AFTER 100 DAYS OF ENTRY, THE FIRST OPERATION SHOCKED THE WORLD
Chapter 9's
at this moment,
Zhang Yuan's mood was still very shocked.
Since Lin Feng had just asked the doctor, he did not look like a funny new person at all, but like an 'old driver'.
·the problem is accurate!
· physical examination is also accurate!
· the examination list is also very precise, and it is clear that there is a certain degree of certainty in the assessment of the cause of the disease.
Zhang Yuan asked himself that he had been deeply involved in the emergency department for several years, and he was at Lin Feng s level.
His experience also thought of pancreatitis for the first time.
"Is this really the first consultation?"
"F* ck, are there excessive geniuses in this world?"
Zhang Yuan was stunned silently.
"Doctor……"
At this moment, the young man looked at the stack of checklists and hesitated.
As a patient, especially those with poor economic conditions, I am most afraid of all kinds of checklists. Once they are checked, several hundred yuan will come out.
“Doctor, I maag. The same symptoms were infused here half a month ago. Two bottles of medicine can be cured.”
The patient does not want to spend this money.
Lin Feng shook his head: "I've read your medical records and know that you've been here for the treatment of acute gastroenteritis last time, but ..I judge, you shouldn't be gastroenteritis, you shouldn't be, but pancreatitis."
"You took a deep breath."
“Sucking~~ Cough cough~~”
The fat young man was holding his stomach with excruciating pain.
Lin Feng: “See, this is also one of the manifestations of pancreatitis. It's shallow and fast ... Many manifestations indicate that it may be pancreatitis ... "
However, the fat young man was still in disbelief, he was very firm.
"No, I'm supposed to have gastroenteritis, just drink a bottle."
“…”
"Doctor, open the sling for me to hang water!"
“…”
The fat young man handed him a cigarette: "Doctor, save our money ..."
At this moment, Lin Feng had a headache.
'Doctors, we are poor', 'Doctors, please prescribe cheap medicine', 'Doctors, save our money'. Many doctors do not like to listen to words like this, because it sounds like they are asking the doctor. Medical ethics (although there are many doctors whose medical ethics are bad).
Lin Feng held back his anger and persuaded: "That could save, I will definitely save you, but for your illness, my opinion is to do this examination."
Then patiently explained "pancreatitis" to the fat young man and explained the danger.
The fat young man insisted: "The examination is just a waste of time, should I get an infusion first?"
Lin Feng: “...........
Finally he grinned.
"Check or see another doctor!"
Lin Feng would not contradict his own diagnostic principles. He would never prescribe a treatment plan indiscriminately.
"Next!"
The corner of the fat young man's mouth moved, and finally took the checklist and went for an examination.
…
after an hour,
The fat young man came back with the test results.
· blood amylase value 5 times higher than normal.
·……
· the CT results showed that the patient's pancreas underwent clear exudative changes.
Based on all the indications, Lin Feng had made judgments with countless world-class experiences.
“Doctor, how? What is gastroenteritis?"
"It's pancreatitis .. be prepared to be hospitalized ..."
Lin Feng knew that this pancreatitis was not a mild illness, and could cause death if it was not noticed.
"What's? Acceptance?"
The fat youth was startled on the spot, stood up suddenly, and looked at Lin Feng in disbelief.
“Isn't it just a little pancreatitis? Why should I be hospitalized?”
To be admitted to the hospital requires a lot of money.
Lin Feng had to explain again the severity of the pancreatitis.
“…”
Finally, the fat young man agreed to be hospitalized under Lin Feng's persuasion.
Lin Feng contacted the inpatient department, then arranged the bed and issued an admission form.
The fat young man said at this time: "I'll go to the toilet."
Lin Feng: "Come out and turn left ..."
5 mins……
10 mins……
15 mins……
The fat boy has not returned.
"F * ck .. Did he escape?"
Lin Feng had just woken up at this moment, obviously the young man did not want to be hospitalized!
Ten thousand mud horse grass rushed past their hearts!
"Forget it, this is not my destiny."
Lin Feng discovered for the first time that no matter how strong his medical skill was, it would not cure everyone.
After seeing a few more patients, Lin Feng continued to think about the fat young man in his mind. In the end, he couldn't bear to see his patient die, so he asked the nurse to call the fat young man and try his best to contact him.
As a result, I made a lot of phone calls and it never worked.
Lin Feng gave up.
"It's hard to convince that damn thing ..."
…
Lin Feng quickly forgot about this patient.
As a result, on the third day, the ICU called from the intensive care unit, saying that a patient with severe acute pancreatitis had been treated and surgery should be performed as soon as possible.
Lin Feng had to be invited to a consultation.
Lin Feng wondered: "Why do you want me to leave? Am I in the emergency room? Didn't I ask the specialists to leave? ”
Nurse icu : “Dr. Lin, this is the problem. This patient was in your emergency room two days ago. You made the diagnosis at the time. You are familiar with the condition and have a reference value ... "
Lin Feng suddenly said, "Oh, this is it, is he in the hospital?"
Laying down the phone command, Lin Feng rushed to icu.
He's a little quiet. The obese male patient delayed his illness and extended acute pancreatitis to severe acute pancreatitis.
Acute pancreatitis can also be controlled with medication, but severe acute pancreatitis cannot be done. A major operation is required to clean the necrotic tissue.
Severe acute pancreatitis: 20% -30%, the hospital mortality rate is 15%, and the cost of treatment is very high.
The profit is not worth the loss.
