bookpower Chapter 543
Chapter 543
Lin Feng was surprised.
Because the average person after ordering anesthetics, even if the corneal foreign body has not been removed, the patient's eye pain symptoms begin to decrease. After the foreign body is removed, the patient's eye pain will disappear immediately.
But
Why do patients still have eye pain after removing the corneal foreign body?
There is a problem!!
"Come, I'll see..."
This time, Lin Feng was a lot more serious.
The slit lamp is turned on.
The patient's right eye was then carefully examined.
"Huh..."
Lin Feng found a hidden place, there was a very small and very small wound, it was easy to ignore if you didn't look closely, and although there were no iron filings on the surface, it seemed to be very deep.
Corneal penetrating injury?
Iron filings got inside the eyeball?
"Foreign body in the eyeball"!
Lin Feng suddenly thought of this possibility.
"Let's go for a CT," Lin Feng said.
"Huh??"
"I now suspect that there is another piece of iron that has entered the inside of the cornea, and now with the eyes are not clear, a CT needs to be done..."
"Okay, okay..."
"But let me tell you, a CT is about 700 yuan..."
"More than 700 !!!!"
The patient's face changed on the spot.
Because he is relatively poor, he saves money, and 700 yuan is already a huge amount for him.
The patient was embarrassed: "Dr. Lin, can you not do this examination?" Is there a cheaper one? "
Lin Feng shook his head: "No, only this method is the best..."
The patient hesitated, and finally gritted his teeth: "Doctor Lin, I believe you!" "
He believed that Lin Feng would not cheat him out of his money.
If it were another doctor, I am afraid that he would mutter: Is this doctor trying to trap my money?
(Other doctors: "Feel offended!") "）
......
After 40 minutes,
The CT report came out.
· CT scan: inside the eyeball, there is a white spot, that is, "foreign body in the eyeball"!
Obviously,
Lin Feng guessed correctly.
It should be that the patient did not wear goggles in the process of work, and the splashing iron filings hit his eyes, and there were two, one relatively shallow stuck in the cornea, and the other pierced the cornea, passed through the iris, and entered the eyeball.
"I didn't expect..."
After listening to Lin Feng's explanation, the patient was stunned.
It's just lazy for a while, without goggles ...
"Doctor Lin, what then? Are my eyes going to be scrapped? "
In his opinion, this foreign object is so small that it has penetrated deep into the eyeball, it should not be able to be taken out, right?
He was terrified!
He doesn't want to be blind!
"Don't worry, this eye can still be saved..."
Lin Feng smiled slightly.
This disease, in fact, as long as you do a "vitrectomy", you can remove the iron filings deep in the eyeball.
"Really?" Patient surprise.
"Of course it's true... But it might cost a little money..."
"It doesn't matter if you have money, as long as your eyes are good... Dr. Lin, how much does it cost?! "
"Hmm... Between 15,000-25,000 yuan..."
Burst~~~~
The patient almost spewed blood on the spot!
Too expensive!
Blood began to drip from my heart!
"I knew that I had suffered such a crime and spent money, and I should have worn goggles at work!"
Regret!!
......
......
14th patient.
An old man, probably about 60 years old, walked in slowly.
"This Abel, sit... Old man, what's your problem? "
"Doctor Lin..."
The old man rolled up his sleeves and exposed his left arm.
"Help me see this..."
On the left arm, below, there is a long wound of about 1 cm x 6 cm.
Not the bloody 'fresh wound'.
But it has been a long time and has become a wound of 'carrion'.
"Carrion"!
That is, this part of the meat, already rotted.
The color is yellow.
Carrion, a common feature of chronic wounds.
Lin Feng: "How did this wound come from?" "
Old man: "A month ago, playing in the park, I accidentally rubbed a branch, then cut a big hole, and then went to the hospital to stitch it, and then slowly became like this." "
Lin Feng nodded.
The wound of the elderly is called "acute wound".
Acute wounds generally go through several orderly healing stages: hemostasis, inflammation, repair, and remodeling, and finally healing.
The controlled release of growth factors, cytokines, and proteases throughout the process controls cell migration, differentiation and proliferation.
However, some wounds cannot heal along the established trajectory for some reason, and eventually become "chronic wounds".
"Carrion" is chronic wounds.
"Chronic wounds" often stagnate in the inflammatory phase of healing.
Persistent inflammation leads to abnormally high levels of matrix metalloproteinases, resulting in decreased levels of growth factors leading to cell decay.
Carrion is essentially a by-product of the inflammatory phase of wound healing.
The ingredients are: fibrin, white blood cells, dead/living cells, microbial and protein substances... Wait......
"I'll open a bill, debride..."
"Okay..."
Lin Feng opened the bill and handed it to Xiaoru.
Debridement is simple, remove the carrion, then disinfect, apply the medicine of growth factors, and bandage the wound...
Not difficult.
This kind of thing, Lin Feng will let the student Xiaoru do it, Lin Feng no longer does this kind of small 'surgery'.
Bell bell bell ~~~
At this moment,
A phone call came.
The caller was from the Advanced Inpatient Department.
The patients there are either rich or expensive, and their status is not ordinary.
"Doctor Lin, there is a leader here, sick, if you have time, can you come and help take a look?"
"Leadership? Is the condition urgent? "
"It's not very urgent, this leader has sore hands and feet, but I can't find the reason..."
"Then when I finish the emergency room, noon will pass..."
"No, Lin Feng (low voice)... He is a certain leader of the political axe, he is about to retire, he is older, and his temper is not very good, you have to hurry over, otherwise the leader is not happy ..."
“？？？？"
Out of sorts? Leave me alone!
"Lin Feng..."
"Got it... I finished my meal and went over... That's it, busy..."
Then Lin Feng hung up the phone directly.
Continue to summon the next patient.
......
Advanced Inpatient Department,
VIP ward.
"Toot toot ~~~~~"
Deputy Director Wang Sheng, the attending doctor of the leader, looked at the phone that was hung up sluggishly.
"Come back after eating?"
"Not afraid that the leader will be angry?"
。