"Fourthly, the muscle strength of the patient's lower limbs was also affected, but it was obvious in the left lower limb, and the muscle strength of the left lower limb was only grade 3. At the same time, the tendon reflexes and triceps reflexes of both lower extremities are active, and the pathological reflexes of both lower extremities are positive, and these signs cannot be explained with Guillain-Barré. This means that the patient's pyramidal tract is more affected than the peripheral nerves."

"Fifthly, the patient's condition has recently progressed faster, and the respiratory muscle weakness is obvious, and now he needs to use a ventilator for artificial respiration. In addition to damage to the respiratory muscles, the function of the diaphragm may also be impaired."

"Combined with the above characteristics, I believe that the patient's diagnosis is located in the spinal canal centered on the fifth thoracic spinal cord, and the lesion is mainly on the left side, from the outside to the inside, slowly pressing the spinal cord to the right side. Of course, the scope of the lesion may be larger, but the central location should be in the place I just mentioned."

"I'll talk about qualitative diagnosis."

"In this patient's history, the patient had a subacute onset and a slow progression. If my positioning diagnosis is correct, the patient's history should be longer, it should be chronic, it should be chronic, and it should be slow compression. So, I think the patient's lesion is a benign space-occupying lesion in the site I just mentioned."

"Protein cell isolation is not unique to Guillain-Barré, and tumors in the spinal canal can also have obvious protein cell isolation. In particular, slow-growing, large intraspinal tumors can often see protein cell detachment from the cerebrospinal fluid."

"Next, I would like to share my thoughts on the next steps for this patient's examination and management."

"It is a pity that the patient, a man in the prime of life, is usually in good health, so he gave up the treatment. Therefore, I recommend that the patient's cervical spine be examined immediately and that it is worth giving a shot if it can be solved by surgery after the diagnosis is confirmed. That's my end, thank you!"

This case is equivalent to a copy of which case Lin Lin did on her ward rounds before. Therefore, when Ding Feng said it, the head is the Tao.

"Thank you very much Director Ding for your speech! Director Ding's speech gave me a refreshing feeling. I would like to ask Director Ding a question, at present, this patient needs to be on a ventilator to maintain breathing, in this situation, how can the patient be sent for MRI?" Han Bin was very interested in Ding Feng's speech.

"Thank you, Chairman Han, for your affirmation! This situation is indeed a great risk for our doctors. If the patient's family cooperates, they can be connected to the MRI room, and the neurology department has prepared a long plastic tube connected to the ventilator, two bags of oxygen and an air bag."

"As soon as I received the notification from the MRI room, I immediately went off the machine, relied on the pinch of the balloon for oxygen supply, and sent the patient for an MRI examination. I think it's worth the risk."

This process is too familiar to Ding Feng, so he will come as soon as he opens his mouth.

"I'm against it, it's too risky to be worth the risk."

"At present, the diagnosis of this patient is still unclear, and Director Ding's speech just now is just the words of a family. It's not worth taking such a big risk based on this family's words."

"Doing so will put our medical staff at great risk, I don't know if Director Ding has thought about this?"

"Our country is a country with a large population, and the population density is very large. In broad daylight, if you look down from the sky, these people come and go, like ants."

"For the sake of a person who needs to be on a ventilator to maintain his breathing, who is seriously ill and like an ant, it is impossible to put hospitals and doctors on the cusp."

"The death of a sick person of this severity is just a reduction in the density of the ants, and it is not worth the risk." In Li Long's speech, some people nodded, some people felt unacceptable and whispered, and some people were silent.

"Dean Lin, I'd like to hear your opinion." Han Bin admires Lin Lin very much.

"Thank you, Director Han! I'll say a few words." Lin Lin was about to speak, when Han Bin's question came, which was exactly what he wanted.

"First, although I haven't read the information of this patient, out of my level of understanding of Director Ding, I completely agree with Director Ding's opinion, this patient is outside the cervical medullary cord and inside the spinal canal

spinal cord compression."

"Second, I completely agree with Director Ding's diagnostic suggestions. For a patient who still has hope of survival, we give up easily, which is not in line with our original intention as doctors."

"Of course, the risk of doing so is huge, and if we can obtain the consent and understanding of the patient's family and get them to sign the informed consent form, this risk is worth taking."

"Each and every one of us must revere life, not treat it like an ant. Doctors, in particular, must not only revere life, but also find ways to protect life and protect the health of patients. Otherwise, what do you want us doctors to do?!"

"Say something that Director Li Long doesn't want to hear, a person who regards life like an ant is not worthy of being a doctor!" Lin Lin's voice was not loud, but on Lin Lin's body, a powerful aura emanated, an awe-inspiring righteousness emanated, and Li Long's face changed.

"Today is the first day of our Nam Giang Neurology Society. Even if Director Han doesn't call me, I'll say a few words."

"I hope that all our neurologists in Nam Giang province, and even all doctors in Nam Giang province, are in awe of life and are the patrons of life and health." Lin Lin's words were loud.

Li Long's face was blue and white. However, Lin Lin's words were irrefutable, and he did not dare to argue with Lin Lin in such a public place.

"If the patient is really a tumor outside the spinal cord, what advice does Dean Lin have?"

"Immediately ask for a consultation between the neurosurgery department and the orthopedic department, and ask the two departments to do this surgery together. For this, Director Han may need to ask the hospital's supervisor to come forward to coordinate. Of course, it would be even better if Director Han could coordinate with them himself."

"Thank you, Dean Lin, I understand. Director Fang, President Chen, I am out of company, and now, I will rush back immediately to discuss this issue." Han Bin obviously approved of this plan, and after speaking, Han Bin quickly left the venue.

"Okay, what Dean Lin said just now is very good. I hope that all the directors will listen to it, and when I go back, I will also convey these words to our Director Wan. I hope that all doctors in Nam Giang province will learn and appreciate the significance of these words." President Chen Hong spoke in a timely manner.

Chen Hong was worried that Li Long would make trouble at the meeting, but in fact, Chen Hong was too worried. In such a situation, even if Li Long has the courage, he will not dare to make trouble unreasonably.