Chapter 65

Lin Feng is about to sleep.

It’s a pity~~ Suddenly the inpatient department called.

A night nurse hurriedly said, “Emergency department! Is the doctor here?”

Lin Feng listened to her hurriedly. There should be a patient problem in the inpatient department.

“What’s wrong?”

“We are in the inpatient department of the Respiratory Medicine Department! We have a patient here suddenly, and an abnormal situation occurs. It is in shock! Our inpatient has already passed by for rescue, but he asked me to call the emergency department for help. Can you please immediately come over?”

Lin Feng snorted.

This is a common occurrence in hospitals.

The outpatient and inpatient departments are equipped with resident physicians in the undergraduate room, and there are also night shifts at night.

After all, this inpatient department is all patients, and they may have symptoms at night and need first aid.

Under normal circumstances, some situations in the outpatient and inpatient department can be dealt with by themselves, and it is not the turn of emergency doctors to intervene.

But there are special circumstances.

Such as this~~

The patient in the outpatient department suffered a sudden acute shock.

Need to be rescued.

At this time, time is very critical.

Resident doctors may be young and have no idea, and it is often too late to call the big cow in the undergraduate room for support. Maybe the day lilies were cold when the directors and deputy directors arrived, so they called emergency doctors to help while rescuing them.

Lin Feng didn’t say anything, grabbed his coat and ran.

At this time, it’s a race against time!

Race against death!

It only took Lin Feng 1 minute and 21 seconds to rush from the emergency ward to the inpatient department of another building.

Elevator, upper 17th floor, inpatient department of respiratory medicine.

A nurse was waiting anxiously at the door.

“What’s wrong?”

“Dr. Lin, go here!”

The nurse quickly guided Lin Feng to the 1709 ward. Lin Feng saw that the surrounding wards had been alarmed, and many patients were digging their heads, wanting to see what happened in 1709?

Entering the 1709 ward, Lin Feng saw a terrible scene!

A sturdy man, a tall patient, wearing a hospital gown, lying on a hospital bed, is still receiving intravenous fluids, but…

People are almost gone.

Next to him, an 8 or 9-year-old boy was crying loudly…

A young resident of the Department of Respiratory Medicine is hurriedly organizing rescue.

This back view?

Lin Feng suddenly felt a little familiar?

Isn’t this Liu Junwei, who is still vowing during the day to show himself good-looking?

Why did you ask yourself for help?

It seemed that Liu Junwei was in chaos, headless and flies, and the nurses couldn’t figure it out.

Seeing the rescue soldiers sent by the monkeys, Liu Junwei turned his head~~

“Are you here? Huh~~ is it you?”

Liu Junda’s eyes narrowed: “…”

Lin Feng: “…”

The two looked at each other!

This matter, don’t mention it too embarrassing!

I am most afraid of the sudden silence of the air~~

Liu Junwei’s face was blue and white~~

How to do?

Why is Lin Feng on duty in the emergency department?

He is determined and determined to let Lin Feng go back~~

But!

The patient next to him is about to hang up.

The cephalosporin had a skin test, why is it allergic? Is the medicine expired? Is the operation not rigorous? Or is there something wrong with his prescription?

Why? Why? what is this?

Regardless of the reason, it’s a big deal!

Liu Junwei: I was terribly scared at the time·jpg

Survive!

His body is more honest than his brain, like grabbing a life-saving straw and grabbing Lin Feng: “Doctor Lin! You are here! Quick! Help rescue.”

Lin Feng: “…”

Didn’t you still say in the afternoon, you want to show me the color?

Why is it really scented now?

However, life is at stake.

Lin Feng didn’t even bother to tease him at this time, and said in a deep voice, “What’s the matter? Simply put!”

“Yes! This patient is a truck driver. He has no history of penicillin or cephalosporin allergy. He was hospitalized with pneumonia three days ago. He received cefotaxime sodium every day. The effect was good. But on the fourth day of the infusion today, the patient suddenly called a child to call me. “Doctor, the bed is uncomfortable”, I ran over, and the patient said: Doctor, help me, and then I was unconscious, blood pressure 0, no rash!”

“Is this giving cefotaxime sodium?”

Lin Feng looked up: “Think about allergies and change the medicine immediately!”

“Yes!”

The nurses moved immediately.

A young nurse wanted to extubate the tube, but Lin Feng saw it and stopped it!”Don’t pull out the needle! Keep the intravenous access! In case of rescue medication.”

The resident doctor was praised in his heart~~

F*ck, Dr. Lin, who is younger than me and less senior, why is he so calm?

