bookpower Chapter 241
Chapter 241
Cervical radiculopathy:
• Disorders caused by irritation or compression of unilateral or bilateral spinal nerve roots.
Watching the aunt lying peacefully on the hospital bed.
"Auntie has already checked and knows that there is cervical radiculopathy, and conservative treatment has no effect, so why not choose surgery?"
Lin Feng looked at the medical records, and since the previous year, he had already had this disease.
As a result, it has not been solved until now!
At this time,
Aunt Zhang opened her eyes.
"Xiao Lin, where am I?" The aunt rubbed her head, looked left and right, and asked.
"In the emergency department, Auntie, are you clear about your current situation?" Lin Feng asked with a sigh.
"What is wrong with me, it's all old problems, the doctor said before, as long as you don't do heavy work, I cook for you all day, what can happen?"
The aunt waved her hand and said quickly.
"No, Auntie, you think too simple." Lin Feng's face was serious: "I can tell you very clearly, the ideal situation is: not doing heavy work, can alleviate the frequency of symptoms, but the condition will continue to deteriorate over time, even if it is surgery, it cannot be cured... The longer it drags on, the more serious it is, and it can't be delayed any longer now! "
The auntie in the cafeteria is really good, and in the past month or so, she has taken care of Lin Feng, and even other doctors have cast their eyes.
"What to do with that unjust money, my body knows that my hometown built a house this year, and I still owe a foreign debt, and I can't afford it at all!"
The aunt waved her hand.
The child has just come out of college, and at this time he needs support from home, and it is already quite embarrassing to not be able to support it, if this is adding a burden to the child, how is it good?
"You don't have to worry about the money, I'll help you apply for a donation, it's really not good, I'll post it for you myself, anyway, it's not much worse!"
This operation, it is expected that 50,000 is enough.
Money.
The most unsavory thing about Lin Feng is that he makes such a fuss because of money.
And the aunt is an employee of Harmony Hospital.
After applying for a partial deduction and getting some donations, the amount will actually not be too large.
"How embarrassing is this, I won't do this operation, Xiao Lin, if you have the heart, don't tell the hospital about this, Auntie still wants to work for two more years to help the family pay off the debt!"
The aunt sighed heavily.
"Nope!" Lin Feng solemnly refused, "Auntie, you can't delay this disease!" "
"Eh, then since that's the case, Auntie will leave tomorrow, thank you." The aunt looked at Lin Feng with a kind face and shook her head.
When Lin Feng heard this, he quickly persuaded: "It is said that raising children and preventing old age, your child has just come out of school now, it is indeed difficult, but it will only get better and better in the future, is it possible that you don't want to watch your son start a family, just because of these tens of thousands of yuan?" "
The aunt pondered for a long time, and finally nodded.
"Okay, then Auntie will be admitted to the hospital first, and then make some preoperative preparations..."
Preoperative preparation, basically water and fasting...
(Some sand sculpture patients misunderstand: Is it forbidden to burn chicken legs?) Is it forbidden to milk tea? ）
In addition to the water and fasting,
Cervical radiculopathy requires additional surgical preparation:
"Esophageal tracheal left and right thrust training"!
Because of "anterior cervical surgery", the surgeon needs to use a blunt-tipped hook to pull the tracheoesophagus to one side in order to expose the cervical spine.
Under the influence of local traction, patients often have dysphagia after surgery,
And doing "shift training" can enable patients to adapt to left and right shifts, preventing reflex coughing, suffocation caused by traction of the trachea during surgery, and affecting surgery! "
At the same time, it can maintain a stable heart rate and breathing during surgery.
So how do you train?
It is usually done 4 days before surgery.
Twice daily with 15 strokes for 3 days.
......
Just as Aunt Zhang was preparing for the three-day operation,
Considering that the aunt had worked in the canteen of Harmony Hospital for more than ten years, the Harmony Hospital decided to halve the cost of the operation.
meantime
Donation activities for various departments were organized, and the entire cost of the surgery was quickly collected.
......
Emergency Department,
"Lin Feng is going to have cervical spine surgery now?"
"Abominable... Oh no, isn't Lin Feng good at orthopedic surgery? Cervical spine surgery doesn't seem to be so difficult to understand. "
"Calm, calm..."
"That's right, just get used to it..."
"No, why do we get used to it slowly?"
There are doctors, aware of the question: why do you gradually turn into salted fish these days? Shout 666 to Lin Feng??
A month ago, didn't he shout that he wanted to give Lin Feng a horse?
The status was overturned, so fast?!
......
At this point,
orthopaedics
Director Lu found Lin Feng.
"Lin Feng, regarding this orthopedic surgery of "radiculopathy", I want orthopedic doctors to come and learn, can I?"
"Yes!"
Lin Feng smiled.
Isn't this the model of the first court of the city?
