Rebirth of Medicine Practices the World

"Oh, didn't Professor Huang always take Dr. Mei with him before going on vacation? How come he doesn't want to take him with him anymore after taking leave?"

"Yes, I don't want to take her."

"This is an arrangement made by the department. No one can change it at will. If Professor Huang doesn't want to bring Dr. Mei, please give me a reason."

"Reason? This also needs a reason?"

"Yes, every country, company, or group has its own rules and regulations. If everyone does whatever they want, wouldn't it be chaos? Today you, Professor Huang, can do this, but tomorrow other professors can do the same?"

Lin Lin's answer went straight to the core of the question, forcing Huang Shihao to answer.

At this time, Xia Shifa and Jing Dongqiang held their hands on their chests with unpredictable smiles on their faces.

Yes, they wanted to watch the show and see what Lin Lin could do to cure Huang Shihao, who also gave them a headache.

"The reason is that I can't take Dr. Mei with me." When asked by Lin Lin, Huang Shihao suddenly became confused and answered the question with many loopholes.

"I heard from Director Fang that Dr. Mei and Professor Qi got along very well during your vacation. You said you couldn't take care of Dr. Mei. Is it a matter of professionalism or management ability?"

"This...this..." Huang Shihao was speechless for a moment.

"Well, thank you Professor Huang for your honesty. Since you can't take him, I won't force you. Let's do this. I will temporarily adjust the staff arrangement on a small scale. From today on, Professor Huang will go to the outpatient clinic to replace Professor Qi's original work.

.”

"Professor Qi will continue to stay in the ward and lead Dr. Mei to be responsible for the diagnosis and treatment of a group of patients. The major rotation will be adjusted after the Spring Festival next year. Let's all separate."

Lin Lin never gave Huang Shihao any chance again.

"Wait a minute, Director Lin, I have a patient here who needs to be discussed." Xia Shifa suddenly spoke up.

"Okay, the doctors from District 1, please stay, and the trainees and interns can also stay and listen." Lin Lin never refuses to discuss cases.

Among these training doctors, there are those who have participated in the annual meeting. How could they miss such an opportunity?

Fang Hua smiled slightly as Xia Shifa chose this direction to attack Lin Lin on her first day at work. Fang Hua also felt inferior to Lin Lin's clinical level. Xia Shifa's level was no match for Lin Lin!

"This patient was admitted by Professor Qi from the outpatient clinic. I checked the patient and did an electromyogram of the eye muscles for the patient. It is not consistent with the diagnosis of myasthenia gravis at all. In my opinion, this patient is not our neurologist."

Internal Medicine Diseases.”

"Doctor Li, please report the medical history." Xia Shifa said to a female doctor. Lin Lin had already memorized the doctor's name: Li Yanhong.

"Wait a minute, Doctor Li, please give me the medical records." Lin Lin said to Li Yanhong.

Li Yanhong was stunned for a while, then came to her senses and handed the medical record to Lin Lin.

"Let's get started." After taking the medical records, Lin Lin asked Li Yanhong to start.

"The patient, a 52-year-old female, was admitted to the hospital because of ptosis of her right eyelid for 4 days."

"Four days before admission, the patient suddenly developed ptosis of the right eyelid without any obvious trigger, accompanied by mild redness and swelling of the right eyelid, but there was no obvious pain, and the patient had no double vision. The patient's eyelid ptosis,

There are no fluctuations in morning and evening."

"After admission, the neostigmine test was negative, and chest CT showed no thymus abnormalities. Director Xia did an electromyogram of the patient's eye muscles, and no waveform changes of myasthenia gravis were found."

"There are no abnormalities in the patient's three major routine and blood biochemistry tests. Director Xia made a ward round and considered that the patient's disease is an ophthalmic disease, so he requested an ophthalmological consultation yesterday."

"Currently, no special drugs are used for treatment, and the patient's condition does not seem to be progressing. I have finished my report, and I would like to ask Director Xia to add more." Li Yanhong's report was concise and to the point.

Lin Lin listened and carefully looked through the medical records.

None of them had ever seen Lin Lin doing ward rounds. When they saw that Li Yanhong was reporting the medical history, Lin Lin was looking through the medical records attentively. They all felt incredible: Is this Director Lin looking at the medical records? Or is he listening to Dr. Li's report?

Woolen cloth?

Fang Hua, who was sitting next to Lin Lin, was also worried about Lin Lin.

"Xiao Lin, what are you doing? This is the first time you have faced a challenge." Fang Hua was sweating in her hands. She was worried that Lin Lin would be careless, which would lead to a bad start.

"Dr. Li's report was very detailed. I have nothing to add. I am worried about Director Lin." Xia Shifa's words were full of challenge.

"Oh, Director Xia is worried about me? Why are you worried about me?" Lin Lin put down the medical records and asked Xia Shifa with a smile.

"I'm worried that Director Lin didn't listen clearly to Dr. Li's report, which may affect Director Lin's analysis of the condition."

"Haha, thank you for your concern, Director Xia. Don't worry, I can hear everything Dr. Li said clearly and understandably. I can also see the records in the medical records clearly and understandably."

"Start with the doctor in charge and talk about your diagnosis of this patient."

"Let me add something." Qi Xuemei, who had been silent, spoke up.

"I did see this patient in the outpatient clinic and then admitted him."

"When I was in the outpatient clinic, I wasn't sure that she had myasthenia gravis, but I couldn't find a suitable diagnosis for a while, so I made a diagnosis of myasthenia gravis and admitted her in the hope that she could be diagnosed with myasthenia gravis in detail during her hospitalization.

Check to find out the cause.”

Lin Lin thinks Qi Xuemei's explanation is reasonable. Some patients really need detailed examination and careful observation during hospitalization to find out the cause.

"Let me tell you my opinion." Li Yanhong didn't dare to be careless.

"After this patient was admitted to the hospital, we did a lot of targeted examinations. Based on our examination results, the diagnosis of myasthenia gravis can be ruled out."

"As for the final diagnosis of this patient, I can't make up my mind, but I am leaning towards the possibility of eye disease." Li Yanhong could not escape from the "cage" defined by Xia Shifa.

After Li Yanhong spoke, there was a silence in the office. No one dared to put forward their own thoughts on the patient's diagnosis.

"Director Xia, what do you think?" Lin Lin started to name names.

"Dr. Li's opinion is my opinion. This patient really should not be admitted to our neurology department." Xia Shifa's words made Qi Xuemei very unhappy.

"Let me just say a few words about this patient." Fang Hua started. After all, Fang Hua is better than them all in clinical aspects.

"Judging from the patient's onset, if a patient has an acute onset, drooping eyelids, and is accompanied by mild redness and swelling, we should consider it as an eye disease. There is no major problem."