Chapter 7 Crocodile tear syndrome

Yes, people rejoice, but you cry while eating, and you can't stand it on anyone. The patient can't stand it, and neither can the person who invited him to dinner.

However, it is such an obvious problem, and no one can say why. It is believed that the most likely cause is that the patient's nasolacrimal duct is blocked, resulting in the patient's tears not being able to flow through the nasolacrimal duct into the nasal cavity, resulting in this phenomenon.

Everyone is deliberately avoiding the question, why do patients cry more often when they eat?

"Xiaolin, you 'sick man', are you better? I'd like to hear your opinion. Just like in his previous life, Ling Xiaoyun must listen to Lin Lin's opinion before making a concluding speech.

Ling Xiaoyun did this for her purpose.

On the one hand, Lin Lin's basic knowledge is very solid, and when analyzing, her logical thinking is very meticulous, which is deeply recognized by colleagues in the department.

On the other hand, Lin Lin's newborn calf is not afraid of tigers, although the basic skills are solid, but there are times when they miss. And Ling Xiaoyun often takes advantage of Lin Lin's mistake 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 she can also let everyone see that students from prestigious universities are no more than Erer.

Ling Xiaoyun's careful thinking, many people in the department knew it, but they didn't dare to say it.

What Ling Xiaoyun never imagined was that the current Lin Lin was no longer the Lin Lin before he passed out during the shift. In the future, Ling Xiaoyun will never have such an opportunity, and Lin Lin will not give her such an opportunity.

Ling Xiaoyun couldn't think of this, the people in the neurology department couldn't think of it, and the people in the entire hospital couldn't think of it either.

In today's case, Ling Xiaoyun has no clue at all. It can be said that the current Ling Xiaoyun is in a dilemma. Let's say, I can't say why. However, as Director, she had to make a concluding remarks.

She couldn't figure out why the patient had such clinical manifestations. The basic knowledge is not solid, which completely limits her imagination and analytical skills.

Sister Ding looked at Lin Lin with worry in her eyes. Yes, in Sister Ding's opinion, this is an unsolvable problem. Moreover, Sister Ding felt that Lin Lin was not in a state at the moment. She was worried that Lin Lin would be caught by Ling Xiaoyun again and "brushed" Lin Lin.

"Let me tell me my opinion, if there is anything wrong, please criticize and correct the teachers." In Lin Lin's words, there was a hidden edge.

"The patient's condition, I think, is a sequelae of facial neuritis, and it has nothing to do with whether the nasolacrimal duct is blocked." Lin Lin was aggressive.

"During the recovery period of individual patients with facial neuritis, when the myelin sheath of the facial nerve is repaired, some fibers grow into the large petrosal nerve that innervates the secretion of the lacrimal gland."

"Therefore, when eating, part of the impulse emitted by the facial nerve will be transmitted to the greater nerve of the rocky shallow, causing the excitement of the greater nerve of the rocky shallow, thereby causing the secretion of the lacrimal gland, and tearing will occur naturally."

"Strictly speaking, patients not only cause tears when eating, but the activity of the facial nerve-innervated expression muscles may cause tears in patients, for example, when patients laugh, they will also cry."

"yes, that's right, exactly." Liu Yulan said loudly.

In fact, after being reborn, Lin Lin knew very well that 3 years later, that is, in 1989, there would be a special term to describe this performance, called "crocodile tear syndrome".

Because crocodiles shed tears when eating, there is this 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 only to analyze the anatomical, physiological and pathological mechanism of this phenomenon.

"This guy, how can he understand so much? How is the ability to analyze and associate so strong? Damn it! Seeing the doctors present nodding frequently as if they were suddenly enlightened, and hearing Liu Yulan's loud approval, Ling Xiaoyun was very unhappy in his heart.

"Dr. Lin, according to what you say, this patient is incurable?" Ling Xiaoyun was unwilling.

"So to speak."

"What is the meaning of being able to say that, and is there a situation where it is not possible to say that?" Ling Xiaoyun's words obviously had a taste of difficulty.

At this time, although Ling Xiaoyun recognized Lin Lin's analysis, if she spoke along Lin Lin's train of thought, she felt that she couldn't get over her face.

Now that she heard Lin Lin's somewhat ambiguous answer, she felt that it was an opportunity. She couldn't explain it, and she felt that Lin Lin wouldn't be able to explain it too, so she wanted to seize this opportunity to make things difficult for Lin Lin and save a little face for herself.

"Director Ling, I think there is indeed a possibility that you can say otherwise." Lin Lin continued to leak domineeringly. He knew that in the future, the diagnosis and treatment of difficult and serious cases in the department would be inseparable from him.

"Oh, you're so confident? Let's see how you justify it. ”

Hearing Ling Xiaoyun's words with a strange aura of yin and yang, Lin Lin's thick eyebrows raised, and the corners of her mouth immediately turned up slightly.

Actually, it's very simple. The patient was tearful because her greater petrosal nerve was stimulated by impulses from the facial nerve. If the facial nerve no longer emits impulses, this condition disappears. ”

"For example, if the patient's facial neuritis recurs, and the axonal cord in the center of the facial nerve is partially destroyed, the facial nerve will be permanently damaged, and the facial nerve can no longer send out impulses, and the phenomenon of tearing will no longer occur."

"Of course, I don't want the patient to have another illness, let alone such serious damage, but this chance is not impossible." Lin Lin's thinking was very clear, and everyone nodded again.

At this point, Ling Xiaoyun knew that with her shallow knowledge, she couldn't debate with Lin Lin. What's more, she herself was persuaded by Lin Lin.

"Well, that's the end of today's discussion. As for this patient's diagnosis, my original consideration is consistent with Dr. Lin's analysis just now. Ling Xiaoyun finally insisted on it, her diagnosis idea was the same as Lin Lin's, and she even considered this problem earlier than Lin Lin.

"Dr. Lin, what's wrong with you today? Full fire. However, it can be seen that the director is not happy. When he was about to get off work, Ding Feng pulled Lin Lin aside.

Ling Xiaoyun could feel that Lin Lin was different, and Ding Feng, who had a good relationship with Lin Lin, could also feel Lin Lin's changes.

"She's not happy? I'm even more upset. I hate it when people call me 'sick man', and she often calls me that in front of her general practitioners. She doesn't care if I'm happy or not, why should I care if she's happy or not. "Ling Xiaoyun in his previous life, it was true.

"Indeed, she always calls you like this in front of everyone, don't talk about you, I'm annoyed. However, you should be careful as well, this person is not an ordinary yin. The villain is yin and the gentleman is yang, the gentleman fights with the villain, and most of the people who suffer in the end are gentlemen. ”