bookpower Chapter 598
Chapter 598
Why check the fundus?
Because of "cat's claw disease", there is usually a disease:
It is called "idiopathic Leber stellate retinopathy".
This is due to cat's claw disease.
"Check, check! Definitely check..." Hearing this, the woman immediately replied.
I took the list and took the child out.
"Teacher! This kid is too much! At a young age, he actually wanted to kill cats! After the patient left, Xiaoru whispered.
"This is an adult problem! Children at this age are more curious and will be influenced by adults! Didn't you find that this child's mother has a very short temper and wants to do it if she doesn't agree with each other? The child was influenced by her, and the first reaction was also to choose to use violence! Lin Feng said softly.
Xiaoru nodded thoughtfully.
......
The mother and son had just left.
A nurse ran over.
Seeing Lin Feng, he spoke: "Doctor Lin, there is a patient in the rescue room who is seriously injured and needs you to go over and take a look!" "
Hearsay.
Lin Feng immediately got up.
This is the case in the emergency department, where patients come here, but the symptoms are prioritized, and the treatment of those who are seriously ill is limited.
Come to the rescue room.
Two nurses and a trainee were seen surrounding a patient.
"What's the situation?" After passing, Lin Feng immediately asked.
Seeing Lin Feng's arrival, the intern hurriedly handed the medical record in his hand to Lin Feng, and said, "Doctor Lin!" This is pressed by the machine, you take a look! "
Looked at the medical records.
Patient, Zheng Aiguo, male, 56 years old.
Multiple comminuted fractures of the right hand bone and phalange.
"Dr. Lin, the basic condition is on it." The intern said.
"Good! I'll take a look! Lin Feng closed the medical record.
Pick up a pair of forceps and gently touch the fingers of the patient's right hand.
While touching, he asked, "You feel like this!" "
"Ahhh The patient reacted immediately.
"Here."
"It hurts..."
"Here."
“..."
The patient covered his right arm, panting in pain.
After the examination, Lin Feng said to the intern: "Prepare for surgery!" "
"Understood!" The intern replied.
Immediately afterwards, Lin Feng continued to say to the patient: "Tell you about the situation, your hand crushed fracture is more serious, you need to undergo surgery, and you may have to be amputated!" "
"What! Amputation..." The patient with sweaty faces looked up at Lin Feng and said with serious horror:
"Amputation, that: Then how do you let me live! Doctor, no. Can't amputate, can't amputate!! I am the only labor force in the family, I will work on my own to earn money, there are three children in the family, an old man, if I amputate, the family will starve to death..."
Looking at the painful look on the patient's face, Lin Feng responded: "We don't want to do this either, but you are injured so badly now, you must have your leg amputated!" "
As soon as the words fell, a voice sounded behind him.
"Wait!"
Lin Feng and several people looked back and saw that it was the doctor Jiang Yuejiang who had just arrived today.
"Doctor Jiang, what are your opinions?" Lin Feng asked softly.
"Doctor Lin, there is something wrong with your treatment plan! Or do you have to communicate with the patient well, is there no other treatment plan? "
Jiang Yue opened his mouth and said: "He is the only labor force in the family, how can you let him live without his hand." The point is, I don't think this hand is unsafe! "
"Doctor Jiang! Hello is a graduate of a well-known foreign university, it is impossible not to understand! Lin Feng said: "Take a look, many crushing fractures!" "
Lin Feng looked serious:
"If the treatment requires bone connection, blood vessel connection, nerve connection, not to mention how difficult the operation is, even if it is saved."
"How long does the recovery period take! Do you want to bankrupt him? "
"If there is necrosis at the end, amputation is still required! Everyone knows that hands are important, but if he doesn't amputate his limbs in this situation, it is what makes him wait for death! "
After speaking, Lin Feng looked at Jiang Yue and waited for her words.
After hearing these words, Jiang Yue immediately said: "As long as there is a glimmer of hope, as doctors, we must fight for it!" Even if you choose to amputate the leg in the end, then you must explain all the situation to the patient in advance and let him make his own choice! "
"That's right!" Lin Feng nodded, and then said to the patient in a deep voice: "My diagnosis is that part of the limb needs to be amputated, you also heard what you said just now, how to choose you have to give me an answer as soon as possible, your time can't afford to delay!" "
Hearsay.
Jiang Yue instantly felt that he had won.
Prepare to leave immediately.
As soon as I took a step, I stopped instantly.
"Doctor Lin, I listen to you! I am willing to accept amputation..." the patient said to Lin Feng with a painful face.
He heard the conversation just now, he heard it clearly.
This is the best option.
"Good! Prepare for surgery! Get the patient to sign! Lin Feng immediately explained to the intern.
"Okay, Dr. Lin!" The intern hurried to answer.
After the explanation.
Lin Feng turned around and left to prepare for the operation.
Jiang Yue looked cold.
She couldn't imagine that her words had no effect at all.
Very dissatisfied in his heart, he turned his head and left.
Wait for Jiang Yue to leave.
The few nurses and interns left behind couldn't help but talk.
"I'll go! This new Doctor Jiang is quite powerful, and he dares to point fingers at Dr. Lin! "
"Of course! People are doctors of famous foreign universities, can they be ordinary people! "
"Cut! Isn't it just drinking some foreign ink, what is so good! "
"Actually, she was right!"
"She's right! I mean that's it! Accuse Dr. Lin, she is qualified! "
"Exactly! She said that Dr. Lin would not consider this, Dr. Lin's conclusion is the most patient-minded! "
"I think so too! The main thing is that Dr. Lin is not sure about the reconstructive surgery, then no one in China is sure of it, this risk is too great, and the consequences will be more serious! "
"Go and go, stop talking! Hurry up and get ready! "
Soon.
The patient was pushed into the operating room.
......
4 hours later...
Lin Feng walked out of the operating room.
The surgery was successful.
He also did his best, leaving two fingers for the patient.
"Teacher, you're amazing! I thought the fingers of this patient's right hand were going to be amputated! Xiao Ru said to Lin Feng with adoration.
"This situation is more difficult! Don't learn from me, I dare to do it because I'm sure! Lin Feng said with a light sigh.
"I understand, teacher!" Xiao Ru immediately replied, and then immediately said: "Teacher, this Doctor Jiang is quite interesting, he dares to question your diagnosis!" Is it trying to target you? "
"After all, I am a doctor from a prestigious university, and I must have my own opinion on the treatment plan! She is still young, and after a long time, she will understand why I directly gave this diagnosis! Nothing against it, just a controversy over my treatment plan! Lin Feng smiled.
"Oh!" Xiao Ru answered.
"Okay, let's eat!" Lin Feng said immediately.
"Yes, teacher!" Xiao Ru smiled.
Finish speaking.
The two walked towards the cafeteria.
Just sat down.
Several doctors from other departments came over.
"Doctor Lin, what's going on today?"
"Frightened?"
"I heard you're still a high-achieving student, Dr. Foha?"
"Doctor Lin, I heard that she is still a beauty!"
“...."
In an instant, several people began to say to Lin Feng, and their faces were full of gossip.
"What a stunned! Isn't it normal to discuss treatment options! You gossip, in a moment, you will all know! Lin Feng chuckled.