Once the venous channel is dialed out, and the venous channel is built when the patient needs rescue, the rescue opportunity will be missed.

I have also heard this idea during training, but why can he be so calm?

Liu Junwei was just qualified to be on duty alone. After seeing the patient dying, he returned to the teacher what he had learned for the entire eight years!

He is a typical doctor with high eyes and low hands, knowledge and inability.

When Mi thought about it, he ran into such a major event that the patient had to be rescued in shock!

Fortunately, at a critical moment, he suddenly remembered Lin Feng, who was still thinking about it in the afternoon…

Lin Feng is the “child of someone else’s family”.

Liu Junwei, usually mentions Lin Feng, gritted his teeth~~

But the critical moment for emergency treatment has become-call the emergency doctor Lin!

It’s so fragrant!

Lin Feng ignored the blank-headed Liu Junwei and quickly directed the nurse: “Quick intravenous infusion of normal saline, 0.5 mg of epinephrine subcutaneously, intravenous injection of dexamethasone 10 mg, intravenous infusion of calcium gluconate!”

“Yes!”

The nurses ran back and forth quickly.

There is not a nurse to talk to Liu Junwei, even to ask him his opinion.

Doctor Liu Junwei turned into a cloud of air and was completely ignored.

This is the hospital!

Ability, authority here!

Never mind that Liu Junwei is a resident, and Lin Feng is just an intern in the emergency department.

But in the minds of nurses, Lin Feng is more authoritative than Liu Junwei!

Lin Feng was methodical and directed many nurses to start rescue operations.

Quick intravenous infusion of normal saline!

Adrenaline 0.5mg subcutaneously intravenously!

Dexamethasone 10mg intravenously!

10% calcium gluconate intravenously…

The nurses are busy but not chaotic, and go up by all means~~

The patient’s near-death status has been greatly improved~~

Breathe, start to normalize.

The pink foam on the side of the mouth no longer spouts.

Started to react to light.

In a word~~ come alive!

Seeing Lin Feng’s method, the nurses were more admired and their eyes gleamed.

“Is this the strength of the Great God?”

“This intern is so much stronger than Liu Junwei, I don’t know how many times!”

“Following the rescue with Doctor Lin is like the head of the department, which makes people feel particularly emboldened.”

“Yes, Doctor Liu is like a fool tonight!”

“I did everything I said just now, right?”

Lin Feng said solemnly: “At the same time, give the patient oxygen inhalation, ECG monitoring, and intravenous infusion of vitamin C injection. Start!”

The nurses continued to be busy, and the second round of rescue measures began.

The patient’s consciousness gradually became clear, and the blood pressure gradually rose…·

The blood pressure that could not be measured before can already be measured!

“The low pressure returns to 60, 70!”

“Heartbeat is back to normal.”

“The patient reacted to the light.”

The patient was rescued!

Liu Junwei wiped a cold sweat~~

This time, it was my luck!

The patient is located in a single ward and has no family members. Thanks to children playing, it happens~~

It’s Lin Feng on duty!

Lin Feng is willing to help!

otherwise……·

Baby is sweating!

Liu Junwei is very sure that if Lin Feng did not take the initiative, he would command the rescue on his behalf. With his own mind at the time, the patient could almost tell his family to sign the death notice…

If the patient is in shock, if there is no rescue method, it can basically be equated with death.

Liu Junwei, who escaped a disaster, held Lin Feng’s hand in embarrassment and embarrassment and thanked him again and again, and thanked him in his heart~~

Still Laozi is wise!

Thanks to this kid behind my back, but I didn’t let him hear it!

Stay on the sidelines for things and see you in the future!

Cute face jpg

(Lin Feng: Hehe, I have heard it, kid!)

“Doctor Lin, thank you so much this time. I was a bit messy just now, but you still have rich clinical experience.”

Liu Junwei gradually eased his anger, and Tsundere cancer committed again. He only praised Lin Feng for his “clinical” experience, which implies that he is still unconvinced…

At the theoretical level, I’m just a genius!

At this time~~

“Patient! How is the rescue?”

Director Kang Yi of the Department of Respiratory Medicine, with a large number of deputy directors and attending physicians, ran over out of breath.

Although it was still at night, the shock of the inpatient department was tantamount to a thunderbolt. Director Kang Yi didn’t dare to be careless. Liu Junwei was worried, and he called people back overnight for rescue.

Director Kang Yi saw Lin Feng and Liu Junwei, and was stunned at the time: “???”

Liu Junwei’s eyes turned, eager to show, get rid of his fault, and rushed forward: “Director, it’s okay! The patient has been rescued.”

