bookpower Chapter 701
Chapter 701
After thinking about it for a long time.
Lin Feng still decided to take hormones and treat the little girl.
Time waits for no one.
After arranging, the rest was handed over to Doctor Guipei, and Lin Feng went home by himself.
Resting in the hospital is always not as comfortable as resting at home.
7:00 pm.
Lin Feng didn't stay for a while when he went home, and was called back by the hospital's phone.
Come to the intensive care unit.
I saw the little girl lying on the hospital bed, but there was no treatment.
Lin Feng just walked in.
The little girl asked, "Doctor, didn't you say that I might have tuberculosis in the afternoon?" Why do you continue to give me hormone therapy? I have already checked, hormones are a contraindication to tuberculosis! "
"Just a test doesn't confirm if you have TB! And with your current condition, the time for treatment can no longer be delayed, and if you don't delay for a while, your life will be more in danger. Lin Feng said softly.
"Doctor, you can't just treat it like this! It's not about not taking my daughter's life seriously! As soon as the words fell, the little girl's father said with a look of excitement.
Next to him, his mother also secretly wiped her tears.
Looked at.
Lin Feng immediately continued to explain, "Don't get excited! Our doctor's idea is definitely to treat and save people, hope that patients can get better, no one cares more about patients' lives than us! "
"First of all, your daughter is the patient diagnosed with multiple Takayasu arteritis, the progression of this disease will be relatively fast, if you wait until the combination of resistance and then use hormone treatment, I am afraid that the time will be late, what will happen at that time, we really can't estimate!"
"To avoid this danger, we decided to give the patient hormone therapy first to suppress immunity and inflammation." As for the problem of tuberculosis, it does not look very similar at present, we can observe while treating, and if there is anything wrong, we can adjust it immediately! "
"The patient's situation really can't be delayed any longer."
With Lin Feng explaining.
The mood of the patient's parents quickly eased.
The little girl on the hospital bed also understood.
Finally, the Linfeng hormone treatment regimen was also agreed.
After the resolution.
Lin Feng went home, rest early, and go to work tomorrow!
The next day.
After coming to the hospital.
Lin Feng went to see the little girl first.
The state is not bad.
For hormonal plus immunosuppressant therapy, prednisone was given 12 tablets, plus one mycophenolate mofetil.
"There is nothing special about the patient, right?" Lin Feng asked to the doctor next to him.
"It's okay, Dr. Lin." The doctor replied.
"Okay, pay attention to the patient's situation, something is calling me!" Lin Feng said with a smile.
"No problem." Doctor Guipei nodded.
Since there is no situation, it means that the patient does not have tuberculosis.
As for the PPD test is strongly positive.
There are also many possibilities.
Lin Feng came to the office.
Xiaoru has already arrived.
Breakfast was also set on the table.
Not waiting for Lin Feng to enjoy breakfast.
The head of the department came.
Walked straight in front of Lin Feng.
"Director, early. What's going on? Seeing the director standing in front of him, Lin Feng asked lightly.
"Today I heard that a patient is suspected of having tuberculosis, and you insist on giving her hormones?" Director Wang questioned with a serious face.
"What's wrong? Didn't you also say that it was suspicious? Based on my observations, I think not! Now it turns out that the patient really does not have tuberculosis! Lin Feng said lightly.
"You..." Director Wang was instantly choked by Lin Feng's words.
"Director Wang, what else are you up to? It's okay, I'm going to have breakfast, I'll go to the clinic later! Lin Feng didn't care about Director Wang's slightly angry expression at all, and asked rhetorically.
"Yes! Just now, Director Li of the Department of Divine Internal Medicine called, wanting you to go over for consultation, and there was a patient's situation that I wanted you to see! Director Wang forcibly endured his anger and said to this "no one" Lin Feng.
"Oh, got it! I finished my breakfast and went over, I believe that the other side doesn't mind this meeting, right? Lin Feng said with a smile.
"Whatever you want, I've already informed you anyway!"
After that, Director Wang flicked his sleeves and left the office here.
See Director Wang leave.
Lin Feng immediately got up.
"Teacher, why are you going? Haven't had breakfast yet? Xiao Ru asked immediately.
"What to eat! Didn't you hear God shouting that I would be a doctor? There must be some tricky patient, otherwise they will call me and wait for me to come back and eat! Lin Feng said as he spoke.
After that, the person also walked out of the office.
Walk in the direction of Shenneiko.
There is no hurry on the lips, that's not to fool this director!
Every minute and every second he fought for was for his patients.
Soon.
Lin Feng came to the conference room in Shennei.
That Director Li was sitting in the first place.
Several deputy directors and attending physicians in the department sat here.
All of them had a sad look on their faces.
"Director Li, I'm here, I'm not late, right?" After Lin Feng entered, he said with a smile.
"Doctor Lin, you're finally here! Not late, not late! Director Li said with a smile.
For Lin Feng, they are still very relieved.
Although he is only a doctor in the emergency department, everyone knows about his all-round ability, and I am glad that he is in the hospital.
"It's not late, it's good!" After Lin Feng sat down.
At this time, a doctor opposite Lin Feng stood up and said:
"Hello everyone..."
"Let me introduce the situation!"
"Patient 42 years old, male, factory worker."
"Three days ago, the patient developed labor pains in both temporal regions, dizziness and lack of energy. Thinking it was a cold, I took some medicine casually at the pharmacy. "
"Then the pain got worse and worse, and I had to come to the hospital."
"The patient has no other symptoms, just a headache."
"I did a neurological examination and didn't find any obvious abnormalities."
"At first it was suspected to be an ordinary migraine, a tension headache, and then he was given a head CT!"
"There is a circular lesion in the left cerebellar hemisphere, which is not a cerebral hemorrhage or a brain tumor, we consider it to be an acute cerebellar hemisphere infarction."
"After the patient was hospitalized, we started to conduct a comprehensive examination of him again."
"There was no fever, and the blood test found that his infection indicators were not high, there was no otitis media, periodontal abscess and other diseases, and finally he was given a head MRI."
"The MRI results were available the same day. Left cerebellar hemisphere circular lesions, T1W1 low signal, blurred borders; DW1 is highly signaled. In combination with the history, the patient has a history of hypertension and smoking, so acute infarction of the left cerebellar hemisphere is considered. "
"Then began to treat patients according to the symptoms of cerebral infarction!"
Hearing this, Lin Feng asked suspiciously: "You are all diagnosed, what are you calling me for?" Or is something going on later? Just say no? "
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