"Hey, more than three months ago, when you went to work in the field, you didn't tell me when you came back that the soles of your feet seemed to be pierced by something." The patient's husband suddenly remembered the incident.

"yes, I've forgotten about it for a long time. Well, the wound was still red and swollen for a few days, so I wiped it with iodine and it was healed quickly. ”

"Good, good. Come on, I'll check it for you, don't worry, I'll try to tap it. ”

Lin Lin said that, and started to examine the patient. Qi Xuemei found that Lin Lin's examination was very targeted, mainly touching and kneading the muscles of various parts.

Of course, the movement of the joints related to the innervation of these muscles is also within the scope of Lin Lin's examination.

"Professor Qi, when you look at a patient lying on the bed, does it look like a 'horn arch reflexion'?" In the outpatient clinic, in front of the patient and the patient's family, Lin Lin must save Qi Xuemei's face.

"Well, Director Lin, when you remind you like this, it's really like this." Qi Xuemei looked at the patient lying on the bed thoughtfully.

"I just examined the patient, and she has increased muscle tone not only in her limbs, but also in her trunk. For example, the increased muscle tone in the neck, the masseter muscle, the lower back, and the abdominal muscles are all very obvious. ”

"If you take into account the factors of the patient's injury, combined with the increased muscle tone in the axial area, the patient's disease, nine times out of ten, is tetanus." Lin Lin directly said the diagnosis.

"It's a lot like tetanus, but does tetanus have such a long incubation period?" It seems that Qi Xuemei also has a certain understanding of tetanus.

"Generally speaking, the incubation period of tetanus is mostly about 10 days, but there are also long, months, and several years have been reported."

"The shorter the incubation period and the more severe the disease, it means that the number of infected Clostridium tetani is very large, and the tetanus toxin produced has a serious impact on the body."

"Conversely, the longer the incubation period, the milder the symptoms. When a patient with tetanus shows symptoms, it means that the toxin of Clostridium tetani has invaded the corresponding tissues, and at this time, tetanus vaccination is no longer meaningful. ”

"At this time, we should focus on the comprehensive treatment of the patient in addition to the use of antibiotics, such as relieving or relieving spasticity, and ensuring an adequate supply of fluids and energy (nutrition)."

"Of course, this disease is usually treated in general surgery. Strictly speaking, it is caused by Clostridium tetani infection after trauma. ”

"You write down the medical records and ask them to go to the surgeon."

"Okay, thank you very much Director Lin for your guidance." Lin Lin's explanation was reasonable, and Qi Xuemei was convinced.

After dealing with this patient, Qi Xuemei's hands no longer have a patient to see. She sat quietly in the consultation room, thinking about the whole process of Lin Lin just now, from asking for medical history to physical examination and diagnosis, and she couldn't help but feel a lot of emotion in her heart.

Yes, there is a world of difference between clinical and laboratory research. She spent most of her time in the lab, from master's to doctorate.

She, including her mentors and the mentors of her classmates, is making bold assumptions, and then, based on these bold assumptions, doing all kinds of experiments and research that I don't know if they make sense.

In retrospect, most of these bold assumptions were useless, and no one paid attention to their bold assumptions and conducted meaningless laboratory research for them.

This process not only wastes valuable time, but also wastes a lot of money, and also loses the clinical practice that a doctor should experience in the future.

Today, Director Lin once again showed his skills, making Qi Xuemei completely aware of the problem, and also clear who she should learn from in the future.

At noon, Yang Yan estimated that it was time for Lin Lin to go to the outpatient clinic, so she called Lin Lin.

"Yanyan, how's it going?" After receiving Yang Yan's call, Lin Lin asked eagerly.

"I'm really pregnant, blood is drawn for examination, and all indicators are very good, but the B ultrasound is not clear."

"Oh, that's great. You have to be careful, or you should bring something from home in the morning and don't eat in the canteen at noon to ensure that the diet is nutritious and healthy. ”

"Hehe, no, I'll find a way then, and I can't trouble my mother."

"Well, let's talk about it tonight, let's go get some rest." Although the lunch break was very short, Lin Lin also hoped that Yang Yan could rest for a while.

In the evenings, the family routinely sits around the coffee table, drinking tea and chatting at the same time.

"Mom, I had a check-up today, and I'm really pregnant." Yang Yan said to Lu Run.

"Really? That's great! Hey, can you see clearly? ”

"No, it's still early."

"I'm so busy at work, I'll make something good in the morning, and when you go to work, take it to the hospital for lunch. At this time, diet is important. ”

"Yes, I also agree, at this time, don't be careless. If you are born enough, you will be better to raise the day after tomorrow. Although he is not a medical student, Yang Yu is not bad at these common senses.

"It's too troublesome for mothers, and it will also increase a lot of workload for mothers."

"Hey, silly boy, I'm at home, sitting and sitting, what's adding to the workload. I prepare the ingredients in the evening, cook them in the morning, and you can take them to work, which is neither troublesome nor a big workload. "It seems that Lu Run is ready.

"Yanyan, listen to your parents, your body, the child's body, are very important." Lin Lin spoke.

"Okay, I listen to Mom and Dad, thank you Mom and Dad!"

"Look, here we go again. Family, don't be so polite, too polite, but see the outside. Lu Run's words came from the heart.

Yes, she and Yang Yu have long regarded Lin Lin as their own son and integrated into Lin Lin's work and life.

As she spoke, Lin Lin's mobile phone rang.

"Hello Dean Lin! I'm Ye Xiu. ”

"Oh, hello Dean Ye! How's the hospital doing? ”

"Everything is ready, we are scheduled to start the trial operation at the end of this month, and if the operation is successful, we are ready to choose a date after the first lunar month."

"Well, there are pros and cons to doing this, the pros outweigh the disadvantages, the key is to see how you grasp it."

"Oh, as soon as Dean Lin hears it, he can tell the pros and cons? I haven't listened to Dean Lin's teachings for a long time, so please tell me about it, and tomorrow, I will convey it to Director Ding and Mr. Li. ”

"Hehe, there's no need to be so complicated, I'll tell you my opinion, it's not necessarily right."

"From now until the 15th day of the first lunar month, rural areas and towns will enter the 'festival mode', and during this time, people are mostly busy with various businesses, hygiene or purchasing New Year's goods."