Rebirth of Medicine Practices the World

"One of the most obvious manifestations is blood in the patient's sputum, subcutaneous bleeding, and nose bleeding. As you can see, in the latest routine blood test, the white blood cells were not high. However, the red blood cells were low and the hemoglobin dropped."

"Based on this hemoglobin standard, a diagnosis of mild to moderate anemia can be made. Everyone knows that chronic anemia can affect the function of the heart."

"So, I agree with Dr. Ding's opinion. Applying the diagnostic methodology of our neurology department, this patient's diagnosis is damage to multiple organ functions, and the degree is not minor."

“I also agree with Dr. Ding’s analysis that ‘monism’ should be used to explain all the patient’s current symptoms and signs.”

"Of course, everyone can say 'monism' and like to say it, but it is not easy to really use 'monism' to explain this patient's condition."

"I reviewed the patient's medical records from the last time he was hospitalized, and combined with the patient's current clinical manifestations, I am still confident in using 'monism' to explain this patient."

"First, this patient had a chest X-ray taken when he was hospitalized last time. The results of the chest X-ray showed that a suspicious nodule-like lesion was visible in the right upper lung. It is recommended that he be reviewed regularly. Unfortunately, no one in the Department of Respiratory Medicine followed the patient and conducted

Review regularly.”

"This time the patient was hospitalized, the 'inflammatory' lesions found on the patient's chest X-ray happened to be on the nodular lesions taken on the chest X-ray taken last time he was hospitalized. I think this is definitely not a coincidence."

"Second, so far, the main damage to patients has been to the blood system, especially blood coagulation problems. Bleeding in many places throughout the body has caused the patient to develop blood loss anemia."

"So, what is the reason for the patient to have such a situation? This is the question of qualitative diagnosis I want to talk about." When talking about the key point, Lin Lin paused deliberately.

There was silence in the doctor's office, and all eyes were staring at Lin Lin.

"I believe that the culprit of all the patient's current symptoms is the lesion in the right upper lung. The most likely disease for this lesion is lung cancer, and oat cell carcinoma is more likely."

"Because lung cancer of this nature is prone to a situation called 'remote reaction.'" "The so-called 'remote reaction' means that lung cancer produces some active substances that pass through the blood circulation and affect places far away from the lung cancer.

.It also has a name, called 'paraneoplastic syndrome'."

"Generally speaking, the nervous system, digestive system and blood system are the systems that are more easily affected."

"Mechanistically speaking, this is caused by an immune reaction, which can be an antigen, an antigen-antibody complex, or the result of a combination of the above."

"Judging from the speed of this patient's progress, there shouldn't be much time left, so I suggest..." At this point, Lin Lin paused again.

Maybe some of you here have heard of paraneoplastic syndrome, but this is the first time in neurology to hear Lin Lin analyze it so clearly.

After rebirth, Lin Lin knew very well that in every discussion, he was imparting to his colleagues the rich knowledge and experience he had accumulated for decades. And he did not mind imparting this to his colleagues.

There was silence in the office, and you could hear the drop of a needle. Everyone wanted to hear what suggestions Lin Lin had.

"I suggest that you contact the CT room immediately and do an emergency chest CT for the patient. I am very unoptimistic about the prognosis of this patient. She is likely to die from a massive hemorrhage."

"However, I hope that the diagnosis can be clarified before she passes away, so that she can pass away clearly and clearly. Of course, we can also learn lessons from it."

In her previous life, Lin Lin personally witnessed this patient who died from a violent gastrointestinal bleeding in the afternoon after a chest CT examination.

After Lin Lin finished speaking, the office fell into silence again. No one raised any objections and no one spoke again.

Ling Xiaoyun was conquered by Lin Lin's unbridled imagination. She also believed that Lin Lin's analysis was very reasonable and could explain the entire evolution of this patient's condition.

What annoyed Ling Xiaoyun the most was that she had never thought in this direction. It was knowledge that limited the width and breadth of her thoughts.

"Dr. Lin's analysis is very exciting and pertinent. It is completely consistent with the evolution of this patient's condition. Of course, will the final result be like Dr. Lin's analysis?"

"I believe that everyone is eager to uncover the answer to this mystery. Therefore, please ask Dr. Ding to contact the CT room immediately and conduct a chest CT examination for the patient as quickly as possible."

Ling Xiaoyun's words ended today's discussion and approved Lin Lin's analysis.

Ding Feng took action immediately. After the doctor in the CT room heard about it, he was also very interested and immediately asked Ding Feng to send the patient to the CT room.

Ding Feng wrote the CT application form, issued the medical order, and then together with Lin Lin, used a lathe to send the patient to the CT room.

Lin Lin also wanted to see immediately whether his analysis was consistent with the facts.

Lin Lin and Ding Feng stayed in the CT operation room, watching the technician operating the CT machine and scanning the patient's chest layer by layer.

"Stop, stop, zoom in on this layer." Dr. Tian in the CT room called out, and the technician immediately zoomed in on the layer Dr. Tian said.

"Can't run away, lung cancer. Look, this nodule in the upper right lung has unclear edges, like 'ground glass', a typical image of lung cancer. Okay, look further down and pay attention to the nearby lymph nodes." Dr. Tian's experience

Very rich.

The technician adjusted the scanned images and found that the lymph node metastasis around the nodule was very obvious, and the hilus also had lymph node metastasis and was abnormally swollen.

"Doctor Ding, you are still the best!" Dr. Tian said to Ding Feng.

"It's not me who is great, it's Dr. Lin who is great. He was the one who suggested this." Ding Feng said openly and aboveboard.

"It's Dr. Lin again. Hey, you guys, listen up. From now on, you must be alert to any test orders that Doctor Lin writes out. The positive rate of the tests he writes out is at least 80%.

Five or more.”

Dr. Tian knew about Lin Lin. Now I heard Ding Feng say that this patient was Dr. Lin's "masterpiece" and he quickly reminded the doctors and technicians in the department.

In this era, there are not many ways to measure the level of a doctor. One of the most important indicators is the positive rate of the test orders issued by the doctor.

The test sheet issued by Lin Lin showed a high positive rate, which astonished Dr. Tian. He was particularly impressed by Lin Lin because of this.