Rebirth of Medicine Practices the World

"I also agree with Dr. Ma's opinion. Dean Lin's ward rounds and conversations with his companions made the patient's diagnosis direction clear. However, this was too sudden. I was a little confused and couldn't keep up with Dr. Lin.

The long train of thought and rhythm." Ding Feng couldn't say anything.

There was silence for a while in the office. Yes, everyone thought it was a very professional issue, but no one thought that this professional discussion would be mixed with such complex human nature and social issues.

"I seem to think that Dean Lin has suddenly become a detective." Ye Xiu said suddenly. She didn't know that Lin Lin was once called a "detective" by the police officers of the professional criminal investigation team.

"Hey, Chief Ye, you can't say that. The so-called profession has specialization. I will ask a real detective to come over and help in a while."

"Now, let me share my opinion for everyone's reference." Seeing that no one had the desire or courage to speak, Lin Lin stopped waiting.

"The situation of this patient is indeed quite complicated. Many factors have blurred everyone's vision and led everyone in one direction. Perhaps this is also the cleverness of the criminal."

"First, this patient seems to have a subacute onset, progressive aggravation, and peripheral nerve damage. Judging from these characteristics, everyone diagnosed her with Guillain-Barré syndrome, which is understandable and reasonable."

"But, just as you suspected. Why is there no damage to the cranial nerves in such a serious patient? During this period, the cerebrospinal fluid examination should have shown the phenomenon of protein cell separation. Why not in this patient? Why did the hormones not play any role?"

"Everyone's doubts are correct. This reflects our highly responsible attitude towards patients and the scientific spirit that we have always had in our minds, that is, when in doubt, falsify it."

"Second, this patient is very young and was in good health before the onset of the disease. Why did he suddenly become ill and get worse quickly?"

"Third, the patient's main damage is to the peripheral nervous system. In fact, other systems have also been damaged. I looked at the results of the blood tests and found that the patient's transaminases were generally slightly elevated, mild to moderate anemia, and renal function

Mild damage and malnutrition throughout the body."

"All of this shows that the damaged parts of the patient's body are mainly peripheral nerves, but it affects multiple organs at the same time. This cannot be explained by Guillain-Barré syndrome, nor can it be explained by other systemic diseases such as lupus erythematosus.

of."

"Combined with the fact that there was only one fellow countryman accompanying the patient, I began to suspect that the patient's condition was caused by human factors."

"If this is the case, the man-made cause that can cause such serious damage to peripheral nerves and be so hidden is poisoning. This poison is probably a special colorless and odorless metal."

"We know that after certain metals are absorbed by the human body, damage can occur mainly to peripheral nerves and involve multiple organs. But this is just my guess. I dare not ask these questions in front of patients, so please

Accompany someone to the office."

"The accompanying person's narration confirmed that my idea is basically correct. Why do I say it is basic? Because, whether it is diagnosis or solving a case, what matters is evidence. Before we get the conclusive evidence, we can only 'doubt' and then think

Find a way to prove it."

"I will ask the public security organs to come forward during the verification process. The problem now is that we have to consider how to rescue this patient if there is no other way."

"To be honest, I have always maintained an attitude of never giving up until the last moment when treating patients. However, I have no confidence in this patient."

"The damage caused by the poisoning to the patient's body is still increasing rapidly. If my judgment is correct, this Liu Dagui must have increased the dose of poison before escaping, which caused the patient's condition to deteriorate rapidly."

"No matter what, we still think of a way. Ask the doctor in charge and Director Ding to contact the pharmacy department to see if they can find dimercaprol (an antidote for metal poisoning). If so, the patient will still have a trace of

hope."

In Lin Lin's decades of medical career in her previous life, this kind of helplessness often appeared. Because many of the patients who came to him for treatment came to him after traveling to many places and seeing many doctors. Most of these patients

It is a genetic disease or an advanced stage of a disease that is hopeless.

"Dean Lin, I don't know what to say. Every time, you turn the tide. I won't mention the hospital. At least, the Department of Neurology would be unimaginable without you." Ding Feng was very emotional.

"I very much agree with what Director Ding said. Director Lin is not only a treasure of the hospital, but also a treasure of our Department of Neurology. I know that Director Ding also pays attention to propriety and will not invite Director Lin unless it is absolutely necessary."

Back." Ling Xiaoyun also had a profound understanding of this.

"Dean Lin, your analysis just now is very exciting. However, I have a question, how did Director Lin judge that this patient's age is unreal?" Ye Xiu, who is good at thinking, raised a very practical question.

"Well, Chief Ye raised this question very well. My answer may not satisfy Chief Ye and everyone, because this is my feeling. Let me tell you and let everyone see if it makes sense."

"A person's life, at different ages, emits different odors to the outside world. The qi mentioned here is a person's breath, a kind of essence and spirit; odor refers to the odor emitted by a person's body

Taste. To put it simply, the external smell and the smell are different."

"In infancy, the only food for infants is breast milk or milk. The metabolism is very simple. The smell emitted by the body is the 'milk aroma'. Everyone has practiced in pediatrics. Do you like to smell this 'milk aroma'?"

After everyone listened, they nodded frequently.

"In their youth, their thoughts are very simple. The smell that comes from their bodies has nothing to do with food, but has to do with the spirit, that is, the breath."

"At this period, their bodies are dominated by growth hormone, and sex hormones have not yet exploded significantly, so they have no idea of ​​​​love between men and women. They are ignorant, fearless, clear-eyed, innocent and cute. This period will probably stay with everyone

It will never be erased from my mind.”

"From puberty to marriage, the body changes the most. This biggest change comes from changes in hormone levels in the body. At this time, sex hormones are secreted in large quantities, and various characteristics of the body change significantly."

"The men and women in this matter have the highest rate of turning heads when walking on the street, especially women, who attract more attention. This kind of atmosphere is unstoppable."