bookpower Chapter 268
Chapter 268
3 hours later...
The female patient has no symptoms, and the rash has subsided by half, and it is estimated that it will completely subside tomorrow.
Then, she was ready to be discharged...
Before leaving, she came to Lin Feng's consultation room and found Lin Feng.
A sincere thank you.
"Dr. Lin, thank you... If it weren't for you, I'm afraid I would have been!"
Lin Feng nodded and waved his hand: "Well, let's go..."
Lin Feng looked at the back of the female patient leaving, and his mind flashed one by one patients who were stung by bees.
A child patient, stung in the countryside, rural people have always been more courageous, the patient's mother insisted that the patient go to the hospital, but was persuaded by many people: "Stung by bees, small meaning come..." and then failed to go to the hospital in time, and finally led to death by suffocation.
After a male patient, in the city, was stung, after a large number of rashes, the family did not trust the small hospital (20 minutes away) and felt that they had to be sent to a large hospital (40 minutes away), but because the time dragged on too late, they could not be rescued.
These are tragedies.
Lin Feng thought about it and felt that it was better to share this case.
Suddenly, I thought of rabies, myasthenia gravis... These two special diseases.
Just share it together.
To medical staff and netizens across the country, popularize science.
Open Weibo that I haven't used for a long time.
(Weibo: Bah~~~ When I use people, I think of people~~scumbags!)
Write down the content:
"Share two cases: one was misdiagnosed with rabies/myasthenia gravis and the other was bee allergy. "
"Case 1: Muscle weakness..."
"Summary: When encountering suspected hydrophobia, do not arbitrarily think that it is "rabies", or it may be "myasthenia gravis". "
"Case 2: Various bees..."
"Summary: Once a large eruption occurs, or... Wait for discomfort, go to the hospital as soon as possible to deal with it, pay attention: to be nearby, must be nearby, do not pursue a large hospital!"
Screenshot picture,
Tweet.
click
Publish!
......
At the same time,
Lingnan,
A municipal people's hospital.
Emergency Department.
A patient with an unexplained fever (15 years old, male), late at 120 at night, was admitted to the emergency department.
Symptom:
Fever ...
Fatigue, feeling bored...
Headaches...
Dr. Chen Jiwen (29 years old), a resident in the emergency department, did not reach a conclusion after a diagnosis, then called several departments, consulted together, and finally investigated one cause after another, and finally determined the real cause.
Rabies!!
Diagnostic evidence: hydrophobia + 1 month ago bitten by a dog!
The attending doctor Chen Jiwen looked at the mother and son in front of him with a pitying face.
"Ms. Zhang, after the joint diagnosis of several of our departments, I am sorry to tell you the news, your son may have "rabies"..."
"Rabies? what is it?" the patient's mother was dazed.
"This is a special disease..." Dr. Chen Jiwen explained.
The patient's mother cried in her voice and begged, "Doctor, you must save my son... This child has had no father since he was a child, and I worked hard to pull him up..."
Dr. Chen Jiwen shook his head: "Ms. Zhang, I'm sorry to tell you that we can't do anything about rabies at present..."
"Powerless?"
After hearing this, the patient's mother suddenly softened and fell directly to the ground.
"Uh-huh~~~~ How is that possible?"
"Son, you can't leave earlier than your mother!"
"Over the years, I have finally pulled you up, and now I want me to send a white-haired person to a black-haired person?"
Crying is full of grief, liver sausages are broken, people can't help but cry sadly!
The other patients in the consultation room looked sideways.
When I know the truth of the matter, I can't help but sympathize.
Dr. Chen Jiwen wanted to comfort, but he didn't know how to comfort him, and finally turned into a long sigh.
If there is a weak heart, love can not help.
He returned to the consultation room and continued to see the doctor.
After half an hour, he had seen all the patients and was finally able to take a break.
He took a sip and turned on his phone.
Brush Weibo, tease...
"Huh, Dr. Lin updated Weibo?"
Lin Feng, a doctor that Chen Jiwen respects very much, usually likes to brush Weibo, so he paid attention to Lin Feng's Weibo.
Click on,
Take a look.
