Rebirth of Medicine Practices the World

"Secondly, there is the patient's treatment problem. Although we are now using dexamethasone treatment, the situation has improved, but the patient's pain still exists, which seems difficult to explain." It turns out that Dong Huayu was under Zhuo Yiming.

"Dr. Dong's report is very concise, focused, and very good. It can be seen that Dr. Dong has put a lot of effort into it, and it can also be seen that Teacher Zhuo and Director Ding gave Dr. Dong good guidance."

"I hope Dr. Dong will continue to maintain this positive attitude. As long as a person steps into the ranks of doctors, he must have a lifelong learning mentality and actions, otherwise he will be quickly eliminated."

"Okay, let's go see the patient together." Lin Lin knew that these young medical students, and even the doctors in the department, wanted his approval.

For a new patient, no matter what others say or record, Lin Lin must conduct a detailed medical history inquiry and physical examination again. It's not that he doesn't trust others, but that he trusts his own knowledge structure more.

When Lin Lin walked into the room where the patient was, the patient was "walking" back and forth in the room, accompanied by her husband. It could be seen that the patient was not walking smoothly. Lin Lin caught this scene.

"Today, we invite Director Lin to come back to see you. Please lie on the bed." Ding Feng said to the patient.

"Okay, thank you, Director Ding, and thank you, Director Lin." The patient said, and slowly lay down with the support of her husband.

Suddenly, the patient screamed, his voice was very shrill.

"Ah...it hurts. It hurts me so much." Ding Feng saw it and hurried forward, supporting the patient together with the patient's husband. After about ten seconds, the patient's pain disappeared like a gust of wind, leaving the patient behind.

Yes, he was covered in sweat.

This sudden incident made Lin Lin grasp the starting point of asking for medical history.

"Are you feeling better now?" Lin Lin asked with concern.

"Thank you, Director Lin. It doesn't hurt now." The patient's expression was completely different from the painful expression just now. If they hadn't seen the attack just now, no one would have thought that the patient had such a painful side.

"When did you start having this kind of pain?"

"When the disease first started, it was so painful. At first, the attacks were not frequent. Later, the attacks became more and more frequent and more severe. Every time, the pain was so painful that I was dying."

"Can you describe how you felt during the entire pain attack?"

"Yes, I will never forget this kind of pain for the rest of my life." It seems that the patient is unforgettable about this kind of pain.

"This kind of pain mostly happens when I get up or lie down. Sometimes it happens without any reason."

"When the pain is not only like lightning, but also accompanied by a very uncomfortable twitching feeling. It is like being struck by a bolt of lightning on the shoulder, and the lightning continues to discharge to the hands and feet. At this time, the pain and twitching are the most severe.

When you feel uncomfortable."

"Now, I have a shadow in my heart. Because this kind of pain comes and goes without leaving a trace, and it hurts like hell."

"Is it numb, spicy, and painful all at once? It hurts from your shoulders all the way to your feet."

"Yes, yes, yes, that's it. It's just that the intensity is more severe and unbearable. Every time after the pain, I sweat profusely and feel like I'm exhausted."

"Besides pain, have you had any other problems since your onset?"

"Yes, after the onset of the disease, my hands and feet felt numb and my strength became worse. This condition is more obvious in my left hand and left foot. Now I feel unsafe when I walk, and it feels like I am stepping on cotton."

"Is there any problem with defecation or defecation?"

"No, my bowel movements are fine."

"Do you feel better after being admitted to the hospital?"

"It's much better, probably 60 to 70 percent better."

"Has your vision changed since you became ill?"

"There is no obvious change, and I can still see things very clearly."

"Did you sleep well?"

"It's not good. At first, it was the pain that kept me from falling asleep. Now, the pain has reduced, but I don't feel sleepy and it's hard to fall asleep."

"Is there any patient like you in your family?"

"No. My parents are healthy and live a long life, and my brothers and sisters are also still alive."

"Okay, you lie down and I will examine you. If you feel unwell during my examination, please tell me in time."

"Okay, thank you, Director Lin." Lin Lin's gentle consultation made the patient feel warm and reassured.

Lin Lin told the patient how to cooperate while doing the physical examination. The whole process was as smooth as a cloud. The technique was light, the force was just right, and the movements were standard.

As Lin Lin's physical examination progressed, Lin Lin checked out the patient's physical signs one by one.

The tendon reflexes of the limbs are active, the muscle strength of the left limb is weak at level 4, the pathological signs on the left side are positive, the joint position sense of both lower limbs disappears, the pain and temperature sensation on the right side of the body decreases, and when standing, the patient has "difficulty standing with eyes closed" sign.

Positive.

The so-called "difficult to establish sign with eyes closed" is to ask the patient to stand with his feet together and his hands stretched flat. At this time, when the patient opens his eyes, he can stand steadily, but once his eyes are closed, the patient will fall to one side. If no one is around

Otherwise, the patient will definitely fall to the ground.

The more Lin Lin checked, the more discouraged the doctors standing around him became: Why can't we find these signs?

Yes, it stands to reason that Lin Lin's physical examination now is not the best time to detect these signs. Because the patient has already been treated with dexamethasone, the symptoms have improved, and some signs will disappear.

"Now I want to use a special technique to do an examination for you. This examination may cause the pain you just felt. If you don't agree, I won't do this examination."

"Dean Lin, I believe you. You are doing this to find out my condition. Just do it, I can bear it." The patient has never experienced an examination like Lin Lin's. The movements are gentle and the patient's health is fully taken care of.

Feel.

Lin Lin asked the patient to sit on the hospital bed. He stood on the right side of the patient and placed one hand on the patient's back occiput. Everyone present looked at Lin Lin with breathless concentration.

Lin Lin suddenly bent the patient's head and neck forward. Following Lin Lin's sudden movement, a sound of "Ah..." also sounded. The patient was also on Lin Lin's arms, slowly moving backwards and lying on the bed.

.

At this time, the patient was sweating profusely. Her husband saw her and hurried forward to wipe the sweat off her body.

"I'm sorry for making you suffer." Lin Lin said to the patient.

"Oh..." The patient paused.

"It doesn't matter, I understand what Dean Lin means. My usual pain is just like this. Unexpectedly, it is related to lowering my head." The patient finally found a pattern.