bookpower Chapter 478
Chapter 478
Emergency Department,
Lin Feng was treating one of the patients.
This patient did not come to seek treatment, but wanted to ask Lin Feng some questions.
The patient is an elderly family in his 60s, accompanied by his son.
Old man: "Dr. Lin, it's like this, my heart has a section of coronary atherosclerosis, which is a little serious..."
Lin Feng: "Huh? What's wrong? Are you trying to be hospitalized? "
The old man shook his head: "I want to ask, Dr. Lin, can you do this kind of operation..."
Lin Feng: "Yes, it's quite simple..."
The old man took out a coronary atherosclerosis examination report (picture) and handed it to Lin Feng.
"Dr. Lin, if you help me with this operation, what will I do?" How much does it cost? "
Lin Feng pondered for a while: "Recently, the state has introduced a new medical policy, including certain kinds of arterial stents in the scope of medical insurance, originally more than 10,000, now about 700, plus the cost of surgery, about three or four thousand... Of course, this requires you to carry out medical treatment in Harmony Hospital..."
After Lin Feng finished speaking, the old man breathed a sigh of relief and smiled.
"Dr. Lin, you really are a doctor of conscience!!"
“？？？？ Why do you say that? "
Lin Feng wondered.
As soon as the old man talked about this, he was a little angry: "I went to several hospitals, and the current doctor, in order to make money, knew that the stent could be reimbursed, so he told me that it was not good to do it with a stent, and it was necessary to make an air bag ... And tell me that airbags are better..."
Lin Feng: ".................."
The face is weird.
Interventional balloon dilation surgery is simply to send the balloon in, pump up, squeeze the atherosclerotic blood vessel wall, expand the blood vessel, and then remove the balloon.
This thing can only work once, and it is estimated that it will recur after a month or two.
And the intervention stent will be significantly better, as long as it is not bad, there is no problem in ten or twenty years.
Therefore, the doctor said that the air bag is better than the stent, which is pure nonsense. (unless atherosclerosis is not severe)
The condition of the old man in front of him, Lin Feng judged it, it was obviously a little serious, and the bracket was better.
"Then do you want me to admit you to the hospital, and I will do interventional surgery for you at night..."
"Okay, please Dr. Lin."
"Remember to set the medical point, otherwise there is no way to reimburse you."
"Okay, thank you Dr. Lin."
Admission to the elderly,
Just as the next patient was being prepared, the nurse outside ran in.
"Doctor Lin, there is a patient over there in the hand surgery who said to let you go by name... The location is in Operating Room 9..."
“？？？？？"
Lin Feng was dazed.
......
After 10 minutes,
Lin Feng came to the waiting hall for the operation.
As soon as he entered the waiting hall, the parents of the broken finger patient quickly ran over, took Lin Feng's hand, and said pleadingly.
"Doctor Lin, please help my son and connect the broken finger."
"Yes, if he doesn't have an index finger, what can he do for the rest of his life!"
The parents cried loudly.
"Don't get excited first, I'll understand the situation first..."
Lin Feng is also helpless, in fact, this matter is a bit of a rush to surgery, which is a taboo in the workplace.
But fortunately, Lin Feng has a good relationship with various departments, otherwise it will be very embarrassing.
After 5 minutes,
Lin Feng entered the operating room and began the operation.
First, the most difficult distal finger artery is found.
30 minutes...
1 hour...
Lin Feng reluctantly gave up.
The distal finger arterial vessels are too blurry and sparse to be sewn at all.
Exit the operating room.
"I'm sorry, there's nothing I can do either..."
Lin Feng said apologetically.
The patient is depressed and blind.
The parents were silent.
After a moment, he cursed: "Your hospital is all garbage... Litter......! My son's hands were destroyed by you! "
Lin Feng faced the emotional family members and silently left the operating room.
Doctor, not God!
He wants to do his best, but he doesn't want to try his best to cure a patient.
......
......
Go back to the consultation room.
At this time, a mother outside the door pulled Lin Feng's arm.
"Doctor Lin, help me see my son..."
The mother anxiously pointed to a 10-year-old girl lying on the hospital bed in front of the door.
Lin Feng stopped: "What's wrong?" "
The mother said anxiously: "I was just in the playground, playing with that kind of climbing pole, and then fell from it, and kept shouting chest pain..."
Lin Feng nodded: "Don't worry, I'll help you see..."
Leaning over and giving the little girl a physical examination.
"Little friend, where does it hurt?"
"Here... (pointing to the left chest)..."
Lin Feng picked up his clothes.
There are no bruises on the little girl's chest ...
Finger press.
"Does it hurt here? ...... And here? ...... Over here? ......"
I pressed it and found that it was left lung pain, but there was no problem with the precordial area...
stethoscope
Apparently a crackle was heard.
"How long has it been falling?"
"Half an hour, I'll take a taxi right away..."
Lin Feng nodded.
Infections such as inflammation can be temporarily ruled out,
It should be the "traumatic wet lung" that appeared because of a fall ...
"Traumatic wet lung": a comprehensive lesion of pulmonary tissue hyperemia, interstitial edema or hemorrhage caused by chest injury. It is a common lung parenchymal injury, usually caused by rapid blunt injuries, such as car accidents, impacts, crushes, and falls.
Lin Feng thought for a while: "Let's go for a CT..."
Generally speaking, children are relatively small, and Lin Feng is reluctant to do CT for children because the radiation is relatively large.
But this traumatic wet lung has no way B ultrasound, only CT.
Small as a sharp open CT order, Lin Feng signed.
"Thank you, Dr. Lin!"
The mother thanked her again and again, she was just worried that she would directly stop Lin Feng, afraid that Lin Feng would ignore herself, but she didn't expect to be so eager to help her daughter diagnose.
Mom took the little girl and went to CT.
Lin Feng went to the canteen to eat.
......
After eating, Lin Feng returned to the consultation room.
"Doctor Lin!"
The mother was anxiously walking around the emergency door at this time, with tears in the corners of her eyes, and after seeing Lin Feng, she was overjoyed and rushed over.
"Doctor Lin, help me look at this report, how it feels very serious..."
She looked worried, she should have cried just now.
Lin Feng looked at the report.
Subpleural localized bullae at the tip of the upper lobe of the right lung, size 8X7X5...
Lin Feng was stunned for a moment.
Not "traumatic wet lung"?
Is it a "pulmonary bulla"?
Moreover, the volume of 8X7X5 is a bit big!
"Bullae": refers to the increase in pressure in the alveolar cavity due to various reasons, the alveolar wall ruptures, merges with each other, and forms an air-containing sac cavity in the lung tissue. It can occur before and after birth.
"Dr. Lin, my daughter she..."
——
ps: End today.