bookpower Chapter 243
Chapter 243
"Huh, mango?"
This evening is 23:30.
Lin Feng came to the emergency department and prepared to hand over the night shift (N shift).
As soon as he entered the lounge, Lin Feng was surprised to see a fruit basket on the lounge table.
A whole bunch of mangoes...
"What's going on? Who sent the fruit? "
"Doctor Lin, it was sent by the son of Aunt Zhang in the canteen, and the pennant given to you..."
Lin Feng pennant +5...
"But why send mangoes?"
Lin Feng covered his face.
Mango, meaning: busy...
The doctor is most afraid of mango, a fruit, I am afraid that the god of the night shift tonight will not be able to cover it, and he will be busy becoming a dog.
Just after checking the room and handing over the shift, Lin Feng officially went to work.
......
24:05min
A male emergency patient in his 40s came to the emergency department with the help of his family.
Lin Feng,
The patient sits down.
"Name? Age? National ID number? "
"Lin Jichun, 46 years old, ID number is XXXX..."
"What's the situation?"
"It's like this, in the afternoon, I went to work, suddenly I felt a very painful chest, I almost fainted at that time, and not long after, it turned into chest pain and abdominal pain."
"Wait, how long is it?"
"Ten minutes..."
"Do you have a medical history?"
"High blood pressure."
“？？？"
Lin Feng thought of the old man with severe high blood pressure last time and did not take his medicine on time.
"Just said where is chest pain? Front, back? Up and down, left and right? "
"Back pain."
Lin Feng suddenly became alert.
If there is a "tearing" pain in the chest and back, it is likely to mean a disease with a very high mortality rate:
"Aortic dissection"!
(ps: I wrote about this disease earlier)
Or another name: "aortic aneurysm" (ps: due to translation problems, tumor does not mean tumor, there are other meanings, aortic aneurysm is not a tumor).
Of course, it may also be acute gastritis, acute cholecystitis, renal colic, peptic ulcer, acute pancreatitis and other diseases, confused.
"How much does it hurt?"
"It hurts, it's like being torn apart!"
Lin Feng now raised his vigilance again!
The probability of aortic dissection has increased to 70%...
"How many years have you had high blood pressure?"
"Ten years."
"Did you take your medicine on time?"
"Oh... This..."
The patient was embarrassed.
Lin Feng understood, that is, he did not take medicine on time and did not actively and formally control blood pressure.
The probability of aortic dissection has increased to 90%...
"Xiao Wang, take a blood pressure measurement for Mr. Lin..."
"Okay."
Lin Feng instructed the nurse to measure the patient's blood pressure, and then Lin Feng continued to consult the patient.
"I thought it was a stomach attack, and after taking two stomach pills, there was no effect."
At this time, Lin Feng finally found the patient's medical record information from the system of Harmony Hospital.
A year ago, a gastroscopy was done, erosive gastritis.
"I used to have stomach problems, so I thought it was a stomach attack at first."
"Therefore, I did not come to the hospital at the first time, and after the oral stomach medicine was ineffective, I drank some ginger sugar juice water, not only had no effect, but had a headache, wanted to gag, and felt a little flustered."
At this time,
The patient's wife couldn't help it.
"Doctor, you don't know, my husband is so stubborn, it hurts when he sleeps, he kneels directly on the bed, sweat keeps coming out, I let him come to the hospital to see a doctor, he refuses to live or die!"
In the end, I still forced him to come to the hospital.
Lin Feng: ".................."
I couldn't help but sigh in my heart.
Why are patients in such severe pain reluctant to seek medical attention?
On the one hand, it is to trust your own judgment: stomach disease, take medicine and it will be fine.
On the one hand, I don't want to spend money on hospitals.
On the one hand, do not trust hospitals.
At this time, the nurse girl had completed the blood pressure measurement.
Left upper extremity blood pressure 180/115 mmHg,
Blood pressure in the right upper extremity is 170/110 mmHg
This blood pressure is already very high!
"Did you take antihypertensive drugs when you came?"
"After eating, after eating, it is much more comfortable."
Lin Feng was even more vigilant in his heart.
After taking antihypertensive drugs is still so high, then when you don't take medicine, won't it soar to 200?
The probability of aortic dissection has increased to 95%...
Lin Feng: "In this way, I suspect that your disease is aortic dissection, which is a very serious disease..."
Then, Lin Feng said about its seriousness.
According to the statistical conclusions:
If it is really aortic dissection, 25% of people die within 24 hours! 50% of patients die within a week! The mortality rate is as high as 75% one month after the onset! And one year after the onset, the mortality rate of the disease is as high as 90%!
The mortality rate is so high!
"Huh?"
"So serious?"
Both were taken aback and frightened.
"Doctor, don't lie to me!"
Then, the middle-aged male patient's face showed a vigilant look.
That's exactly the same as the old man three days ago!
That's distrust!
It was as if Lin Feng wanted to deliberately cheat him out of money.
Lin Feng's heart was on fire.
Ignorance!!
However, this patient is different from the old man. It turned out that the old man was not so serious, and the patient in front of him was very serious.
The conscience of the doctor, Lin Feng needs to persuade the patient as much as possible.
Lin Feng looked at his wife.
"My diagnosis was like this, I think your husband's disease is very dangerous, and he needs to go for chest CT, and if necessary, aortic CTA. And it can't be delayed, surgery needs to be performed as soon as possible! "
Middle-aged male patient: "Doctor, how much is this Ct?" "
Lin Feng: "More than 200." "
The middle-aged male patient was surprised: "So expensive!" "
Another expression of Lin Feng cheating him out of money.
Lin Feng: ".................."
Really want to peel off this person's head to see, with more than 200 in exchange for a life, are not willing?
The wife said: "Inspection, must be checked, although more than 200 is expensive, but..."
Before he finished speaking, he was interrupted by the patient.
"No, absolutely not, I don't check, I'm just having a stomach attack, at best, it's just a more serious stomach disease, just take some medicine."
Even cursing
"What's wrong with the doctors now? Won't you see a doctor without the instrument? What tests do you need to do when you are considering a disease? Can you get your money back if the test is normal? Isn't the people's money not money? Do you think that ordinary people make money as easily as you do? "。
Lin Feng: "..........................."
Malgobi!
I can take my pulse too!
But how to prove that the disease is aortic dissection?
Will you believe me?
In the end, you still won't believe it!
In the end, you will only trust the instrument!
This kind of patient!
Can't afford to mess with it!!
。