Every time I perform an operation on my own, doctors from what department come to learn.
Harmony is no different from the first courtyard of the city!
Welcome!!
Director Lu got Lin Feng's consent, returned to the orthopedic department, and announced the news.
Soon, many orthopedic training, attending and interns enthusiastically signed up.
There are even several deputy directors and directors who have signed up.
They all hope to learn several new techniques from Lin Feng, and each new technology can make them like a treasure.
......
The next day,
Lin Feng is on shift P.
night
There are fewer patients,
Lin Feng was holding a thick medical book and watching it with relish.
22：00。
Beep beep beep ~~~~~~
An ambulance rushed into the door of the emergency department.
"Doctor, help me see my old man, what's going on?"
An old man in his 50s, lying on a hospital bed.
The spirit is not very good.
And from time to time retching.
And his wife, aunt in her 50s, and son in her 30s, looked at Lin Feng nervously.
"What's wrong with him?" Lin Feng asked in a calm tone.
"The old man said 2 hours ago that he was dizzy and nauseated, and at first he thought it was just a headache, or a stomachache or something, so he took some medicine, but it didn't work at all... So call 120. "
Dizziness, nausea, nausea, nausea?
This looks like high blood pressure...
"Xiao Ai, measure his blood pressure..."
"Okay."
Soon, Xiao Ai took a blood pressure monitor and measured the old man's blood pressure.
Up to 202/120mmHg!!
Lin Feng was shocked!
What a high blood pressure!
According to the classification of high blood pressure (low, medium and heavy), this is the highest level of high blood pressure!
"Quick, connect the ECG monitor!"
link.
Soon, the electrocardiogram began to appear.
There has been a clear T-wave change.
"It's high blood pressure..."
"Take the medicine right away!"
With the use of high blood pressure drugs, soon the old man's blood pressure decreased.
Half an hour later,
The old man regained some spirits.
"Wife, I'm fine, go, go home...!"
The old man felt that his spirit had recovered slightly, so he beckoned his wife and son to go home.
"Wait a minute."
Lin Feng shouted.
"What's wrong? Doctor? The son asked nervously.
"That's right, your dad's blood pressure is very high just now, and I think I need to improve some basic examinations, such as head CT, myocardial injury markers, etc..."
When the old man listened,
Fried!
"What for? Need it? "
The old man stared, twitched his mouth, and questioned warily.
Obviously full of distrust of hospitals!
Lin Feng was surprised: "If there is a disease to treat the disease, then you must check why the high blood pressure is, and whether the high blood pressure just now has caused any bad damage." "
The old man looked wary: "I feel much better now!" No need for examination, no need for medication, I will go back and lie down for a few days! "
Lin Feng: ".................."
Can't help but frown.
"You're just irresponsible to your body, you know? Your blood pressure just now is very high and dangerous, it is better to rule out the cause..."
In general, severe hypertension (greater than 180) can cause serious organ damage.
The old man shook his head again and again: "No need, I don't need it, your hospital just wants to pit my money!" "
Swearing......
"I don't know about your hospital yet, just a few hundred yuan for any examination, one or two thousand for a few tests!" Hmph, I'm not fooling you! "
Lin Feng was speechless.
Never mind
Not persuaded.
"Then remember to take the medicine according to the time when you go back, don't stop, you know?"
In the end, Lin Feng couldn't help but persuade.
As a result, the old man disdained:
"Cut, my friend said that antihypertensive drugs cannot be taken, otherwise it will be addictive!"
After Lin Feng listened, he was even more speechless.
Helplessly waved and let them leave.
Patients like this are seen almost every day in the emergency department: they rush to the hospital, then leave in a hurry to do nothing.
I am accustomed to stories of tragedies that occur because high blood pressure is not managed squarely, and I am used to patients who are not treated in time because of various rumors or self-righteousness.
There is a kind of patient: not only ignorant, but also paranoid, who does not trust doctors at all, does not trust hospitals!
Lin Feng has met such a patient now, what should he do?
Many doctors, when they step into the position of doctor,
Lots of pride!
I once thought that doctors are omnipotent, can turn the tide and save lives!
After being beaten by reality,
I know that doctors can cure diseases, but they cannot cure ignorance!
......
......
Three days,
Flashes by!
On the fourth day,
Afternoon, 16:30
Aunt Zhang's operation has begun!
Aunt Zhang was pushed into the operating room.
Inside the operating room.
Main knife: Lin Feng
First assistant, second assistant, circuit, instrument: surgeon nurse in orthopedics
Onlookers: Emergency department orthopedic doctors, orthopedic doctors
Lin Feng wore a surgical coat and walked onto the operating table.
The powerful aura that belonged to the Great Doctor couldn't help but radiate!
Orthopedic surgeons turned into elementary school students and looked up to their teachers.
。