This scene is a bit similar to the scene in the previous life. At that time, it was also a friend from the Public Security Bureau who came here to learn to drive, and he also got his driver's license quickly. The difference is that the current Lin Lin used to be a real driver's license owner.

This time learning to drive once again refreshed Meiyi's perception of Lin Lin.

"How much potential does my husband have? Not only can he be well-read and memorized, but he can also apply it flexibly, such a person is not a genius, who is a genius? Well, in the future, just listen to him and follow him. ”

When she got home, Meiyi paid more attention and didn't tell her mother about learning to drive. She was worried that her mother accidentally leaked her mouth, which would affect Miyuki again.

It's another Friday, and it's time to discuss difficult cases. As long as there is no re-election, Ling Xiaoyun must do a good job in this position.

Since the last time she talked to Lu Han, she knew that now she had to stabilize the neurology department and create conditions for Lin Lin. At the critical moment, she can't pick on her son.

The patient discussed today is Ma Shuiyuan, who is in charge of it, and he also took the initiative to put this case in the general department for discussion.

"Dr. Ma, let's get started." Ling Xiaoyun saw that everyone was here, so he asked Ma Shuiyuan to report his medical history.

"The patient, a 48-year-old man, was admitted to the hospital for a year and a half with episodic, lightning-like pain on the left side of his face." The complaint is clear and directive. Lin Lin saw that Li Yun'e, Jian Sandi and Tan Xiaomin had disdain on their faces.

"During the outpatient visit, the patient was treated according to the 'second pain of the left trigeminal nerve', and the patient's pain control was relatively satisfactory in the initial stage of treatment. Recently, he came to the clinic because of the worsening pain and was admitted to the hospital from the outpatient clinic. ”

"Since the illness, the patient has been seen in the otolaryngology department of our hospital, and the nasopharyngeal mucosa is protruded, and three nasopharyngeal biopsies have been done, and the results are all negative, and no cancer cells were found."

"At present, carbamazepine has been used to 0.2 qid (four times a day) and the patient's pain is still intense. Because of the poor treatment effect, the dosage of carbamazepine is not small, so it is specially proposed for general discussion. ”

Clinically, some seemingly simple medical history and simple manifestations, in fact, the underlying diseases are not simple. This patient was encountered by Lin Lin in her previous life, and it was also Lin Lin who finally discovered the problem.

Now that she has met this patient again, Lin Lin feels that although she has changed a lot of trajectories after being reborn, she seems to have not changed much in terms of the patients she has encountered. What has changed is mostly my own trajectory outside of my major.

Will this be the case in the future? Lin Lin didn't know.

As before, after the medical history was reported, Ling Xiaoyun led everyone to the patient's bedside for a medical history and physical examination. Although Lin Lin did not approve of this approach, it was not up to him to have the final say now, so he could only follow them and walk into the room where the patient was.

From Ling Xiaoyun's medical history and physical examination, Lin Lin judged that she had preconceived notions. This time, the medical history and physical examination were unusually fast.

"Guys, do you have anything to add?" Ling Xiaoyun asked everyone.

"Excuse me, have you felt tingling on the left side of your face after you have been in pain for so long?" Lin Lin asked first.

Although Lin Lin knew the result, he wanted to inspire and guide some people who wanted to learn and were spiritual. He knew that no matter how great a person's skills were, he could not cope with an endless number of patients. At this point, Lin Lin in her previous life had an unforgettable experience.

Therefore, in her previous life, Lin Lin was a very open person in medical technology. As long as it is a peer who wants to learn, he is willing to teach it. He hopes that his technology will be able to help more patients.

After being reborn, he continued to uphold this philosophy.

"I've been feeling a little numb lately, but it's not very noticeable, it's mostly pain." The patient replied.

"Has your nose been bleeding lately?"

"Nope."

"Come, I'll touch your face with a cotton swab, you feel it carefully, the two sides of the face, the feeling is not the same." Lin Lin said, took out a cotton swab from the pocket of her white coat, and gently swept it over the cheeks on both sides of the patient.

"How?"

"Hmm...... You do it again. ”

"Okay, you close your eyes and feel it carefully." Lin Lin operated again, and her movements were gentle and agile.

"Well, it seems like the left side is a little bit closer, but it's not very noticeable." This time, the patient gave a more definite answer.

"Okay." Lin Lin threw the cotton swab into the trash can and examined the patient's neck lymph nodes. As far as the fingers reached, the swollen lymph nodes were not felt.

"Well, my additional consultation and examination is over." Lin Lin stopped. Ding Feng, Liu Yulan, and Ling Xiaoyun seemed to realize something, while the others had expressions of nonchalance.

Back in the office, the discussion begins. As the doctor in charge, Ma Shuiyuan spoke first.

"The patient is a 48-year-old male, which is also the age at which trigeminal neuralgia is common. The patient had pain on the left side of the face as the main symptom, and the initial treatment effect with carbamazepine was good. ”

"At present, the treatment effect has deteriorated, and the possibility of carbamazepine resistance cannot be ruled out."

"Of course, the possibility of nasopharyngeal cancer cannot be completely ruled out. However, the patient has already undergone three nasopharyngeal biopsies, all of which are negative, which I think is unlikely. ”

"As for the next step of treatment, I have no experience, let alone a way, and I ask the teachers for advice." Ma Shuiyuan is still very real.

"I agree with Dr. Ma." Approaching the critical moment of the change, Jian Sandi began to become active.

"This patient, from his symptoms to his signs, supported the diagnosis proposed by Dr. Ma. Nasopharyngeal cancer, I don't think about it at all, and it's not worth thinking about. The only challenge now is how to keep the patient's pain under control. ”

"If the drug has no effect at all, I suggest that the patient can be called to a higher-level hospital for surgery to destroy the trigeminal nerve half-moon node."

"This surgery, although it will affect the patient's bite ability and affect the patient's facial sensation, is better than this pain." Jian Sandi put forward a new point of view, and Li Yun'e listened to it and nodded frequently.

"Dr. Jane's analysis is very pertinent, and I fully agree with it." Li Yun'e then spoke. A person, once bound by some kind of interest, loses himself and loses the ability to think.

The current Li Yun'e is exactly such a person.

"I agree with Dr. Kan that patients have to have surgery eventually. In cases where medical treatment is ineffective, destructive surgery is the best option. Li Yun'e doesn't have any opinions of her own. At this time, Li Yun'e and Jian Sanjie can be said to be in collusion.