The elderly people obviously have some cognitive impairment. Treating such a patient requires not only great patience, but more importantly, good luck – just in time for the person to ask about the most important symptoms when the cognitive impairment is not very severe.

Dr. Pascal's luck was clearly good. Before Guo Ying was confused, he asked about some of the main symptoms needed for diagnosis.

"I have back pain and cognitive impairment. Dr. Pascal watched as the young man in the village walked towards the tent with the old man in his arms, and said to Sun Lien with a frown, "I don't think the two symptoms have anything in common. Although they can be regarded as neurological symptoms, the time difference between them and them is a bit far away. ”

The village party secretary made it very clear that Guo Ying began to be confused when he was sixty-three years old. At the time, it was only an occasional forgetfulness, but it became more and more serious. However, the symptoms are not as severe as Alzheimer's disease, mainly because the things of recent years have been forgotten more severely. The old man remembers his two sons and one daughter, as well as several grandchildren, clearly.

"The patient has cognitive impairment and it is difficult to say how reliable her memory is. Brunn shook his head, "I've seen patients with similar symptoms who don't remember much of their physical discomfort......" he said of a case he had seen, "and that patient had a head injury after an amputation." When I met him on a visiting visit, he had a different understanding of his amputation. One will say that it was amputated five years ago, and the other will firmly believe that it was amputated after a head injury. ”

"She should also have a diagnosis of cognitive impairment, at least to find out if it is Alzheimer's disease. Sun Lien expressed his supplementary opinion, "At the same time as doing cranial MRI, you can also scan the lumbar spine to see." ”

The status bar makes it clear that Guo Ying's low back pain is caused by spinal stenosis. Her lumbar nerves were compressed. However, it is unclear how compression occurs and the nature of the lesion that causes it. It's hard to say if there's any direct connection to her other symptoms. However, just looking at the prompts in the status bar, Sun Lien was a little unsure - so many symptoms appeared in the same person, and they lasted for so long. It is very difficult to determine whether there is a direct relationship between these states that span several years.

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The morning rounds were soon over. Numerous medical staff gathered together for lunch. The lunch is a farmhouse dish provided by the village committee, which is certainly not exquisite, but the ingredients are genuine. Moreover, the lack of peat fire naturally prolongs the cooking time of the food. So the fried garlic bacon, the stewed matsutake mushroom chicken soup, and even the grilled preserved fish taste very wonderful.

The rice is new rice that the villagers have pulled out of their own rice jars – all milled years ago. In order to meet the dining needs of more than 20 doctors, the village committee launched a large kitchen that would only be used for ancestor worship gatherings in previous years. It started in the morning and was not until half past eleven at noon before it was all ready.

"Ladies and gentlemen, thank you so much for taking the trouble to come to the village during the Chinese New Year. The village party secretary replaced the wine with tea on the dining table, raised the tea in the disposable plastic cup in front of him, and said politely to the doctors, "Lao Guo, I am a countryman and have no culture." I can't say anything else to thank you......" he raised the plastic cup in his hand, "it's all in it!"

The tea boiled out of the thick brick tea was drunk, and the village party secretary Lao Guo leaned behind him, "Everyone, try it." ”

The doctors were busy from morning to noon, and the weather was cold, so they were indeed hungry. Without too much politeness, they all bowed their heads and ate their meals.

As soon as everyone moved their chopsticks, they could immediately see who among the doctors who came to visit was an academic doctor and who was a professional doctor. Academic doctors are unhurried during meals, and can discuss with their peers the patients they have seen today and the differences in the manifestations of various diseases. And the professional clinical doctors have become the reincarnation of starving ghosts one by one, throwing off their cheeks, picking open their back molars, and eating is called a hearty wind and clouds.

The performance is a little better than Sun Lien and Brunn.

Where is the emergency doctor for the general clinician to eat!

Dr. Pascal watched his long-time friend and the "department head" eat, raised his eyebrows, and continued to eat the bowl of rice in front of him.

