"Dr. Zi's report is very detailed, and I don't have anything special to add." Now, Zixuan is under Dong Huayu's hands.

"Dr. Zi's report is good, and it can be seen that a lot of effort has been put into and a lot of preparation has been made. I ask a few questions before I go to see a patient."

"First, what is the current pressure in the patient's ventricles?"

"Report to Dean Lin, at present, the patient's drainage tube is still maintained at a height of 18 cm from the puncture point, but there is no cerebrospinal fluid flowing out." Dong Huayu immediately picked it up.

"How long has this been going on?"

"It's been over a week." Or Dong Huayu.

"In that case, why are you still using dehydrators?"

"We're always worried."

"Worried about what?"

"I'm worried about high intracranial pressure."

"Okay, just now Dr. Zi said that after repeated blood tests, what are the patient's biochemical results?" After Lin Lin finished speaking, she looked at Zixuan.

"Ugh...... It's basically normal."

"It's basically normal, then there's something abnormal, right?"

"Uh, yes."

"What's wrong?"

"Hmm......" Zi Xuan couldn't answer, and Dong Huayu couldn't answer either.

"Dr. Zi just said that the patient's phlegm is not much, but it is relatively viscous. What's the sticky method?" At this moment, everyone knew that Dean Lin did not let go of every word of Zixuan.

"Wow, Dean Lin is too powerful, right? How can you be multi-tasking, and still be so precise?" The new doctors, graduate students, and interns were blown away.

"I would like to add that the patient's phlegm is very viscous, and the sputum scab often blocks the inner opening of the endotracheal intubation, which requires us to handle it carefully." Yu Ling interjected.

"Okay, the Guardian's replenishment is good. Director Ding, if you do ward rounds in the future, it would be best for Nurse Yu to also participate. Some of the nursing problems may be more aware of them."

"Yes, next time, please participate in my ward rounds." Ding Feng hurriedly picked it up.

"Going back to the question I asked just now, the patient's blood test showed that the potassium and sodium ions in the blood were low, the blood sugar was high, and the aminotransferases were mildly high. In addition to the increase in white blood cells, red blood cells and hemoglobin are also slightly increased. We'll talk about why later."

"Okay, let's go see the patient."

Coming to the patient's bedside, Ding Feng introduced Lin Lin to the patient's family as usual. The patient's family was very happy to hear this. Lin Lin's name, in Yingzhou, is very loud.

Some family members of patients even said that if you have not seen President Lin in the neurology department of the affiliated hospital, it means that you have not been to the affiliated hospital and have not seen the neurology department of the affiliated hospital.

It can be seen how high Lin Lin's status is in the hearts of the patients' families.

Lin Lin first examined the internal medicine system for the patient, and the heart and lungs looked, touched, percussed, and heard, all without leakage. Especially for the auscultation of both lungs, Lin Lin is very patient and careful.

Neurological examination because the patient has a tracheostomy and is unable to communicate. During the physical examination, Lin Lin found that the patient's right limb muscle strength was grade 2, muscle tone was low, and tendon reflexes were absent, but the pyramidal tract sign was positive and the meningeal irritation sign was negative.

Lin Lin loosened the drainage tube fixed on the bedside infusion stand and slowly lowered it to the level of the puncture point, and found that no cerebrospinal fluid was flowing out of the drainage tube.

After re-fixing the drainage tube, Lin Lin took off the gauze covering the tracheotomy and found that the patient's phlegm was indeed not much.

Lin Lin's inspection order is very particular. From sterile to bacterial, from closed to open, this is a must for aseptic operations, otherwise, iatrogenic infections may occur.

"Okay, let's go back and look at the next steps. Rest assured, we will do our best." Lin Lin said to the patient's wife.

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

"Alright, let's start the discussion, starting with the doctor in charge." Lin Lin went straight to the point.

"This patient, the diagnosis of the neurology disease is clear

Chu's, the previous treatment, is also correct. The most perplexing problem now is why the patient's body temperature does not return to normal."

"According to common sense, we have used various types of antibiotics, all bacteria should be killed, and the infection should be controlled, but why is the patient's body temperature still abnormal."

"I don't understand that." Returning to the clinic, Zixuan does not dare to be arrogant. c

"Dean Lin's question just now and the ward rounds later, I feel that we have a lot of things that we have not done enough to be detailed."

"First of all, the patient's cerebral pressure should be normal, and we don't have the guts to deal with it. Of course, one of our concerns is whether the patient will have a secondary ventricular infection."

"Also, we didn't pay enough attention to the patient's blood biochemical results, and we didn't detect the patient's electrolyte imbalance in time, so we didn't make timely adjustments."

"Of course, I can't figure out why the patient's body temperature is so stubbornly elevated, so I still ask Dean Lin for guidance." Dong Huayu is still young after all, and Lin Lin promoted him for the future, not the present.

"I agree with Director Dong's opinion, I don't understand either, and I don't dare to pretend to understand in front of Dean Lin." Tan Xiaomin was very smart and spoke quickly.

Because this patient has been discussed many times in the department, Ding Feng, Ling Xiaoyun, and Zhuo Yiming have no new opinions.

"Let me tell you what little bit of my incomplete opinion is." Ye Xiu spoke.

"This patient's current problem is that his body temperature has not been able to return to normal levels. Fever is a very common problem in the internal medicine system, and it is also a problem that is not easy to solve."

"As for this patient, I have a few thoughts from Dean Lin's questioning and physical examination just now."

"First of all, is the patient's body temperature related to an infection, and if so, why is it that broad-spectrum and large amounts of antibiotics have been used for so long, but they have no effect? If the body temperature does not go away, is there a possibility of double infection?"

"Secondly, if the patient's lesion is located in the cerebral hemispheres and affects the cerebral ventricles, will the patient's body temperature be related to the central nervous system?"

"These are the other issues I have considered, and I would like to ask Dean Lin for guidance." Ye Xiu's consideration cannot be said to be unreasonable.

Seeing that everyone didn't speak, Lin Lin looked at Ling Xiaoyun.

"Hey, Dean Lin, don't look at me. You've been gone for so long, and everyone misses you, so we all need to see you more." Ling Xiaoyun's style of speaking remained the same.

After hearing this, Lin Lin smiled slightly and said, "Yes, it is true that I haven't come back for a long time to discuss the case with you. Actually, I miss you all too."