bookpower Chapter 405
Chapter 405
It took 2 days,
After Wang Huizhen was hospitalized, the results of all the examinations came out:
Rheumatoid arthritis, deformities of hands and feet...
Powder ingredient test results: Contains a lot of hormones!
Liver and kidney have certain characteristics of failure.
Osteoporosis...
Diabetes...
Corticosteroid signs...
Digestive ulcers...
Obviously,
The powder (a large amount of hormones) has destroyed the physical functions of the patient Wang Huizhen in large quantities.
When Wang Huizhen learned the news, she directly held the quilt and cried.
"I should have listened to the doctor earlier... All blame me... Blame me..."
She regretted it a lot.
The doctor of rheumatology and immunology sighed in her heart as she watched her regretful cry.
In his judgment, the patient's condition has obviously reached a relatively serious point.
Rheumatism, this can not be treated, can only be said to take medicine to control.
As for other liver and kidney ones? Whether it can be recovered or not, it is difficult to say...
So
Rheumatism, be sure to take medicine regularly, follow the doctor's advice, and do not think that taking pain relief (such as ibuprofen) is enough.
......
......
night
Lin Feng was on the night shift.
Night patients are much less and much easier than during the day. Those who come to the hospital at night are generally not minor illnesses.
Night, 02:21
A 60-year-old man walked into the emergency department.
As you walk, bend over and cough.
His face was still a little pale...
Breathing is a little rough...
The nurse took her temperature and then brought her into Lin Feng's consultation room.
"Doctor Lin..."
"Grandma, sit... What kind of disease does Grandma see? "
"Dr. Lin, here's the thing, 5 days ago, I don't know why I suddenly caught a cold, and then I had a cough, phlegm, fever... I took some antipyretic medicine, but it didn't work..."
Grandma's cough was a little severe, and she coughed several times in the middle of speaking.
Lin Feng: "Fever? Did you just take your temperature at the door? How many degrees? "
Grandma: "Just now the girl measured me, 38.6 degrees..."
Lin Feng didn't ask why Grandma came alone, maybe the children were a little busy...
"Grandma, did you have any high blood pressure, high blood lipids, diabetes before? Or coronary heart disease, cerebral infarction..."
Lin Feng asked about the medical history,
The elderly, most of them have medical history, the condition is more complicated, the medical history must be asked.
Grandma: "I don't have anything else, it's rheumatoid arthritis..."
Rheumatism~~~~
Lin Feng secretly said good guy, how to rheumatism patients have increased recently.
Lin Feng asked: "Grandma specifically, when is the onset, see a doctor, take medicine?" "
Grandma was able to speak, and said: "3 months ago, I felt a little finger pain, and then I went to see a doctor, and then the doctor told me that it was rheumatoid arthritis..."
Lin Feng: "What about taking medicine?" "
Grandma: "I'm still very punctual in taking medicine." "
Lin Feng nodded.
"Did you have your medical records?"
"Brought..."
The medical records are very thick, but Grandma is an experienced patient (a good doctor who has been ill for a long time?). ), the medical records are neatly placed, put in chronological order, and comfortable to see.
Final summary:
3 months ago: Diagnosis: Rheumatoid arthritis with mild interstitial pneumonia (not severe, mild)
Doctors prescribe medications: hormones, hydroxychloroquine, methotrexate...
Lin Feng looked at it and found a small problem,
Rheumatoid arthritis, relatively mild?
"Grandma, did you always take medicine when you said you just said? 3 months..."
Grandma smiled: "Yes, I ate for 3 months..."
Lin Feng was surprised: "No, the doctor let you eat for three months?" "
Grandma: "That's not true, the doctor said let me eat for a month, and then let me go for a review..."
Lin Feng: "........................ Did you double-check? "
Grandma: "No... Didn't the doctor make me insist on taking medicine, and then I thought it would be too troublesome to go to the doctor for a review, and I also registered and ran for a day, so I went to the pharmacy to buy medicine and ate it..." (coughed a few more times halfway)
Lin Feng: "...................................."
He couldn't help but correct one of Grandma's erroneous views.
"Grandma, medicine is not taken like this, you have to follow the doctor's orders to eat..."
Many rheumatology patients, in fact, are in front of rheumatologists, and keep asking, "Doctor, how long will my medicine take?" "After eating this month, do you still want to eat?" , If the doctor is asked too much, it is estimated that he will be irritated and directly say "eat until death".
The doctor's words are correct, "eat to death"!
Not only most rheumatism, but even diabetes, high blood pressure, chronic bronchitis, hyperthyroidism and other diseases, need long-term medication!
