"Speak, please."

"In our Yingzhou City, there are several construction companies with backgrounds or hard backgrounds. The people behind these companies have unfathomable backgrounds, and they are not good stubble, so you have to be careful. ”

"The project of our hospital involves a lot of money, and in the eyes of these people, it is a big and delicious 'cake', and there are many people who want to get it, and there will be people who will use various means."

"For a period of time in the future, the pressure on Dean Lin will not be ordinary."

"Hmm...... Thanks for the reminder, I'll take note. "In her previous life, Lin Lin had heard of how these construction companies were cunning. He knew that the post adjustment of Hong Weiping and Ding Jian must be Uncle Lu's "first move".

As soon as Han Jiguang was sent away, Lin Lin received a call from Ding Feng.

"Dean Lin, are you free tomorrow morning? Would like to ask you to come back and see a patient. ”

"Not tomorrow morning, tomorrow morning's hospital meeting, thunder can't move. How? Complex patient condition? In a hurry? ”

"It's not urgent, it's complicated. In that case, let's see if you can come back on Friday morning. ”

"Friday, I'll be free on Friday morning." Since she was not in a hurry, Lin Lin didn't want to forcibly break the rules.

On Friday, the rounds started on time.

"Please come back today and help us diagnose and treat this patient. The patient's condition is special, please ask the doctor in charge to make a record. Ding Feng's opening remarks seemed to indicate that this patient was not ordinary.

The patient's first diagnosis and the doctor in charge are both Ma Shuiyuan.

"I'm here to report on this patient's condition, and I would like to make it clear that the medical history is provided by the patient's fellow countryman." Ma Shuiyuan immediately picked up Ding Feng's words and began to report his medical history.

"The patient is a 36-year-old female from Dong Giang Province. He was admitted to the hospital for three weeks because of a sore throat that worsened with weakness in his limbs for one week. ”

"Three weeks ago, the patient suddenly developed a sore throat, and at first, she thought it was a cold and bought some cold medicine for herself, but the situation did not improve."

"A week later, the patient developed weakness in his limbs, which progressively worsened, and two days before he was admitted to the hospital, he had difficulty breathing, and was sent to the emergency department by the patient's hometown on Tuesday."

"When I arrived at the emergency department, I saw that the patient's condition was very serious, and I didn't dare to ask about the medical history and physical examination, but immediately connected to the monitor. As soon as the monitor is connected, an alarm will appear immediately, indicating that the patient is obviously hypoxic. ”

"I immediately intubated the patient and put him on a ventilator. It was only after the ventilator was connected that the patient's condition stabilized. ”

"After the condition was stabilized, I conducted a physical examination of the patient and found that the patient's limb muscle strength was grade 2 (this level of muscle strength, the limbs could not be lifted off the bed), and the muscle atrophy of the limbs was obvious. The skin of the limbs is dry and sweatless, and the tendon reflexes of the limbs are absent, and pathological reflexes cannot be elicited. ”

"Based on the patient's medical history provided by the patient's fellow countrymen, combined with the patient's physical signs, I considered the Green-Barre complex and admitted her to the hospital."

"The next morning, I asked Director Ding to make rounds. After Director Ding's rounds, he raised a suspicion, that is, the patient did not have cranial nerve damage. Although cranial nerve damage does not occur 100% in patients with Guillain-Barré syndrome, the absence of this sign is indeed questionable. ”

"According to Director Ding's instructions, after the ward rounds, I personally did a lumbar puncture examination for the patient. Lumbar puncture indicates low pressure and clear cerebrospinal fluid. ”

"After taking an appropriate amount of cerebrospinal fluid for testing, I began to treat the patient with hormones according to Director Ding's instructions."

"On Wednesday, the patient's cerebrospinal fluid (CSF) test came back and showed that all indicators were normal. Routine blood tests show mild anemia. Blood biochemical tests showed that the patient had hypoproteinemia, and the albumin was only 23 grams. ”

"In the past few days of hormone therapy, the patient's condition has not improved, and it seems that it continues to worsen, so I reported the situation to Director Ding. Director Ding immediately decided to ask Dean Lin to come back for ward rounds and guide us in the next step of diagnosis and treatment. ”

From Ma Shuiyuan's report, it can be seen that he spent a lot of time and energy on this patient.

"I add. I saw the patient the day after he was admitted. I feel that this patient, the conditions for diagnosing Guillain-Barré syndrome are not sufficient. ”

"However, this patient did have peripheral nerve damage. So, when the cause was not clear, I had to ask Dr. Ma to give the patient hormones. ”

"In such a short period of time, it is impossible to expect to get better. However, the patient's condition is progressively worsening, which is even more difficult to explain with the Guillain-Barré syndrome. ”

"Well, it seems that everyone has had an in-depth discussion about this patient, let's go see the patient first." According to Lin Lin's habit, he will never express any tendentious opinions before contacting patients.

Ma Shuiyuan led the way to the patient's room.

Lin Lin stood on the right side of the patient, just facing the patient's fellow countryman, a woman about 50 years old.

Lin Lin turned her head and looked at the patient lying on the hospital bed.

The patient appeared emaciated, with large sunken eyes and the muscles of his face seemingly gone. In medical terms, such patients are typically characterized by "cachexia" (a condition common in advanced tumors or severe malnutrition).

Lin Lin stared at her for a while, and then began to do a physical examination. Everyone wondered why Dean Lin had gone against the grain and omitted the question of medical history. Could it be that he completely approved of everything Ma Shuiyuan and Ding Feng asked?

Lin Lin examines the patient very carefully, including the condition of the heart and lungs, the status of the whole body nutrition, the examination of the nervous system, and even the patient's body hair.

After the examination, Lin Lin straightened up and looked at the patient's "fellow" sitting across from him.

"You're her countryman?"

"Yes."

"From the same province?"

"From the same province and the same village."

"Oh, then you know her well."

"Yes, I'm the only one with her. Alas, poor her......" said the sick fellow, unable to go on.

"You tell the doctor, she's 36, she's really 36?"

With Lin Lin's age before her rebirth, she has a particularly clear feeling of youth. Even if a woman with average looks is young, she gives people a feeling of vitality.

Youth is the capital, and youth has its own youthful atmosphere, and patients are no exception. This point can't be hidden from the "old man" Lin Lin.

"This is the director of our hospital, he is very busy, we asked him to come back to see her, what do you have to say, you have to make it clear. Missed it, Dean Lin didn't have so much time to watch the second one. ”

Ding Feng heard Lin Lin's suspicion about the patient's age. Ding Feng felt strange, how could Dean Lin start from here in the first place?