Rebirth of Medicine Practices the World

"Do you ever feel particularly weak in any of your hands and feet?"

"Yes, I feel that the weakness in my left hand and foot is more obvious, especially in the past week, and I also have a vague headache."

"The bruises on your arms and thighs must have appeared recently, right?"

"Yes, it didn't happen before. I don't know what happened recently. If I touch it, it will appear blue and purple."

"Did you bleed when you brushed your teeth?"

"I haven't brushed my teeth much recently. My family always helps me clean them with cotton swabs."

"Uh, sorry."

"It doesn't matter."

"Are there any other parts of your body that are prone to bleeding recently?"

"Hmm... Yes, there was blood in my nose recently, and the amount was quite large."

"Okay, director, I'm done asking." Lin Lin said to Ling Xiaoyun.

"Okay, good question, and very careful observation." Ling Xiaoyun praised Lin Lin in front of everyone and the patient.

Back in the office, the discussion officially begins. Such discussions are either one-sided or intense. Only patients who really have no other solution will reach a consensus to continue observation.

"Let me tell you something first." Li Yun'e went out of her way and spoke first. Maybe she wanted to show off her skills in front of Jian Sandie.

"There is no problem with the diagnosis of this patient's lungs. Inflammation in the lungs leads to poor lung function, which in turn affects the function of the heart."

"However, cerebral infarction cannot be ruled out for this patient. Although a brain CT was performed before and no infarction was found, this only represents the past and cannot represent the present."

"Dr. Lin's question just now gave me an inspiration. This patient has chronic blood loss, which leads to anemia and insufficient blood volume. In this case, cerebral infarction is easy to occur."

"So, I suggest that the patient undergo another head CT scan. Until the CT results come out, the current treatment should be maintained temporarily." Li Yun'e's speech is logically correct.

After Li Yun'e finished speaking, there was a brief silence in the office. When Li Yun'e saw it, she had a look on her face, which made Ling Xiaoyun very unhappy.

"I'm the doctor in charge. Let me say a few words." Ding Feng saw that no one answered and spoke.

"I think the main problem with this patient is not a problem with our neurology department, but a problem with the respiratory medicine department, or even the hematology department."

"Judging from the positive signs currently available for examination, there are no positive signs of the nervous system. On the contrary, there are many positive signs of the internal medicine system, including dry rales in the lungs, shortness of breath, subcutaneous bleeding, and changes in cardiac function.

Exhaustion and so on.”

"So, I think that this patient's performance is the result of multi-system damage. Of course, I do not rule out brain lesions. However, if I consider brain lesions, I will not consider cerebral infarction. Instead, I will consider

A small amount of cerebral hemorrhage is more likely."

"The reason why I think about it this way is from a 'monist' perspective. The patient has a tendency to bleed all over his body. Combined with the medical history Dr. Lin asked just now, the patient said that he recently had a feeling of weakness in one limb, accompanied by a headache. Therefore, the brain disease cannot be ruled out.

There was also a small amount of bleeding in the chest, but it was certainly not a large amount of bleeding."

"I didn't consider this before. Dr. Lin's discovery today gave me a new direction of thinking. Thank you, Dr. Lin!"

"As for the cause of this patient's disease, I don't have a clear direction at the moment." Ding Feng's thinking is obviously much better than Li Yun'e's, and is closer to the patient's actual situation.

After Ding Feng finished speaking, Li Yun'e's expression changed slightly. Maybe she was regretting why she didn't consider these issues? Why didn't she take Lin Lin's findings into consideration?

After listening to Ding Feng's speech, Ling Xiaoyun smiled slightly, nodded, and said, "Well, Dr. Ding is well prepared and considers the problem very thoughtfully, not bad."

It seems that although Ling Xiaoyun does not like Ding Feng, he is even more dissatisfied with Li Yun'e. However, it is not easy for Li Yun'e to punish her at this level.

There was another moment of silence. It seemed that no one was sure. Regarding the issue that they were not sure about, facing two people with completely opposite views, they all chose to "play wisely and protect themselves". The pursuit of advantages and avoidance of disadvantages in human nature was gained at this moment.

A vivid expression.

"Doctor Jian, tell me." Ling Xiaoyun's target was Jian Sandie. Ling Xiaoyun didn't have the slightest favorable impression of Jian Sandie. On this point, she was highly consistent with Lin Lin's thoughts.

For a person who has never been exposed to clinical practice after graduation, what would he want to do in clinical practice? There are only two possibilities. One is to start over and learn clinical practice well. If so, Ling Xiaoyun is more optimistic about Lin Lin than Jian Sandie.

Another purpose is to use clinical practice as a springboard to collect all the fame and fortune. Lin Lin and Ling Xiaoyun both believe that the current Jian Sandie is exactly such a person.

Such people are what Ling Xiaoyun and Lin Lin despise the most.

"I agree with Teacher Li's opinion. This patient should have insufficient blood volume, because insufficient blood volume leads to insufficient blood perfusion in the brain, which can easily lead to cerebral thrombosis."

Jian Sandie took it for granted that among the speakers present, Li Yun'e had the oldest qualifications and the highest professional title, and what he said made sense. Of course, he chose to believe Li Yun'e.

In this way, you can not only please Li Yun'e, but also improve the accuracy of your own diagnosis.

An imperceptible sneer appeared at the corner of Ling Xiaoyun's mouth.

"Dr. Lin, it's your turn."

Lin Lin's speech often means that the discussion is coming to an end.

Ding Feng was most concerned about Lin Lin's speech, and she wanted to hear Lin Lin's opinion.

"This patient has a long illness. If we trace it back to the last time he was hospitalized, the illness has lasted for half a year." Lin Lin began to speak.

"In the past six months, the patient's condition has gotten worse and worse."

"What's more important is that in the past six months, the clinical manifestations of patients have not been dominated by neurological lesions."

"The manifestations of the lungs are the main complaints of the patient during the last hospitalization and this hospitalization."

"Both the last hospitalization and this hospitalization, the patient was diagnosed with pulmonary infection. The patient has a pulmonary infection, which I admit, but the patient's pulmonary infection is not serious and is not the main contradiction between the two hospitalizations."

"My guess is that the reason for the current situation is because the patient was hospitalized for the first time and got better after being treated for a pulmonary infection."

"So, this time I was hospitalized because I had pulmonary symptoms, so I naturally thought that it was another pulmonary infection."

"The application of antibiotics has not improved the patient's condition. The patient's condition continues to develop."

"Up to now, the symptoms of patients are becoming more and more obvious, and they involve damage to multiple organs or tissues."