This is determined by the characteristics of the disease itself!
However, this "eat to death" requires specific analysis of specific problems.
For example, some patients do not work well with certain drugs, so they need to change the medicine (there are many rheumatic medicines), at this time they have to find a doctor, rather than hard eating, always eating.
There is also a situation, just like this grandma in front of her.
Grandma's condition is relatively mild, and she starts with more medicine to make her condition better, and then she has to start changing to less medicine.
But Grandma didn't, this Grandma went back to eat after prescribing medicine and felt that the effect was very good, and felt that it was very troublesome to go to the hospital to get medicine, and continued to take the same medicine by herself, and insisted on "long-term taking".
That's where the natural side effects arise.
Lin Feng suspected that this fever and cough were the side effects of Grandma's long-term (3 months) medication.
Next
Lin Feng asked some questions, probably confirming that it was a cough caused by pneumonia.
Fever is also presumably caused by pneumonia.
"Grandma, I'll give you a personal examination..."
Measured blood pressure,
A little low,
Only 90/63...
stethoscope
Lin Feng used a stethoscope to listen to Grandma's lungs...
I can't hear it!
Crackles are heavy!
Pneumonia should not be light!
Stopped my heart, fortunately there was no murmur, and it was healthy.
"Grandma, are you sure you don't have any symptoms of breathing difficulties?"
"It's a little, but it's not a big deal..."
"Okay, grandma go draw blood, do a blood routine, take a CT chest x-ray... Once there is a wrong breathing, immediately find a nurse doctor to explain the situation in time, you know? "
Lin Feng was afraid of a poisoning pneumonia directly, and then fall, or even an infection shock... That's troublesome.
"Okay, okay..."
......
An hour later,
Grandma returned with the inspection report.
Blood count: the white blood cell count is much higher (bacterial infection is more serious), and the neutrophil count and proportion are elevated
Blood routine: only three-quarters of platelets...
· CT: Pneumonia is confirmed, but not severe pneumonia...
Lin Feng took a look,
Confirm pneumonia undoubtedly,
But
There is also an anemia, and it is very severe kind!
Obviously, Grandma's face was pale, not caused by cough and pneumonia as Lin Feng thought at first, but anemia!
Lin Feng told his grandmother about his illness.
"How is that possible? I've always eaten well and slept well, why is it like this? "
Grandma looked incredulous.
"Grandma, this anemia should be a problem of taking medicine... Did Grandma pay attention to poop? Black? "
"No..."
Lin Feng nodded.
"I prescribed some pneumonia medicine, as well as iron (blood supplementation), and remember to take it when I went back... Then come back a week later for a review, remember to be sure to review Oh, and then the three medicines you usually take, I will give you a little less... If there is any problem in the middle of this week, you have to come to the hospital in time to see a doctor, you know? "
Lin Feng said patiently.
"Okay, okay..."
"By the way, Grandma, your condition is still a little serious now... Hospitalized for observation tonight..."
"Okay, okay..."
It was almost four o'clock in the morning that Grandma's son arrived, and Lin Feng only knew that he had rushed back from abroad.
——————
Summary: Rheumatism, must pay attention to re-examination, can not always take the same medicine, to follow the doctor's advice to eat.
......
At this point,
There are no patients,
So Lin Feng chatted with a group of nurses on the night shift to blow water.
Naturally, jokes are inevitable:
「
There is a loli nurse who is short in height, so sometimes it will be very troublesome to change the infusion hanging bottle for the patient, and no matter how hard you try to hang it.
At one point,
A new intern who sees nurses struggling to hang hanging bottles, it's hard.
So he said, "I'll help you." "
The little nurse's face was full of gratitude: "Thank you..."
Before he finished speaking, the new intern picked up the little nurse...
Nurse: "..........................."
」
"Hahaha~~~~~"
A bunch of fools, laughing together.
Gee, the laughter is really low ~~
suddenly
The nurse's station rang sharply with a hurried phone.
The nurse hurried to pick up.
"This is the emergency department of Harmony Hospital..."
"I'm here in the 120 ambulance, I'm taking a patient, going to your place, and 2 traffic lights..."
"What happened to the patient?"
"The patient, a 47-year-old male, had severe chest pain caused by eating a lot of soybeans, but I measured it here and my blood pressure exceeded 170/120! ......"
“！！！！"
The nurse was taken aback.
This blood pressure, so high!!
"Okay, I'll get ready right away!"
At this time, Lin Feng and a few nurses had already pushed the flat car and rushed to the gate of the emergency department.
。