"Hello, please sit down. Don't worry too much. Tell me about your condition first." Lin Yuexi raised the corners of her mouth and showed a gentle smile, trying to ease the patient's tension.
After the man sat down, he sighed and said, "Doctor Lin, I have been feeling very dizzy these past few days. Sometimes I feel dizzy and can't sleep well at night."
Lin Yuexi listened patiently and took detailed notes in the medical record.
Then she stood up and conducted a comprehensive and detailed physical examination on the man, from basic blood pressure and heart rate measurements to preliminary testing of the nervous system. Every movement was precise and skillful.
During the examination, she found that the man had high blood pressure and mild signs of atherosclerosis in his carotid arteries.
"What are your usual eating habits?" Lin Yuexi asked. The man scratched his head and said, "I have a strong taste and like salty food. I often stay up late at work and smoke a lot."
Lin Yuexi frowned slightly, her tone gentle but with unquestionable professionalism: "Your current condition is closely related to these bad living habits. Long-term high-salt diet can lead to high blood pressure, and staying up late and smoking can further damage blood vessels."
After a comprehensive analysis, Lin Yuexi initially diagnosed the man with dizziness caused by high blood pressure and also with vascular aging problems.
She picked up a pen and carefully wrote down the treatment plan on the prescription pad. It not only included targeted antihypertensive drugs, but also detailed instructions for taking and precautions for each drug.
"In addition to taking medicine on time, you also have to adjust your lifestyle. Eat a light diet, eat more vegetables and fruits, try to quit smoking, and get enough sleep. I suggest you come for a checkup once a week, and we will adjust the treatment plan based on your recovery."
Lin Yuexi handed the prescription to the man, and then took out a homemade health brochure from the cabinet next to him and handed it to him, "There is some knowledge about high blood pressure and vascular health in it, you can take a look."
The man took the manual, looked at the clear and easy-to-understand pictures and Lin Yuexi's warm smile, and his originally anxious expression gradually relaxed: "Thank you so much, doctor, you explained it so clearly, I feel much more at ease."
Lin Yuexi smiled and patted the man's shoulder: "You're welcome, you will get better if you actively cooperate with the treatment."
However, as soon as Lin Yuexi came to the county hospital, Director Zhao arranged for her to be the hospital's attending physician, which made many doctors dissatisfied with her.
It was illogical to think that a new doctor like her shouldn't be able to see patients on her own without completing an internship.
So after Lin Yuexi had seen more than twenty patients, Dr. Zhang from another department walked into Lin Yuexi's clinic with a pale middle-aged woman.
Doctor Zhang had a meaningful smile on his face and said, "Doctor Lin, Ms. Wang's condition is a bit complicated. We have discussed it for a long time but still can't come to a conclusion. You are young and energetic, and you have a new knowledge reserve. Come and take a look."
Lin Yuexi keenly noticed the strangeness in Dr. Zhang's words, but she didn't say much. She just smiled and nodded, motioning Ms. Wang to sit down.
As soon as Ms. Wang sat down, she began to sigh.
"Doctor, this disease is killing me. I am always weak and have no energy at all. I am out of breath after doing a little activity. In addition, I have lost a lot of weight inexplicably in the past few months, but I obviously eat a lot.
I still suffer from insomnia at night and feel anxious. I have been to other hospitals many times and taken a lot of medicine, but I just can’t get better.”
While Lin Yuexi gently comforted Ms. Wang, she quickly sorted out the possible causes of the illness in her mind.
She knew very well that faced with such a complex case that had been diagnosed by multiple parties, she could get into trouble if she was not careful, but she also understood that as a doctor, the patient's health is the top priority.
She began to conduct a comprehensive examination on Ms. Wang, from measuring routine physical indicators to carefully reviewing the medical records Ms. Wang brought with her.
During the examination, Lin Yuexi found that Ms. Wang not only had signs of thyroid enlargement, but also had a significantly fast heart rate.
This led her to initially suspect that Ms. Wang's illness was related to abnormal thyroid function.
"Ms. Wang, have you ever had a detailed examination of your thyroid function before?" Lin Yuexi asked.
Ms. Wang shook her head. “I’ve done some tests, but the doctor didn’t say there’s anything wrong with my thyroid.”
Lin Yuexi frowned slightly, and became more certain of her judgment. She immediately contacted the laboratory and arranged for a full set of thyroid function tests for Ms. Wang.
While waiting for the test results, Lin Yuexi was not idle.
She once again carefully asked Ms. Wang about the details of her life, including her daily diet, work pressure, emotional state, etc.
From Ms. Wang's story, Lin Yuexi learned that Ms. Wang had been under great work pressure in the past year, often staying up late to work overtime, and had an extremely irregular diet.
All of these factors may induce thyroid disease.
An hour later, the test results came out. Just as Lin Yuexi expected, Ms. Wang's thyroid hormone levels were seriously unbalanced and she was diagnosed with hyperthyroidism.
After finding the cause, Lin Yuexi began to develop a detailed treatment plan. She knew that the treatment of hyperthyroidism was not a one-time thing and required comprehensive consideration of medication, dietary adjustments, and lifestyle changes.
Lin Yuexi prescribed appropriate anti-thyroid drugs for Ms. Wang and explained to her in detail how to take the drugs, precautions and possible side effects.
"Ms. Wang, your disease can be cured, but it requires your active cooperation. First of all, this medicine must be taken on time and in the right amount, and the dosage cannot be increased or decreased at will.
Secondly, you should pay special attention to your diet and try to avoid eating foods high in iodine, such as kelp and seaweed.
You should also take a rest, avoid overwork, and keep your mood happy. "
In order to help Ms. Wang better understand her condition and treatment process, Lin Yuexi wrote down her condition, cause of disease, etc. in the medical record, and also took out some highly effective drugs for treating hyperthyroidism through her mind.
Lin Yuexi's serious attitude and identification of the disease put Ms. Wang at ease.
"Dr. Lin, thank you so much. I have been treating patients for such a long time, and today I finally feel I have a clue about this." Ms. Wang said to Dr. Lin.
Lin Yuexi smiled and patted Ms. Wang's hand. "Don't worry, as long as you cooperate with the treatment, you will get better soon. Come to me for a follow-up check next week and we will see the effect of the treatment."
After Ms. Wang left, Lin Yuexi just breathed a sigh of relief, and then she saw Dr. Zhang and several colleagues standing at the door of the clinic.
Doctor Zhang still had that half-smile on his face. "Doctor Lin, you made the diagnosis so quickly? Are you sure there's nothing wrong?"
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