Rebirth of Medicine Practices the World

"Please tell me."

"In our Yingzhou City, there are several construction companies with strong backgrounds or very strong backgrounds. The people behind these companies have unfathomable backgrounds, and they are not good people. You have to be careful."

"The project of our hospital involves a large amount of money. In the eyes of these people, it is just a big and delicious 'cake'. There are many people who want to get it, and some people will definitely use various means."

"In the coming period, Dean Lin will be under a lot of pressure."

"Well... thank you for the reminder, I will pay attention to it." Lin Lin had heard about how these construction companies took advantage of each other in their previous lives. He knew that Uncle Lu must have taken the lead in adjusting the positions of Hong Weiping and Ding Jian.

chess".

Just after sending Han Jiguang away, Lin Lin received a call from Ding Feng.

"Dean Lin, are you free tomorrow morning? I would like to ask you to come back to see a patient."

"Not tomorrow morning. The hospital meeting tomorrow morning is unstoppable. What? The patient's condition is very complicated? Is it urgent?"

"It's not urgent, it's just complicated. In that case, I'll see if you can come back and have a look on Friday morning."

"Let's do it on Friday. I'm free on Friday morning." Since there was no rush, Lin Lin didn't want to break the rules.

On Friday, ward rounds started on time.

"Dean Lin is invited to come back today to help us diagnose and treat this patient. The patient's condition is quite special, so please make a record of it by the doctor in charge." Ding Feng's opening remarks seemed to indicate that this patient was unusual.

The patient's first consultation and supervising doctor are both Ma Shuiyuan.

"I'm here to report on this patient's condition. Let me explain in particular that the medical history was provided by the patient's fellow villagers." Ma Shuiyuan immediately took up Ding Feng's words and began to report the medical history.

"The patient is a 36-year-old female from Dongjiang Province. She was admitted to the hospital because of sore throat for three weeks, which worsened and her limbs were weak for a week."

"Three weeks ago, the patient suddenly developed a sore throat. At first, she thought it was a cold and bought some cold medicine, but the condition did not improve."

"A week later, the patient developed weakness in his limbs, which progressively worsened. Two days before admission, he had difficulty breathing. He was sent to the emergency room by his fellow patient on Tuesday."

"I happened to be on duty at the time. When I arrived at the emergency room, I saw that the patient's condition was very serious. I did not dare to ask about the medical history and physical examination, but immediately connected the monitor. As soon as the monitor was connected, an alarm appeared immediately, indicating that the patient was obviously hypoxic.

."

"I immediately intubated the patient's trachea and connected him to a ventilator. After being connected to the ventilator, the patient's condition stabilized."

"After the condition stabilized, I conducted a physical examination on the patient and found that the patient's limb muscle strength was level 2 (with this level of muscle strength, the limbs cannot be lifted off the bed), and the muscle atrophy of the limbs was obvious. The skin of the limbs was dry and sweatless, and the tendon reflexes of the limbs were

It disappears and cannot induce pathological reflexes."

"Based on the medical history provided by the patient's hometown and combined with the patient's physical findings, I considered Guillain-Barré syndrome and admitted her to the hospital."

"The next morning, I asked Director Ding to do a ward round. After Director Ding made a ward round, he raised a doubt, that is, the patient did not show signs of cranial nerve damage. Although cranial nerve damage does not 100% appear in Guillain-Barre syndrome,

There are no such signs in the patient’s body, which is indeed doubtful.”

"Following Director Ding's instructions, after the ward rounds, I personally performed a lumbar puncture examination on the patient. The lumbar puncture showed that the pressure was not high and the cerebrospinal fluid was clear and transparent."

"After collecting an appropriate amount of cerebrospinal fluid for examination, and following Director Ding's instructions, I began to treat the patient with hormones."

"On Wednesday, the patient's cerebrospinal fluid test results came back, indicating that all indicators were normal. Routine blood tests showed that the patient had mild anemia. Blood biochemical tests showed that the patient had hypoalbuminemia, with an albumin of only 23 grams."

"After these few days of hormone therapy, the patient's condition has not improved at all and seems to be getting worse. Therefore, I reported the situation to Director Ding. Director Ding immediately decided to ask Director Lin to come back for rounds to guide us in the next step.

Diagnosis and treatment.”

From Ma Shuiyuan's report, it can be seen that he spent a lot of time and energy on this patient.

"I would like to add that I saw the patient the day after he was admitted to the hospital. My feeling is that this patient does not have sufficient conditions to diagnose Guillain-Barre syndrome."

"However, this patient did suffer mainly from peripheral nerve damage. Therefore, when the cause of the disease was unclear, I had to ask Dr. Ma to give the patient hormones."

"It is impossible to expect improvement in such a short period of time. However, the patient's condition is still getting worse, which is even more difficult to explain by Guillain-Barré syndrome."

"Well, it seems that everyone has had an in-depth discussion about this patient. Let's go see the patient first." Based on Lin Lin's habit, he would never express any biased opinions before contacting the patient.

Ma Shuiyuan led the way to the room where the patient was.

Lin Lin stood on the right side of the patient, facing the patient's fellow villager, a woman about 50 years old.

Lin Lin turned her head and looked at the patient lying on the hospital bed.

The patient appears thin, his big eyes are sunken, and the muscles on his face seem to have disappeared. In medical terms, such a patient is a typical "cachexia" (a condition common in late-stage tumors or severe malnutrition)

)Performance.

Lin Lin stared at her for a while, and then began to do a physical examination. Everyone felt strange, why did Dean Lin uncharacteristically omit the medical history? Did he completely agree with everything Ma Shuiyuan and Ding Feng asked?

Lin Lin checked the patient very carefully, including the condition of the heart and lungs, the nutritional status of the whole body, the examination of the nervous system, and even the patient's body hair.

After the examination, Lin Lin straightened up and looked at the patient's "fellow fellow" sitting opposite him.

"Are you her fellow countryman?"

"right."

"From the same province?"

"From the same province and the same village."

"Oh, then you know her very well."

"Yes, I am the only one staying with her. Oh, poor her..." the patient's fellow villager said, unable to continue.

"You told our doctor that she is 36 years old. Is she really 36 years old?"

Based on Lin Lin's age before her rebirth, she has a particularly clear sense of the aura of youth. Even if a woman is average-looking, as long as she is young, she will give people a feeling of vitality.

Youth is capital, youth has its own youthful atmosphere, and patients are no exception. This cannot be hidden from "old man" Lin Lin.

"This is Director Lin from our hospital. He is very busy. We asked him to come back to see her. If you have anything to say, please make it clear. If you miss it, Director Lin does not have so much time to see her a second time.

"

Ding Feng heard Lin Lin's suspicion about the patient's age. Ding Feng felt strange, why would Dean Lin start here first?