"As for the way he looks at things, I don't pay much attention to it." While replying, Mr. Zhou thought to himself, "This Dean Lin, he asked so carefully, it seems that Lao Wan is right, and he is really capable."

Not to mention Mr. Zhou, even Han Bin and his subordinates, who were standing beside Lin Lin, also felt that there were many things that Lin Lin asked that they hadn't paid attention to before.

"Uncle Zhou, I want to ask you, do you see things clearly?"

The patient slowly turned his head, looked at Lin Lin, and said, "Qing~Chu......

"Okay, Uncle Zhou, turn your head back to your original position." Lin Lin said to the patient. The patient obeyed Lin Lin's command and slowly turned his head straight ahead.

"Uncle Zhou, you don't have to turn your head now, just look at me like this, can you see clearly?"

"Look~No~Qing~Chu, hazy~hazy~hazy~hazy~." The patient speaks slowly, word by word. But the patient's answer surprised everyone present.

"What's the situation? How could Dean Lin have come up with such an examination method? Why does the patient's vision change so much? What does that mean?" Mr. Zhou and the doctors present were shocked again.

"Mr. Zhou, do you think your father's personality has changed since his illness?"

"Yes, I think this change in him is mainly related to his memory loss."

"Oh, I see."

"Uncle Zhou, I'll check it for you now, just lie down and listen to my command." Lin Lin began to do a physical examination.

Lin Lin took the inspection tools from Zhang Yin's hand and put them all in the pocket of his white coat. Then start doing the tests.

From the patient's advanced neurological activities, to the examination of the cranial nerves, to the examination of the cone system and the extrapyramidal system, step by step, smooth and rigorous.

Zhang Yin stared closely at Lin Lin's physical examination, she wanted to see if Lin Lin had any positive signs in addition to her light and skillful skills.

When Lin Lin quickly turned the patient's head to one side, Lin Lin saw that the patient's eyeballs were moving in the opposite direction of his rotation.

"Dr. Zhang, do you see it, do you see the patient's eye movement?"

"yes, I see." new

"What comes to mind?"

"What comes to mind? I didn't think of anything." Zhang Yin is very upright.

"Well, look down further." Lin Lin did not want to analyze it before the end of the physical examination.

Lin Lin checked it out and found a lot of positive signs.

The patient has speech fluency, bilateral miosis, vergence reflex disorder (a technique to check the specific movements of the eyes on both sides), good soft palate movement, presence of gag reflex, active tendon reflexes, high muscle tone in the head, neck and limbs, positive "strong grip reflex" in both hands, and normal finger-nose test......

Lin Lin did not ask the patient to get out of bed and move, for Lin Lin and the doctors present, this examination was of little significance.

"Director Han, do you want to change the process, just analyze it in your doctor's office, and take the video back and play it."

"I also think it's good that the doctors in our department can learn more and keep the rounds consistent. I'll call Director Fang right away, and if she agrees, we'll do it." After Han Bin finished speaking, he immediately contacted Fang Hua.

After listening to this, Fang Hua felt that it was also a good way to save a lot of time in the middle.

"Director Fang agreed." Han Bin said to Lin Lin.

"Okay, Mr. Zhou, are you together?"

"Yes, Mr. Zhou, let's listen to it too, I'll ask a nurse to come over and take care of the patient." Han Bin also has this intention.

With questions, everyone returned to the doctor's office together.

The photographer also carried the video camera and followed him to the doctor's office.

Lin Lin glanced at Han Bin, and Han Bin understood.

"For this patient, our department has organized many discussions, and we have also consulted neurology experts from major hospitals in Guangcheng, but there is still no clear diagnosis."

"Now, we're using the Nanjiang River

On the occasion of the annual meeting of the Provincial Department of Neurology, President Lin Lin, President of the Affiliated Hospital of Yingzhou Medical College and a top expert in the Department of Neurology of Yingzhou City, was invited to preside over this consultation on behalf of the neurological community in Nanjiang Province."

"Next, we have asked Dean Lin to analyze the condition, everyone is welcome." A dense, but not particularly loud, burst of applause.

"I am very grateful to the chairmen of the Nam Giang Provincial Neurological Society for their trust in me; Thank you very much Director Han and his team for your professional reception; I am very grateful to the patient's family, Mr. Zhou, for their trust in me."

"The following is my analysis of this patient's condition, all of which are based on the efforts made by Director Han's team in the early stage, as well as my consultation and physical examination. If there is anything wrong, please criticize and correct it."

"The symptom characteristics of this patient, I will summarize, are as follows."

"The patient is a male and the age of onset is around 55 years old, so please remember your gender and age of onset."

"The main symptom presentation of the patient is characterised by multi-site damage to the nervous system. First of all, the patient has signs of decreased intelligence, memory loss, and at the same time, it is accompanied by personality changes. Although these symptoms are not very serious, they are important for our diagnosis."

"Another characteristic of the patient is sluggishness and stiffness of the muscles of the trunk and head and neck. This distribution of muscle stiffness is also of particular significance for diagnosis."

"In addition, the patient also had difficulty swallowing, choking on water, not speaking fluently, and easily falling backwards when walking. This way of falling is another important feature of our diagnosis."

"As you know, patients with Parkinson's disease lean forward when they walk, and they rush forward in small steps. Therefore, patients with Parkinson's disease, if they fall, are more likely to pounce forward."

"Another symptom of this patient is that it is more characteristic of the patient, that is, when the eyes see things in front of them, they can see more clearly. Looking at the side of things, it's very blurry."

"When I was examining just now, everyone noticed that I was standing next to the patient, but the patient couldn't see me clearly."

"Now, I'll talk about the problems I found during my physical exam."

"First of all, you can see that the patient's higher neurological activities are impaired, memory is reduced, and reflexes are reduced. However, this decline is relatively modest compared to the decline in patients with Alzheimer's disease that we commonly see."

"Cranial nerve examination, found more signs, everyone listen to me one by one."

"First, when the patient looks directly, he can see things clearly, which means that there is no problem with the optic nerve."