Chapter 150: Twenty Questions for the Sick
"This matter is urgent, but we must not lower our requirements because of urgency. If we don't do it, we must do our best, and we must ensure that we will not lag behind for 30 years. Lin Lin put forward high requirements to Han Jiguang.
"Now, I have a deeper understanding of what Section Chief Ye said just now."
"Yes, our hospital, from the leaders to the staff, is working together to build our hospital well and make our hospital stronger."
"I promise that I will do my best to do this job well. Make the new inpatient building stand the test of time and the test of users. Han Jiguang is equivalent to setting up a "military order".
"I would like to emphasize in the end that every penny of our hospital is earned by the front-line employees who are fighting with sweat, health and even life."
"In the process of advancing these two projects, it is necessary to strictly control the expenditure of expenses. What shouldn't be spent, must not be wasted. In this regard, Section Chief Yang must do a good job of the first pass, and please believe that I will definitely strictly grasp the last pass. ”
Lin Lin didn't dare to test human nature, the affiliated hospital in her previous life had a painful experience and lessons in this regard.
After the meeting, Lin Lin immediately called to report the hospital's decision to Wan Yaowen.
"Haha, Brother Lin, you are really resolute. So be it, you wait for my notification. In the first batch, I only selected three potential hospitals as pilots. ”
"After I made my choice, I organized a group of lecturers to interpret the standards of tertiary hospitals, as well as what needs to be done and how to achieve these standards."
"When the time comes, you organize a team, come to the provincial hall, live in the guest house of the provincial hall, study in a closed way for a period of time, and then go back and promote it in the hospital." Wan Yaowen already had a very clear idea in his mind.
Although Lin Lin did her best to ensure that the outpatient clinic was held every Tuesday. However, the work of the hospital is getting busier and busier, and the outpatient clinic on Tuesday morning has become a luxury.
The end result is that every time she goes to the doctor, Lin Lin has to see more than 2 or even 3 o'clock in the afternoon before she can get off work.
It was another Tuesday morning, and Lin Lin came to the outpatient clinic early. The nurses in the outpatient clinic are already very familiar with the work of their dean. They would all prepare boiling water for Lin Lin to make tea early.
Every time Lin Lin visits the doctor, one or two nurses are responsible for triage and maintain the order of waiting. Because Lin Lin sees the doctor very carefully, the time it takes is relatively long, and the time for patients to wait for treatment will naturally increase.
Just after ten o'clock, an old man, supported by his wife, who was also an old man, walked into Lin Lin's consultation room.
The patient's wife was in high spirits, and on her old face, the beautiful shadow of her youth could be faintly seen. The patient was sluggish, his hands were shaking, and uncontrollable saliva was flowing from the corners of his mouth, but he was clean, neat, and decently dressed.
It can be seen that he is well taken care of. Judging from Lin Lin's experience, such a good care must come from his wife.
Lin Lin likes to see couples who respect each other and grow old hand in hand. Treating any such couple, Lin Lin can feel the deep affection between them that has stood the test of time.
Once the patient was seated, his wife began to introduce his condition. As with Lin Lin's judgment, the patient is a patient with Parkinson's disease, and has undergone long-term treatment, and the control of the disease is relatively good.
After listening to his wife's introduction for a while, the patient interrupted his wife's words, and with a trembling hand, he took out an A4-sized piece of paper full of dense words from his pocket, and said in a slightly muffled voice: "I came to see you this time, and my daughter-in-law introduced me. ”
After that, he raised the paper in his hand, and then said: "I have seen countless experts from Yingzhou to Guangcheng to the capital, including old experts and young doctors and postdoctoral fellows, and I want to ask them to answer the questions I am concerned about, but none of them have satisfied me. ”
"My daughter-in-law, who works in Shencheng, called me and asked me to come to you, and she said you can help me answer." With that, he handed me the paper in his hand.
Lin Lin never worried about patients asking all kinds of questions, and he was used to answering all kinds of difficult questions, but in an instant, he still felt the slightest pressure.
Taking the paper handed to him by the patient, Lin Lin couldn't help but be surprised. "Did you write that?" Lin Lin asked the patient.
"Yes, I wrote it." The patient answered unequivocally.
Twenty questions were written on the paper, and the font was strong and powerful, and the "line" was very strong, standardized and beautiful. It can be seen that this old man is a highly educated person.
These 20 questions cover the causes, manifestations, complications, treatments, future prognosis of Parkinson's disease, and what to pay attention to in daily life.
These questions are the questions that Lin Lin usually answers the most when she sees such patients. Therefore, Lin Lin knows how to answer such a question.
Lin Lin moved the chair to bring her body closer to the patient.
Distance can produce wonderful effects, which Lin Lin in her previous life has tried many times. Seeing Lin Lin approaching him, a rare smile appeared on the patient's dull face.
Lin Lin laid the paper with the questions written flat in front of the patient, and then pointed to the questions with a pen to answer them.
"Parkinson's disease is an ancient disease, and it is also a disease whose cause is still unknown."
"The current research only knows that in the brains of these patients, a type of dopamine-producing cell is spontaneously apoptosis. These apoptotic cells can never regenerate, and the dopamine concentration in the brain gradually decreases. ”
"There are two important neurotransmitters in the human brain, one is dopamine and the other is acetylcholine. In general, the two of them are mutually restraining and working together to ensure the coordination of human muscle movements. ”
"But when the dopamine concentration drops, this coordination and balance is disrupted, and the patient develops symptoms."
"Medically, we can't destroy acetylcholine in the brain just because there is a decrease in dopamine. What we can do is now the most commonly used method of supplementing the reduced dopamine through oral medications, which we call 'replacement therapy'. ”
"In other words, there aren't so many cells in the brain that produce dopamine, so we take it orally and replenish it to try to bring it back into balance."
"Of course, this is just wishful thinking on our part, and it is impossible to strike just the right balance."
"The key problem is that there is a 'ceiling' in terms of dosage of medopa and xining. That is to say, there is a limit amount for both drugs, which cannot be exceeded, and if it is exceeded, serious side effects will occur. ”