Rebirth of Medicine Practices the World

"Doctor Li, please send the patient back to the ward." Seeing everyone shaking their heads, Lin Lin said to Li Yanhong.

Lin Lin washed her hands and everyone sat down in their respective seats.

"Everyone has seen and heard my consultation and physical examination just now. As for the consultation, I will not repeat it. I will talk about some of the problems found during the physical examination."

"First, the patient's tear glands and salivary glands secrete less, which means the eyes and mouth are relatively dry, but not very severe."

"Second, the patient's bilateral parotid glands are not swollen, and the oral endothelium is fine."

"Third, the patient's bilateral wrist joints and finger joints were red, swollen and tender. When touched, the skin temperature felt slightly elevated and joint movement was slightly restricted."

"Fourth, the neurological examination showed no clear positive signs."

"Today is my first day working here. I didn't want to take up too much of everyone's time. However, Director Xia proposed discussing this patient. I think it is very meaningful and it is worth spending some time!"

"Okay, let's try it again and see if we have any new ideas. Dr. Li should come first."

"Thank you very much, Director Lin, for your wonderful ward round. Director Lin's ward round just now made me feel ashamed. At first, I thought that Director Lin might not be listening when I reported my medical history. Facts have proved that I was indeed wrong.

.Director Lin not only listens, but also hears many questions. I am very surprised by Director Lin’s ability.”

"Also, today I followed Director Lin for ward rounds for the first time. I suddenly felt that my knowledge is so narrow and my clinical thinking is so rigid. From now on, I will study hard so that I can be able to do it in the future.

I saw Director Lin’s back."

He is truly worthy of being a doctor. His words are not only reasonable, but also very literary.

"Just now, Director Fang said that we should use monism to explain this patient. After Director Lin's ward rounds, although I can't explain it, I feel that Director Fang's statement is right."

"Actually, many neurological diseases are not limited to the nervous system, and may even be caused by diseases of other systems causing damage to the nervous system. Although I know a little about this theoretical knowledge, I have never applied it clinically."

"Today, I really saw it. Privately, many people told me that Director Lin is a medical expert and has experienced this ward round. I think this statement is not an exaggeration at all."

"Because I don't understand, I have no further explanation." It seems that many people have known in advance that Lin Lin will take the post of director of the Department of Neurology. They will be curious and learn about Lin Lin through various channels.

"Just now, listening to Director Lin's medical history and watching Director Lin's physical examination opened my eyes. To be honest, it is impossible for me to reach the clinical level of Director Lin." As soon as he came up, Xia Shifa put his body down.

It's very low, but there is a mystery hidden in the words.

Yes, Xia Shifa only said that she was not as good as Lin Lin clinically, but did not say that she was not as good as Lin Lin in other aspects.

"I agree with Dr. Li about this patient, but I am still confused and unable to make a specific diagnosis of the disease. I would also like to ask Director Lin for advice." Xia Shifa seems to be the same as Li Yanhong, but there are essential differences.

Li Yanhong said it boldly, but Xia Shifa didn't dare to say it.

"Director Lin's ward round just now gave me a lot of inspiration. This patient really has a systemic disease. It is currently affecting muscles, soft tissues and joints, and it is very likely to affect the nervous system in the future."

"This is a relatively rare disease. Its full name is Sjögren's syndrome, or SS for short. Of course, I'm not sure whether what I said is right or not. In the end, you have to listen to Director Lin."

Clinically, Fang Hua's level is indeed much higher than Xia Shifa's. It's no wonder that the hospital has been unwilling to replace Fang Hua, which shows that Chen Han is fully aware of this situation and that's why he persisted.

"First of all, I would like to thank Professor Qi. If Professor Qi had not admitted this patient, it would be difficult for everyone to be exposed to this type of disease."

"Nervous system diseases are closely related to diseases in various systems of internal medicine. Everyone will gradually understand and understand these in the future, so I won't say more today."

"Specifically for this patient, her onset of illness is somewhere between acute and subacute. The first symptom is on the right eyelid. The first symptom is redness, swelling and drooping of the right eyelid."

"Through today's inquiry and physical examination, it is found that the patient's affected parts or organs currently include glandular secretion, non-specific, inflammatory granuloma, non-specific inflammation of the joints, and mild dryness of the skin."

"If we follow the diagnostic criteria for Sjögren's syndrome, this patient is not enough and still needs some laboratory tests. Therefore, the most appropriate diagnosis at present is systemic autoimmune disease."

"Next step, please do a series of inflammation indicators and an anti-nuclear antibody series for the patient. Pay special attention to the anti-ssa and anti-ssb antibodies among the anti-SS antibodies."

"I suggest starting today with standard hormone treatment, either prednisone or methylprednisolone. If hormones are not used in time, it is estimated that the patient's other eye will soon be affected."

"During the period of using hormones, you should pay attention to the side effects of hormones and adjust the medicine in time."

"Because of time constraints, I'll just say this much. If you have any questions in the future, you can bring them up for discussion." Lin Lin knew that the discussion of this case was brought up suddenly and would disrupt some doctors' original work arrangements.

"Director Lin, do you want the ophthalmology consultation to be cancelled?" Li Yanhong asked.

"No, listening to their opinions more is also a kind of improvement and learning for us." Lin Lin answered simply.

"Okay, let's go to work separately. Please invite Teacher Fang, Director Xia, and Director Jing to my office. Let's discuss the next work arrangements."

When it comes to managing a department, Lin Lin can do it effortlessly.

Fang Hua and the others knew that there were not enough chairs in Lin Lin's office. So, they each took a chair and walked into Lin Lin's office.

The four of them had just sat around when Huang Shihao barged in.

"Director Lin, I'd better stay in the ward and take care of a group of patients with Dr. Mei." Huang Shihao regretted.

"Just now, you said in front of all the doctors that you couldn't take Dr. Mei, so I made adjustments. It can be said that my adjustments were caused by you, and it is reasonable."

"Have you ever thought about it, if everyone is like you and can do whatever they want, do you still have to do the work in the department? Is it true that anyone can do this if they want to in the future?"

"You don't need to say any more. Just go to the outpatient clinic with peace of mind. Adjustments will be done after the Spring Festival next year." Lin Lin did not give in.