"Oh, didn't Professor Huang always take Dr. Mei with him before he took his leave? Why don't you want to take it with you after taking a vacation? ”

"Yes, I don't want to take her."

"This is an arrangement made by the department, and no one can change it at will, if Professor Huang doesn't want to bring Dr. Mei, please give me a reason."

"Reason? Does this also need a reason? ”

"Yes, every country, every enterprise, every group has its own rules and regulations. If everyone does what they want, wouldn't it be a mess? You Professor Huang can do this today, will other professors do the same tomorrow? ”

Lin Lin's answer went straight to the core of the question, so that Huang Shihao had to answer.

At this time, Xia Shifa and Jing Dongqiang held their hands in front of their chests, with unpredictable smiles on their faces.

Yes, they want to watch the play, and they want to see if Lin Lin has any way to cure this Huang Shihao, who also makes them feel a headache.

"The reason is that I can't take Dr. Mei with me." Being asked by Lin Lin like this, Huang Shihao was suddenly confused, and his answer to the question was full of loopholes.

"I heard from Director Fang that during your vacation, Dr. Mei got along well with Professor Qi. You said that you can't take Dr. Mei, is it a problem of professionalism or management ability? ”

"This ...... This ......" Huang Shihao was speechless for a while.

"Well, thank you Professor Huang for your candour. Since you can't bring it, I won't force you, so let's temporarily adjust the personnel arrangement in a small area, and from today onwards, Professor Huang will go to the outpatient clinic to replace Professor Qi's original work. ”

Professor Qi remained in the ward, leading Dr. Mei and taking charge of a group of patients. The big rotation, wait for next year's Spring Festival to adjust, let's separate. ”

Lin Lin never gave Huang Shihao any chance again.

"Wait, Director Lin, I have a patient here that needs to be discussed." Xia Shifa suddenly spoke.

"Okay, the doctors in District 1 please stay, and the trainees and interns can also stay and listen." For case discussions, Lin Lin never refused.

Among these doctors, there are people who have participated in the annual meeting, how can they miss such an opportunity?!

Regarding Xia Shifa's choice of this direction to attack Lin Lin on the first day of work, Fang Hua smiled slightly. Lin Lin's clinical level, Fang Hua also sighed to himself, with Xia Shifa's level, he was not Lin Lin's opponent at all!

"This patient was admitted by Professor Qi from the outpatient clinic, I checked the patient, and I also specially did an electromyography of the patient's eye muscles, which did not meet the diagnosis of myasthenia gravis at all. In my opinion, this patient is not a disease of our neurology department. ”

"Dr. Li, you can report your medical history." Xia Shifa said to a female doctor. Lin Lin had already memorized the doctor's name: Li Yanhong.

"Wait, Dr. Li, please give me the medical records." Lin Lin said to Li Yanhong.

Li Yanhong was stunned for a while, and immediately came back to her senses and handed the medical record to Lin Lin.

"Let's get started." After taking the medical records, Lin Lin let Li Yanhong start.

"The patient, a 52-year-old female, was admitted to the hospital with a drooping right eyelid for 4 days."

"Four days before admission, the patient had a sudden onset of ptosis on the right eyelid with mild redness and swelling of the right eyelid for no apparent cause, but no significant pain, and the patient did not have double vision. The patient's eyelids droop and there are no fluctuations in the morning and evening. ”

"After admission, the neostigmine test was negative, chest CT, and no thymic abnormalities were found. Director Xia did an electromyography of the patient's eye muscles, and no waveform changes in myasthenia gravis were found. ”

"The patient's three major routines and blood biochemical examinations are also not abnormal, Director Xia made rounds, considering that this patient's disease belongs to ophthalmic diseases, and yesterday he had asked for an ophthalmology consultation."

"At the moment, there is no treatment with special drugs, and the patient's condition does not seem to continue to develop. After my report, please add to Director Xia. Li Yanhong's report was concise and to the point.

Lin Lin listened while carefully looking through the medical records.

All the people have never seen Lin Lin's ward rounds. Seeing that Li Yanhong was reporting her medical history, Lin Lin was concentrating on looking through the medical records, and they all felt incredible: This Director Lin is looking at the medical records? Or are you listening to Dr. Lee's report?

Fang Hua, who was sitting next to Lin Lin, was also worried about Lin Lin.

"This Xiaolin, what kind of fame, this is the first time to face a challenge." Fang Hua pinched a handful of sweat in his hands. She was worried, worried that Lin Lin would be careless, which would lead to a disadvantage.

"Dr. Li's report is very detailed, I don't have anything to add, but I'm worried about Director Lin." Xia Shifa's words are full of challenges.

"Oh, Director Xia is worried about me? What are you worried about me? Lin Lin put down the medical record and asked Xia Shifa with a smile.

"I'm worried that Director Lin didn't listen to Dr. Li's report clearly, which will affect Director Lin's analysis of his condition."

"Hehe, thank you Director Xia for your concern. Don't worry, I can hear every word Dr. Li says clearly. I can also see the records in the medical records clearly and clearly. ”

"Let's start with the doctor in charge and talk about your opinion on this patient's diagnosis."

"I'll add." Qi Xuemei, who had been silent, spoke.

"This patient is indeed something I saw in the outpatient clinic and then admitted."

"When I was in the outpatient clinic, I wasn't sure that she had myasthenia gravis, but I couldn't find a suitable diagnosis for a while, so I hung up a diagnosis of myasthenia gravis and admitted her, hoping to have a detailed examination during the hospitalization to find out the cause."

Regarding Qi Xuemei's explanation, Lin Lin thinks it is reasonable. Some patients do need to undergo a detailed examination and careful observation during the hospital stay to find out the cause.

"Let me tell you what I think." Li Yanhong didn't dare to be careless.

"After this patient was admitted to the hospital, we did a lot of targeted examinations. Based on the results of our tests, the diagnosis of myasthenia gravis can be ruled out. ”

"As for the final diagnosis of this patient, I can't make up my mind, but I am more inclined to the possibility of ophthalmic diseases." Li Yanhong couldn't jump out of the "cage" demarcated by Xia Shifa.

After Li Yanhong spoke, there was silence in the office, and no one dared to put forward their own thoughts on this patient's diagnosis.

"Director Xia, what do you think?" Lin Lin began to roll call.

"Dr. Li's opinion is my opinion, this patient really shouldn't be sent to our neurology department." Xia Shifa's words made Qi Xuemei very unhappy.

"This patient, let me say a few words." Fang Hua spoke. After all, Fang Hua is stronger than all of them in terms of clinical aspects.

"Judging from the onset of the patient, a patient with acute onset, drooping eyelids, and mild redness and swelling, everyone considers in the direction of ophthalmic diseases, and there is no major problem."