"The joint position of the limbs, the joint kinesia and the tuning fork vibration are normal."

"Can I take off my shirt and let me check it?" After examining these, Lin Lin asked the patient.

"No problem."

"Okay, please sit up. Director Ding, please close the door so that the cold wind does not blow in. "After all, it's December, and although it's not the coldest weather in Yingzhou, it's also winter.

Lin Lin was very patient in checking the patient's sense of pain and touch.

Little by little, from one side to the other, an area of pain and temperature dyspharma distributed in the shape of a "horse coat" was marked by Lin Lin.

The doctors who followed the ward rounds looked at each other with incredible expressions on their faces.

yes, how could they have done such a consultation? How could they have done such a physical examination? Without such an inquiry, without such a physical examination, without such insight, how could they have obtained so much information that is of great significance to the diagnosis?

"Alright, please get dressed, and we'll go back and talk about your patient. Rest assured, we will do everything we can to help you find the cause. Lin Lin's words were full of "mysteries". Whether you can understand it or not depends on each person's understanding.

"Thank you, Dean Lin, thank you, doctors." The patient was very happy with Lin Lin's carefulness and thoughtfulness, and the confidence revealed in Lin Lin's words.

Lin Lin washed her hands and returned to the office to sit down.

In the office, everyone sat quietly, and no one spoke.

Lin Lin's ward round just now was tantamount to slapping everyone present in the face except Ye Xiu. Perhaps, they still feel that their faces are "hot", painful and embarrassed.

"Dean Lin, I have a weird feeling." Ling Xiaoyun spoke without scruples in front of Lin Lin.

"Oh, Director Ling, what's the weird feeling? Let's hear it. Lin Lin knew Ling Xiaoyun's speaking style, and she was not surprised at all.

"I think you have a pair of sharp eyes that see through us, just to take care of our face, you didn't say it."

"Director Ling, you're not the one who met me on the first day. Every step I take in the hospital can't escape you...... You discerning eyes. ”

"It's the other way around, it's the other way around, Dean Lin, you're saying the opposite. Before, it was because I didn't know the goods, so I couldn't see that you were so powerful. It's different now, and I'm getting more and more of a sense of how powerful you are. ”

"I also agree with Director Ling's statement. I think the most powerful thing about Dean Lin is that he quickly grasps the main points of the problem in the conversation with the patient, expands the question, and asks more deeply. ”

"Dean Lin also has a great point, that is, the physical examination method is very comprehensive. And these techniques are spiritual, understanding, and the result of accumulation. Comprehensiveness is a solid performance of basic skills. ”

"All of this, we don't know how much effort we have to make and how long it takes to learn the essence of Dean Lin." Ye Xiu's words are a summary and generalization of the Eight Classics.

"Listening to everyone say this, is it clear that everyone has a clear diagnosis of this patient? Is there anything else that is not clear? Lin Lin didn't want them to continue on such a topic.

No matter how strong the concentration is, if you are often in such an atmosphere, you will also lose yourself. Lin Lin is very vigilant about this.

In the office, there was silence again.

"If everyone doesn't answer, I'll assume that everyone understands. I'm going to name a few doctors to explain some of the signs and symptoms of this patient. ”

"Hey, Dean Lin, please wait. I...... I still don't understand, I don't know the diagnosis of this patient. Tan Xiaomin hurriedly spoke.

"That's right, if you don't understand, don't pretend to understand. Pretend to understand the result, and if you encounter problems in the future, no one will be willing to help you. ”

After a while, Dr. Tan paid attention to the speeches of the other doctors, and then went back to make up for this knowledge. Such cases are actually rare, and if you encounter them, don't let them go. ”

For Tan Xiaomin, Lin Lin never had any special hopes. He is a person who can get by, if he doesn't say anything, Lin Lin will be the first to ask him.

"Let me tell you what I think." Ma Shuiyuan spoke.

"Every time Dean Lin comes back for rounds, I have a feeling of being reborn. I believe that with Dean Lin's long-term ward rounds, I will be reborn a few more times, and my level will be greatly and quickly improved. ”

This is Ma Shuiyuan's true thoughts, he has always wanted to express them, and today, he feels that it is an opportunity to express this thought.

"Today, Dean Lin made a ward round and found that the patient had many signs, and the direction of these signs was obvious."

"For example, sensory disturbances in the 'equine coat' distribution, sensory dissociation of pain and tactile sensation from deep sensory normal, signs of mild damage to the pyramidal tract, and so on."

"These signs all point to a disease, and that is syringomyelia. In this patient, the lesions are predominantly in the anterior symphysis of the spinal cord, with mild damage to the anterior symphysis, bilateral pyramidal tracts, and anterior horn cells. ”

"Originally, these signs were obvious, but because of the limitations of my knowledge, the limitations of my thinking, and the irregularity of my examination techniques, I could not detect these obvious signs."

"Through this round, I feel that when I go back, I must make up for the lesson of clinical neuroanatomy and the lesson of neurological examination."

"All in all, it was a very rewarding day for me. I am also very grateful to Dean Lin for his guidance, from which I can always learn new knowledge. It is my honor and luck to be able to follow Dean Lin on ward rounds. Thank you, Dean Lin! ”

"Dr. Ma spoke my mind. I'm ashamed to say it, and I'm sorry for Dean Lin's trust in me. As the deputy director of the actual work of the department, my knowledge and ability are not enough to lead everyone to make the neurology department stronger. ”

"The neurology department is now strong, in fact, it is Dean Lin who is supporting and leading. I think we should all learn from Dean Lin and learn from Dean Lin's spirit of striving for excellence in business. ”

"Everyone listened to Dean Lin's medical history and watched Dean Lin do a physical examination, and every detail reflects Dean Lin's solid and excellent basic skills, as well as the rich imagination brought by these basic skills."

Ding Feng was not afraid to expose his shortcomings, and also said what was in his heart.

"Actually, you've done good enough. This is not what I said, it is you who use your ability and practical actions to prove that you are a well-deserved leader in Yingzhou. ”

"We won't discuss this today, let's see, for this patient, there are still places where we need to learn lessons and pay attention to them in our future clinical work." Lin Lin stopped everyone's "self-examination" in time.