bookpower Chapter 522
Chapter 522
low potassium,
Lin Feng's first reaction was "hyperthyroidism".
So Lin Feng did not prescribe other tests, only prescribed thyroid function + thyroid ultrasound.
An hour later,
The results are out!
· Jia Gong: Hyper ...
Thyroid: getting bigger...
Confirmed, it is "hyperthyroidism"!
Her hypokalemia is due to hyperthyroidism.
In hyperthyroidism, too much thyroxine in the blood causes potassium ions in the blood to enter the cells, resulting in a decrease in the concentration of potassium in the serum.
Now that you understand the cause,
Then, just deal with hyperthyroidism.
"In the future, you must remember to take your medicine on time, do not overwork, do not exercise vigorously... The diet should also avoid a large intake of starch, high-sugar diet, seaweed, kelp, seaweed, etc., and drink alcohol in moderation to stably control hyperthyroidism..."
"Thank you Dr. Lin..."
The patient Chen Fengmei thanked Lin Feng gratefully.
......
PS: People with another genetic problem (males), abnormal calcium channels in cells, a large amount of potassium and calcium in serum enter the cells, and then serum potassium ions suddenly decrease.
Such male patients often eat a large meal, or eat a large amount of sugar, will induce hypokalemia, and in severe cases, even induce severe arrhythmia and fatal.
......
......
midday
12：34
Lin Feng finally finished the last patient and could go to rest for lunch.
Go to the cafeteria.
At this time, there were other doctors and nurses in the canteen, who were still in the canteen because they ate too late.
They ate and chatted about gossip.
Among them, Dr. Li Xing was the loudest.
When Li Xing saw Lin Feng, he quickly beckoned...
"Ah Feng... Sit here..."
Lin Feng carried the dinner plate, walked over, sat down, and ate together.
"Haha, Lin Feng, you don't know that I encountered a particularly funny thing today..."
Doctor Li Xing gloated and grinned.
"Last week, I rescued a young man with food poisoning, and after the rescue, the family came and thanked him very much. When I got the payment slip, I didn't know when I slipped away, and I was later told by other patients' families that I jumped out of the toilet window and ran..."
Burst~~~~
Several doctors and nurses, squirted out.
Climbed the window and ran?
In order to escape, the whole family is also enough to fight.
However, doctors also dislike this kind of patient, because this part of the money will eventually be distributed to the doctor's head and deduct the doctor's money.
The emergency doctor itself is hard, busy as a dog every day, and the salary is not high,
Moreover, there is zero difference in the price of drugs in the hospital, and the income of doctors in outpatient clinics is a part of the registration fee commission (in general, doctors do not get all of them).
This kind of effort is completely disproportionate to the effort of technical experience.
If you deduct it a few more times, your mentality will collapse.
This is one of the reasons for 'persuading people to study medicine, and the sky strikes thunder'.
"It's not over yet..." Dr. Li Xing said with a smile: "Just in the morning, there was a patient with a broken bone in a car accident, 120 was sent over, and then it happened to be received by me..."
Burst~~~~
This time, the forest wind sprayed...
"I'll go!"
"Such a coincidence!"
"Hahaha, who did the sky spare!"
Lin Feng: "Did the money make up?" "
Dr. Li Xing grinned: "Make up for it, after the family comes, you can't make up it or not, haha..."
Laugh heartily.
Other doctors were also relieved.
After the patient is cured, the arrears escape, and then the doctors and nurses are deducted wages to offset the arrears, which often happens in various hospitals.
Of course, some hospitals even turn calling for hospitalization fees into a doctor's daily routine.
When encountering this kind of evasion, the doctor is also helpless, and can only comfort himself: it should be a merit.
Not so self-comforting, this doctor, still do it?
But things like Li Xing said, 'who the sky spares', are really rare.
Refreshing......
......
After eating,
Lin Feng walked to the emergency room.
On the way, suddenly a middle-aged woman blocked the front.
"Dr. Lin... Can you help me see my hands? "
"What's wrong?"
The middle-aged woman stretched out her right hand and put it on Lin Feng's kilometer.
"Dr. Lin, can you help me see this piece in my hand? This thing has been growing for two years, slowly getting bigger, and it hurts all the time... Your number is too difficult to arrange, if you have time, help me see..."
Generally speaking, she is not registered, she is not considered Lin Feng's patient, and she can ignore it.
However, Lin Feng saw that the middle-aged woman's attitude was not bad, so he nodded.
Left and right is nothing more than a show of hands.
"Okay, I'll see..."
Lin Feng glanced at her right wrist, and there was a bulging bag.
Touched it,
"Ganglion cyst"!
Ganglion cyst: A cystic mass that occurs in the tendon sheath of the joints and is caused by the degeneration of connective tissue in the joint capsule, ligaments, and tendon sheath.
The cyst contains colorless transparent or orange, yellowish thick mucus, the cyst wall is dense and hard fibrous connective tissue, cysts are more common in unilocular.
As soon as Lin Feng got started, he could be sure.
Pressed a little.
"Does it hurt?"
"It hurts..."
In general, the pain indicates that it is a little serious.
"You are a ganglion cyst..."
"Doctor Lin, is it serious?"
"This disease, not a big disease, is different from cancer, the main harm is that the cyst will become larger and larger, and when it is large, it will produce local compression symptoms, such as pain... So, no big deal..."
"You just said it's been two years, right?"
"Yes..."
"Bigger and bigger?"
"Yes..."
Lin Feng nodded: "Next, there are two methods, one is surgical resection, one step in place, there are no sequelae, and the probability of recurrence is very small..."
The middle-aged woman's face changed suddenly: "How much is it?" "
Lin Feng: "If we have a hospital, more than 800, a full set." "
The middle-aged woman is a little distressed about money: "What about the other one?" "
Lin Feng: "Using your hands, squeezing is also a common method... However, the sequelae are easy to relapse..."
After squeezing, the liquid inside is absorbed by the subcutaneous tissue and finally disappears.
Of course
This is a TCM technique that has been passed down to this day.
But what...
Many doctors are reluctant to do this, after all, there is no 'surgery' to make money.
The doctor's technique is not worth jpg