Rebirth of Medicine Practices the World

Lin Lin conducted a physical examination of the patient very carefully. He found that the patient's physical signs were much more numerous than when he last saw him.

The tendon reflexes of the limbs were obviously active, the pathological signs of the limbs were all positive, and the muscle strength of the left lower limb was also weaker than before.

Obviously, during the period when Lin Lin was not diagnosed and treated, the patient did experience several recurrences, and each recurrence left irreparable damage on the patient's body.

"Last time I adjusted the hormones to once a day, three pills each time. Do you think there are any serious side effects?"

"No, I haven't felt any side effects. The obesity that others say has not appeared in me. However, it is really difficult for me to take medicine every day."

"Did you know that if you have attacks again and again, you may end up lying in bed, unable to move for the rest of your life?"

"I didn't believe it before, but after experiencing several relapses, I believe it now. Instead of being paralyzed in bed, I am willing to take medicine. I asked Dean Lin to adjust the medicine I use."

"Well, I hope you don't listen to what others say. The person talking to you is either not a doctor, or a half-full doctor who doesn't understand the disease. In the end, it is you who will suffer." Lin Lin finished her words.

It has to be clear.

"Yes, yes. From now on, I will never dare to stop taking medicine without permission." After hearing the twists and turns that the patient had experienced, hearing Lin Lin say this again, she became even more frightened.

Back to the office, everyone sits down.

"Let's get started." Lin Lin said.

"I am the doctor in charge, let me talk first." Ma Shuiyuan was very proactive.

"I think this patient's diagnosis is clear. It is "remitting relapsing spinal multiple sclerosis." Indeed, according to the current textbooks, our treatment is very standardized. Why does the standardized treatment not achieve the desired results?

What? I can’t figure this out.”

"I am even more concerned about the next step of treatment."

"I also agree with Dr. Hong's opinion. According to routine and textbooks, it is not difficult to treat such patients. However, since most of these patients are treated in outpatient clinics after diagnosis, I don't have much contact with them and don't have much practical experience.

, please ask Dean Lin for guidance." Zhuo Yiming's attitude was very low. Zhuo Yiming knew very well that every time Lin Lin went to the outpatient clinic, she was always crowded.

"To be honest, I have relatively few contacts with this type of patients. In the past, these patients were diagnosed with disseminated myelitis or disseminated encephalomyelitis. Of course, the final treatment method is the same, but the effect is average

Neither is ideal, not as good as the textbook says." Ling Xiaoyun is also very honest.

"I have the same problem. I have too little clinical experience. From now on, I will try to go out to the clinic once a week." The problem Ye Xiu faces is what gives Ye Xiu the biggest headache.

"Dean Ye's question, please give Director Ding some thought," Lin Lin interjected.

"Well, I will discuss it with Dean Ye and set another time. I have no more opinions or ideas about this patient." Ding Feng once organized department staff to discuss the treatment method for this patient, but there was no obvious effect.

.

There is still a lot of research on multiple sclerosis in the neurology community. A few years before Lin Lin was reborn, many hospitals had begun to use monoclonal antibodies for targeted treatment of multiple sclerosis.

In other words, everyone agrees that multiple sclerosis is an autoimmune disease. In 2001, using hormone therapy was the best choice and was understandable.

The key question is, everyone treats patients according to textbooks, why are the results unsatisfactory? Lin Lin has her own unique insights into this.

This unique insight has enabled many such patients to obtain very good and long-term control in Lin Lin's hands.

"Let me say a few words about this patient." Lin Lin saw that no one had any more ideas and began to speak.

"First, I agree with everyone's diagnosis of this patient."

"Second, this patient is currently in the relapse phase. The damage to the spinal cord is still quite obvious, and the symptoms and signs have increased compared to before."

"Actually, there are many autoimmune diseases.

Multiple sclerosis is just one of them. Autoimmune diseases, as the name suggests, means that the immune system in the patient's body is disordered, and the patient's own immune system attacks a specific part of the body."

"Our current treatments for autoimmune diseases all use immunosuppressants. I would like to ask everyone, do these immunosuppressants solve the immune disorder in the patient's body once and for all? Or do they just suppress the abnormality?

What about the immune response?”

Lin Lin suddenly asked a question.

"There is no doubt that the application of immunosuppressants only temporarily suppresses the patient's own disordered immune system, and cannot achieve the effect of "curing the root cause."" Ye Xiu, who responded quickly, answered immediately. New

"So, how does the textbook guide everyone in treatment?"

"In the acute stage, intravenous medication is used as a shock, and then it is switched to oral medication for 4 to 6 weeks, and then the medication is slowly discontinued." Still Ye Xiu.

"Do you think there's anything wrong with doing this?"

"Well, I think there's something wrong with Dean Jinlin's reminder."

"Such medication only suppresses this attack, but it does not solve the disorder of the patient's own immune system. The patient's immune system will still attack specific parts of the body, so repeated attacks are inevitable.

"

"Okay, very good. As you have just heard, during my treatment of the patient, the patient's condition was very stable and there were no obvious side effects. Later, the patient got tired of taking medicine and hormones, and then

Stopping the medication caused the condition to relapse repeatedly."

"It is undeniable that hormones have many side effects. In fact, which drug has no side effects? As long as we master the method of medication and use the smallest dosage to maintain the stability of the patient's condition, this is what we should consider."

"Therefore, this patient and similar patients in the future can be treated strictly according to the textbook in the acute stage. After stabilization, the prednisone dose will be slowly reduced to a dosage suitable for the patient, such as 10 to 15 mg of prednisone per day."

"Of course, during the treatment cycle, attention should be paid to monitoring various relevant indicators of the patient, such as blood pressure, blood sugar, changes in blood electrolytes, etc."

"Nowadays, new drugs are emerging one after another, and the prices are sky-high. It is undeniable that some new drugs are very effective, but there are also many new drugs that have taken the wrong path from the beginning of their research and development, and have no effect when used on patients.

, if there were no side effects, it would already be Amitabha.”

"Don't underestimate traditional medicines. These traditional medicines have undergone clinical verification and baptism for decades or even hundreds of years. Their effects and side effects can achieve a very good balance, and they are not expensive. Common people are completely satisfied.

It’s affordable.”