Rebirth of Medicine Practices the World

Chapter Seventy-ninth: An Appetiting Analysis

"Haha, if Dr. Jian is right, you are right. If Dr. Liu is right, you are right too. You are sure to make money with your speech." There was a strong sense of irony in Ling Xiaoyun's words.

"Diseases are like this. They are unpredictable. Who dares to say that their own disease is definitely right?"

"This is a general trend. When it comes to a specific patient, you have to have your own analysis and opinions, right? Well, let's not talk about this anymore. Doctor Ding, tell me your opinion." Ling Xiaoyun did not want to tangle with Li Yun'e anymore.

"I agree with Dr. Liu's opinion on this patient's diagnosis." Ding Feng said clearly.

"I think the patient's diagnosis of secondary epilepsy is established. As the name suggests, the cause of secondary epilepsy should be found. In fact, clinically, patients who can find the cause of epilepsy-related lesions are very

rare."

"This may be related to the fact that the abnormal discharges that cause epilepsy mostly occur at the cellular level. In this case, most imaging examinations cannot see the specific lesions."

"In addition, I also agree with Dr. Liu's opinion. This patient has intractable or refractory epilepsy. I can't think of any further treatment methods. In this regard, Dr. Lin has more experience and more thoughtful thinking.

I want to hear Dr. Lin's opinion." Unlike Liu Yulan, Ding Feng doesn't care about you, Ling Xiaoyun.

"Dr. Lin, everyone has pinned their hopes on you. Please share your opinion." Ling Xiaoyun looked at Lin Lin with a smile.

Ling Xiaoyun was very happy. Ding Feng took her place and slapped Li Yun'e and Jian Sandie hard in the face without her speaking. As for Ding Feng's last words, she didn't care much at this time.

"Uh... Director, your words put me under a lot of pressure!"

"Don't be too stressed. I don't know your strength yet? You don't know yet? Let's talk about it." Now, Lin Lin is Ling Xiaoyun's weapon to suppress Jian Sandie and Li Yun'e.

"Okay, let me tell you my opinion. I won't repeat any repetitive content."

"First, I think there is no doubt about the diagnosis of secondary epilepsy (tonic-clonic seizure)."

"Second, for this patient, it is extremely unlikely to find his lesions through head CT examination. The reason is what Dr. Liu has just said, and I agree with Dr. Liu's statement."

"Third, I asked about the patient's medical history in detail yesterday afternoon. In fact, the patient's attacks are very regular. This pattern should be related to the patient's onset, and also related to our targeted treatment for him in the future."

When Lin Lin said this, she paused again. Lin Lin said that she had discovered a pattern, and that this pattern was related to the attack and the subsequent treatment.

Such a statement naturally attracted everyone's attention to him.

"Hey, Dr. Lin, don't be pretentious and speak quickly." Ling Xiaoyun was a little anxious.

"Director, I'm not trying to show off, but I'm just thinking about what language to use to express my thoughts." Lin Lin said with a smile.

"This guy's 'naughty' nature is showing up again." Ling Xiaoyun knew Lin Lin's character. However, at this moment, she also liked Lin Lin's unruly "naughty" nature.

"This patient's attacks mostly occur at two time points, one is when getting up in the morning and before eating breakfast; the other common time point is in the evening before eating."

"I also asked the patient if he had felt any abnormalities before or after the onset of the disease. The patient's answer gave me hope of successfully treating this patient." Lin Lin paused again when she said this.

Ling Xiaoyun looked at Lin Lin's expression, and the smile on her face gradually grew and grew stronger. She even guessed that Lin Lin must have done it on purpose to show Li Yun'e and Jian Sandie.

Just like every time Lin Lin spoke, there was a deathly silence in the doctor's office, and everyone's eyes were fixed on Lin Lin. Some people's bodies could not help but tilt in the direction of Lin Lin.

"Yesterday evening, I issued a medical order asking the nurse to draw blood to urgently check the patient's blood sugar before meals. Dr. Liu may not have noticed this order."

"After the doctor's order was issued yesterday, I was waiting for the results to come out before going home. Doctor Ma was on duty yesterday and knew that I got off work very late yesterday." After listening, Ma Shuiyuan nodded.

"Yesterday's emergency blood sugar test result was 2.9mmol/l. I have posted this result on the medical record. Seeing this result, I understand why the patient's attack time is so regular; why the patient's attacks are so regular after each attack.

Sweating."

"The profuse sweating was not caused by convulsions, but by hypoglycemia. So, after seeing the results, I wrote another doctor's order, which was to draw blood to check fasting blood sugar this morning."

"I also told the patient to eat small and frequent meals every day starting from today, especially one extra meal before going to bed at night. Of course, the amount should not be large."

"During the discussion just now, I slipped out and called the laboratory department to check the results. Can anyone guess what the patient's fasting blood sugar result was today?" Lin Lin stopped again when she said this.

"I can't guess today's results, but I saw yesterday's results. Dr. Lin, I am convinced by you. I was convinced by you before, I am convinced now, and I will be convinced by you in the future." Liu Yulan was moved by Lin Lin's words and actions.

I was shocked by Lin Lin's talent.

"Say it quickly, go on, don't whet our appetites." Ling Xiaoyun originally wanted to see Lin Lin slap Jian Sandie and Li Yun'e in the face, but at this time, she couldn't help it anymore.

"This guy is not ordinary. His understanding of human physiology, pathology, and medical science has reached a very high level." Ling Xiaoyun admired Lin Lin more and more.

"Today's result, fasting blood sugar was 1.98mmol/l. After I saw the result, I quickly ran to the room where the patient was. I found that the patient was in good condition. He told me that according to my instructions yesterday, I would get up in the morning and finish drawing blood.

After that, I quickly had breakfast.”

"After breakfast, he said he no longer felt like having an attack."

"We know that there are many factors that affect epileptic seizures. Among them, the disorder of the internal environment in the body is a very important factor, such as acidosis, water and electrolyte disorders, hypoglycemia or hyperglycemia, etc."

"So, I think the reason for the poor treatment effect of this patient is related to the patient's abnormal blood sugar metabolism. Therefore, I suggest that the anti-epileptic drugs should remain unchanged."

"The next step is to improve some examinations based on close observation of the condition, such as abdominal CT examinations, which must specifically indicate the observation of the pancreas."

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