Rebirth of Medicine Practices the World
Chapter 7 Crocodile Tears Syndrome
Yes, when people are rejoicing, but you are eating and weeping at the same time, no one can bear it. The patient cannot bear it, and neither can the person who invites him to eat.
However, for such an obvious problem, no one can explain the reason. Everyone thinks that the most likely cause is that the patient's nasolacrimal duct is blocked, which prevents the patient's tears from flowing into the nasal cavity through the nasolacrimal duct.
Hence this phenomenon occurs.
Everyone is deliberately avoiding a question: why do patients often cry when they are eating?
"Xiao Lin, you 'sick man', are you feeling better? I want to hear your opinion." Just like in the previous life, Ling Xiaoyun must listen to Lin Lin's opinion before making a concluding speech.
Ling Xiaoyun had her own purpose in doing this.
On the one hand, Lin Lin's basic knowledge is very solid, and her logical thinking is very rigorous when analyzing, which is highly recognized by her colleagues in the department.
On the other hand, Lin Lin is not afraid of tigers as a newborn. Although her basic skills are solid, she sometimes makes mistakes. Ling Xiaoyun often takes advantage of one of Lin Lin's mistakes to make a big fuss.
She believes that by suppressing Lin Lin, she can establish her position as an academic authority in the department and show everyone that students from prestigious universities are just mediocre.
Many people in the department knew about Ling Xiaoyun's little thoughts, but they just didn't dare to tell them.
What Ling Xiaoyun never expected was that Lin Lin now was no longer the Lin Lin she was before she fainted during shift change. From now on, Ling Xiaoyun would never have such an opportunity again, and Lin Lin would not give her such an opportunity.
Ling Xiaoyun could not have imagined this, not only the neurology department, but also the entire hospital.
Ling Xiaoyun has no clue about today's case. It can be said that Ling Xiaoyun is now in a dilemma. Let's talk, there is no reason why. However, as the director, she must make a concluding speech.
She also couldn't figure out why the patient had such clinical manifestations. Her lack of basic knowledge completely limited her imagination and analytical ability.
Sister Ding looked at Lin Lin with worry in her eyes. Yes, in Sister Ding's view, this was an unsolvable problem. Moreover, Sister Ding felt that Lin Lin was not in good condition at the moment. She was worried that Lin Lin would be raped by Ling Xiaoyun again.
Seize the "handle" and "scrutinize" Lin Lin.
"I will tell you my opinion. If there is anything wrong, please criticize and correct me." Lin Lin's words contained a hidden edge.
"I think the patient's condition is a sequela of facial neuritis and has nothing to do with whether the nasolacrimal duct is blocked." Lin Lin said aggressively.
"During the recovery period of some patients with facial neuritis, when the myelin sheath of the facial nerve is being repaired, some fibers grow into the superficial greater petrosal nerve that controls the secretion of the lacrimal gland."
"So, when eating, part of the impulses from the facial nerve will be transmitted to the greater superficial petrosal nerve, causing the excitement of the greater superficial petrosal nerve, thereby triggering the secretion of the lacrimal gland, and tears will naturally occur."
"Strictly speaking, not only will the patient shed tears when eating, but also any activity of the facial nerve-controlled facial muscles may cause the patient to shed tears. For example, the patient will also shed tears when he smiles."
"Yes, that's right, that's exactly it." Liu Yulan said loudly.
In fact, after her rebirth, Lin Lin knew very well that three years later, in 1989, there would be a special term to describe this phenomenon, called "crocodile tears syndrome."
Because crocodiles shed tears when eating, this is the internationally accepted name. But Lin Lin, who was reborn in 1986, is obviously not suitable to say these words. What Lin Lin wants to say is just to analyze the anatomy, physiology and
Pathological mechanism.
"How does this guy know so much? Why is his ability to analyze and associate so powerful? Damn it!" Seeing the doctors here nodding frequently as if they suddenly understood, and hearing Liu Yulan's loud approval, Ling Xiaoyun felt very unhappy.
"Dr. Lin, according to you, this patient cannot be treated?" Ling Xiaoyun was unwilling.
"You can say that."
"What do you mean it's okay to say that? Is there any situation where it's not okay to say that?" Ling Xiaoyun's words clearly had the flavor of making things difficult.
At this time, Ling Xiaoyun, although she agreed with Lin Lin's analysis, she felt that she would lose face if she followed Lin Lin's train of thought.
Now when she heard Lin Lin's somewhat ambiguous answer, she thought it was an opportunity. She couldn't explain it, and she felt that Lin Lin couldn't explain it either, so she wanted to seize this opportunity to make things difficult for Lin Lin and save some face for herself.
"Director Ling, I think it is indeed possible not to say that." Lin Lin continued to be domineering and arrogant. He knew that in the future, the department's difficulties and the diagnosis and treatment of severe cases would not be possible without him.
"Oh, you are so confident? Come on, let's see how you justify yourself."
Hearing Ling Xiaoyun's sinister words, Lin Lin's thick eyebrows raised, and the corners of her mouth turned up slightly.
"Actually, the reason is very simple. The patient sheds tears because her greater superficial petrosal nerve is stimulated by impulses from the facial nerve. If the facial nerve no longer sends impulses, this situation will disappear."
"For example, if the patient's facial neuritis relapses, and the axonal part in the center of the facial nerve is destroyed, causing permanent damage to the facial nerve, the facial nerve can no longer send impulses, and the phenomenon of tearing will no longer occur."
"Of course, I don't want the patient to get sick again, let alone such serious damage, but the chance is not impossible." Lin Lin's thinking was very clear, and everyone nodded again.
At this point, Ling Xiaoyun knew that with her little knowledge, she couldn't argue with Lin Lin. What's more, she herself was convinced by Lin Lin.
"Okay, today's discussion is over. As for the diagnosis of this patient, my original considerations are consistent with Dr. Lin's analysis just now." Ling Xiaoyun finally insisted on bringing up that her diagnostic ideas were the same as those of Lin Lin.
The same, even considering this issue earlier than Lin Lin.
"Dr. Lin, what's wrong with you today? You're on full fire. But I can see that the director is unhappy." When he was about to get off work, Ding Feng pulled Lin Lin aside.
Ling Xiaoyun could feel the difference in Lin Lin, and Ding Feng, who had a good relationship with Lin Lin, could also feel the changes in Lin Lin.
"She's unhappy? I'm even more unhappy. I hate people calling me 'Sick King' the most. She often calls me that in front of other people in the general practice. She doesn't care whether I'm happy or not, so why should I care whether she's happy or not."
This was indeed the case for Ling Xiaoyun in his previous life.
"It's true. She always calls you that in front of everyone. Not to mention you, it makes me angry. However, you'd better be careful. This person is not an ordinary yin. A villain is yin while a gentleman is yang. A gentleman fights with a villain.
, those who suffer in the end are mostly gentlemen."
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