Ye Xiu didn't care what Ding Feng said, she insisted on sitting on Ding Feng's outside. Lin Lin sat in the middle, and Ding Feng and Ling Xiaoyun sat next to Lin Lin.

The patient discussed this time belongs to Tan Xiaomin. Since Jian Sandi stepped down and Ling Xiaoyun retired, Tan Xiaomin has become conformist.

"The patient, a 46-year-old man, was hospitalized for half a year due to numbness and weakness in both upper limbs." Tan Xiaomin began to report his medical history.

"Half a year ago, the patient felt numbness in both upper limbs without any triggers, but the degree was very mild, and the patient did not pay attention to it."

"In the past six months, the patient's numbness has slowly worsened, but it has not affected the patient's daily life and farm work. He has been in our hospital for several outpatient visits, all of which were diagnosed with peripheral neuropathy and treated as peripheral neuropathy. ”

"Because the treatment has no effect, the patient has seen several teachers in our department, and the diagnosis and treatment have not changed, and the patient's condition has not changed."

"After admission, the patient was found to have long 'glove'-like pain and decreased sense of touch. But how long this 'glove' is, the patient himself can't tell. ”

"The strength of the patient's hands was not very bad, about grade 5 weak, and other than that, the patient did not have any positive signs in both lower limbs."

"At present, we are still treating peripheral neuropathy. Because of the poor treatment effect, both Director Ding and Director Ling advocated asking Dean Lin to come back and guide the diagnosis and treatment of this patient. ”

"Dr. Tan's report was very detailed, and I have nothing special to add." Li Yun'e is Tan Xiaomin's senior doctor.

"This patient, I and Director Ling have seen it, and so far, Director Ling and I believe that the diagnosis of peripheral neuropathy is very reluctant, but we can't find a suitable diagnosis. Therefore, I had no choice but to ask Dean Lin to come back for guidance. ”

"From the review of the tertiary hospital to the present, everyone here has worked hard, and I have never had time to come back and sit down and chat with you. Here, on behalf of myself and the hospital, I would like to express my heartfelt thanks to all of you for your hard work. ”

"The neurology department is good and has been recognized by the whole hospital. I hope that in the coming days, the Department of Neurology will continue to maintain its tradition and continue to improve the level of diagnosis and treatment. ”

"According to my communication with the First Affiliated Hospital of Shuangya Medical College, they will accept our doctors for short-term continuing education. Such an opportunity is very rare, and I hope you will cherish it. ”

"In the first batch, Dr. Dong Huayu has already gone for further study, and I hope that Director Ding will make arrangements so that every young doctor has the opportunity to participate in this learning process."

"We don't want to work behind closed doors, we have to learn from others, see more cases, think more, learn more. In short, I hope that the Department of Neurology can maintain its leading position in the Yingzhou region. ”

"I'll be verbose, and now, let's go see this patient together." After Lin Lin finished speaking, she stood up. Ding Feng led the way in front and led Lin Lin to the ward where the patient was.

Yingzhou in December is not the coldest weather of the year.

Ding Feng took Lin Lin to the side of a middle-aged man and said, "This is Dean Lin, today, I ask him to come back to see a doctor for you." ”

"Thank you, thank you Dean Lin, thank you Director Ding." This is a man who is about 1.6 meters tall and wears a collarless short-sleeved shirt, showing off his muscular muscles and dark skin.

Lin Lin's first impression was that she was a person who had been engaged in heavy physical activities outdoors for a long time.

"Isn't it cold?" Lin Lin asked with concern.

"It's not cold, I'm used to it." The patient sat on the bed and answered Lin Lin's questions.

"You have been sick for so long, do you feel that your illness has a big impact on your life?"

"It's not big, it's just that I don't feel well, and I don't feel sensitive enough to touch things."

"Isn't the power affected?"

"There was no impact, I didn't feel any impact."

"Is it okay to defecate?" As soon as Lin Lin's question came out, sensitive people felt that Lin Lin's train of thought was no longer limited by peripheral neuropathy.

"Okay, okay."

"I'll ask you a question, and you're safe to answer. We are all doctors, and we are all here to diagnose your disease. Every word you say, we keep it a secret for you. ”

"Dean Lin, excuse me, it's not a big deal." Although the patient is a farmer, he does not seem to be afraid of any problems. In the reform and opening up, in addition to material satisfaction, people's concepts have also undergone earth-shaking changes.

"From the onset of the disease to the present, do you feel that your sexual function has changed?"

"Hmm...... In the last month, there has indeed been a change. ”

"What is the main change? Don't want to? Or do you feel like you're feeling down? ”

"I feel that my ability has decreased, and it is not as hard as it used to be. Yes, the change is more noticeable this month. ”

"Okay, thank you for your answer."

Dean Lin was polite. I've been seeing a doctor for so long, and only Dean Lin asked me this question. If Dean Lin hadn't asked, I would have thought it was caused by me being too tired from work. Now that I think about it, there is indeed a problem. ”

"Are there any sick people like you in your family with your lover?"

"Nope."

"Okay, please lie down and I'll do a check for you." Lin Lin said to the patient.

The patient took off his slippers and turned around, preparing to lie down. Suddenly, Lin Lin pressed his shoulders and said, "Wait." ”

The patient was stunned for a moment, but still sat down on the bed very cooperatively. All the doctors' eyes were staring at Lin Lin, not knowing what Lin Lin wanted to do.

"You have a big scar on the back of your shoulder, what's going on?" As Lin Lin asked, everyone looked at the patient's shoulder and back, and sure enough, they saw a large and extremely clear scar.

"Oh, this is when I picked something, I wore it out of my skin, and after repeating it many times, this scar appeared."

"What do you usually pick up heavy things?"

"Yes, it's common to pick more than 100 pounds."

"This scar of yours shouldn't have been caused by an injury, right?"

"No, it's caused by multiple injuries. Every time, it is a good injury, a good injury, and a repeat injury, so that there will be such a big scar. ”

"Hmm......" Lin Lin originally wanted to check the patient's feelings immediately, but hesitated for a moment and let the patient lie down.

Lin Lin first tested the muscle strength of the patient's limbs, and sure enough, the patient's strength was very large, no wonder he said that the disease had no effect on his work.

Next, Lin Lin's inspection, Ding Feng, Ling Xiaoyun, Tan Xiaomin and Li Yun'e were dumbfounded.

"The tendon reflexes of both upper limbs are gone, and the major and minor thenar and interosseous muscles of both hands are slightly atrophied, and this atrophy, if you don't pay attention, is really easy to neglect."

"The tendon reflexes of both lower extremities are active, the pathological signs of both lower extremities are positive, the cremasteric reflex is markedly weakened, and the abdominal wall reflex is weakened."