"Dr. Li, please take the patient back to the ward." Seeing that everyone was shaking their heads, Lin Lin said to Li Yanhong.

Lin Lin washed her hands, and everyone sat down in their respective positions.

"Everyone saw and heard my consultation and physical examination just now. In terms of consultation, I will not repeat it, but I will talk about some of the problems found in the physical examination. ”

"First, the patient's lacrimal and salivary glands secretion decreased, which manifested in the relatively dry eyes and mouth, but not very bad."

"Second, the patient's bilateral parotid glands are not enlarged, and the oral endothelium is fine."

"Third, the patient's bilateral wrist joints and knuckles are red, swollen and tender, and when touched, the skin temperature is slightly elevated, and the joint movement is slightly limited."

"Fourth, the neurological examination did not show clear positive signs."

"Today is my first day at work, and I didn't want to take up too much of your time. However, Director Xia proposed to discuss this patient, I think it is very meaningful, take some time, it is worth it! ”

"Okay, let's do it again and see if there are any new ideas, or Dr. Li will come first."

"Thank you very much Director Lin for your wonderful rounds, Director Lin's rounds just now made me feel ashamed. At first, I also thought that when I reported my medical history, Director Lin was not necessarily listening. As it turned out, I was indeed wrong. Director Lin was not only listening, but also hearing a lot of questions, and I was very surprised by Director Lin's ability. ”

"Also, the first time I followed Director Lin on ward rounds today, I suddenly felt that my knowledge was so narrow, and my clinical thinking was so rigid. From now on, I have to study hard so that I can see Director Lin's back in the future. ”

is really worthy of a doctor, and when he speaks, it is not only reasonable, but also very literary.

"Director Fang said just now that I want to use monism to explain this patient, after Director Lin's rounds, although I can't explain it, I feel that Director Fang's statement is right."

"In fact, many neurological diseases are not limited to the nervous system, and even diseases of other systems cause damage to the nervous system. Although I know a little bit of this theoretical knowledge, I have never applied it in clinical practice. ”

"Today, I really got to see it. In private, many people told me that Director Lin is a medical expert and has experienced this ward round, and I think this statement is not an exaggeration at all. ”

"Because I don't understand, I don't have anything more to say." It seems that many people have already known in advance that Lin Lin is going to take the position of director of the Department of Neurology. They will be curious, so they can learn about Lin Lin through various ways.

"Just now I heard Director Lin ask about his medical history and see Director Lin's physical examination, which opened my eyes. To be honest, it is impossible for me to reach the clinical level of Director Lin. As soon as he came up, Xia Shifa put his figure very low, but there was a mystery in his words.

Yes, Xia Shifa just said that the clinic was inferior to Lin Lin, not that he was inferior to Lin Lin in other aspects.

"I agree with Dr. Li about this patient, but I still can't figure it out and can't make a specific diagnosis of the disease, so I ask Director Lin for advice." Xia Shifa seems to be the same as Li Yanhong, but there is an essential difference.

Li Yanhong said it boldly, but Xia Shifa didn't dare to say it.

"Director Lin's ward rounds just now gave me a lot of inspiration. This patient is really a systemic disease, which currently affects muscles, soft tissues and joints, and is very likely to affect the nervous system in the future. ”

"It's a relatively rare disease, and it's called Sjögren's syndrome, or SS for short. Of course, I'm not sure if I'm right or not, and I have to listen to Director Lin in the end. ”

Clinically, Fang Hua's level is indeed much higher than that of Xia Shifa. It is no wonder that the hospital has been unwilling to replace Fang Hua, which shows that Chen Han also fully understands this situation and insists on it.

"First of all, I would like to thank Professor Qi, if it weren't for Professor Qi to admit this patient, it is estimated that it would be difficult for everyone to come into contact with this kind of disease."

"Nervous system diseases are closely related to the diseases of various systems of internal medicine, which we will slowly experience and comprehend in the future, and I won't talk about it today."

"Specific to this patient. Her onset ranges between acute and subacute, with the first onset on the right eyelid, and the first symptom is redness, swelling and drooping on the right eyelid. ”

"Through today's inquiry and physical examination, at present, the patient's affected parts or organs include gland secretion, non-specific and inflammatory granulomas, non-specific inflammation of joints, and mild dryness of the skin."

"If the diagnostic criteria for Sjögren's syndrome are followed, this patient is not enough, and some laboratory tests are missing. Therefore, the most appropriate diagnosis at present is systemic autoimmune diseases. ”

"In the next step, please do a series of inflammatory indicators and antinuclear antibodies for patients, and pay special attention to the anti-SSA and anti-SSB antibodies in the anti-SS antibodies."

"I would suggest that starting today, with standard hormone therapy, you can use prednisone or methylprednisolone. If hormones are not used in a timely manner, it is estimated that the other side of the patient's eye will soon be affected. ”

"During the use of hormones, it is necessary to pay attention to the side effects of hormones and adjust the drug in time."

"Because of time, I'll just say so much, if you have any questions in the future, you can put them up and discuss." Lin Lin knew that the discussion of this case was brought up suddenly, which would disrupt the original work arrangements of some doctors.

"Director Lin, should the ophthalmology consultation be cancelled?" Li Yanhong asked.

"No, listening to their opinions is also a kind of improvement and a kind of learning for us." Lin Lin replied very simply.

"Okay, let's go to work separately, please come to my office with Teacher Fang, Director Xia, and Director Jing, and let's discuss the next work arrangement."

For controlling a department, Lin Lin can be said to be effortless and effortless.

Fang Hua and the others all knew that there were not enough chairs in Lin Lin's office. So, they each took a chair and walked into Lin Lin's office.

As soon as the four of them sat around, Huang Shihao barged in.

"Director Lin, I'd better stay in the ward, take Dr. Mei with me, and take care of a group of patients." Huang Shihao repented.

"Just now, in front of all the doctors, you said that you couldn't bring Dr. Mei, so I made adjustments. My adjustment, so to speak, is due to you, and it is reasonable. ”

"Have you thought about it, if everyone is like you, what do you want, do you want to do it, do you still want to do the work of the department? Isn't it okay for anyone who wants to do this in the future? ”

"You don't need to say it anymore, go to the outpatient clinic with peace of mind, if you want to adjust, it will also be after the Spring Festival next year." Lin Lin did not back down.