It's probably too late to pretend you don't know each other now, right?

The well-informed village party secretary was also startled when he saw Sun Lien and Pascal, the starving ghost, eating, and then couldn't help but sigh that the doctor who drove here couldn't have neglected to eat since the night before. Thinking of this, the old branch secretary was even moved and wanted to cry, so he hurriedly put down his chopsticks and asked the master chef in charge of making the banquet in the village to hurry up and cook a few more dishes.

"Gotta have meat, gotta have a full belly. Secretary Guo said seriously, "People don't need money to see a doctor in our village, and our village can't let people even eat enough!" He took out a pack of nephrite streams that he had only smoked two from his pocket, and then stuffed it into the master's hand, "Use the gas stove, hurry up!"

As a chef, seeing the guests eating so deliciously, the master chef was happy in his heart. Now that he had the meaning of the village party secretary, he quickly threw the cigarette on his mouth to the ground, turned his head and went into the kitchen again. After about ten minutes, the six plates of buckle meat were served by the young people in the village, and then the leader said to Secretary Guo, "Fourth grandfather, Lao Zhong has put all his elbows in the pot." ”

"Let him do it quickly. Secretary Guo nodded with satisfaction. Those pork knuckles were originally prepared for the village banquet on the fifteenth day of the first lunar month, and they were all semi-finished products that were processed in advance. Lao Zhong used these materials, which were originally used as the main materials, to entertain the doctors, and Secretary Guo felt that it was worth it.

By the time the soft pork knuckle was served on the table, Sun Lien and Bruin had already eaten nine points full. Looking at the pork knuckle, which exudes an alluring luster and wonderful fragrance, the two glanced at each other and smiled wryly.

It's not good to eat too fast, and if there's a good dish in the back, it's really not going to be able to eat.

Sun gave up the struggle and stood up to take a walk after dinner. Brune, on the other hand, half-lifted his body with a solemn face and sat down sharply twice.

"Can you still eat?" Sun Lien looked at Brune, who sat down twice, and asked with some curiosity. Lao Bu's meal is not small, from the opening of the table to the serving of pork knuckle in only 20 minutes, Brune has already eaten three bowls of rice with bacon and garlic sprouts and chicken soup - the rice bowl in the countryside is no better than the delicate tableware in the restaurant. When it's full, three bowls have to be close to a pound of rice. But it seems that he can still eat now?

"Double-squeezed to make room in the stomach. Brunn tore off a large piece of the thick juicy elbow with chopsticks, and the skin and lean flesh were connected together, and the soft appearance of the rake was really tempting. "You go for a walk first, I'll come back to you later." ”

Sun Lien watched Brune continue to be swept away, raised his eyebrows and did not speak, and began to walk towards the village.

The village road is paved with bluestone with raised lines. It feels very comfortable to step on the soles of your feet. Sun Lien walked around while looking at the appearance of the village. Guojia Village is located in the middle of two large mountains on flat silt. The two peaks provide the villagers with a large amount of mountain goods, while the flat silt land is fertile and can be used to grow crops. Several wells are scattered around the fields and appear to be wells that supply water for agricultural planting. A little farther away, there is a rather large pit, and when you look down from the pit, you can see a lot of brown dirt. This is probably what the villagers call "peat".

The houses in Guojia Village look quite new from the outside, and they are the decoration style of the houses...... Some are out of place. When passing by the villagers' houses, Sun Lien first glanced at them, and then was shocked by the decoration style of the villagers in Guojia Village. This is completely different from the rural area he remembers, and it is also different from the villagers' houses he has seen in the news before. This is a decorative style that applies a lot of upholstery...... Sun Lien feels that the most appropriate adjective is probably "hardcore rural KTV decoration".

Why do you put a brazier next to the baroque coffee table on the floor covered with imitation marble tiles, in a room full of upholstery and European-style sofas?!