Rebirth of Medicine Practices the World

"As for the way he looks at things, I don't pay much attention to it." Mr. Zhou replied while thinking to himself: "Dean Lin asked such detailed questions. It seems that Lao Wan is right. There is really something."

ability."

Not to mention Mr. Zhou, even Han Bin and his men standing next to Lin Lin felt that there were many things Lin Lin asked that they had not paid attention to before.

"Uncle Zhou, I want to ask you, can you see clearly?"

The patient slowly turned his head, looked at Lin Lin, and then said: "Clear..."

"Okay, Uncle Zhou, please turn your head back to its original position." Lin Lin said to the patient. The patient followed Lin Lin's instructions and slowly turned his head to the front.

"Uncle Zhou, you don't need to turn your head now. Just look at me like this. Can you see me clearly?"

"I can't see clearly, it's hazy." The patient spoke slowly, word by word. But the patient's answer surprised everyone present.

"What's going on? How could Director Lin think of such an examination method? Why did the patient's vision change so much? What does this mean?" Mr. Zhou and the doctors present were shocked again.

"Mr. Zhou, do you think your father's personality has changed since he became ill?"

"Yes, I think his change is mainly related to his memory loss."

"Oh, I see."

"Uncle Zhou, I will check you now. Just lie down and follow my instructions." Lin Lin began to do a physical examination.

Lin Lin took the examination tools from Zhang Yin's hand and put them all in the pocket of his white coat. Then she started to perform the examination.

From the patient's advanced neurological function activities, to the cranial nerve examination, to the examination of the pyramidal system and extrapyramidal system, step by step, it is smooth and rigorous.

Zhang Yin stared closely at Lin Lin's physical examination. She wanted to see if Lin Lin, apart from her deft and skillful technique, had any positive signs.

When Lin Lin quickly turned the patient's head to one side, Lin Lin saw that the patient's eyeballs moved in the opposite direction of his rotation.

"Dr. Zhang, did you see it? Did you see the patient's eye movements?"

"Yeah, I saw it." Xin

"What did you think of?"

"What did you think of? You didn't think of anything." Zhang Yin was very straightforward.

"Well, let's read on." Lin Lin didn't want to conduct analysis before the physical examination was over.

Lin Lin checked and found a lot of positive signs.

The patient's speech was not fluent, his pupils were miosis on both sides, vergence reflex disorder (a technique to check the special movements of the bilateral eyeballs), soft palate movement was good, gag reflex was present, tendon reflexes were active, and the muscle tone of the head, neck and limbs was very high.

The "strong grip reflex" of both hands was positive, and the finger-nose test was normal...

Lin Lin did not ask the patient to get out of bed and move around. For Lin Lin and the doctors present, this examination was of little significance.

"Director Han, can you change the process and do the analysis in your doctor's office and take the video back for playback?"

"I also think this is good. In this way, the doctors in our department can learn more knowledge and maintain the continuity of ward rounds. I will call Director Fang immediately. If she agrees, we will do it."

After Han Bin finished speaking, he immediately contacted Fang Hua.

After listening to this, Fang Hua thought it was a good idea and could save a lot of time.

"Director Fang agreed." Han Bin said to Lin Lin.

"Okay, are you coming together, Mr. Zhou?"

"Yes, Mr. Zhou, please come and listen together. I'll ask a nurse to come over and take good care of the patient." Han Bin also had the same intention.

Everyone went back to the doctor's office with questions.

The photographer also carried the video recorder and followed him to the doctor's office.

Lin Lin glanced at Han Bin, who understood.

"Our department has organized many discussions about this patient, and has also invited neurology experts from major hospitals in Guangzhou for consultation, but so far there is no clear diagnosis."

"Now, with the help of Nanjiang

On the occasion of the Provincial Neurology Annual Meeting, I invited Dean Lin Lin, the dean of the Affiliated Hospital of Yingzhou Medical College and a top expert in the Department of Neurology in Yingzhou City, to chair this consultation on behalf of the neurology community in Nanjiang Province."

"Next, we would like to ask Dean Lin to analyze the condition. Everyone is welcome." A burst of intensive but not particularly loud applause sounded.

"I am very grateful to the chairmen of the Nanjiang Provincial Society of Neurology for their trust in me; I am very grateful to Director Han and his team for their professional reception; and I am very grateful to Mr. Zhou, the patient's family member, for their trust in me."

"The following is my analysis of this patient's condition. All analyzes are based on the previous efforts of Director Han's team and my previous consultation and physical examination. If there is anything wrong,

Please criticize and correct me."

"Let me summarize the symptoms and characteristics of this patient and include the following aspects."

"The patient is a male, and the age of onset is around 55 years old. Please remember the gender and age of onset."

"The patient's main symptoms are characterized by damage to multiple parts of the nervous system. First of all, the patient has decreased intelligence and memory, and at the same time is accompanied by changes in personality. Although this series of symptoms is not very serious, it is harmful to

Our diagnosis is very important."

"Another characteristic of the patient is slowness of movement and muscle stiffness, mainly in the trunk, head and neck. The distribution of this muscle stiffness also has special significance for diagnosis."

"In addition, the patient also had difficulty swallowing, coughed when drinking water, was not able to speak fluently, and was prone to falling backward when walking. This way of falling is another important feature for us in diagnosing patients."

"Everyone knows that patients with Parkinson's disease tend to lean forward when walking and rush forward quickly in small steps. Therefore, if patients with Parkinson's disease fall, they are more likely to throw themselves forward."

"This patient has another symptom that is quite characteristic, that is, when he looks at things directly in front of his eyes, he can see them more clearly. When he looks at things from the side, they appear very blurry."

"When I was doing the physical examination just now, everyone noticed that I was standing next to the patient, but the patient couldn't see me clearly."

"Next, let me talk about the problems found in my physical examination."

"First of all, everyone can see that the patient's high-level neurological activity is impaired, memory declines, and reaction ability declines. However, this decline is relatively mild compared with the decline seen in our common Alzheimer's patients.

of."

"The cranial nerve examination revealed many physical signs. Please listen to me and explain them in detail."

"First, when the patient looks directly, he can see things clearly, which means there is no problem with the optic nerve."