This doctor has a system

Chapter 576 639. The First Patient at the Rare Disease Medical Center

Yue Ting also knew these, but he was helpless.

"No matter what you say, let's set up the scaffolding first." He said to Dean Guo, "Who knows what will happen later."

Maybe the boss forgot about it when he was busy, but there will always be a way when you reach the mountain.

"You are really optimistic." said Dean Guo.

"I have no choice but to be optimistic." Yue Ting smiled bitterly, "By the way, you'd better be optimistic too."

"What do you mean?" Dean Guo felt something was wrong.

"You have to figure out how to get the money yourself." Director Yue said this with a bit of embarrassment, "The department is not very well-off right now, and the funds may not be disbursed until three months later."

Director Guo was about to curse, with so many demands, and in the end the provincial hospital has to raise funds on its own?

Didn't you say that this was something that the senior leader had instructed you to do? Is that why you take it so seriously?
"The department has given a heads-up to the investment promotion department, and they can ask them to get you an interest-free loan or something." Director Yue said this with a bit of shame.

Dean Guo understood what he meant when he heard this. It meant that there would be a high probability that there would be no money in three months.

"Since you are so busy, I won't keep you for dinner." He said to Yue Ting, "Okay, just go back to where you came from!"
"Look at you, why are you still upset?" Yue Ting smiled, "It's just a meal, I'll treat you."

A few people had a quick meal at a nearby small restaurant. During the meal, President Guo and Director Yue were not in a very good mood. It was understandable. After all, they had taken over a hot potato and it would take some time for them to accept it psychologically.

In the end, it was Li Youliang who paid the money.

"Gao Feng, what do you think about this?" Dean Guo asked on the way back to the hospital.

"Actually, it's a good thing. Maybe it can increase the hospital's visibility." Gao Feng said after thinking for a while.

"Bullshit!" Dean Guo
high wind
"You don't give me money, but you still make a lot of demands. Is this something a human being would do?" Dean Guo was a little annoyed. "I have to go to my old boss tomorrow."

However, he also knew that this matter was probably going to end like this, after all, it had already been decided by the higher-ups, but he still had to fight for it when the time came.

Otherwise, if the boss really blames him, wouldn't all the blame fall on him alone?
"Don't worry about it. If it doesn't work out, leave it to me." Gao Feng took the initiative to say, "But you have to build the framework for me."

"You are taking on too much responsibility!" Dean Guo patted Gao Feng's shoulder vigorously. As the saying goes, strong winds reveal strong grass, and turbulent times reveal loyal ministers. He was really moved by Gao Feng's initiative to take on this task.

The appointment letter of Gao Feng as the director of the Center for Rare Disease Medicine was passed unanimously at the hospital committee meeting without any objection from anyone.

Many people are taking a wait-and-see attitude towards this medical center, thinking that even if it is established, there will be few patients visiting, and some are even waiting to see the center make a fool of itself.

"It's really an old lady who took the initiative to get into bed - it made me laugh. How many rare disease patients do X and the hospital see in a year? Are we kidding me?"

"It should be a show! I guess it's another idea that some leader came up with."

"Yes, it's just a sign. If someone has made achievements in politics, it will be quietly removed after a few years."

“Isn’t this a waste of time and money?!”

"I don't think so." Someone raised an objection, "I know Director Gao's ability, it's awesome!"

"Yes, I had a difficult patient before, and someone gave him..."

"That's right. Maybe it can really solve the patient's problem. Setting up a separate clinic for rare diseases is an innovative measure!"

Gao Feng didn't care about what everyone was saying.

"Youliang, do you think there are so many patients with rare diseases?" This is what he was worried about. He didn't want to do everything and end up with no patients. That would be embarrassing.

"I think so." Li Youliang was not sure either.

Diseases with a neonatal incidence rate of less than 1/1, a prevalence rate of less than 14/65, and a number of patients less than are classified as rare diseases. Currently, the National Rare Disease Diagnosis and Treatment Service Information System has registered about rare disease cases.
But there are certainly more people who have not been diagnosed.

“How about we promote it?”

"Sure!" Gao Feng thought it was a good idea. Although the provincial hospital's official website and WeChat public account released the news, most people would never read it. "Find a few more media outlets, both inside and outside the province!" Gao Feng instructed Li Youliang, "Go talk to Manager Zhao and ask him to think of a way to get as many people as possible to see it."

"Okay." Li Youliang walked out quickly.

However, before Zhao Xingye and his team could make any progress, the Center for Rare Disease Medicine welcomed its first patient.

"Doctor, please save my wife!" A middle-aged man in his 40s cried to Gao Feng, "She has been cursed!"

? ? ? Gao Feng

"A curse was cast? Don't cry first, tell me slowly." Gao Feng quickly comforted him.

The patient, a 44-year-old female, developed paroxysmal thoracolumbar muscle spasms without obvious cause 2 years ago.

"It's numb and stiff! I can't move at all." Patient.

“It feels like someone has acupuncture points on me.”

When an attack occurred, she had difficulty turning over, was unable to stand up after sitting down, and her lower limbs were as stiff as two iron bars.

He had fallen several times due to stiffness in his lower limbs and was unsure of the direction of his falls. As a result, two of his front teeth were knocked out and he still has a lisp when speaking.

It is easy to be triggered when one is emotionally tense, and the above symptoms are slightly relieved during sleep at night.

The patient had diabetes for 3 years and took metformin sustained-release tablets regularly, and his blood sugar was well controlled.

After this happened, the patient's family took him to a local hospital for a comprehensive examination. The physical examination revealed that the patient had normal muscle strength in his limbs, normal muscle tone in his upper limbs, and increased muscle tone in his abdomen and lower limbs.

When the disease occurs, the ankle and lower limb joints are stiff, the tendon reflexes of both upper limbs are normal, and the tendon reflexes of both lower limbs are significantly hyperactive.

The lower limbs are stiff and difficult to flex when walking.

Liver and kidney function, electrolytes, myocardial enzymes, blood, urine and stool routine tests were all normal. No obvious abnormalities were found in tumor factor markers and autoimmune-related antibodies.

Electromyography: Synchronous motor unit potential discharge can be seen in the rectus abdominis and paraspinal muscles.

The local hospital initially suspected motor neurone disease and treated the patient accordingly.

But Gao Feng thinks this diagnosis is questionable, because although motor neuron disease can cause muscle stiffness, it is mainly characterized by muscle atrophy and may cause symptoms of bulbar palsy.

Conventional electromyography shows neurogenic damage in at least 2 areas, including the motor nuclei of the brainstem and the anterior horn cells of the cervical, thoracic, or lumbosacral spinal cord.

The patient's symptoms in this case are clearly not consistent.

In addition, the treatment was not effective, so the patient, accompanied by his family, went to a hospital in Beijing for further treatment.

This time the patient underwent a lumbar puncture, and the results showed no abnormalities in routine, biochemical, cytological, and acid-fast staining of the cerebrospinal fluid.

At first, the doctors there thought she had progressive encephalomyelitis.

However, after consultation with multiple departments, this diagnosis was ruled out.

Because almost all patients with progressive myelitis have brainstem symptoms, sensory symptoms, pyramidal tract signs, autonomic dysfunction, neuropsychiatric disorders, and increased cerebrospinal fluid cell count.

This patient did not meet this requirement.

The patient went to several hospitals over the past two years and went to the First Affiliated Hospital twice, but to no avail.

A few days ago, her nephew who works at the county hospital called her and said that a new rare disease medical center had been established at the provincial hospital and suggested that she come and take a look.

"I think your case is quite rare." The nephew said, "Let's give it a try and go again."

(End of this chapter)