Rebirth of Medicine Practices the World

Chapter 287 Careful, confident and considerate

"At night, the patient had two similar attacks in a row. The local hospital diagnosed him with epilepsy. He was sent to the emergency department of our hospital the next morning."

"The doctor on duty in the emergency department performed a head magnetic resonance examination on the patient through the emergency channel. The magnetic resonance report showed that close to the parietal lobe of the brain, equivalent to the precentral gyrus, a small abnormal signal focus with irregular shape could be seen, which cannot be ruled out as

Caused by hypoxic injury."

"After admission, we gave anti-epileptic drugs and mild dehydration and intracranial pressure-lowering treatment, and the condition was quickly controlled. After a week of hospitalization, we began to reduce and eventually stopped the use of dehydration drugs, and prepared to discharge the patient with medication."

"On the night when the dehydration medication was stopped, the patient suddenly had another seizure. I happened to be on duty and saw most of the patient's seizure process with my own eyes."

"The patient's seizure process was in a typical "tonic-clonic" form. After consulting Director Ding, the patient was given dehydration medicine that night."

"The next day, we performed another head MRI examination on the patient. The results showed that the original lesion range had slightly expanded, and the edema zone around the lesion was obvious."

"Currently, we are still maintaining the treatment plan we had when we were admitted to the hospital, but the cause of the patient's disease is unknown and the treatment effect is not ideal. Therefore, we have proposed and asked Dr. Lin to come back and guide us in the diagnosis and treatment of this patient."

"Director Ding also thinks it is necessary. He invited Director Lin back today to guide us in the next step of diagnosis and treatment. I have finished my report."

"Dr. Tan's report is very detailed. I have nothing to add." Li Yun'e continued to lead Tan Xiaomin and was in charge of a group of patients.

"We have discussed this patient as a general practitioner, but we still have no clue as to the cause of the patient's epileptic seizures and the changes in the brain lesions. Because of this, the patient's treatment effect is not satisfactory." Ding Feng did.

Simple addition.

"Okay, let's go see the patient." Seeing that no one said anything else, Lin Lin stood up.

Arriving at the patient's bedside, Lin Lin found that the patient seemed extremely depressed.

"This is Director Lin of our hospital. Today, we asked Director Lin to make a special trip to see you." Perhaps Ding Feng also discovered this problem and specially introduced it to the patient.

After hearing this, a light flashed in the patient's eyes. Soon, the light slowly dimmed again.

"Do you still have a headache now?" Lin Lin's words seemed very gentle. Based on Lin Lin's judgment, the patient should have postpartum depression. Such patients must be treated gently.

"The headache is gone. Thank you, Dean Lin."

"You're welcome! No one wants to get sick, but everyone will get sick. If you are sick, we will find a way and work together to cure the disease. Don't worry, your disease can be completely cured."

"Ah?! Really? Dean Lin, you haven't even started looking at me yet, how can you be so sure?" The patient was happy but also doubtful.

"Just now, our doctor reported your situation to me in detail. Your disease is actually not uncommon, and it is not an incurable disease. There is no need to be afraid."

"I'm here to see you now just to confirm whether my thinking is correct. You just need to answer my questions later, and I won't give you any difficult questions."

Lin Lin's tone was very certain and left no doubt. Lin Lin believed that his way of expression would definitely bring confidence to the patient.

"Okay, I will definitely cooperate with Director Lin." Sure enough, the patient's mood began to improve.

"Did you have any inflammation of the mouth, nose or ears before giving birth?" Lin Lin saw that the patient's facial skin was very smooth, so she simply avoided asking about "acne".

"No, I was in good condition before giving birth."

"Have anyone else in your family suffered from any special diseases?"

"Hmm... It seems not. At least, they don't have problems like me."

"Did you have a fever before and after you got sick?"

"No."

"Do you usually drink a lot of water?"

"Not much, this is really not much. In order to stimulate lactation after giving birth, I drank a lot of chicken wine and ate a lot of chicken.

.”

"Are your periods on time?"

"On time, very punctual. However, the amount is not as large as that of my sisters, and the duration is not long. It will be clean in about 3 days."

Lin Lin's questions made all the doctors wonder: Well, why are you asking these questions? Is this patient's disease related to these factors?

"Have you had any problems seeing with your eyes since you got sick? For example, your vision is blurry, one object becomes two, etc."

"It's true that one thing has become two things. However, it seems that things are not as clear as before, but the difference is not very big."

"When you have the worst headache, do you think it's worse than any other headache you've had before?"

"Yes, it's quite severe. It's worse than my usual headaches, but it's still bearable. After being hospitalized, this headache basically disappeared."

"That's right, your disease is controllable and curable. It will definitely get better and better in the future. Come, let me check you out."

"Okay, thank you, Dean Lin."

Lin Lin started from the beginning, carefully examining the patient's facial features, fundus, and cranial nerves, all the way down to the patient's lower limbs.

Lin Lin found that the skin of the patient's left lower limb was a little shiny and tight. Lin Lin felt a sense of tension when touching it with her hands. Upon closer inspection, the left lower limb appeared thicker than the right lower limb. However, the skin temperature was normal.

"Do you think there is anything different about your legs?"

"Yes, I feel that my left lower limb is heavier and a little swollen."

"When will it start?"

"Hmm... I can't remember the details, but it probably started after I was admitted to the hospital. Because of the headache, I didn't pay much attention to the condition of my feet. After being admitted to the hospital, my head didn't hurt so much, and I noticed this situation.

, and, I feel like it’s gotten a little worse recently.”

"What's your job?"

"I am a clerk in the agency."

"No wonder, you answered the questions so clearly and in a very organized manner. You turn out to be a talented woman."

"President Lin has given me the award. Thank you very much, President Lin." Lin Lin's appreciation made the patient feel very happy. Lin Lin's attentiveness made the patient feel at ease.

"Okay, let's go back and discuss it and decide on the best plan. Don't worry, if I say it can be cured, it will be cured. I don't believe it. I can't cure your disease." Every word Lin Lin said was

Such affirmation is constantly "conveying" confidence to patients..c

"Thank you, thank you again to Director Lin and all the doctors."

Lin Lin's words were like a bright light in the dark night, which not only illuminated the patient's path, but also warmed the patient's almost desperate heart. The patient's mood had changed significantly compared to when Lin Lin first came in.

Tap the screen to use advanced tools Tip: You can use left and right keyboard keys to browse between chapters.

You'll Also Like