Rebirth of Medicine Practices the World

"Why is this patient's trigger always fixed and related to sun exposure? To be honest, I can't answer this question."

"I remember that I once saw a report in the magazine "Foreign Medicine" about an epileptic patient. The patient lived in a country where people used their hands to eat when eating."

"What is very strange is that this patient only has attacks when he is doing the action of grabbing food with his hands. At other times, he never has attacks."

"Later, the patient wore a dynamic electroencephalogram examination device and induced the seizure by grabbing food with his hand. At the same time, the electroencephalogram recorded typical sharp waves and sharp and slow complex waves."

"Finally, the author called this seizure an epileptic seizure induced by grabbing rice. As for the cause, the report did not make it clear."

"As far as I know, there are no reports of epileptic seizures related to sun exposure in the world. I suggest that Dr. Dong can write it into a paper. Of course, it will be written after the data is completely collected."

"Don't underestimate the reports of these cases. Sometimes, reports of individual cases can lead to a special disease. The most typical case is Parkinson's disease."

"Probably in 1887, a British doctor named Parkinson wrote reports on three patients. These three patients all had several common characteristics. Increased muscle tone and slow movements."

"Later, patients with such characteristics were reported one after another, and the symptom characteristics of these patients were more complete. Later generations named this disease Parkinson's disease."

Lin Lin spoke eloquently, and everyone was fascinated.

"How can this guy hold so many things in his head?" Ling Xiaoyun continued to be surprised.

"Dean Lin is so awesome, and his knowledge is so broad." Ye Xiu felt more and more that catching up with Lin Lin seemed to be out of reach.

"That's great. Stories like this are really helpful for me to write articles. Dean Lin is really amazing." Chen Zhengtong thought to himself.

"Teacher Li's second question is why patients maintain one seizure pattern for a long time. In fact, this situation exists in many epilepsy patients."

"If the lesion is in or near the precentral gyrus of the cerebral hemisphere, the patient's seizure patterns may be diverse. However, this patient's seizure pattern is indeed a bit special."

"When he had an attack, he was in a hazy state of consciousness, and showed excessive sweating and eating. In such an attack, the epileptic focus is usually in the limbic lobe. This part is not prone to various forms of seizures."

"Of course, it cannot be ruled out that abnormal discharges are transmitted to the contralateral cerebral hemisphere through the corpus callosum, thereby causing changes in seizure types."

"However, we have not found this situation in this patient. I am not sure whether it will happen in the future. However, if we can treat it in time, there is little chance of this happening in the future."

"As for the issue of electroencephalogram examination, I have to say that this is a pain point in the neuroelectrophysiology room of our hospital. We are known as the leader of neurology department in Yingzhou area, but we do not have a dynamic electroencephalogram examination instrument. This is unjustifiable.

of."

"Director Ding, please make a plan, type up the application report, and buy this instrument back. At the same time, send relevant personnel out for training."

"The dynamic electroencephalograph is important to us, but it is not omnipotent. Doctor Ma, tell me, what are the diagnostic criteria for the diagnosis of epilepsy?" Lin Lin suddenly asked, this is also

Characteristics of Lin Lin’s ward rounds.

"Clinical manifestations plus auxiliary examinations, among which, among the auxiliary examinations, electroencephalography is the most important." Ma Shuiyuan's answer was a bit of a siege.

"What do you think about electroencephalogram examinations?"

"Electroencephalogram examination is an indispensable method and means in diagnosing epilepsy, especially the dynamic electroencephalogram that Dean Lin just mentioned." Ma Shuiyuan's answer still did not hit the point. Obviously

, Ma Shuiyuan has not yet fully understood the chapter on epilepsy.

"I won't mention names, everyone can talk about this issue."

"Let me tell you something." Ye Xiu spoke. Lin Lin was very optimistic about Ye Xiu's professional understanding.

"The positive rate of electroencephalogram examinations only accounts for 60 to 80 percent of all epilepsy patients. In other words, 20 to 40 percent of epilepsy patients do not receive electroencephalogram examinations, including dynamic brain examinations.

The electrogram test was negative."

"So, the most important thing for the diagnosis of epilepsy is the exact medical history, which is the medical history described by people who have witnessed the patient's entire seizure process. Just like today's patient, the seizure process described by his wife has the final diagnosis

value."

"For episodic diseases, medical history inquiry is very important. I remember that Dean Lin once diagnosed a patient with a patent foramen ovale. At that time, the two schools of thought in the department had a heated debate."

"Finally, Dean Lin came back for rounds and inquired about the attack in detail, and determined that the patient's attack was caused by destructive lesions in the brain rather than irritating lesions. Of course, the final result was even more...

It is confirmed that Director Lin’s analysis is correct. I am very impressed by this patient.”

"Well, Dean Ye has read the chapter on epilepsy very thoroughly."

"Everyone, medicine is a subject that cannot be understood even half-heartedly. Medicine is also a subject with bottomless knowledge. Therefore, everyone here, from the moment you step into the door of medicine, learning will accompany you throughout your life. And

, this kind of learning must be in-depth learning and cannot be superficial."

"Let me answer Teacher Li's last question, which is why not consider that this patient's attack was caused by hypoglycemia."

"Everyone knows that a normal person's blood sugar is lowest in the morning on an empty stomach during 24 hours a day. However, this patient has never had an attack at this time."

"On the contrary, his attacks always occur after breakfast and when he goes to work in the fields. This is not the time when the patient's blood sugar is at its lowest."

"Of course, there are exceptions to everything, and everyone's individual differences are huge. Therefore, this question raised by Teacher Li can be reflected in the subsequent examination to see if it is really related to blood sugar."

"We cannot let go of any possible cause. The complexity of the disease forces us to do this. I believe that no doctor in this world dares to say that he is omnipotent and can diagnose and treat any disease.

treat."