Rebirth of Medicine Practices the World
Chapter 177 About Clues
"I don't have any new opinions. I think Dr. Ma and Director Ding's summary is very good, and I agree with it very much." With the fall of Jian Sandie and Lin Lin's strong rise, Li Yun'e had to admire Lin Lin's ability.
"Dean Ye, would you like to say a few words?" Lin Lin named Ye Xiu.
"I also agree with everyone's opinion. Dean Lin has done a very detailed investigation and there is no doubt about the diagnosis. All that needs to be done is to do an MRI of the patient's neck to confirm the size of the cavity and determine the next step.
treatment direction.”
Although Ye Xiu was excellent, he had not seen many types of diseases, could not discover anything, let alone say anything.
"Okay, let me summarize a few words."
"First of all, this patient has a long medical history and has been seen by the neurology departments of several hospitals in Yingzhou City. This time, if we cannot find out the cause, the impact on our neurology department will be really bad."
"I looked through the patient's outpatient manual and his medical records, and I thought of a question."
"Because when he went to several hospitals for medical treatment, he used the same outpatient manual. The records in the outpatient manual recorded his entire medical treatment process in relatively detail."
"The chief complaint recorded by the attending doctor for the first visit was as follows: 'numbness in both upper limbs for more than 2 months.' The physical examination recorded also showed in detail the pain and tactile sensation below the wrist joints of both upper limbs. The final diagnosis was made
It is peripheral neuritis and should be treated as peripheral neuritis."
"After many visits, the receiving doctors all thought, diagnosed and treated according to this idea. The patient's condition did not improve, and had a tendency to gradually worsen. However, because the condition did not affect the patient's daily work and life, the patient
I will treat him in a leisurely manner."
"I have said so much just to talk about one issue: stereotyped thinking, and how terrible the influence of stereotyped thinking is on a person!"
"We are sometimes unconsciously led by the diagnosis of the first doctor. This power of self-suggestion or being suggested by him is sometimes very powerful and can also lead people into misunderstandings."
"I know many of the doctors who treat this patient. Could it be that they don't have the level to discover the deeper causes of this patient's illness hidden under the surface? I don't think so."
"This is not a question of level, but a question of thinking methods. Don't underestimate thinking methods. If you use them well, you will get twice the result with half the effort."
"For example, when I checked just now, did you notice that there was an obvious scar on the patient's neck and back?" Lin Lin paused after saying this.
"Yes, I noticed it. Could it be that this scar inspired you?" Ling Xiaoyun was also curious.
"Yes, this scar has given me a lot of inspiration. Is there anyone here who has done farm work, or in other words, has done heavy lifting?"
"Dean Lin asked this, has Dean Lin ever shouldered a heavy burden?" Ling Xiaoyun didn't believe that Lin Lin, who was elegant and fair-skinned, could also do farm work.
"Haha, don't tell me. In early 1976, I was one of the last batch of students from our middle school to study in the farm branch. On the farm, I carried dung water, carried water to the foot of the hills to irrigate the sugar cane forest, transplanted rice seedlings, and cut sugar cane.
I've done everything like driving a tractor."
"Isn't there anyone here who has done this?"
"Dean Lin, I come from the countryside, and I have done this before," Ma Shuiyuan replied.
"Okay, very good. It's not a bad thing to experience more things. If you are good at summarizing, your experience will be a valuable asset."
"Dr. Ma, let me ask you, if you feel pain in your shoulder when you are carrying a heavy load, what would you do?"
"I'll switch to the other shoulder."
"Have you ever been injured like this when carrying heavy loads before?"
"No."
"Okay, great. Now can you imagine why the patient is like this?"
"Oh...I understand!" Ma Shuiyuan, Ding Feng, Ling Xiaoyun, Ye Xiu and the others said almost in unison. After saying that, they all couldn't help laughing.
"Haha, okay, do you understand? Doctor Ma, please tell me." Seeing this, Lin Lin couldn't help laughing.
In her previous life, Lin Lin was always so persuasive when teaching students.
"This patient, due to lack of pain perception, did not feel any pain even though his shoulder was injured. That's why the injury occurred again and again, leaving such a big scar." Ma Shuiyuan finally came to his senses.
"Yes, that's so right."
"Everyone should remember that any patient will have some clues that reveal information about the disease. However, not every clue can be discovered, understood, or grasped."
"What we have to do is to understand as many of these clues as possible and provide them with clinical services." Lin Lin explained another truth to everyone.
"Dean Lin, when we are playing cards, every move we make cannot escape your eyes and your brain. Your attention to details is perfect. I guess no one will object, right?"
"I don't object, I agree. However, Dean Ye, you just said that Dean Lin can play cards?" Ling Xiaoyun was shocked again.
"Yes, during the last pre-evaluation, Dean Lin was grabbed by Director Zhang and his teacher from the provincial department and asked Dean Lin to play cards with them for a while. My teacher and I are also Dean Lin's teachers.
My partner was beaten to a pulp by Dean Lin and Director Zhang." Ye Xiu also said it generously.
"Tsk tsk, Dean Lin, I thought I already knew you very well. It seems that my understanding of you is still far from perfect. You, what is it that you don't know? How much of me are you still hiding?
Don’t know?” Ling Xiaoyun came again.
"Director Ling, there are so many things I don't know that I can't even count them all."
"Playing cards is a pastime and a kind of relaxation. You must not take it seriously or indulge in it. After I graduated, except for the pre-judging card game, I have never touched poker."
"Time and energy should be spent on serious matters. In this world, it has never been said that knowledge will automatically fall into your head. Only by studying hard, not being ashamed to ask questions, and using your brain more can you master real skills."
"Okay, if there is nothing else, let's stop here today. I believe you will know how to deal with this patient's next step." After Lin Lin finished speaking, she stood up.
Yes, he can't chat here. There are many, many things that need him to think and plan.
Han Jiguang has reported the renderings of the hospital building design and his views to Lin Lin. Lin Lin asked Han Jiguang to be ready at any time to explain the design concept and his ideas at the hospital meeting.
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