bookpower Chapter 244
Chapter 244
In the face of such a stupid patient,
Lin Feng didn't want to persuade either.
"As a doctor, I have an obligation to tell you the results of my diagnosis. As for whether I accept it or not, I don't care. You don't check, you bear the consequences yourself? "
The middle-aged male patient looked disdainful: "Threaten me?" Scare me? I still don't know about you doctors? Just want to covet my money. This is my disease, I don't need you to be responsible, I am responsible for myself! "
Lin Feng scoffed.
Are you responsible for yourself?
You have no idea how dangerous you are!
After you die, do you still have this responsibility?
Lin Feng's face was cold,
However, in order to avoid the patient saying at the end: "You are doctors, you understand, we ordinary people do not understand!" "
Therefore, Lin Feng recounted the condition again.
"Sign it..."
"Write: I have been informed in detail by the doctor about the possible possibility of "aortic dissection" and the danger, and have refused the doctor's recommendation for further examination and treatment... And the signature, the time, how many points..."
When the middle-aged male patient heard this, he snorted coldly: "Sign it!" "
"Wait..."
At this time, the wife couldn't help but speak.
"Husband, let's go for examination, I see that this disease is really dangerous."
She felt the solemnity of Lin Feng's attitude.
The middle-aged male patient was stubborn: "What is the use of doing this CT?" So expensive? I am a stomach disease, stomach disease is better to do gastroscopy! Now I just ask the doctor to give me some pain relief potions, and the doctor refuses me to do anything. "
His wife was in tears: "The doctor said that it can't be diagnosed, and he wants you to do CT, but you don't do CT, the doctor sees the doctor like this?" When you come to the hospital, listen to the doctor! "
And then
Another 10 minutes of bickering persuasion.
Finally, the middle-aged male patient finally agreed to go for a CT examination.
......
Because aortic dissection is a disease that can lead to death at any time.
The patient in front of him has been torn to the abdomen, which may have been very serious.
So
When doing CT, Lin Feng personally went to the imaging department and looked at the CT results on the spot, instead of waiting for half an hour for the CT results to come out.
"Doctor Lin!"
The female doctor on duty in the imaging department saw Lin Feng, her heart was overwhelmed, and she felt bored about the night shift, and this moment became wonderful and active.
Happy mood ~~~~
"I'm going to give this patient a CT... You just rest, I'll operate. "
"Okay!"
Doctors in the Department of Imaging know that Dr. Lin Feng not only knows all kinds of operations, but also CT, X-ray, B-ultrasound, MRI...
Everything is proficient, and it is too good to be good.
Some people even say: Appearance determines knowledge?
......
10 minutes...
CT results are in.
Sure!
It is "aortic dissection"!
5cm near the pulmonary aorta!
A 1cm large aortic dissection (tumor) occurred!
"It's real!!"
Hearing this result,
The patient's wife broke out in a cold sweat!
And the middle-aged male patient, at this moment, was too scared to speak, remembering that he had just sworn to say things like 'just stomach pain' and 'I am responsible for myself', and he was afraid for a while.
"Dr. Lin, you can save me!"
The middle-aged male patient completely relented at this moment.
Not stubborn!
He didn't dare to be stubborn, his life was gone, and he quickly begged Lin Feng for help!
He is only 46 years old and does not want to die!
Lin Feng nodded: "Don't worry, I will try my best to help you..."
Lin Feng did not take the patient's complaints to heart at all.
Not because of Lin Feng's generosity, but because there are too many such things in daily work, and he has long been accustomed to it.
The profession of a doctor has received a lot of social praise, and naturally it has to pay a lot.
At this point,
What Lin Feng thought in his heart, how to operate on this patient.
Conventional medication is definitely needed.
But surgery is also required.
The first type: surgery!
The second type: interventional surgery!
The two surgical methods are as follows:
Surgery: This is the most definitive treatment for aortic dissection and is usually "cured." The surgical treatment method is to replace the diseased blood vessel, eliminate the false cavity, and rebuild the blood supply of the branch vessel.
Interventional surgery: The intervention method is mainly endovascular repair/isolation, through the elastic expansion force of the special "covered stent", the artificial blood vessel is seamlessly fixed to the normal arterial wall at both ends of the diseased artery, and the dissection is closed.
Disadvantages of both sides:
Surgery: large trauma and poor prognosis
Interventional surgery: small trauma, fast prognosis, but may not be cured, there is a risk of recurrence.
Lin Feng then asked the patient to go for a complete "aortic CTA" examination.
"Aortic CTA": refers to the vascular imaging technique of the aorta under CT, that is, aortic CT angiography.
soon
The results came out.
This time it is more carefully displayed.
Lin Feng made a detailed assessment of the condition, and finally felt that it was better and faster to use interventional surgery.
In recent years, the "Hybrid" hybrid surgery concept has also begun to be used in AD (aortic dissection) to reduce the scope of surgery, reduce the operation time, avoid the huge trauma of the surgical operation, reduce the mortality rate, and have achieved good clinical results.
Lin Feng asked, it just so happened that Harmony had the corresponding bracket equipment, of course, it would be a little more expensive.
"Everything is at the doctor's disposal!"
At this point,
The stubborn middle-aged male patient has become obedient, as for the money, he no longer thinks about it, he only feels that what Lin Feng said is the best, and he can trust it unconditionally.
Half an hour later...
Pushed into the operating room...
Angiography......
Insert the guidewire, then follow the catheter + stent ...
Implanted stents, gelatin sponges...
Withdraw, stop the bleeding ...
End surgery...
The whole operation took only 30 minutes.
Very simple.
Also fast.
"Is this done?"
The middle-aged male patient is unbelievable!
He was going to have surgery for a few hours...
As a result, go up, 30 minutes, come down ...
Not even anesthesia!
That's it!
However, the tearing pain in the back is gone!
Unbelievable!
The wife is also unbelievable!
The two couldn't help but shout!
"Dr. Lam is awesome !!"
Subsequently, after a day of testing, the patient was discharged directly from the hospital if he was fine.
"Thank you Dr. Lin!!"
Again a fruit basket + pennant ...
Lin Feng Pennant achievement +6...
"Remember to take antihypertensive drugs on time..."
"No problem, Dr. Lin!"
At this time, the middle-aged male patient has completely turned into a die-hard fan of Lin Feng!!
。