Rebirth of Medicine Practices the World

No matter what Ding Feng said, Ye Xiu insisted on sitting outside Ding Feng. Lin Lin sat in the middle, and Ding Feng and Ling Xiaoyun sat beside Lin Lin.

The patient discussed this time is in charge of Tan Xiaomin. Since Jian Sandie stepped down and Ling Xiaoyun retired, Tan Xiaomin has become more disciplined.

"The patient is a male, 46 years old, a farmer. He has been hospitalized for half a year due to numbness and weakness in both upper limbs." Tan Xiaomin began to report the medical history.

"Six months ago, the patient felt numbness in both upper limbs without any trigger, but the degree was very mild and the patient did not pay attention to it."

"Over the past six months, the patient's numbness has gradually worsened, but it has not affected the patient's daily life and farm work. He has been to the outpatient clinic of our hospital many times and was diagnosed with peripheral neuropathy and treated as peripheral neuropathy."

"Because the treatment has no effect, the patient has seen several teachers in our department. The diagnosis and treatment have not changed, and the patient's condition has not changed either."

"After a physical examination after admission, it was found that the patient had a long 'glove'-like pain and decreased sense of touch. However, the patient himself could not tell how long the 'glove' was."

"The muscle strength of the patient's hands is not very poor, about level 5 weak. In addition, the patient's lower limbs do not have any positive signs."

"Currently, we are still treating according to the idea of ​​'peripheral neuropathy'. Because the treatment effect is poor, Director Ding and Director Ling both advocated asking Director Lin to come back to guide the diagnosis and treatment of this patient."

"Dr. Tan's report is very detailed. I have nothing special to add." Li Yun'e is Tan Xiaomin's superior doctor.

"Director Ling and I have seen this patient. So far, Director Ling and I both think that the diagnosis of peripheral neuropathy is very reluctant, but we can't find a suitable diagnosis. So, I had to ask Director Lin to come back for guidance.

."

"Everyone here has worked hard from the review of the tertiary hospital to now. I have never had time to come back and sit down and chat with you. Here, on behalf of myself and the hospital, I would like to express my heartfelt gratitude to everyone for their hard work.

Thanks.”

"The excellence of the Department of Neurology is recognized by the whole hospital. I hope that in the coming days, the Department of Neurology can maintain its fine traditions and continuously improve the level of diagnosis and treatment."

"According to my communication with the First Affiliated Hospital of Shuangya Medical College, they will accept our doctors for short-term further training. Such an opportunity is very rare, and I hope everyone will cherish it."

"Dr. Dong Huayu, the first batch, has already gone to study. I hope Director Ding will make arrangements so that every young doctor has the opportunity to participate in this learning process."

"We don't want to work behind closed doors. We must learn from others' strengths, see more cases, think more, and learn more. In short, I hope that neurology can maintain its leading position in Yingzhou."

"I'm just going to say a few words. Now, let's go see this patient together." After Lin Lin finished speaking, she stood up. Ding Feng led the way and led Lin Lin to the ward where the patient was.

December in Yingzhou is not the coldest weather of the year.

Ding Feng took Lin Lin to a strong man and said, "This is our President Lin. Today, I invite him to come back to see you."

"Thank you, thank you, Dean Lin, thank you, Director Ding." This is a man who is about 1.6 meters tall and wearing a collarless short-sleeved top, revealing his strong muscles and dark skin.

Lin Lin's first impression was that she was a person who had been engaged in heavy physical activities outdoors for a long time.

"Isn't it cold?" Lin Lin asked with concern.

"It's not cold, I'm used to it." The patient sat on the bed and answered Lin Lin's question.

"You have been sick for so long. Do you think your illness has a big impact on your life?"

"It's not big, it just feels uncomfortable and it's not sensitive enough to touch things."

"Is the power unaffected?"

"There is no impact, I don't feel any impact."

"Is it okay to defecate?" As soon as Lin Lin asked this question, sensitive people felt that Lin Lin's thoughts were no longer limited by peripheral neuropathy.

"Okay, not bad."

"I ask you a question, and you can answer it with confidence. We are all doctors, and we are here to diagnose your disease. We will definitely keep everything you say a secret."

"Dean Lin, please tell me, it's not a big deal." Although the patient is a farmer, he doesn't seem to be afraid of any problems. With the reform and opening up, in addition to material satisfaction, people's concepts have also undergone earth-shaking changes.

"From the time you got sick to now, do you think your sexual function has changed?"

"Well... there have indeed been changes in the past month."

"Which aspect is the main change? Is it because I no longer think about it? Or is my ability to feel reduced?"

"The ability to feel has decreased, and it is not as hard as before. Yes, the change this month is more obvious."

"Okay, thank you for your answer."

"Dean Lin is so polite. I have been seeing a doctor for so long, and only Dean Lin has asked me this question. If it hadn't been for Dean Lin asking, I would have thought it was caused by me being too tired from work. Now that I think about it, it is indeed the case.

Problem."

"Do you and your spouse have anyone with a disease like yours in your family?"

"No."

"Okay, please lie down and I will examine you." Lin Lin said to the patient.

The patient took off his slippers, turned around, and was about to lie down. Suddenly, Lin Lin pressed his shoulders and said, "Wait a minute."

The patient was stunned for a while, but he still sat on the bed cooperatively. All the doctors' eyes were fixed on Lin Lin, wondering what Lin Lin wanted to do.

"There is a big scar on your shoulder and back. What's going on?" As Lin Lin asked, everyone looked at the patient's shoulder and back, and sure enough they saw a large and extremely clear scar.

"Oh, this is because I broke my skin when I was picking things up. After doing it many times, this scar appeared."

"The things you usually pick are heavy?"

"Yes, it is common to carry more than one hundred pounds."

"Your scar is probably not caused by an injury, right?"

"No, it was caused by multiple injuries. Every time, the injury was healed, and the injury was healed over and over again, so there was such a big scar."

"Hmm..." Lin Lin originally wanted to check the patient's feeling immediately, but hesitated for a moment and asked the patient to lie down.

Lin Lin first tested the muscle strength of the patient's limbs. Sure enough, the patient's strength was very strong. No wonder he said that the disease had no impact on his work.

Next, Lin Lin's examination, Ding Feng, Ling Xiaoyun, Tan Xiaomin and Li Yun'e were stunned.

"The tendon reflexes of both upper limbs disappeared, and the thenar and interosseous muscles of both hands were slightly atrophied. This kind of atrophy is really easy to ignore if you don't pay attention."

"The tendon reflexes of both lower limbs were active, the pathological signs of both lower limbs were positive, the cremasteric reflex was significantly weakened, and the abdominal wall reflex was weakened."