A hundred days after signing in, the first surgery shocked the world!

Chapter 154

After Lin Feng exchanged warm pleasantries with the county leader, the county leader invited him to dinner in the evening.

Lin Feng followed the customs, so he agreed.

The county leader saw Lin Feng's enthusiastic attitude, and couldn't help but think in his heart:

"Dr. Lin has 20 million followers on Weibo, and my Xinyuan County has many tourist places, which are only 2 hours' drive from all parts of the provincial capital, maybe Dr. Lin can be the image ambassador of our county..."

The county leader is also a leader who has a very up-to-date vision, so he came up with this method.

This matter should be considered in the long term and should not be rushed.

The county leader left happily.

And President Liu Changming enthusiastically pulled Lin Feng and entered the hospital.

Vice Dean Lin Feng was modest: "Dean Liu, I just came, I don't know anything, or you will arrange it in the next two days?"

Dean Liu laughed and said, "Well... How about going to the emergency department today, going to the whole hospital room tomorrow? I'll have all the doctors listen? Tomorrow afternoon you're going to pick two patients and do an operation? All the doctors study?"

In short, it is to maximize Lin Feng's advantages as much as possible.

Not limited to one department, but taught all subjects!

Dean Liu has already inquired that Lin Feng worked as an emergency doctor for a year when he was in the First Hospital of the City, and he has rich experience in general medicine.

Lin Feng nodded: "No problem, I listen to Dean Liu's arrangement!"

......

At 10 a.m., Vice President Lin Feng's first general emergency department officially began.

Outpatient clinics are closed.

All the patients who came to see the patient gathered here in Lin Feng.

Because there are too many doctors studying, Dean Liu directly uses a live video broadcast, the camera is focused on Lin Feng's diagnosis process, and then played in the large media conference room, and the learning doctor can watch the video live broadcast in the conference room.

Before it even started, the doctors started talking.

"General practice, can Dr. Lin really do it?"

"It should be fine, Dr. Lin Ken said. "

"I heard that Dr. Lin is very good at all medicines!"

Lin Feng turned on the calling machine,

First patient, start!

......

The first patient,

A 48-year-old man surnamed Huang, a villager.

and his wife.

"Doctor Lin, my right eye is a little painful, and now I can't see things clearly, you can help me see..."

Huang villagers felt incredible that Lin Feng was so young, but he heard that this Dr. Lin in front of him was invited from the big city by the county hospital, and he directly became the vice president.

Vice-President!

That's a big guy they can't usually touch with the chain!

The strength must be good!

Lin Feng wore gloves, disinfected with disinfectant, and then checked the right eye of the Huang villager.

Right eye: hyperemia, redness and swelling are very severe.

Right eye: The omentum has obvious exudation, bleeding, and peeling, and the lens is cloudy.

Right eye: There are signs of retinal detachment

Lin Feng suddenly became vigilant.

This is definitely not an ordinary eye disease!

Lin Feng was serious: "You tell me the details..."

Huang villager: "Good doctor, five days ago, I felt a little pain in my right eye, at first I thought it was into the sand, rubbed it, it didn't work, originally I had "trachoma", and then used "erythromycin eye ointment", but then the right eye became more and more painful. "

"The next day, it was more serious, and my vision began to blur, I was a little afraid that my eyes would be blind, so I ran to the clinic and went to the doctor at the clinic, the doctor said that I was "conjunctivitis", and then prescribed me "norfloxacin eye drops"..."

Lin Feng nodded.

Norfloxacin eye drops, broad-spectrum antibacterial drugs, an antibiotic, have a certain therapeutic effect on various inflammatory infections caused by Staphylococcus aureus.

Lin Feng: "And then?"

Huang Villager continued: "I used it for another day, and I felt even more wrong, the whole right eye was completely invisible, it was hazy, and now I look at the left eye to support it. "

Then, I went to check again, the doctor at the clinic finally said that it was not conjunctivitis, but "acute panuveitis", the eye drops prescribed the day before yesterday were antibiotics that were useless, and I needed to use anti-inflammatory drugs "dexamethasone", and then I was prescribed a new drug to me, and after using it for one day, the pain in my right eye was even worse, and I also felt swollen and swollen, and my head hurt. "

"Dr. Lin, can you help me!"

