Rebirth of Medicine Practices the World

"This matter is urgent, but we must not lower our requirements because of urgency. If we don't do it, it will be enough. If we do, we must do our best and ensure that we will not fall behind in thirty years." Lin Lin made a high request to Han Jiguang.

Require.

"Now, I understand more deeply what Section Chief Ye just said."

"Yes, our hospital, from leaders to employees, are working together to build our hospital well and make our hospital stronger."

"I promise that I will do my best to do this job well so that the new inpatient building can withstand the test of time and the test of users." Han Jiguang is equivalent to issuing a "military order."

"Finally, I would like to emphasize that every penny of our hospital is earned by the employees who are fighting on the front line with their sweat, health and even their lives."

"In the process of advancing these two projects, the expenditure must be strictly controlled. What should not be spent must not be wasted. In this regard, Section Chief Yang must control the first hurdle, and please believe that the last hurdle

, I will definitely control it strictly."

Lin Lin did not dare to test human nature. The affiliated hospital in her previous life had painful experiences and lessons in this regard.

After the meeting, Lin Lin immediately called to report the hospital's decision to Wan Yaowen.

"Haha, brother Lin, you are really resolute. Let's do this, you wait for my notice. In the first batch, I will only select three hospitals with potential as pilot projects."

"After I made the selection, I organized a group of lecturers to explain the various standards of tertiary-level hospitals, as well as what needs to be done and how to do it to meet these standards."

"When the time comes, you organize a team, come to the provincial government, live in the provincial guesthouse, study in a closed setting for a period of time, and then go back and promote it in the hospital." Wan Yaowen already has a very clear idea in his mind.

Although Lin Lin tried her best to ensure outpatient consultation every Tuesday. However, the hospital work became more and more busy, and the outpatient clinic on Tuesday morning became a luxury.

The final result is that every time Lin Lin visits a doctor, she has to wait until after 2 or even 3 o'clock in the afternoon to get off work.

It was another Tuesday morning, and Lin Lin came to the outpatient clinic early. The nurses in the outpatient clinic were already very familiar with the work rules of their director. They would prepare boiling water for Lin Lin to make tea early.

Every time Lin Lin visits a doctor, one or two nurses are responsible for triaging and maintaining the waiting order. Because Lin Lin is very careful in treating patients, it takes a long time, and the patient's waiting time will naturally increase.

Just after ten o'clock, an old man walked into Lin Lin's consulting room with the support of his wife, who was also an old man.

The patient's wife was in high spirits, and the shadow of her beauty when she was young was vaguely visible on her aged face. The patient's movements were slow, his hands were trembling, and uncontrollable drool flowed from the corners of his mouth, but his clothes were clean, neat, and decent.

It can be seen that he has been well taken care of. Judging from Lin Lin's experience, such good care must come from his wife.

Lin Lin likes to see couples who respect each other like guests and grow old hand in hand. When seeing a doctor for any of these couples, Lin Lin can feel the deep love between them that has stood the test of time.

After the patient sat down, his wife began to introduce his condition. In line with Lin Lin's judgment, the patient was a Parkinson's disease patient, and had experienced long-term treatment, and the disease was under good control.

After listening to his wife's introduction for a while, the patient interrupted his wife, tremblingly took out an A4-sized piece of paper from his pocket, filled with densely written words, and said in a slightly vague voice:

"I came to see you this time because my daughter-in-law recommended me."

After that, he raised the paper in his hand and continued: "I have visited countless experts from Yingzhou to Guangcheng and then to the capital. There are old experts, young doctors and postdoctoral fellows. I want to ask them to answer my concerns."

questions, but no one’s answer satisfied me.”

"After my daughter-in-law who works in Shenzhen found out, she called me and asked me to come to you. She said you could help me answer the question." After saying that, she handed me the paper in her hand.

Lin Lin never worried about patients asking various questions and was used to answering all kinds of difficult questions, but in an instant, he still felt the slightest pressure.

After taking the paper handed to him by the patient, Lin Lin couldn't help being surprised. "Did you write it?" Lin Lin asked the patient.

"Yes, I wrote it." The patient answered unambiguously.

There are twenty questions written on the paper. The font is strong and strong, and the "qi" is very strong, standardized and beautiful. It can be seen that this old man is a very well-educated person.

These twenty questions cover the causes, manifestations, complications, treatment methods, future prognosis, matters that need to be paid attention to in daily life, etc. about Parkinson's disease.

These questions are the ones Lin Lin usually answers the most when seeing this type of patients. Therefore, Lin Lin knows how to answer such questions.

Lin Lin moved her chair so that her body was closer to the patient.

Distance can produce wonderful effects, something Lin Lin had tried repeatedly in her previous life. Seeing Lin Lin approaching him, a rare smile appeared on the patient's dull face.

Lin Lin placed the paper with the questions flat in front of the patient, and then pointed with the pen to answer each question.

"Parkinson's disease is an ancient disease, and it is also a disease whose cause is not yet clear."

"Current research only knows that in the brains of these patients, a type of cell that can produce dopamine spontaneously undergoes apoptosis. These apoptotic cells can never regenerate, and the concentration of dopamine in the brain gradually decreases."

"There are two important neurotransmitters in the human brain, one is dopamine and the other is acetylcholine. Under normal circumstances, they restrict each other and work together to ensure the coordination of human muscle activities."

"But when the concentration of dopamine drops, this coordination and balance is broken, and the patient develops symptoms."

"In medicine, we cannot destroy acetylcholine in the brain just because dopamine has been reduced. What we can do is to use the most common method now, which is to supplement the reduced dopamine through oral drugs. We call it 'replacement therapy'.

"

"In other words, there are not so many cells in the brain that produce dopamine, so we supplement dopamine orally and try to rebalance them."

"Of course, this is just our wishful thinking. It is impossible to achieve the right balance."

"The key issue is that there is a 'ceiling' in terms of the dosage of the current oral administration of Madopar and Xining. In other words, these two drugs have a limit that cannot be exceeded.

If it does, serious side effects will occur.”