannot provide a definite diagnosis at all. If you really suspect it is mitochondrial encephalomyosis, you can check the genetic test to confirm the diagnosis.

But this is just a possibility, Zheng Ren's tone of speaking was too certain.

"No, Director Luo." Zheng Ren pointed to the patient's information and said, "I frowned when I watched this movie just now. You also saw something abnormal."

"It cannot be said to be an abnormality, it may be an artifact, but the patient's intestinal smooth muscle groups do look abnormal in some places," said Director Luo.

"Yes, it's the abdominal CT, which actually provides relatively reliable evidence." Zheng Ren said: "Mitochondrial myopathy, in imaging..."

Speaking of CT films, Zheng Ren's attitude is different from that when talking about electromyography.

Dr. Shen knew that Boss Xiao Zheng did a 64-row three-dimensional ct, which was awesome.

Half a year ago, after he left, Director Kong immediately organized everyone to learn the reconstruction of the 64-row three-dimensional ct liver, and quickly spread it in clinical practice.

This kind of examination has been used clinically for a long time. However, no surgeons did it before, and it was done by the CT room based on the software.

At the beginning, everyone was a little slandered, but Director Kong suppressed all the dissenting opinions with his iron fist.

After real research, everyone...at least Dr. Shen realized the benefits of 64 rows of 3D CT three-dimensional reconstruction.
Chapter completed!