Rebirth of Medicine Practices the World

"One opinion is that this is an epileptic attack; another opinion is that the patient's attack was a TIA (transient ischemic attack)."

"Because the opinions differ so much, there is currently no clear treatment plan. Therefore, we reported it to Director Ding and asked Director Lin to come back for ward rounds and point out the direction of future diagnosis and treatment for us."

Because we have already discussed it, Ma Shuiyuan is very familiar with the medical history. When reporting, it is concise and to the point, without any sloppiness. This is Lin Lin's favorite style.

If one were not very familiar with the patient's condition, it would be impossible to make such a condensed report without missing the key points.

"I would like to add that the patient is still relatively young and has always been in good health. His recent symptoms are characterized by episodic episodes. Relevant examinations, such as electroencephalography, brain magnetic resonance and other examinations, have found no abnormalities."

After experiencing discussion after discussion, Li Yun'e went from being unconvinced with Lin Lin to admiring her now.

"Okay, Dr. Ma and Teacher Li's report was very good, concise and focused. This shows that the doctors in their team really put a lot of thought into this patient."

"I think the two patients will report together and see each other later. Dr. Ye, please pick up." Lin Lin said to Ye Xiu.

"Okay, let me report on the situation of the patient in my charge." Ye Xiu was calm and calm, which was a sign of being fully prepared.

"The patient, a 45-year-old female, was admitted to our department because of numbness in her limbs and fatigue for half a year."

"After admission, we conducted a detailed physical examination for the patient and found that the skin of the patient's limbs was relatively dry and had mild desquamation. The muscle strength of the limbs was reduced to level four, the tendon reflexes were symmetrically weakened, and no pathological signs were elicited.

"

"In terms of laboratory tests, except for a mild decrease in white blood cells and platelets, no abnormalities were found."

"Based on the patient's condition, we diagnosed peripheral neuropathy and treated it with oryzanol, multivitamins, and dibazole. Not only did the patient's condition not improve, but it also progressively worsened. Especially this week, the patient also experienced joint pain.

"

"Based on this situation, we rechecked the patient's erythrocyte sedimentation rate, and the result was normal, and the anti-'O' test was also negative."

"This patient's condition continued to worsen because of an unclear diagnosis and lack of targeted treatment. Therefore, we temporarily proposed it and asked Director Lin to do a ward round." Ye Xiu's report was also concise and focused.

Perhaps everyone knows that two patients have to be examined in one morning, so time is particularly important.

"Dr. Ye's report is very detailed. I have nothing special to add." Zhuo Yiming was more straightforward and did not say another word.

"Okay, Dr. Ye is well prepared. Let's start with Dr. Ma's patients." Lin Lin said and stood up. Ding Feng followed Lin Lin with the physical examination tools.

When Lin Lin sees a patient, she will never be led by other people's reports. For a new patient, Lin Lin must conduct a detailed medical history inquiry and physical examination again.

"This is our President Lin. Please come back today to see your doctor." Ding Feng said to the patient.

"Thank you, Director Lin. I have heard of you for a long time. Thank you, Director Ding, for your care." The patient was very polite.

"I would like to understand some information and do a physical examination. Do you mind?"

"If you don't mind, please ask Dean Lin."

"Are you married?" Lin Lin began to ask the patient.

"It's over."

"Got a kid?"

"Yes." The patient's answer was brief and clear.

"Does anyone in your family suffer from a disease like yours?"

"Um...no." She thought about this question that no one had ever asked before.

"Would you mind telling me what method you usually use to prevent pregnancy?"

"Take medicine. I take medicine. I have been taking medicine for several years." After hearing this, the patient's face turned red and he quickly returned to normal.

"What do you do?"

"teacher."

"Thank you! When you usually do activities, such as climbing up to the fifth floor, do you ever feel out of breath?"

"No, going up and down the fifth floor is not a problem."

"Okay, now let me do a physical examination for you." After Lin Lin said this, she first asked for the stethoscope from Ding Feng's hand.

From the consultation to the current actions, the experienced neurologists who were watching seemed to smell something different.

During the physical examination, Lin Lin found that the patient's body was well developed, with a forward and backward curve, a typical sexy figure, and the patient also appeared to be very healthy.

Lin Lin examined the patient's heart very carefully. From percussion to auscultation in various positions, Lin Lin did it all. When Zhuo Yiming saw it, he felt inferior. Such a solid foundation in internal medicine is unique among doctors in the neurology department.

!

After completing the internal medicine physical examination, Lin Lin began to undergo a neurological physical examination.

Although everyone knew this set of examinations, the young doctors and interns all felt very comfortable after seeing Lin Lin's technique.

Lin Lin's technique is light, with moderate force, without the slightest pause, like flowing clouds and flowing water.

"Do you have anything to add?" Lin Lin asked the doctors present after the examination. After listening, everyone shook their heads.

"Okay, since there is nothing to add, let's go to the next one. Thank you for your cooperation!" Lin Lin did not forget to thank the patient.

"Dean Lin is so polite! Thank you very much, Dean Lin!"

Arriving at Ye Xiu's patient's bedside, Ding Feng also introduced Lin Lin to the patient.

"Thank you, Director Lin! I know that Director Lin is very busy, and I also know that Director Lin has excellent medical skills. I am very grateful that Director Lin took the time to see me today." This patient knows Lin Lin well.

"You're welcome! I want to know some information and ask some questions. If you feel you don't want to answer, you don't have to answer me."

"It doesn't matter, just ask Dean Lin."

"Have you noticed any change in your appetite since you started feeling sick?"

"Yes, my appetite has become worse. I don't want to eat many things I see."

"Can you be more specific?"

"Well... I used to like eating bubble cakes. I could eat a bag of them in one go without drinking a sip of water. Now, I get scared when I see bubble cakes."

"Oh, why are you afraid? Don't you like eating it?"

Lin Lin also likes to eat water-soaked cakes produced in Yingzhou City. Like this patient, she can eat a bag in one sitting without taking a sip of water. Therefore, Lin Lin deeply agrees with the patient's hobby.

"It's not that I don't like it, it's just that I can't swallow it. Now, when I eat a bubble pancake, it feels very difficult to swallow it."

"Do you feel like you don't have enough saliva?"

"Yes, yes, yes, that's what it means."

"What about other things you eat? For example, bread, dry rice, etc., will you feel the same way?"