Chapter Ninety-Five: Guillain-Barré Syndrome Again
At the same time, Lin Lin told the patient and her son to pay close attention to whether there is a rash on the patient's body during the period of taking the medicine, and if so, stop the medicine immediately and go to the hospital immediately.
Lin Lin generally only prescribes medicine for one week for this kind of first-time treatment patient. He needs to observe the efficacy and also pay close attention to the side effects of the medication.
A week later, on Tuesday morning, Lin Lin went out of the clinic as usual. This is the key to Lin Lin's continued professional success: persistence!
As soon as Lin Lin sat down, the old man walked into the consultation room with the support of her son.
"Dean Lin, thank you so much! This week, I was finally able to sleep peacefully. Since taking the medication you prescribed that day, now, there is no more pain. The old man held Lin Lin's hand, looking very happy and excited.
"It doesn't hurt at all?"
"yes, it doesn't hurt at all."
"That's good, next, I'll prescribe you a month's worth of medicine, so that you don't have to run back and forth all the time."
"Thank you, Dean Lin." The old man was even happier.
"Dean Lin, the medicine you prescribed is too cheap, isn't it? I've taken my mom to so many hospitals and seen so many doctors, and none of them have prescribed such cheap medicine. The patient's son said.
"The more expensive the medicine, the better, the key is to be suitable for the patient."
"That being said, however, some doctors still prescribe a lot of proprietary Chinese medicines. The price of these Chinese patent medicines is not cheap. ”
"Chinese patent medicine can't be said to be bad, the key is to use it on the right patients. In the case of your mother, there is no need to eat these. Oh yes, I'll take her to have a blood test in a minute, and I want to see how well her blood is cellular. ”
"Okay, please ask Dean Lin to make a bill, and I'll take her to check it right away."
"Well, I'll prescribe her medicine when the test results come back." Lin Lin prescribed the test sheet and handed it to the patient's son. The patient's son left the office with his mother.
Lin Lin wanted to see if the patient's white blood cells were affected by taking carbamazepine. In her previous life, Lin Lin once met a patient who had only taken carbamazepine for a day, and his white blood cells fell to zero, and the situation was very dangerous.
Later, after all-out rescue, the patient's white blood cells returned to normal. During this period, if the patient is infected, the mortality rate will be very high.
The results of the blood routine came out quickly, and when Lin Lin took the patient's blood routine results, she couldn't help but breathe a sigh of relief: the patient's blood routine results were normal.
Lin Lin prescribed medicine for the patient for a month and told her when she would come to the clinic next time. After the old man thanked him for everything, he said goodbye to Lin Lin and left the clinic.
Such a scene was often encountered by Lin Lin in her previous life, in terms of medical skills and medical ethics, Lin Lin after being reborn did not change much, and continued to be welcomed by countless patients.
At this time, the neurology department was not strong enough. Whether it is Ling Xiaoyun in the past or Ding Feng now, it is very difficult to bring neurology to a new height.
The difference between Ding Feng and Ling Xiaoyun is that Ding Feng is very self-aware, and at critical moments, she will invite Lin Lin back and forth, preside over the formulation of the general direction of the department's development, and preside over the discussion of particularly difficult cases.
One day, Lin Lin received a call from Ding Feng asking Lin Lin to preside over the discussion of a difficult case on Friday.
"Has the department discussed it?"
"I once had a discussion in the department, and everyone thought that this patient was a patient with Guillain-Barré syndrome. However, with the treatment of 'Guillain-Barré syndrome', the patient's condition not only did not improve, but also got worse. ”
"How's it going?"
"The lesion seems to continue to progress, and yesterday, I had difficulty breathing, and I had a tracheostomy and was on a newly bought, imported ventilator."
"Theoretically, the course of the disease has been more than a month and the progression of the lesion should have stopped. But the patient's condition is very abnormal and we can't grasp it. So, I'd like to ask you to come back and have a look. ”
"Dean Lin, without you, I don't feel sure." Ding Feng said what was in her heart.
"Did you ask Secretary Jane?"
"I'll call him later."
"Okay, I'll go back to the ward on Friday." Lin Lin knew that under normal circumstances, Ding Feng would not trouble him, and now that he asked him back, he would definitely be in trouble.
On Friday morning, Lin Lin showed up on time in the neurology ward.
Every time she came back, Lin Lin could feel that the neurology department was gradually changing. From the mental outlook of people to the environment of the department, it is getting better. Ding Feng's efforts, Lin Lin could feel and see.
The patient was in charge of Ma Shuiyuan, and Ding Feng signaled to Ma Shuiyuan and began to report his medical history.
"Wait, isn't Secretary Jian coming back?"
"Dean Lin, do you also know when did he come back for the discussion of difficult cases?" Ding Feng seemed helpless.
Yes, Ding Feng can't order Jian Sandi to come back. However, by doing so, Jian Sandi is tantamount to cutting off the path of improving his professional level.
"Okay, let's go." Lin Lin no longer paid attention to Jian Sandie.
"The patient is a 52-year-old male, farmer. Weakness in the limbs for one month, exacerbation with inability to breathe for three days. Ma Shuiyuan began to report his medical history. Lin Lin stretched out her hand and took the patient's medical record book in her hand.
While listening to Ma Shuiyuan's medical history, he looked through the medical records intently.
Since becoming the dean, Lin Lin has come back to participate in several difficult case discussions. Every time, Lin Lin is like this. At the beginning, the people in the department were confused: "This Dean Lin, is he looking at the medical records or listening to the report?" ”
Every time, after the doctor in charge reported his medical history, Lin Lin pointed out the loopholes in the doctor's report in a very targeted manner, and everyone suddenly realized that Lin Lin was "multi-purpose".
Lin Lin's move shocked the doctors in the whole department, and they no longer dared to be so-so in reporting their medical history.
"The patient had a suspicious history of a 'cold' before the onset of the disease, followed by weakness in the limbs, and the symptoms gradually worsened. The physical examination on admission showed that the patient's limbs were weak in grade 4, the skin of the limbs was dry and desquamation, the symmetry of the tendon reflexes in both upper limbs was weakened, and the tendon reflexes in both lower limbs were symmetrically active, and the pathological signs were not elicited. ”
"After admission, we did a lumbar puncture for the patient, checked the patient's cerebrospinal fluid biochemistry and routine, and found that the patient's cerebrospinal fluid protein content was significantly increased, while the white blood cell count was normal, and other blood routine and biochemical tests showed no abnormality."
"Because the patient's medical history is quite special, under the chairmanship of Director Ding, we have a general discussion on this patient."
"It is agreed that the patient's cerebrospinal fluid protein cell isolation is so obvious, and the signs tend to be peripheral nerve damage, so the diagnosis of this patient is more likely to be 'acute Guillain-Barré syndrome'."