Director Lin originally planned to come over at noon and go back, after all, he was very tired after seven days of meetings.

After going through the cases, Director Lin suddenly didn't want to go back.

Although he did not experience it personally, through the cases, Director Lin could also feel the excitement of these two days.

According to the enthusiasm of the two little girls on duty at the medical guide desk this afternoon for Yuntian, Director Lin didn't have to guess to know that the number of patients this afternoon would not be small.

Coupled with the more than 20 people who were sent out for inspection in the morning and had not yet returned, Director Lin was suddenly eager to try!

"Director Lin, why don't you go back and rest for a while?" Dr. Shen asked curiously when he saw Director Lin dragging the gift box to the corner of the consultation room, and skillfully began to put on his white coat.

"If you hang up a dozen new numbers in the afternoon, can you handle it alone?"

"There are small clouds in the problem........ However, Director Lin, it must be best if you can sit in charge in person. Dr. Shen subconsciously replied half a sentence, received the eye knife from Director Lin, and hurriedly changed his words.

I turned on the computer, and sure enough, there were fourteen patients waiting for the call.

There was nothing to communicate, so the two of them took their places and prepared to shout.

"Yuntian, you move a stool and sit next to me, and help me write a test sheet and fill in the case later. Director Lin took the lead in shouting a trumpet, raised his head and explained to Yuntian.

The first to come in was an old man, who walked in with the help of his family.

"What's wrong with the old man?" Director Lin asked first.

"My right hand is weak and often shaking. Can you prescribe some Chinese medicine to eat?"

"Old man, you pinch my hand and try it, both hands together, squeeze hard. Director Lin took the old man's hand and asked the old man to exert himself.

"The muscle strength on the right side is obviously weakened, Xiaoyun, you can feel it. After Director Lin tested the old man's muscle strength, let Yuntian try it too.

Originally, following Director Lin, Yuntian was still a little restrained, and he never found a suitable opportunity to give the patient a physical examination.

As soon as Director Lin said hello, Yuntian measured the muscle strength of the old man's hands and began to conduct a comprehensive physical examination for the old man by the way.

"You don't have to ......" Director Lin, like Dr. Shen last time, wanted to remind Yuntian that he didn't need to do a comprehensive physical examination, but he stopped halfway through the conversation, just do it, young people, it's always good to do more.

Dr. Shen was looking at the results of a patient's examination in the morning, and when he heard Director Lin speak, he raised his head and looked at Yun Tian, who was already engaged in the physical examination, and showed a knowing smile.

"Xiaoyun's physical examination has been done smoothly, and he has basically done a full set of physical examinations for each patient in the past two days. Dr. Shen smiled and Director Chong Lin explained.

Flowing water?

As for the martial arts master, Dr. Shen's use of this adjective is a little exaggerated.

"How long has the old man been Parkinson's, and what kind of medicine did you take?" After Yuntian did a physical examination, Director Lin began to ask about some basic information.

"My father started shaking his hands about a month ago. I didn't go to the hospital for an examination, but I heard from a friend that the hand tremors were Parkinson's, so I shared two boxes of medicine called What Mei and What Ba with my friend to eat. ”

"It doesn't feel good either. I didn't feel at ease thinking about it, so I accompanied him to the hospital today. The old man seriously cooperated with Yuntian's physical examination, so the old man and the child replied on his behalf.

"You can't take it indiscriminately without medical examination, many diseases can cause hand tremors, not only Parkinson's can cause this problem. Is there anything else uncomfortable besides shaking hands?"

"I didn't listen to the old man, the old man is so strong, eighty-three years old, he has always been self-care, living alone, unwilling to live with us, this month his hands are shaking more and more, he may be upset, and his temper is a little bad. The old man and child are still very filial, and they thought about it carefully before replying.

"Let's do a check-up first. Let's rule out other brain diseases first. Director Lin saw the patient cleanly and neatly, and after the consultation, he began to write a checklist for the patient.

"Director Lin, the patient has vertical tremor of the eyeball, and the upward vision of the left eye is limited. Weakened muscles in the right limb. As soon as Director Lin finished opening the inspection documents, Yuntian began to report the results of the physical examination.

The diagnosis of nystagmus and limited visual field is not as intuitive and simple as the diagnosis of some nerve reflexes and paresthesias.

Generally, it takes a certain amount of experience to make an accurate judgment.

This kid has only been practicing for two days and dares to judge directly?

Director Lin listened to Yuntian's words and did not answer directly, stood up, walked to the old man, and re-examined.

Vertical nystagmus is actually more difficult to determine, and Director Lin also checked it three times before he dared to determine it.

Restricted visual field is easier to identify.

However, Director Lin still cautiously tested it three times and confirmed Yuntian's conclusion.

It is indeed vertical nystagmus and limited upward vision in the left eye.

This kid really has two brushes, and it is difficult for Lao Shiwei and Lao Li to fight for him.

Director Lin suddenly became a little proud.

Two stinky men argued, but as a result, they made themselves cheap and made these two stinky men look down on women!

"Is my father very sick?" asked the old man's child worriedly.

"The old man's right foot muscle strength is weakened, and it is a little difficult to walk, go to the emergency department to pay a deposit of 100 yuan, borrow a wheelchair and push the old man to do a check-up first. Director Lin handed the checklist to the patient's family and explained.

Through the physical examination, Yun Tian can basically determine that the old man should have a tremor in his arm caused by a cerebral infarction.

Yuntian didn't expect that the first patient would be able to meet a cerebral infarction patient in the afternoon.

There are still thirteen patients in the afternoon, I wonder if there will be a few more cases?

Yun Tian is looking forward to it at this time.

The differential diagnosis of 10 cases of cavity infarction in a week was like a sharp sword hanging over Yun Tian's head, which made Yun Tian breathless.

Yuntian is a very controlling person and likes to control everything within his control.

It's really uncomfortable to see dozens of patients a day like this, and whether you can encounter a cerebral infarction or not depends on luck.

"Doctor, why did my mother suddenly seem to have a Echuan accent in the past two days? Is this an evil spirit or a sickness?" As soon as she finished shouting, a woman held an aunt in her sixties and asked as soon as she entered the door.

"Is your mother from Echuan?" Dr. Lin asked unhurriedly after motioning for his aunt to sit down.

"No, my mother is a native of Yuncheng, and she has never been out of Yuncheng in her life, and she has never been to Echuan. The young woman replied on her behalf.

"Auntie, apart from the change in accent, do you have any discomfort?" Dr. Lin carefully asked the patient.

"No, everything else is fine. As soon as the aunt spoke, it was indeed an authentic Echuan accent. However, in Echuan dialect, the speed of speech is slightly faster, but the aunt speaks very slowly, and it seems that it is a little difficult to speak.

"How long has it been since the accent changed?"

"It seems to be the day before yesterday to take a nap, suddenly it became like this, the old man thought it was colliding with something, yesterday early in the morning I went to the temple to worship, I thought I would come to the hospital to see, really want to hit the evil or something, I heard that Chinese medicine seems to be able to cure?"