"I have a different opinion." Ding Feng has never been a person who follows the clouds.

"The patient's treatment effect is not good, and if it is primary trigeminal neuralgia, the medication can also be adjusted. At present, the dosage of carbamazepine for patients is 0.8 grams per day, which has not yet reached the maximum dose. ”

"I looked at the blood routine of the patient after he was admitted to the hospital, and also looked at the blood routine of the patient's outpatient visit, and the patient's white blood cells were always normal. It shows that carbamazepine has no effect on the hematopoietic system of this patient. ”

"It is extremely irresponsible to recklessly perform permanent, irreversible, and destructive surgery on a patient without systematic and adequate medical treatment." Ding Feng's words were full of gunpowder.

"Besides, whether this patient has primary trigeminal neuralgia or not is still unknown. Sensory impairment is highly subjective, and the patient may not be able to truly reflect his feelings and feelings. ”

"So, I think the next step should be to increase the amount of carbamazepine, and at the same time, improve various examinations, for example, do a CT scan of the head, focusing on the condition of the nasopharynx. For example, you can ask the ear, nose and throat to take another look. ”

"In short, I am opposed to the hasty recommendation of a patient to undergo trigeminal nerve meniscus destruction." As Ding Feng spoke, Jian Sandi and Li Yun'e's faces became gloomy.

"When Dr. Ding said this, it is tantamount to putting on the hat of an 'extremely irresponsible doctor' on me, and I firmly oppose it."

"At the same time, I also express my firm opposition to Dr. Ding's plan to increase the amount of carbamazepine. Since the current dose treatment is ineffective, increasing the dose will definitely not be effective. ”

"This operation is meant to exist and is intended for this kind of patient, so how can I be said to be irresponsible?" Jian Sandi's reaction was very intense.

"Yes, isn't Dr. Ding's conclusion too hasty? Isn't it too hurtful? Li Yun'e followed closely behind Jian Sandi and launched an "attack" on Ding Feng.

"I'm just talking about things, and I don't mean to hurt anyone. Whoever says this, I will express my opinion in such a way. Ding Feng was-for-tat.

"Well, I really have to fight for this position!" In her previous life, Lin Lin easily gave up this position and focused on improving her business level. Now, if this continues, the neurology department will be in a situation from which it will never recover, just like in its previous life.

"I agree with Dr. Ding that this patient should be further examined to see if it is secondary trigeminal neuralgia. It is true that this surgery should not be done until the diagnosis is definitive. Liu Yulan didn't say much, but she expressed her views and her support for Ding Feng.

"I think the opinions of Dr. Kan and Dr. Ding are very representative, and I agree with them to a certain extent. The tests that should be done should continue to be improved. ”

"At the end of the day, if it really doesn't work, surgery is also an option." Zhuo Yiming's riding wall appears to be more horizontal.

"I also agree with Mr. Zhuo's opinion, and I have no other opinions." Tan Xiaomin also chose to ride the wall.

It seems that riding the wall, although risky, does not push yourself into a corner. No wonder, in this world, there are so many characters on the wall. In doing so, the benefits may not be great, but the risks are definitely minimal.

Jian Sandi and Li Yun'e, Ding Feng and Liu Yulan, Zhuo Yiming and Tan Xiaomin, they each represent three different views, and they are distinct.

"Let me tell you what I think." Lin Lin didn't need Ling Xiaoyun to call herself, she took the initiative to speak.

"The diagnosis of trigeminal neuralgia in this patient is clear, but I prefer that this patient's trigeminal neuralgia is secondary rather than primary."

"Have you ever wondered why the otolaryngology department takes three biopsies of nasopharyngeal tissue from a patient? I don't think it's the otolaryngologists who are idle and do this kind of thing. They do this, and there must be a reason for doing so. ”

"I never easily overturn the opinions and practices of the doctors in front of me, unless I have enough reasons to prove that they are doing it wrong."

"We know that each time the nasopharynx is taken, only a little bit of tissue can be forced, and three times the sample takes three little bit of tissue. It's like a pathology department taking a biopsy of a piece of tumor tissue, not every slice can see cancer cells. ”

"Therefore, if the otolaryngology department takes negative samples three times, it does not mean that this patient does not have nasopharyngeal cancer."

"It may not be clear to everyone that there are three ways to grow nasopharyngeal cancer, one is extroverted growth. This type, ENT is easy to diagnose. Lin Lin's words were domineering.

"The second is inward-infiltrating growth, nasopharyngeal endoscopy, you can see that the mucosa of the nasopharynx is smooth, but the submucosal tissue is constantly eroded by the cancer, and even the bones at the base of the skull will be damaged. For example, foramen ovale, foramen semioval, rupture foramen, etc., once these parts are damaged, it is very likely to affect the trigeminal nerve. ”

"At this time, it can manifest as pain in the innervation area of a branch, or it can manifest as numbness."

"There's another way to grow, which is mixed growth. The tumour grows both outward and inward. This method is also relatively easy to diagnose. ”

"Coming back to this patient, the current treatment is actually not very effective. So, the next step, diagnosis is important. ”

"I recommend, first, to have another ENT consultation and if they think it's necessary, to take another tissue biopsy. Second, do a CT scan of the head. When writing the examination application, make a note and ask them to pay attention to the nasopharynx. In addition, a bone window examination is added, paying special attention to the condition of the bones at the base of the skull. ”

"Until the diagnosis is available, I don't recommend increasing the dosage. Although carbamazepine currently has no effect on the blood system, the higher the dose, the chance of various side effects increases. ”

"I don't agree with the recommendation to go to the patient for the operation of the trigeminal nerve meniscus joint, this kind of destructive surgery, until the last moment, try not to think about it."

"Any organ in the human body, from the appendix to the heart, is a necessary existence, and none of them are superfluous. Destroying or cutting off any of them at will is an irreparable loss for the patient. On this point, I agree with Dr. Ding's consideration. ”

"This is the end of my speech, if there is anything inappropriate, please criticize and correct." This time, Lin Lin gave everyone in the department a popular science lesson on the growth of nasopharyngeal cancer. At the same time, he also strongly supported Ding Feng and Liu Yulan.