bookpower Chapter 439
Chapter 439
Lin Feng opened the order and handed it to the patient Zhang Wei.
Zhang Wei covered his stomach with a painful expression: "Doctor Lin, what is my problem?" "
Lin Feng: "There is no way to determine it for the time being, and it will be determined only after the results of the examination come out..."
Zhang Wei: "I'm not going to die, am I?" "
Lin Feng smiled and comforted: "It's not that serious, rest assured..."
Although Lin Feng roughly judged that it was appendiceal remnantitis, after all, this was a medical accident in other hospitals, so Lin Feng had to wait for the test results to come out and be 100% sure before he could inform the patient.
Otherwise, if the diagnosis is wrong, and the patient is told again, will it not be scolded to death by the patient?
Think about the daily uninterrupted severe pain for half a year, it must have caused great harm to the patient, including physically, mentally, financially...
It's hard to say what a patient will do in anger.
The patient covers his stomach and goes for various examinations.
......
For an hour,
The results of various examinations are all out.
· CT abdominal enhancement: changes after appendix surgery, abscess formation in the right lower abdominal operative area and right pelvis, small dense and high-density foci in the center of the lesion, and changes in the adhesions between the lesion and the surrounding small intestine, sigmoid colon, pelvic wall, and peritoneum.
(Why turn on enhancement?) And not ordinary CT? Because the previous three hospitals have used CT to find no traces of appendicitis residue, it is necessary to prescribe enhancement. ）
Abdominal ultrasound: right lower quadrant abscess formation.
Blood routine + ultrasensitive C-reactive protein: white blood cells increased by 3 times, neutrophils increased by 8 times, and C-reactive protein increased by 2 times.
Obviously,
It is indeed appendiceal remnants!!
In the last appendicitis operation, it was not cut clean, so that the appendix recurred into inflammation.
"Doctor Lin, have you found the reason?"
Lin Feng looked at the pale patient Zhang Wei in front of him, and his face was full of expectation, which made Lin Feng couldn't help but feel sorry for him.
"How much have you spent in the past six months?"
"There are about 100,000 ... I haven't been able to find the cause, and I've been seeking medical treatment..." When Zhang Wei said this, he couldn't help but shed tears. The boy does not flick tears, but in the past six months, his life is similar to suffering in hell.
Lin Feng: "At present, it should be the appendix on your body, and then it is inflamed..."
"Isn't that right? Dr. Lam! "
After hearing this, patient Zhang Wei's face changed suddenly.
"Doctor Lin, isn't my appendix cut? After cutting it all last time, how can there still be an appendix? "
"This... My current diagnosis is this..."
Lin Feng didn't explicitly say that he didn't cut it clean, but the meaning was similar.
"Doctor Lin, you mean... Is my appendix still there? "
"It should be said that there is still a short section left..."
As soon as Lin Feng's voice fell, the patient Zhang Wei directly exploded.
Boom~~~~~
Suddenly got up, his face full of anger.
"Dr. Lin, you mean, the last appendix operation, didn't cut clean?"
Gas exploded.
"Damn, it turns out that the operation was not clean! Isn't appendicitis surgery the easiest surgery? Bastard, it hurts me for half a year, I must sue them!! "
The patient Zhang Wei jumped to his feet in anger, and even forgot about the abdominal pain for a while.
Lin Feng hurriedly reassured: "Now don't worry... Your current situation, you must open your abdomen as soon as possible, and clean up all those inflamed, purulent, and adhesional tissues... First go through the hospital, then call the family to come and do the operation tomorrow night..."
The patient Zhang Wei still respected Lin Feng.
While getting angry, he nodded repeatedly:
"Okay, Dr. Lin... Dr. Lin, I heard that your operation is very good, you can help me do this operation, I can't believe the other doctors! "
"The surgical strength of the doctors in our hospital is still very strong... But since you need me to operate on you, I'll operate on you tomorrow night..."
