Rebirth of Medicine Practices the World

"Fifth, the patient still has a relatively normal menstrual cycle, but the amount of menstrual flow is significantly reduced. More importantly, the patient said that the lubrication of the secret area before menstruation has significantly deteriorated."

"How bad is it? It's so bad that the patient can't have sex with her husband at all. It's so bad that the patient has severe pain when having sex with her husband. It's so bad that she refuses to have sex with her husband because she's afraid of his touch."

"Sixth, let me talk about some of the things I found during physical examination. The mucous membrane in the patient's mouth is very dry, and several ulcer lesions can be seen."

"The patient's teeth have partially turned black and his gums have receded. The mucous membrane on the throat wall is also very dry, and his eyes are also very dry, with almost no tear moisture."

"The neurological examination is consistent with what Dr. Ye reported. The muscle tone of the limbs is low, the muscle strength is level 4, the tendon reflexes are weakened, and the pathological signs are negative. The skin of the limbs appears dry, with slight desquamation. Other symptoms of the nervous system

No abnormality was found in the inspection.”

"I don't know, after I have said so much, do you have any ideas, or do you have some new ideas for the diagnosis of this disease." Lin Lin paused deliberately, wanting to hear everyone's opinions.

Silence, deathly silence in the office!

Everyone knows that what Dean Lin said must have a clear direction, and these are all real. But no one can think of a neurological disease to explain these symptoms and signs.

"Only a genius like Dean Lin can dig out these symptoms and signs. Even if Dean Lin has dug them out now, my mind is still blank regarding the diagnosis of this patient.

." Ling Xiaoyun had to admire this "genius" that she wanted so much but couldn't get.

"Director Ling has spoken out our feelings. In front of Dean Lin, we are like primary school students." Ding Feng said quickly.

"Don't belittle yourselves. Through the discussion of this case, I will give you a reminder. If you want to become a doctor with excellent medical skills, deep, extensive and solid internal medicine knowledge is essential. Everyone must pay attention to it."

"I suggest that Director Ding include the content of internal medicine system diseases in the regular assessment of the department in the future. The scores for these contents can be total scores or reference scores."

"Okay, let me talk about the most obvious feature of this patient. I can summarize this feature in one word: dryness!"

"Reduced tears, dry eyes; reduced saliva, dry mouth, frequent blockage of the parotid duct, oral mucosal ulcers, and tooth deterioration; it may be that the fluid in the bone and joint cavities is reduced, causing pain when the patient moves the joints; the secretions in the secret areas are reduced,

As a result, the private parts are dry and the patient dare not have sex with her husband..."

"You may have discovered a special situation from what I just said, that is, the patient's exocrine gland function has significantly declined."

"Of course, the patient's disease also damaged peripheral nerves, which is why the patient was admitted to our neurology department."

"So, to sum up, the patient has a disease characterized by dryness. This disease is known in internal medicine and is called 'Sjögren's syndrome'. It is an autoimmune disease."

"This disease generally causes damage to the exocrine glands, but damage to multiple systems can also occur. Currently, there is no radical cure."

"To confirm it, you can do a simple test, which is to check whether the patient's anti-ssa or anti-ssb antibodies are positive. In my opinion, this patient must be positive."

"For such patients, hormone treatment can be considered to relieve the patient's symptoms. It is reasonable to stay in our department for treatment."

"Of course, if you don't want to observe the patient's response to treatment, you can also ask the endocrinology department for consultation and transfer it to them. Haha, I guess they really want to get this patient."

"I often say that patients are doctors' best teachers. If you have never come into contact with such patients, you will not read relevant books, let alone think in this direction."

"The two patients discussed today are very meaningful. In fact, these two patients are related to our neurology department, but the causes are diseases of other systems."

"Of course, the final result cannot be confirmed until the examination is completed. However, haha, I have always been very confident in my judgment. Director Ding, I will wait for you to report the results to me."

Lin Lin discovered that since she stepped into the management of the hospital, many things in her previous life have changed the original trajectory, including the patients she saw were very different from before.

However, with Lin Lin's decades of rich clinical experience, these cases are not difficult for him.

"Thank you very much, Dean Lin! During today's ward rounds, Dean Lin brought us a wealth of knowledge and unique thinking methods. Every ward round conducted by Dean Lin is equivalent to brainwashing us and cleaning up our fixed thinking.

, brings us a new way of thinking and methods.”

"I don't know what everyone thinks. I have always thought that if Dean Lin is free, I would very much like him to come back every week to participate in and guide our discussions on difficult cases."

"A case like Dr. Ye's case today, although it was brought up temporarily, after Director Lin's ward rounds, the knowledge we learned from it is no less than the first case."

"What President Lin just said is very useful to me, that is, 'patients are the best teachers.' Therefore, we must treat patients well and respect them."

"Finally, let us give a warm round of applause to thank Dean Lin for teaching us a very shocking lesson." After Ding Feng finished speaking, everyone immediately applauded together.

Lin Lin quickly used her hand gestures to signal everyone to stop applauding.

"Everyone, please be quiet. This is a ward. If we don't be quiet, how can we ask the people accompanying us to be quiet?"

"Thank you, Director Ding, for your high praise! Haha, Director Ding and everyone, please don't forget that I am a member of the Department of Neurology. In this life, I will be born as a member of the Department of Neurology, and I will die as a ghost of the Department of Neurology."

"Uh... Dean Lin, how can you talk like this? You must be immortal and have always been ours." Ling Xiaoyun was used to Lin Lin's shocking words.

"Haha, Director Ling, no one in this world can live forever. Not Qin Shihuang, nor anyone in the future. Okay, everyone, separate and quickly put the plan we just discussed into action. I am an impatient person." Lin Lin

After saying that, he stood up.

Ding Feng saw it and stood up, accompanying Lin Lin and leaving the neurology ward.

Lin Lin's ward rounds today, from medical history, physical examination, to analysis, caused a huge stir in the Department of Neurology. Everyone was impressed by Lin Lin's extensive knowledge, quick thinking, delicate thinking, and rigorous logical thinking.