Villager Huang was really panicked in his heart, he was really afraid that he would lose his sight in the future.

Lin Feng began to verify various experiences in his mind at this time.

This eye does not look like an ordinary eye disease.

Lin Feng: "In addition to your eyes, do you have any other problems with your body?"

Villager Huang thought for a while: "No..."

When my wife heard this, she was anxious: "Why not! You don't say that you are dizzy, have a little low-grade fever, have a bad appetite, have not eaten anything, these days feel that you have lost weight, and cough..."

As soon as Lin Feng heard this, his vigilance was even higher.

Fever, appetite, these, may not be eye problems, but chest and abdomen problems!

Lin Feng instructed the hospital assistant to print out the chest CT list and hand it to the villagers of Nahuang.

"Right away, go for a chest and abdomen CT, as soon as possible!!"

Villager Huang: "Ah? Do you still have to check these? Don't I have an eye problem?"

The wife urged: "The doctor tells you to go, you go!"

Hurry up and go for CT.

After Lin Feng watched them leave, he began to broadcast live to the camera, and began to review the case to those doctors.

"This patient is very typical, there is a disease in the eye, first of all, you can list various eye diseases, inflammation ... In the patient's use of antibiotics, antibacterial drugs (not anti-inflammatory, the specifics will not be detailed for the time being) are useless, then the ophthalmologist should be careful, it may be caused by other causes... At this time, the ophthalmologist should find a doctor in other departments to diagnose. "

The ophthalmologists at the county hospital nodded.

Experience +1+1+1+1+1+1+1+1...

Next, Lin Feng continued to receive other patients.

The second, the third, the fourth...

The tenth, the eleventh...

They are all common diseases, and Lin Feng sees a doctor quickly.

While seeing a doctor, through live video, we impart the medical knowledge and experience of the relevant system of doctors...

County doctors: experience +10+10+10+10+10+10...

At this time,

Huang villager and his wife took CT films and ran over at high speed.

"Doctor, the results are out!"

"Doctor, help my husband see if there is a problem!"

Lin Feng took the CT film and took a look!

Really!

There is a big problem!

· CT can see that Huang has several lumps in both lungs and liver, and some lumps have cavities with fluid inside.

Conclusion: lung abscess, liver abscess!!

Lin Feng's face became serious!

No wonder the patient has a cough and fever again!

This is all the scourge of lung abscesses!

The only good news is that this lung abscess is not large, it is still small!

In addition to lung abscesses, there are also liver abscesses, fortunately not big!

Lin Feng combined with experience and roughly came to a conclusion!

"Klebsiella pneumoniae infection"!

Klebsiella pneumoniae is the most important class of bacteria in the Enterobacter family Klebsiella (commonly known as pneumonia bacillus), and the diseases caused by it account for more than 95% of Klebsiella infections.

This is a bacterium, because it often causes pneumonia, is very aggressive, and is very easy to spread with the bloodstream to the eyes, lungs, brain, bone marrow, and so on.

The progression of this disease is very fast, if it is dragged until the last invasion of the brain and spinal cord, it will definitely die!

And its aggressive liver abscess syndrome, there are three typical manifestations: "liver abscess", "lung abscess", "endophthalmitis"!

This is exactly the same as the patient in front of you!

Experienced doctors, looking at the symptoms of these three together, it is estimated that it is easy to associate this disease.

In fact, the average patient will first have liver abscess symptoms (that is, abdominal pain and bloating), and then spread to the eyes, resulting in endophthalmitis, swollen and painful eyes, and decreased vision.

However, the patient in front of him is the opposite!

Only the eyes have symptoms (lung, liver symptoms are not obvious), so I went to see a clinic doctor, the clinic doctor did not understand such a profound thing, only thought it was an eye disease, and then delayed the condition.

Fortunately, when the patient in front of him found out that it was this disease, it was already a little too late.

The patient Huang villager panicked and asked, "Doctor, how is it?