"Huh? misdiagnosis? rabies?"
Chen Jiwen's whole person was suddenly excited!
Suddenly sobered up!
The body couldn't help but sit up straight.
His expression became serious.
Look all the way down: the patient has no breath to enter the emergency department... Lin Feng investigates various diseases... Hydrophobia... Initial diagnosis of rabies... The result finally overturned rabies and finalized the result: myasthenia gravis!
At this moment,
Bang!!
Dr. Chen Jiwen's whole head exploded all of a sudden!
This case,
How is it so similar to the patient who just diagnosed himself!
Fever, fatigue, going to the emergency department... Exclude all kinds of diseases... Discover hydrophobia... Determine dog bite history... Presumptive "rabies"!
The patient's fatigue and softness do not correspond to myasthenia gravis?
At that time, I thought that it was because of a weak fever and caused poor breathing, but now it seems more like muscle weakness.
In addition, fever but white blood cells are not high, not all fevers will increase white blood cells, and even some fevers may also have low white blood cells.
Combine everything,
This patient is likely to be misdiagnosed by himself!
It is possible that it is not rabies!
It is possible that myasthenia gravis is present!!
This moment!
Chen Jiwen panicked!
Misdiagnosis, I also informed the patient's family of such a desperate diagnosis, this is definitely a medical accident!
He was extremely conflicted.
He hopes that he is not misdiagnosed, but also hopes that the patient is not rabies, after all, this is a life!
But
Conscience of the healer!
One life, more important!
He was even more worried that the desperate mother would commit suicide by jumping off the building with her child!
Whoops~~~
Dr. Chen Jiwen pushed down the stool in front of him and rushed out.
Anxious to look around.
Didn't find it.
He panicked even more.
Rush to the nurse's station.
"What about the kid with the fever? Where is it?"
The nurse was confused.
"Huh??"
"Do you know where the mother and son went?
Dr. Chen Jiwen's mood at this moment was very manic and vicious.
He was so anxious that he was about to crack.
The nurse was frightened, and quickly pointed out the door: "That mother and son, just left..."
Chen Jiwen rushed out, shouting while galloping:
"Ma Shan called the patient's mother, I misdiagnosed, it may not be rabies, call immediately, be sure to get through!!"
After speaking, he had already rushed out of the emergency room.
The nurse was stunned for a moment, but soon came to her senses, and her face changed.
Quickly pick up the phone, open the computer medical record information, find the phone number, and quickly dial it.
"Toot toot..."
The phone keeps ringing,
At this moment, the nurse's heart raised her throat!
"I have to answer the phone..."
...
On Dr. Chen Jiwen's side, he ran to the door of the hospital.
Anxiously, he looked around, looking for the figure of the mother and son.
I looked for it, but I didn't find it,
He found a possible direction and kept running...
Run, run...
Ran almost a kilometer, ran through 2 streets, 2 traffic lights ...
He was looking blindly, but the worry in his heart made him panic and continue to search.
Terrified!
Kick oneself!
Lose sleep over something!
At this moment, two figures came to him.
"Doctor Chen..."
Dr. Chen Jiwen looked up and saw the figure of the patient's child and mother.
I saw that the mother was looking at him with a smile, and there was a tear stain in the corner of her eye.
Dr. Chen Jiwen immediately became excited.
"Great, found you guys!"
"I'm sorry, I'm sorry, I may have misdiagnosed!"
Dr. Chan Kae Man kept bowing and apologizing to the mother and son.
Panting, he couldn't speak well.
The mother wiped her tears and smiled: "Just now I received a call from a nurse, she said that you may have misdiagnosed... Then I saw you, in a white coat, running all over the street..."
Although she was angry at Chen Jiwen's misdiagnosis, her son's hope for life and Chen Jiwen's panic of running all the way just now washed away her anger.
Chen Jiwen felt deeply guilty: "I'm sorry... I found another condition, very similar to your son, maybe not "rabies" or necessarily... Go back to the hospital, do a simple examination and come out..."
The mother wiped her tears and nodded: "Let's go quickly... Go back to the hospital for a check-up..."
The three hurried back to the hospital.
。