"Hehe, if Dr. Jane is right, you are right. If Dr. Lau is right, so are you. Your speech is sure to make a profit. In Ling Xiaoyun's words, there was a strong sense of irony.

"Disease is like this, unpredictable, who dares to say that their own must be right?" Li Yun'e is a "dead duck with a hard mouth".

"This is a general trend, and when it comes to a specific patient, you have to have your own analysis and insights, right? Well, let's not talk about that. Dr. Ding, tell me what you think. Ling Xiaoyun was unwilling to entangle with Li Yun'e anymore.

"I agree with Dr. Liu about this patient's diagnosis." Ding Feng has a clear banner.

"I believe that the diagnosis of secondary epilepsy in the patient is established. As the name suggests, secondary epilepsy should be able to find the cause. In fact, it is very rare to find the cause of epilepsy-related lesions in clinical practice. ”

"This may be related to the abnormal electrical discharges that cause epilepsy, mostly at the cellular level. In this case, imaging tests do not show the specific lesion. ”

"In addition, I agree with Dr. Liu that this patient has intractable or refractory epilepsy. I can't think of any further treatment. In this regard, Dr. Lim is more experienced and thoughtful, and I would like to hear from Dr. Lim on his opinion. "Unlike Liu Yulan, Ding Fengcai doesn't care about you Ling Xiaoyun.

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

Ling Xiaoyun was very happy, she didn't need to speak, Ding Feng took her place and slapped Li Yun'e and Jian Sandi in the face. As for Ding Feng's last sentence, she didn't care much about it at this time.

"Uh...... Director, what a lot of pressure I have to say! ”

"Don't be stressed, your strength, I don't know yet? It's still not clear to everyone? Let's talk about it. "Now, Lin Lin is a sharp weapon in Ling Xiaoyun's hands to suppress Jian Sandi and Li Yun'e.

"Okay, I'll tell you what I think, some repetitive content, I'm not going to be verbose."

"First, I don't think there is any doubt about the diagnosis of secondary epilepsy (tonic-clonic seizures)."

"Second, for this patient, it is extremely unlikely that he will be able to find out his lesions through head CT scanning. The reason, Dr. Liu has just said, I agree with Dr. Liu's statement. ”

"Third, I asked about the medical history in detail yesterday afternoon, and the patient's seizures are actually very regular, and this pattern should be related to the onset of the patient, and it is also related to the targeted treatment we will carry out on him next."

Lin Lin paused again when she said this. Lin Lin said that she found a pattern, and this pattern is related to the seizure and the subsequent treatment.

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

"Hey, Dr. Lin, don't sell it, hurry up." Ling Xiaoyun was a little anxious.

"Director, I'm not selling Guanzi, but thinking about what language to use to express my thoughts." Lin Lin said with a smile.

"This guy, the 'ruffian' sex has flare up again." Ling Xiaoyun knew Lin Lin's character. However, at this moment, she also likes Lin Lin's unruly "ruffian" nature.

"Most of this patient's seizures occurred at two points in time, one was in the morning, before breakfast; Another common time point is in the evening before eating. ”

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

Ling Xiaoyun looked at Lin Lin's expression, and the smile on his face gradually grew, and it became stronger and stronger. She even guessed that Lin Lin must have done it on purpose, deliberately for Li Yun'e and Jian Sandi to see.

Like every time Lin Lin spoke, in the doctor's office, there was a deathly silence, and everyone's eyes were staring at Lin Lin. Individual people, their bodies also involuntarily leaned in the direction where Lin Lin was.

"Yesterday evening, I gave a doctor's order for the nurse to draw blood and check the patient's blood sugar before eating. Dr. Liu may not have noticed this order. ”

"After the doctor's order was issued yesterday, I waited for the results to come out before going home, and Dr. Ma was on duty yesterday and knew that I was late from work yesterday." Ma Shuiyuan listened and nodded.

"Yesterday's blood sugar result was 2.9mmol/L, and I have posted this result on the medical record. Seeing this result, I understand why the timing of the patient's seizures is so regular; Why do patients sweat profusely after each seizure? ”

"This profuse sweat is not caused by convulsions, but by hypoglycemia. So, after seeing the results, I went on to prescribe a doctor's order, which was a doctor's order to take blood to check fasting blood sugar this morning. ”

"I also advise patients to eat small and frequent meals every day from today onwards, especially at night before going to bed. Of course, the amount cannot be large. ”

"During the discussion, I sneaked out and called the laboratory to check the results. Can you guess what is the result of fasting blood sugar in this patient today? Lin Lin said this and stopped again.

"Today's result, I can't guess, but yesterday's result, I saw it. Dr. Lin, I have taken you, I have taken it before, I will take it now, and I will take it in the future. Liu Yulan was shocked by Lin Lin's speech, by Lin Lin's approach, and by Lin Lin's talent.

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

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

"Today's result, the fasting blood sugar is 1.98mmol/L. When I saw the results, I ran to the patient's room as fast as I could. Finding that the patient was in good condition, he told me that according to my instructions yesterday, he got up in the morning, and after the blood was drawn, he quickly ate breakfast. ”

"After breakfast, he said he didn't feel like he had the seizure before."

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

"Therefore, the reason for the poor treatment effect of this patient, I think it is related to the abnormal blood sugar metabolism of the patient. So, anti-epileptic drugs, I recommend to remain the same. ”

"In the next step, on the basis of close observation of the condition, some examinations should be improved, such as CT examination of the abdomen, and the observation of the pancreatic site must be specifically noted."