Chapter 287: Carefulness, Faith, and Thoughtfulness
"In the evening, the patient had 2 similar seizures in a row, and the local hospital diagnosed epilepsy. Taken to the emergency department of our hospital the next morning."
"The doctor on duty in the emergency department did an MRI of the patient's head through the emergency channel. The MRI report showed that a small irregularly shaped abnormal signal foci could be seen near the parietal lobe of the brain, equivalent to the anterior central gyrus, which could not be ruled out as being caused by hypoxic injury."
"After being admitted to the hospital, we were given anti-epileptic drugs and mild dehydration and cranial pressure lowering treatment, and the condition was quickly controlled. After a week of hospitalization, we began to reduce and eventually stop the use of dehydration medication and were ready to discharge the patient with the medication."
"On the night of the day the dehydration medication was stopped, the patient suddenly had a seizure again, and it happened that I was on duty and witnessed most of the patient's seizure."
"The patient's seizures are typical of the "tonic-clonus" form. After consulting Director Ding, he gave the patient dehydration medicine that night."
"The next day, we performed another MRI of the patient's head, and the results showed that the original lesion was slightly enlarged, and the edema zone around the lesion was obvious."
"At present, we are still treating the patient with the same treatment plan as when he was admitted to the hospital, but the cause of the patient is unknown, and the treatment effect is not satisfactory. Therefore, we proposed to ask Dean Lin to come back and guide our diagnosis and treatment of this patient."
"Director Ding also thinks it is very necessary, and invited Dean Lin back today to guide us in the next step of diagnosis and treatment. I'm done with my debriefing."
"Dr. Tan's report was very detailed, and I don't have anything to add." Li Yun'e continued to lead Tan Xiaomin and was in charge of a group of patients.
"This patient, we have discussed it in our general practice, and we have no clue about the cause of the patient's seizures and the changes in the brain lesions. Because of this, the patient's treatment effect is not satisfactory." Ding Feng made a simple addition.
"Okay, let's go see the patient." Seeing that everyone didn't say anything more, Lin Lin stood up.
When she came to the patient's bedside, Lin Lin found that the patient's mood was extremely depressed.
"This is President Lin of our hospital, and today, we ask President Lin to come back to see you." Perhaps, Ding Feng also discovered this problem and specially introduced it to the patient.
When the patient heard this, a bright light flashed in his eyes, and soon, the light slowly dimmed again.
"Do you still have headaches?" Lin Lin's language seems to be very gentle, according to Lin Lin's judgment, the patient should have postpartum depression, and such a patient must be treated gently.
"My head doesn't hurt anymore, thank you, Dean Lin."
"You're welcome! No one wants to get sick, but everyone can get sick. If we are sick, we will find a way and work together to cure the disease. Be of good cheer, your illness will be completely cured."
"Huh?! It's true? Dean Lin, you haven't started looking at me yet, why are you so sure?" The patient is happy, but he is skeptical.
"Just now, our doctor gave me a detailed report on your situation. Your disease is not uncommon, and it is not an incurable disease, so there is no need to be afraid."
"I'm coming to see you now just to confirm that I'm right. All you have to do is answer my questions in a moment, and I won't give you any problems."
Lin Lin's tone was very sure and unquestionable. Lin Lin believes that his expression like this will definitely bring confidence to patients.
"Okay, I'll definitely cooperate with Dean Lin." Sure enough, the patient's mood began to improve.
"Did you have any inflammation of your mouth, nose or ears before you gave birth?" Lin Lin saw that the skin on the patient's face was smooth, so she simply avoided asking about "pimples".
"No, I was fine before giving birth."
"Have any other people in your family ever had any particular illness?"
"Hmm...... It doesn't seem to be. At the very least, none of them have any problems like me."
"Did you have a fever before or after you became ill?"
"Nope."
"Do you usually drink a lot of water?"
"Not much, not much. In order to promote lactation after giving birth, I drank a lot of chicken wine and ate a lot of chicken
。」
"Do you usually have your periods on time?"
"Punctual, very punctual. However, the amount is not as large as that of my sisters, and it doesn't last long each time, and it will be clean in about 3 days."
Lin Lin's question made all the doctors wonder: Well, why did you ask these questions? Could it be that this patient's disease is related to these factors?
"After you got sick, did you have any problems seeing things? For example, seeing things blurred, seeing things from one to two, and so on."
"It's not like seeing things from one to two, but it doesn't seem to be as clear as before, but the difference isn't very big."
"When you had the worst headache, did you think it was worse than any of your previous headaches?"
"Yes, it's more severe, worse than my usual headaches, but it's bearable. After I was hospitalized, the headache basically disappeared."
"That's it, your disease is controllable and treatable, and it will definitely get better and better in the future. Come, I'll check it out for you."
"Okay, thank you, Dean Lin."
Lin Lin started from the beginning, carefully examined the patient's facial features, fundus conditions, and cranial nerves, and went all the way down to the patient's lower limbs.
Lin Lin found that the skin of the patient's left lower limb was a little shiny and tight. Lin Lin touched it with her hand, it was very tense, and on closer inspection, the left lower limb was thicker than the right lower limb. However, skin temperature is normal.
"Do you think there's anything different about your legs?"
"Yes, I feel heavy in my left lower limb, a little swollen."
"When does it start?"
"Hmm...... I don't remember the specifics, but I guess it started after I was admitted to the hospital. Because of the headache, I don't pay much attention to the condition of my feet. After I was admitted to the hospital, my head didn't hurt so much, I noticed it, and I feel like it's getting a little bit worse lately."
"What do you do?"
"I'm a clerk for the agency."
"No wonder, you answer the questions so clearly and very organized, it turns out that you are a talented girl."
"Dean Lin has won the award, thank you very much, Dean Lin." Lin Lin's appreciation made the patients very happy. Lin Lin's carefulness reassures patients.
"Okay, let's go back and discuss it and come up with the best plan. Don't worry, if I say that it can be cured, it will definitely be cured, and I don't believe it, I can't cure you of this disease." Lin Lin's every word is so affirmative, constantly "conveying" confidence to the patient. c
"Thank you, thank you again Dean Lin and all the doctors."
Lin Lin's words were like a light in the dark night, which not only illuminated the path in front of the patient, but also warmed the patient's almost desperate heart. The patient's mood has changed significantly when Lin Lin first came in.