"Secondly, there is the issue of the treatment of the patient. Although the situation has improved after our current treatment with dexamethasone, the patient's pain still persists, which seems difficult to explain. It turned out that Dong Huayu was under Zhuo Yiming.

"Dr. Dong's report was very concise and focused, which was very good. It can be seen that Dr. Dong has spent a lot of effort, and it can also be seen that Mr. Zhuo and Director Ding have given Dr. Dong a good guidance. ”

"I hope Dr. Dong will continue to maintain this positive attitude. As long as a person steps into the ranks of doctors, he must have the mentality and action of lifelong learning, otherwise, he will be quickly eliminated. ”

"Okay, let's go see the patient together." Lin Lin knew that these young medical students, and even the doctors in the department, wanted his affirmation.

For a new patient, no matter what others say or record, Lin Lin must do a detailed medical history and physical examination all over again. It's not that he doesn't trust others, it's that he trusts his own knowledge structure more.

When Lin Lin walked into the patient's room, the patient was "walking" back and forth in the room accompanied by her husband. It can be seen that the patient is not easy to walk, and this scene was caught by Lin Lin.

"Today, we ask Dean Lin to come back to see you, please lie in bed." Ding Feng said to the patient.

"Okay, thank you Director Ding, thank you Dean Lin." The patient said, slowly lying down with her husband's support.

Suddenly, the patient screamed, and his voice was very terrible.

"Ah...... It hurts, it hurts me. Ding Feng saw it, hurried forward, and together with the patient's husband, helped the patient. After about ten seconds, the patient's pain disappeared like a gust of wind. What is left for the sick is a profuse sweat.

This sudden experience made Lin Lin grasp the entry point of asking about the medical history.

"Is it better now?" Lin Lin asked with concern.

"Thank you, Dean Lin, it doesn't hurt now." The patient's expression was similar to the painful expression just now. If you hadn't seen the seizure just now, no one would have thought that the patient would still have such a painful side.

"When did this kind of pain begin?"

"When I first got sick, it hurt like this. In the beginning, the number of seizures was not much. Later, the seizures became more and more severe and more severe. Every time, it hurts me to death. ”

"Can you describe how you felt during this episode of pain?"

"Yes, this kind of pain, I will never forget it." It seems that the patient is unforgettable for such pain.

"This kind of pain mostly happens when I get up or lie down, and sometimes, for no reason, it happens."

"When it hurts, it's not just like lightning, but it's also accompanied by a very uncomfortable convulsion-like feeling. It was as if a bolt of lightning had struck him in the shoulder, and the lightning continued to discharge into his hands and feet. At this time, the pain and convulsions come together, and it is also the most uncomfortable time. ”

"Now, I have a shadow in my heart. Because of this pain, it comes and goes without a trace, and the pain is terrible. ”

"Is it numb, spicy, and painful all the way from your shoulder to your foot?"

"Yes, yes, yes, that's it, but it's more intense and unbearable. Every time I was in pain, I was sweating profusely and I felt like I was in prostration. ”

"You have no other problems besides pain?"

"Yes After the onset of the disease, my hands and feet felt numb and my strength deteriorated. This condition is evident with the left hand and left foot. Now when I walk, I don't feel very safe, and I feel a little like stepping on cotton. ”

"Is there a problem with urinating or urinating?"

"No, it's good to defecate."

"Are you feeling better after you were admitted to the hospital?"

"It's a lot better, maybe sixty or seventy percent better."

"Have your eyes changed since you became ill?"

"There is no obvious change, and the things are still very clear."

"Did you sleep well?"

"No, at first, it was the pain that kept me from sleeping. Now, the pain has lessened, but there is no drowsiness, and it is difficult to sleep. ”

"Do you have any patients like you in your family?"

"Nope. Both of my parents are healthy and long-lived, and so are my older siblings. ”

"Okay, you lie down, I'll do the check-up for you. If you feel unwell during my examination, please let me know in time. ”

"Okay, thank you, Dean Lin." Lin Lin's gentle and drizzly consultation made the patient feel warm and reassured.

Lin Lin told the patient how to cooperate while examining it. The whole process is like a smooth flow. The technique is light, the force is just right, and the movement is standard.

With the progress of Lin Lin's physical examination, the patient's physical signs were checked out by Lin Lin one by one.

The tendon reflexes of the limbs are active, the muscle strength of the left limb is weak, the pathological signs on the left side are positive, the joint position sense of both lower limbs is lost, the pain and temperature sensation of the right half of the body is reduced, and the patient's "difficulty in standing with eyes closed" sign is positive.

The so-called difficulty in standing with eyes closed is to ask the patient to stand with their feet together and their hands stretched out. At this point, the patient can stand firmly when the eyes are open, but once the eyes are closed, the patient will fall to one side. If no one is around, the patient will definitely fall to the ground.

The more Lin Lin investigated, the more discouraged the doctors standing around him became: Why can't we detect these signs?

Yes, it stands to reason that Lin Lin's physical examination now is not the best time to find out these signs. Because the patient has been treated with dexamethasone, the symptoms have improved, and some signs will disappear.

"I want to use a special technique now to do a test for you, this test may cause the same pain as you just now, if you don't agree, I won't do this test."

"Dean Lin, I believe in you, you are also doing this to find out my condition. You can do it, I can bear it. "The patient has never experienced an examination like Lin Lin. The movements are gentle and take full care of the patient's feelings.

Lin Lin sat the patient on the hospital bed, and he stood on the patient's right side with one hand above the patient's back occipital. Everyone present looked at Lin Lin with bated breath.

I saw Lin Lin suddenly bend the patient's head and neck forward, and with Lin Lin's sudden movement, the sound of "Ah ......" also sounded, and the patient was also on Lin Lin's arm, slowly backwards, lying on the bed.

At this time, the patient was sweating profusely. When her husband saw this, he hurried forward and wiped the sweat off her body for her.

"I'm sorry to make you suffer." Lin Lin said to the patient.

"Wow......" The patient paused.

"It's okay, I understand what Dean Lin meant. My usual pain, that's it, unexpected, has something to do with bowing my head. "The patient finally found a pattern.