Chapter 167: The Smell of Different Ages

"I also agree with Dr. Ma's opinion that Dean Lin's ward rounds and conversations with his companions have made the patient's diagnosis direction clear. However, this was too sudden, I was a little confused, and I couldn't keep up with Dean Lin's train of thought and rhythm. Ding Feng couldn't say anything.

In the office, there was silence for a while. Yes, everyone thought it was a very professional issue, but no one thought that this professional discussion was mixed with such complex human and social issues.

"I seem to feel that Dean Lin has suddenly become a detective." Ye Xiu said coldly. She didn't know that Lin Lin was once called a "detective" by the police officers of the professional criminal investigation team.

"Hey, Section Chief Ye, you can't say that, the so-called art industry has a specialty, and in a while, I will ask a real detective to come over and help."

"Next, I will share my views for your reference." Lin Lin saw that everyone didn't have the desire and courage to speak, so she didn't wait any longer.

"This patient, the situation is indeed more complicated, and many factors have blurred everyone's vision and led everyone in one direction. Perhaps, this is also the mastery of criminals. ”

"First, the patient appears to have a subacute onset that progressively worsens with peripheral nerve damage. Judging from these characteristics, it is understandable and reasonable for everyone to diagnose her as a Green-Barry complex. ”

"But, just as you suspected. Why is there no cranial nerve damage in such a serious patient? At this time, cerebrospinal fluid examination, there should have been protein cell separation, why did this patient not? Why aren't hormones working? ”

"Everyone's doubts are right, which reflects everyone's highly responsible attitude towards patients, and reflects the scientific spirit that everyone has always had in their minds, that is, doubtful and falsified."

"Second, this patient is very young and in great health before the onset of the disease. Why does the onset occur so suddenly and so quickly? ”

"Thirdly, the patient's main damage is in the peripheral nervous system. In fact, other systems have already been compromised. I looked at the results of the blood test, and the patient generally had mild elevation of aminotransferases, mild to moderate anemia, mild impairment of kidney function, and malnutrition throughout the body. ”

"All of this shows that the damaged parts of the patient's body, mainly peripheral nerves, but affect multiple organs at the same time, which cannot be explained by the Guillain-BarrΓ© synthesis, nor by other systemic diseases such as lupus erythematosus."

"Combined with the fact that the patient was accompanied by only one fellow countryman, I began to suspect that the patient's condition was caused by human causes."

"If this is the case, the man-made cause that can cause such serious damage to the peripheral nerves and be so insidious is poisoning, which is likely to be a colorless and odorless special metal."

"We know that when certain metals are absorbed by the body, there can be damage to a peripheral nerve that affects multiple organs. But this is just my guess, I don't dare to ask these questions in front of the patient, so please accompany someone to the office. ”

"The narration of the companion confirmed that my thinking was basically correct. Why is it basic, because, whether it is diagnosis or solving a case, it is the evidence that is important. Until the conclusive evidence is in hand, we can only 'doubt' and then find a way to verify it. ”

"In the process of verification, I will ask the public security organs to come forward. The question now is that we have to think about how to save this patient when there is no other way. ”

"To be honest, I have always adhered to the attitude of treating patients until the last minute and never giving up easily. However, I have no faith in this patient. ”

"The damage to the patient's body caused by poisoning is still rapidly increasing. If my judgment is correct, this Liu Dagui must have increased the dose of poison before escaping, which caused the patient's condition to deteriorate rapidly. ”

"Anyway, let's figure it out. Please contact the pharmacy department with the doctor in charge and Director Ding to see if you can find mercaptopropanol (an antidote to metal poisoning). If they could, there was still a glimmer of hope for the patient. ”

In Lin Lin's decades of medical career in her previous life, this kind of helplessness often appeared. Because many patients who come to him for treatment only come to him after traveling to many places and seeing many doctors. Most of these patients are hereditary or in the advanced stage of a disease, and there is no cure.

"Dean Lin, I don't even know what to say. Every time, you are turning the tide, I won't talk about the hospital, at least, the neurology department is unthinkable without you. Ding Feng was very emotional.

"Director Ding's words, I agree very much. Dean Lin is not only the treasure of the hospital, but also the treasure of our neurology department. I know that Director Ding is also very careful about proportion, and he will not invite Dean Lin back unless he has to. Ling Xiaoyun also has a deep understanding of this.

"Dean Lin, your analysis just now is very exciting. However, I have a question, how does Dean Lin judge that the age of this patient is not real? Ye Xiu, who is good at thinking, asks a very practical question.

"Well, Section Chief Ye asked this question very well. My answer may not satisfy Section Chief Ye and everyone, because this is a feeling of mine, I will say it, and everyone will see if it makes sense. ”

"A person's life, at different ages, emits different smells to the outside world. The qi mentioned here is a person's breath, a kind of spirit; Taste refers to the smell that emanates from a person's body. To put it in layman's terms, the smell of the external expression and the taste emitted are different. ”

"In infancy, the baby's food is only breast milk or milk, and the metabolism is very simple, and the smell emitted by the body is the 'milk flavor'. Everyone has practiced in pediatrics, do you like to smell this 'milky smell'? Everyone listened and nodded frequently.

"When they were teenagers, their thoughts were very simple, and the smell they exuded had nothing to do with food, but with the spirit, that is, the breath."

"During this period, their bodies are dominated by growth hormones, and sex hormones have not yet exploded significantly, so they have no idea of the love between men and women. They are ignorant and fearless, clear-eyed, simple and lovely. During this period, it is estimated that it will remain in everyone's minds and will not be erased. ”

"From adolescence until marriage, the physical changes are the greatest. The biggest change comes from the hormone levels in the body. At this time, sex hormones are secreted in large quantities, and various characteristics of the body change significantly. ”

"The men and women who walk on the street have the highest rate of turning heads, especially women, who are more attention-grabbing. This breath is unstoppable."