Chapter 155: Thoughts Drawn from Ward Rounds

"Okay, you have a good rest, let's discuss a way to try to control your disease." After Lin Lin finished speaking, she led everyone and left the ward.

Lin Lin handed the tools to Ding Feng, and he went to wash his hands. Others, go back to the office and wait.

"Hey, Director Ding, I've said it, I'll stay, but it's worth the money."

"Well, I agree that you're right."

"Watching Dean Lin do a physical examination is simply a kind of enjoyment, a kind of pleasure and fun to learn in enjoyment." Ye Xiu is still unfinished.

"I've known this for a long time, but I just can't learn it. So far, no one in our department has been able to learn this trick. It's not just beautiful, it's also very practical. You see, the signs that we couldn't find, Dean Lin found them all one by one. Ding Feng's admiration for Lin Lin is not new.

"Okay, let's hurry up and not delay Section Chief Ye's trip." Lin Lin said as she walked in.

"Don't delay, hehe, don't delay at all, take the plane, soon." Ye Xiu was worried that everyone deliberately shortened the time for discussion in order to accommodate her.

"Hehe, your spirit is commendable. However, it may be that I have tightened my money bag, and it hurts a little to see you spending money like this. Lin Lin said with a smile.

Lin Lin's seemingly casual words have deep meanings. The two major projects are about to be launched, Lu Yiming's reminder, he always remembers. He wanted his words to be heard.

"Doctor Dong, tell me what you think." Ding Feng took a roll call and began a discussion.

Dong Huayu sneered and said, "Originally, I was fully prepared, but today Dean Lin came back to ask about the medical history and physical examination, and my confidence was gone." ”

"It's okay, tell me about your thinking, whose growth is achieved in a handful? Let's talk about it. Lin Lin encouraged Dong Huayu.

"Thank you Dean Lin for your encouragement, and I'll share my opinion." Dong Huayu plucked up courage.

"This patient, with a subacute onset, progressively developed his condition and complained of pain in the left posterior occipital region. On admission, we found no neurological signs in the patient. ”

"After admission, we were treated as shingles. Judging from the patient's feedback, the treatment is effective. At the very least, the patient's pain was significantly reduced. ”

"That's what I thought before. Today, I followed Dean Lin on the ward round, and I had a few questions that I couldn't figure out. ”

"First, if the treatment is effective, why are there more and more signs? The effectiveness of treatment and the increase in signs are paradoxical. I really don't understand if it's the patient's pre-existing signs, which we haven't been able to detect, or if it's the patient's new signs. ”

"Second, if it is shingles, the patient should not show signs of long bundle damage, such as weakness in one limb, paresthesias in the other limb, deep sensory disturbances, and so on."

"The last thing I understand is the pain of the patient. I think that the pain induced by Dean Lin today is the real pain of the patient's onset this time. But I don't understand why this is happening. ”

Dong Huayu is very real, if he doesn't understand, he doesn't understand, and he doesn't dare to pretend to understand. This is the doctor, sometimes, you have no ink in your belly, and you can't be high-profile if you want to.

"I also agree with Dr. Dong's analysis and questions." Zhuo Yiming picked up Dong Huayu's words.

"I have to review it here. In terms of medical history and physical examination, due to the limitation of the level, I did not do it carefully and accurately enough, resulting in the early diagnosis and treatment were not in place. ”

"Today, I once again appreciated the demeanor of Dean Lin. This is the difference between high and low levels, what we didn't expect, Dean Lin thought of. We won't check it, Dean Lin found out. ”

"I was deeply touched by what Dean Lin said just now. Yes, the growth of a doctor is not achieved overnight, but must be improved through years of study and accumulation. ”

"We can't reach the level of Dean Lin, but we can improve ourselves through continuous learning."

"As for the analysis of this patient, I am not verbose, and to be honest, I have no new insights and ideas, not even a clear idea." Zhuo Yiming's words can be described as heartfelt and frank.

After Zhuo Yiming's words were finished, the others were even more embarrassed. After all, apart from Ling Xiaoyun, Zhuo Yiming's qualifications are the oldest.

"I'll say a few words." As the director, Ding Feng can't do it without speaking.

"Today's case, we thought at first that it was not as difficult and complicated as the case that Dean Lin had seen before. Seeing Dean Lin's ward rounds today, I knew I was wrong again. ”

"At the very least, the positioning diagnosis we all discussed at the beginning was wrong. The signs detected by Dean Lin today point to a clear point, and the patient's location should be in the spinal cord, and it should be on the left side of the cervical cord. ”

"As for the positioning diagnosis, I can't think about it clearly, and I'm looking forward to Dean Lin's analysis."

"However, today's ward round by Dean Lin gave me an idea and I am ready to put it into action. That is, in our department, to carry out professional and technical competitions. ”

"The content of this competition, including physical examination techniques and lumbar puncture methods, involves two parts: specific operations and written tests. Please ask Director Ling and Teacher Zhuo to be consultants, and give everyone a month to prepare, and start next month. ”

Ding Feng realized that the way and method of physical examination were very important. Specific to today's patient, with the effectiveness of hormone therapy, there are still so many signs that Lin Lin needs to find out, which is very abnormal.

"In this competition, I am going to withdraw a little money from the director's fund as a reward. There are three awards, namely 1st to 3rd place. Ding Feng's reaction was not unpleasant. Lin Lin listened and nodded frequently.

"Director Ding's idea, I very much agree. Every time Dean Lin was asked to come back for rounds, Dean Lin could find out what we couldn't find. ”

"That's telling, what's the problem? The question of basic skills. Everyone found that when Dean Lin did the physical examination, he was dexterous, moderately forced, natural and smooth, giving people a comfortable and beautiful enjoyment. ”

"If you have seen Dean Lin do lumbar puncture and lateral ventricular puncture, your experience will be deeper. My opinion, that's the art of professionalism. ”

"Therefore, Director Ding's proposal can be regarded as grasping the pain point of our neurology department, and I very much support this approach." Ling Xiaoyun's transformation was the most gratifying thing for Lin Lin after she was reborn.

"Director Ding's thoughts and practices coincide with the hospital's preparation to participate in the evaluation of tertiary hospitals. I believe that professional and technical operation is a compulsory item for the evaluation of tertiary hospitals. Ye Xiu also recognized Ding Feng's idea.