Rebirth of Medicine Practices the World

"Fourth, the patient's muscle strength of both lower limbs is also affected, but it is more obvious in the left lower limb. The muscle strength of the left lower limb is only grade 3 plus. At the same time, the tendon reflex and triceps reflex of both lower limbs are active, and the pathological reflexes of both lower limbs are

Positive, these signs cannot be explained by Guillain-Barré. It means that the patient's pyramidal tract is affected more than the damage to the peripheral nerves."

"Fifth, the patient's condition has recently accelerated, and the respiratory muscles have become significantly weak. Now he needs a ventilator for artificial respiration. In addition to the damage to the respiratory muscles, the function of the diaphragm may also be damaged."

"Based on the above characteristics, I believe that the patient's diagnosis is centered on the fifth thoracic cord, intraspinal canal, and extraspinal lesions. The lesions are mainly on the left side. From outside to inside, the spinal cord is slowly pressed to the right.

Side. Of course, the area affected by the lesion may be larger, but the center position should be at the place I just mentioned."

"Let me talk about qualitative diagnosis again."

"In this patient's medical history, the patient had a subacute onset and slow progression. If my positioning diagnosis is correct, the patient's medical history should be longer, and it should be a chronic onset and slow compression. Therefore, I think the patient's

The lesion is a benign space-occupying lesion in the area I just mentioned."

"The phenomenon of proteinocytosis is not unique to Guillain-Barré. Tumors in the spinal canal can also have obvious proteinocytosis. Especially in slow-growing and huge intraspinal tumors, cerebrospinal fluid can often be seen.

The phenomenon of protein cell separation."

"Next, let me talk about my views on the next step of examination and treatment of this patient."

"The patient is a middle-aged man who is usually in good health. It is a pity to give up treatment. Therefore, I suggest that an MRI examination of the patient's cervical spine be performed immediately. After a clear diagnosis, if it can be solved through surgery, it is worth a try. I

I’ve finished my speech, thank you!”

This case is a copy of one of Lin Lin's previous ward rounds. Therefore, Ding Feng spoke clearly and logically.

"Thank you very much for Director Ding's speech! Director Ding's speech gave me a refreshing feeling. I would like to ask Director Ding a question. Currently, this patient needs a ventilator to maintain breathing. In this situation, how can the patient be sent to hospital?

What about magnetic resonance imaging?" Han Bin was very interested in Ding Feng's speech.

"Thank you, Chairman Han, for your affirmation! This kind of situation does require our doctors to take great risks. If the patient's family cooperates, they can contact the MRI room and the neurology department has also prepared a long line connected to the ventilator.

Plastic tube, two bags of oxygen and an airbag."

"As soon as we receive a notification from the MRI room, we will immediately take the patient offline, rely on pinching the air bag for oxygen supply, and send the patient for an MRI examination. I think this risk is worth taking."

This process was so familiar to Ding Feng that he just started talking about it.

"I object. The risk is too great and it's not worth taking."

"Currently, the diagnosis of this patient is not clear. Director Ding's statement just now is just the opinion of one family. It is not worth taking such a big risk just based on the opinion of one family."

"Doing this will put our medical staff at huge risks. I wonder if Director Ding has thought about this?"

"Our country is a populous country with a very high population density. In broad daylight, if you look down from a high altitude, these people coming and going look like ants."

"For a person who needs a ventilator to maintain breathing, is seriously ill, and is like an ant, putting hospitals and doctors at the forefront of the storm is unjustifiable."

"The death of a patient with such a serious condition is just to reduce the "density of ants". It is really not worth taking the risk." Li Long's speech, some nodded, some thought it was unacceptable and whispered, and some remained silent.

.

"Dean Lin, I want to hear your opinion." Han Bin admired Lin Lin very much.

"Thank you, Director Han! Let me say a few words." Lin Lin was about to speak when Han Bin's question came, which was exactly what he wanted.

"First, although I have not read the information on this patient, based on my understanding of Director Ding's level, I completely agree with Director Ding's opinion. This patient has a disease outside the cervical spinal cord and within the spinal canal.

Spinal cord compression."

"Second, I completely agree with the diagnostic suggestions put forward by Director Ding. For a patient who still has hope of survival, we give up lightly, which is not in line with our original intention of being doctors."

"Of course, the risk of doing this is huge. If we can obtain the consent and understanding of the patient's family and have them sign an informed consent form, this risk is worth taking."

"Every one of us must revere life, rather than treating life like an ant. Doctors, in particular, must not only revere life, but also find ways to protect life and protect the health of patients. Otherwise, what are we doctors supposed to do?!"

"Let me tell you something that Director Li Long doesn't want to hear. People who regard life as an ant are not qualified to be doctors!" Lin Lin's voice was not loud, but a powerful aura emanated from Lin Lin's body, an awe-inspiring aura.

Righteousness radiated out, and Li Long's expression changed.

"Today is the first day of the establishment of our Nanjiang Provincial Neurology Society. Even if Director Han doesn't call me, I will say a few words."

"I hope that all neurologists in our Nanjiang Province, and even all doctors in Nanjiang Province, will respect life and be the patron saint of life and health." Lin Lin's words were resounding.

Li Long's face turned green and white. However, Lin Lin's words were irrefutable, and he did not dare to argue with Lin Lin in such a public place.

"If the patient really has a tumor outside the spinal cord, does Dean Lin have any good suggestions?"

"Immediately invite neurosurgery and orthopedics for consultation, and ask their two departments to jointly perform this operation. This may require Director Han to ask the hospital's leaders to coordinate. Of course, it would be better if Director Han could coordinate with them himself.

"

"Thank you, Dean Lin. I understand. Director Fang, President Chen, I'm sorry. Now, I'll rush back to discuss this issue." Han Bin obviously approved the plan. After saying that, Han Bin quickly left the venue.

"Okay, what Dean Lin just said is very good. I hope all the directors can listen to it. When I go back, I will also convey these words to our Director Wan. I hope that all the doctors in Nanjiang Province will

Let’s all study hard and understand the meaning of these words.” President Chen Hong spoke promptly.

Chen Hong was worried that Li Long would make trouble at the meeting, but in fact, Chen Hong was overly worried. In such a situation, even if Li Long was brave enough, he would not dare to make trouble unreasonably.