"One thinks, it's a seizure; Another opinion is that the patient's seizure is a TIA (transient ischemic attack). ”

"Because opinions vary so much, there is no clear treatment plan yet. Therefore, we reported to Director Ding and asked Dean Lin to come back for rounds and point out the direction of future diagnosis and treatment for us. ”

Because it has been discussed, Ma Shuiyuan is very familiar with the medical history, and the report is concise and to the point, without the slightest bit of mud and water, which is Lin Lin's favorite style.

If you are not very familiar with the patient's situation, it is impossible to make such a condensed report without missing the main points.

"I add. The patient is still relatively young, has always been in good health, and recent symptoms are characterized by episodic nature. Related tests, such as electroencephalogram and brain MRI, did not find any abnormalities. ”

After discussing again and again, Li Yun'e has gone from being unconvinced by Lin Lin to admiring it now.

"Well, Dr. Ma and Mr. Li's reports were very good, concise and focused. This shows that the doctors in their group have really put a lot of thought into this patient. ”

"I see, the two patients report together, let's go see it together later. Dr. Yip, you pick it up. Lin Lin said to Ye Xiu.

"Okay, I'll report on the patient I'm in charge of." Ye Xiu is calm and calm, which is a sign of being well prepared.

"The patient, a 45-year-old female, was admitted to our department because of numbness and fatigue in her limbs for half a year."

"After admission, we did a detailed physical examination of the patient, and it was found that the skin of the patient's limbs was relatively dry and had mild desquamation. The muscle strength of the limbs was reduced by four stages, and the symmetry of tendon reflexes was weakened, and no pathological signs were elicited. ”

"In terms of laboratory tests, no abnormalities were found except for a slight decrease in white blood cells and platelets."

"According to the patient's condition, we diagnosed peripheral neuropathy and treated it with gamma oryzanol, multivitamins and dibazole, but the patient's condition not only did not improve, but also progressively worsened. Especially during this week, the patient also experienced joint pain. ”

"Based on this situation, we rechecked the patient's ESR and the result was normal, and the anti-'O' test was also negative."

"This patient, also because the diagnosis is unclear, the treatment is not targeted, and the condition continues to worsen, so we temporarily proposed it and asked Dean Lin to make rounds." Ye Xiu's report is also concise and focused.

Perhaps, as we all know, time is particularly important to check on two patients in one morning.

"Dr. Ye's report is very detailed, and I have nothing special to add." Zhuo Yiming was even more straightforward and didn't say anything more.

"Okay, Dr. Ye is well prepared. Let's start with Dr. Ma's patients. Lin Lin said, stood up, and Ding Feng followed behind Lin Lin with the tools of the physical examination.

Lin Lin sees patients and is never led away by other people's reports. For a newly admitted patient, Lin Lin must re-undergo a detailed medical history and physical examination.

"This is Dean Lin, please come back today and see a doctor for you." Ding Feng said to the patient.

"Thank you, Dean Lin, I have heard of the name for a long time, and thank you Director Ding for your care." The patient was very polite.

"I want to know something about it and do a physical exam, don't you mind?"

"Don't mind, Dean Lin, excuse me."

"You're married, aren't you?" Lin Lin began to question the patient.

"It's over."

"Do you have any kids?"

"There it is." The patient's answer was short and clear.

"Is there anyone in your family who suffers from a disease like yours?"

"Hmm...... No. She thought for a moment about the question that no one had ever asked.

"Would you mind telling me what method you usually use to prevent pregnancy?"

"Take medicine, I take medicine, I've been taking medicine, I've been taking medicine for years." The patient's face turned red and quickly returned to normal.

"What do you do?"

"Teacher."

"Thank you! Do you feel out of breath when you are doing activities, such as climbing up to the fifth floor? ”

"No, it's not a problem to go up and down the fifth floor."

"Okay, now I'm going to do a physical exam for you." Lin Lin said, first of all, he asked for a stethoscope from Ding Feng's hand.

From the consultation to the current action, the veteran neurologists who are watching from the side seem to smell a different smell.

During the physical examination, Lin Lin found that the patient's body was well developed, with a typical sexy body, and the patient appeared very healthy because of this.

Lin Lin examines the patient's heart very carefully. From percussion to auscultation in various positions, Lin Lin did it all. Zhuo Yiming saw it and sighed to himself, such a solid foundation in internal medicine is unique among the doctors in neurology!

After the internal medical examination, Lin Lin began to do a nervous system physical examination.

Although everyone understands this set of examinations, the young doctors and interns feel very comfortable seeing Lin Lin's technique.

Lin Lin's technique is light and moderate, without the slightest pause, like flowing water.

"Do you have anything to add?" After Lin Lin finished the examination, she asked the doctors present. Everyone shook their heads.

"Okay, since there's nothing to add, let's move on to the next one. Thank you for your cooperation! Lin Lin did not forget to thank the patients.

"Dean Lin is polite! Thank you very much Dean Lin! ”

Coming to Ye Xiu's patient's bedside, Ding Feng also introduced Lin Lin to the patient.

"Thank you, Dean Lin! I know that Dean Lin is very busy, and I also know that Dean Lin is a skilled doctor. Thank you very much for taking the time to see me today. "This patient has an understanding of Lin Lin.

"You're welcome! I want to know something, ask some questions, and if you don't feel like answering, you can leave me alone. ”

"It's okay, just ask Dean Lin to ask."

"Have you felt any change in your appetite since you felt sick?"

"Yes, my appetite has deteriorated, and I don't want to eat a lot of things when I see them."

"Can you be specific?"

"Hmm...... I used to like to eat bubble cakes, I could eat one bag by myself in one sitting, and I could not drink a sip of water during the process. Now, when I see a bubble cake, I'm afraid. ”

"Oh, why are you afraid, don't you like to eat?"

Lin Lin also likes to eat blister cakes produced in Yingzhou City, and like this patient, she can eat a bag in one go without drinking a sip of water. Therefore, Lin Lin deeply sympathizes with this hobby of patients.

"It's not that I don't like it, it's that I can't swallow it. Now, when I eat a blister cake, I feel very difficult to swallow. ”

"Don't you feel like you don't have enough saliva?"

"Yes, yes, yes, that's what it means."

"And what about what else do you eat? For example, bread, dry rice, etc., will you also feel this way? ”