"Thank you Dr. Lin! Thanks!! "
Let the patient Zhang Wei go for admission...
......
Just when Lin Feng was about to press the call and let the next patient in,
Outside the door,
There was a loud noise.
"Why is your hospital so dark, my husband just broke his leg, there was just some blood, and he actually wanted to open CT for us, 500 yuan!"
"You doctors, sitting in the office every day, enjoying the air conditioning, comfortably, and receiving hundreds of thousands of salaries, do not know the hard work of us workers on the construction site..."
"You have no conscience!"
"Everyone come to judge, my husband just has some blood in his leg, why do you want to do CT for the head and spend 500 yuan?" We can't earn 500 yuan a day with hard work! "
This is a female voice full of power.
Swearing
Lin Feng heard the movement and walked out.
Xiao Ru also followed out.
Then see in the waiting hall,
On the flat car, lying flat is a middle-aged man, his leg is injured and bleeding, and he is simply tied by gauze to stop the bleeding...
Next to the flat car, a middle-aged woman with tears in her eyes, accused the doctor of having no conscience.
And around,
Hundreds of patients and family members came to watch.
Lin Feng couldn't help but step forward.
"Calm down, this sister calm down..."
Then he turned his head to look at the attending doctor Tang Yu.
"Brother Tang, what's going on?"
Tang Yu said with a look of grievance: "This patient accidentally fell down at the construction site, and then there was a big wound on his leg, and I stopped the bleeding for him... However, there is another problem, the patient has been in a coma now, when he fell, everyone else was staring at the fracture of his left hand, did not pay attention to whether the head was hit, I did not find any problems in the examination, but because the patient was in a coma, we strongly requested that the CT be scanned from beginning to end, and then the family refused..."
Lin Feng listened,
Probably understood what happened.
I know why Dr. Tang Yu insists on doing CT.
Because the patient accidentally fell from a height, as a doctor who has experienced many cases, the cause of the head and heart is to be vigilant.
This is the basic clinical thinking of a clinician!!
Just like the relationship between diabetes and insulin, subconscious logic is also the summary of experience in tens of millions of cases.
At this time, the surrounding patients and families also started talking.
"It's just a coma, there's no need to do CT, right?"
"Yes, doesn't it mean that the head has not found any traces of injury? Then there is no need to spend these 500 yuan..."
"I don't think it's necessary either..."
"I think, since the doctor recommends so, if you have money, then do it."
"The problem is that this patient's family doesn't seem to be rich, and 500 yuan is still very distressing..."
Listening to the discussions around her, the middle-aged women were very supportive of themselves, and they were very comforted in their hearts, and said angrily to Tang Yu and Lin Feng:
"Did you hear that? Everyone supports me... If the CT is not done, just stop the bleeding and stitches for my husband..."
Lin Feng hurriedly said:
"This sister, wait, don't get excited first, your husband this, I suggest still do a CT..."
The middle-aged woman was about to scold,
Lin Feng quickly continued: "Listen to me first, if it makes sense, sister, you will listen... If what I said doesn't make sense, sister, you don't have to worry about me, just take your husband with you, okay..."
The middle-aged woman was still very angry: "You doctors, all of them are greedy for money!" "
outcome
At this point,
The onlookers and family members who had just supported her supported Lin Feng one after another.
"This sister, Dr. Lin is still good, or listen to Dr. Lin analyze it first..."
"Yes, Dr. Lin is very good..."
"Dr. Lin won't be greedy for our money..."
Middle-aged woman: "..........................."
Confused.
No, didn't you all support me just now?
Why did you suddenly support this doctor?
Attending Tang Yu: "........................"
Treading horses,
Why didn't anyone stand up to support me just now?
Now as soon as Lin Feng comes, he will all support it?
emmmm~~~~
Isn't Lin Feng just handsome?
What's wrong with me being ugly?
Chill the air!
Why is the ugliness coming?
/