Lin Feng nodded: "The reason has been found, you have abscesses in your lungs and liver, it should be caused by "pneumonia bacillus"..."

"Huh? Lung, liver abscess?"

"Is this disease really fatal?"

The two couples felt fainting and shaky!

Huang's wife's tears were about to fall.

Lin Feng: "But the good news is that the liver and lung abscess are not serious, and there should be no surgery, but you need to be hospitalized now, observation and treatment, today and tomorrow I am in the hospital, I will watch, rest assured..."

"Okay, okay, thank you doctor..." The two couples sighed in relief and nodded their heads in thanks.

Lin Feng began to dispose of it.

First, draw blood culture to see if it is really "pneumonia bacillus" (all test results have the final say).

Second, temporarily use the strongest antibiotic "imipenem", try to control "pneumonia bacillus", and then let the body's resilience continue to recover!

Lin Feng thought for a while and said to the patient: "There is another thing, you have to be mentally prepared: the bacteria in your right eye may infect the brain at any time, so be prepared to remove your eye!"

"Ah!" When the patient heard this, he suddenly stumbled and fell to the ground, his face sad.

Lin Feng shook his head.

He's not a god, he's just a doctor, he can only help here...

Soon, the patient paid the fee and was admitted to the hepatobiliary surgery department, where he was given strong antibiotic treatment, and at the same time the liver abscess was punctured and drained to suck the abscess away.

Surgery is not needed anyway.

As for whether to cut off the right eyeball first? It's a difficult choice.

In the end, the patient chooses to keep it first and see the follow-up...

......

Soon, the morning was over.

Lin Feng received a total of 47 patients.

One of the more typical is the patient of the pneumonia bacillus just now.

But

But the county doctors felt that they benefited a lot!

Lin Feng received 47 patients, basically covering the whole department, Lin Feng while receiving treatment, while giving them lessons, from knowledge to experience, very systematic, so that every doctor seems to have a 'sense of new life'!

"Doctor Lin, awesome!"

"I feel much better than the teacher I went to school back then, lecturing!"

"I feel like I've improved a lot!"

"I think so too!"

"This is the legendary big guy!"

"Annual salary of 500,000 yuan, vice president, deserved!"

......

Afternoon

Continue emergency room visits.

Call sign.

First patient.

Male, surnamed Chen, in his 30s, dark skin, wearing construction site overalls, a lot of dust.

In his hand, he carried a bunch of films, X-rays, CT...

Worker Chen sat down and looked at Lin Feng with respect: "Doctor Lin, I heard that your medical skills are very powerful, my right ear is always buzzing and noisy!"

Lin Feng nodded: "Tinnitus, right, only the right ear?

Worker Chen nodded: "That's right, tinnitus, only the right ear, very noisy, no matter day or night, the right ear keeps ringing, rumbling, has been ringing for more than 3 months, I now listen to others chatting very hard, sleep is noisy." "

He said with a bitter face.

Lin Feng: "Have you checked?"

Worker Chen immediately became indignant: "I have come to the county hospital many times to check on the ear, nose and throat, brain, nerves... Later, I went to the psychiatric department..."

Then he carried the handbag, a bunch of reports.

At this point,

The doctors watching the live broadcast in the conference room have already begun to talk.

"I have had several ENT consultations for this patient, and I have never been able to find the cause of tinnitus. "

"My brain department also saw it, he fell, but there was no tumor, no cerebral hemorrhage or anything..."

"I also looked at the neurology department, and I really didn't see any problems..."

apparently

This patient has become several 'regular customers'.

"I wonder if Dr. Lin can help us solve this patient. "

"How could it be, could it be that Dr. Lin..."

......

Lin Feng's side checked the patient's ears.

Didn't find any problems with the ears!

Begin to ask the patient's medical history, life in detail...

The more you ask, the more you ask,

The more frowning the brows!

Still didn't find any problems!

Look at the results of various examinations of the patient...

Still didn't find the problem!

"That's weird..."

Lin Feng looked at this patient carefully, shouldn't it be to me?

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PS: Inflammation: It refers to the body's defense response to a variety of damage factors, not all of which are caused by bacterial and other microbial infections.

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