Chapter 177: About the Clues

"I don't have any new opinions, I think the summary of Dr. Ma and Director Ding is very good, and I very much agree with it." With the fall of Jian Sandi and Lin Lin's strong rise, Li Yun'e had to admire Lin Lin's ability.

"Dean Ye, did you say a few words?" Lin Lin named Ye Xiu.

"I also agree with everyone's opinion, Dean Lin has already checked very carefully, and there is no doubt about the diagnosis, what needs to be done is to do an MRI of the neck for the patient to confirm the size of the cavity, so as to determine the next treatment direction."

Although Ye Xiu is very good, he has not seen many diseases after all, and he can't find anything, let alone say anything.

"Okay, let me wrap it up."

"First of all, this patient has a long medical history, and I have seen it in the neurology department of several hospitals in Yingzhou City. This time, if we can't find out the cause, the impact on our neurology department is really not good. ”

"I looked through the patient's outpatient handbook, looked at his medical records, and came up with a question."

"Because when he went to several hospitals, he used the same outpatient manual, and the records of the outpatient manual recorded his entire medical treatment in more detail."

"The chief complaint recorded by the attending physician for the first time was as follows: 'numbness in both upper limbs for more than 2 months', and the physical examination recorded in detail also marked a decrease in pain and tactility below the wrist joint of both upper limbs. The final diagnosis is peripheral neuritis, which is treated as peripheral neuritis. ”

"Since then, the attending doctors have been thinking, diagnosing and treating according to this idea, and the patient's condition has not improved, and there is a tendency to gradually worsen. However, because the disease did not affect the patient's daily work and life, the patient was treated unhurriedly. ”

"I said so much, I just want to talk about one question, stereotyped thinking, and how terrible the impact of stereotype thinking can be on a person!"

"We are sometimes unconsciously led away by the diagnosis of the first doctor, and this power of autosuggestion or being hinted at by him is sometimes very huge, and it can also make people fall into misunderstandings."

"I know a lot of the doctors who treated this patient. Could it be that they don't have the level to discover the deeper causes of this patient hidden beneath the surface? I don't think so. ”

"It's not a question of level, it's a question of thinking methods. Don't underestimate the way of thinking, if you use it well, you will get twice the result with half the effort. ”

"For example, when I was examined just now, everyone noticed that there was a visible scar on the back of the patient's neck." Lin Lin paused when she said this.

"Yes, noticed, did this scar inspire you?" Ling Xiaoyun was also curious.

"Yes, this scar inspired me a lot. Is there anyone here who has ever done farm work, or has anyone ever carried a heavy burden? ”

"Dean Lin asked, could it be that Dean Lin has carried a heavy burden?" Ling Xiaoyun didn't believe that Lin Lin, who was elegant and fair-skinned, could also do farm work, and she could also do farm work.

"Oh, not to mention, at the beginning of 1976, I was one of the last students in our middle school to study at the farm branch. On the farm, I carried manure to the foot of the hill to irrigate the sugarcane plantations, planted rice, cut sugarcane, drove a tractor, I did all of this. ”

"Isn't there anyone here who has done it?"

"Dean Lin, I'm from the countryside, I've done it." Ma Shuiyuan replied.

"Good, good. It's not a bad thing to experience a little more things. If you are good at summarizing, your experience is a valuable asset. ”

"Doctor Ma, let me ask you, what would you do if you felt pain in your shoulder when you were carrying a heavy burden?"

"I'll switch to the other shoulder."

"Have you ever been injured like this when you were carrying heavy burdens before?"

"Nope."

"Okay, great. Can you imagine now why patients are like this? ”

"Oh...... I understand! Ma Shuiyuan, Ding Feng, Ling Xiaoyun, and Ye Xiu said almost in unison. After saying that, they couldn't help but laugh.

"Haha, okay, got it? Dr. Ma, tell me about it. Seeing this, Lin Lin couldn't help laughing.

In her previous life, Lin Lin was always so persuasive when teaching students.

"This patient, because of the lack of pain, even though the shoulder is injured, he does not feel pain, which is why there are injuries again and again, and only then does he leave such a large scar." Ma Shuiyuan finally reacted.

"Yes, that's right."

"Everyone should remember that any patient will have some clues to reveal the information of the disease. However, not every kind of clue can be discovered, understood, and grasped. ”

"What we want to do is to understand as many clues as possible and serve our clinical services." Lin Lin explained another truth to everyone.

"Dean Lin, is it that when we are playing cards, our every move cannot escape your eyes and your brain. Your attention to detail, I say perfect, I guess no one objected, right? ”

"No objection, very much agreed. However, Dean Ye, you just said that Dean Lin can play cards? Ling Xiaoyun was taken aback again.

"Yes, during the last pre-evaluation, Dean Lin was stopped by Director Zhang and his teacher from the provincial department, and asked Dean Lin to play cards with them for a while. My teacher and I, who are also Dean Lin's teacher partners, were beaten up by Dean Lin and Director Zhang. Ye Xiu also said it generously.

"Tsk, Dean Lin, I thought I knew you very well. It seems that my understanding of you is still far behind. You, what is there that you won't? How many are hidden that I don't know? "Ling Xiaoyun is here again.

"Director Ling, I don't know how to count too many things, and I can't count them."

"Playing cards is a pastime, a kind of relaxation, everyone must not take it seriously, do not indulge. After I graduated, I never touched a poker card except for the pre-judging session. ”

"Time and energy, spend on business. In this world, it has never been said that knowledge will automatically fall into your head. Study hard, ask questions without shame, and use your brains more to master the real skills. ”

"Alright, if nothing else, that's all for today. The next step in dealing with this patient, I am sure, you will know what to do. After Lin Lin finished speaking, she stood up.

Yes, he can't make small talk here, there are many, many things that need him to think and plan.

Han Jiguang has already reported the renderings of the design of the inpatient building, as well as his views, to Lin Lin. Lin Lin asked Han Jiguang to be ready at any time to explain the concept of design and his ideas at the college meeting.