Director Kang glanced at Lin Feng behind him, instantly understanding.

The emergency doctor, who came to his own department ward in the middle of the night, must have been called for reinforcements.

a shame!

He glared at Liu Junwei: “The patient, why is in shock? Has the cause been found?”

“This~~”

Liu Junwei was at a loss for words.

This touched his blind spot of knowledge!

embarrassment!

Director Kang glared at him fiercely: “You don’t even know the cause of the patient’s shock, how did you rescue it?”

Liu Junwei is crying~~

Hemp egg!

I am eager to behave, but it is even more embarrassing?

A nurse in the Department of Respiratory Medicine couldn’t help but said, “Director, the patient is actually the emergency doctor Dr. Lin who came here and ordered the rescue to be successful!”

Liu Junwei’s heart was pierced by a thousand arrows: puff puff puff puff puff puff puff puff puff puff puff puff his heart!

His face was red like a monkey butt.

Can’t wait to find a seam to drill in.

Everyone’s eyes fell on Lin Feng.

Director Kang stepped forward gratefully and patted Lin Feng on the shoulder:

“I knew it, you must do it. Thanks to you. Otherwise, our respiratory medicine department will be in trouble this time!”

Lin Feng smiled: “The director is polite. I think this patient is anaphylactic shock.”

“Anaphylactic shock?”

Director Kang is also an old doctor, and his polite remarks immediately turned to the discussion of medicine, and he muttered: “Then, here comes the problem, why is he allergic?”

“This~~”

Lin Feng smiled: “There are three main sources of anaphylactic shock in the ward: one is related to impure drugs, expired, excessive impurities, and the formation of allergens. The other is related to changes in the patient’s body in a hypersensitivity state. But Well~~”

He pointed to the half-drinked liquor under the bed: “I see, it has something to do with this stuff!”

“What? You still drink alcohol after infusion?”

Liu Junwei was so angry that he almost fainted, and roared: “This will cause a disulfiram reaction! You are so mad at me!”

Lin Feng snickered~~

The cephalosporin is wine, just leave!

In fact, it is not just cephalosporins. After taking certain drugs or drinking alcoholic beverages, after a series of reactions, the body “accumulates acetaldehyde” and thus a poisoning reaction occurs. All can be called the terrible “disulfiram reaction”. ! In severe cases, it can lead to myocardial infarction, acute heart failure, acute liver injury, convulsions (convulsions) and death. The elderly, children, patients with cardiovascular and cerebrovascular diseases and alcohol allergies are at greater risk.

In a word, after infusions, injections, and medications, not drinking for a period of time, the secret to life-saving! Knock on the blackboard!

The truck driver who was rescued by Lin Feng looked embarrassed: “I’m sorry, doctor, I just love this bite. I was hospitalized for three days and was not allowed to drink. I couldn’t help it anymore, so I secretly ran out in the small shop. Bought a bottle of Niu Er. I was wrong! I was really wrong!”



No matter how the director of the respiratory medicine department and the doctors angered the greedy driver, Lin Feng turned and left.

sleep!

a new day.

Morning.

Lin Feng stepped on the time to go to work.

“what……”

This time, Lin Feng clearly saw that Song Ziming was almost late, so why didn’t Xiaoli blame him this time?

and many more……

Xiaoli: “Come on, breakfast!”

Song Ziming: “Thank you, okay~~~”

Puff~~

Lin Feng understood.

These two are really getting better.

However, Lin Feng sent his blessings to the couple, because doctors and nurses are usually very busy, and the circle is small, so it is difficult to find male and female friends. If it can be solved internally, it seems not bad.

“`”Good morning everyone! ”

“Good morning Doctor Lin!”

It’s another day full of vitality.

Go to the consulting room and turn on the number calling machine.

The first patient.

Male, 45 years old.

“Doctor, it hurts here…”

He pointed to his upper left abdomen and said.

Lin Feng: “What is the pain method?”

Patient: “The pain is a while, and it feels like my body is twitching, and it will spread to my chest and back.”

stomachache,

Lin Feng asked about the condition skillfully.

· Hiccups last for almost two months, each lasting about half an hour.

·Diet: Have drunk raw water.· Measured heart rate and blood pressure, normal,

·Press the abdomen, no tenderness, rebound pain, muscle tension…

Swipe~~~

Lin Feng opened a few orders.

“Go get an abdominal ultrasound, take a blood test, and have a urine test…”

They are all very routine inspections.

After doing this, see if you need further inspection.

“Okay, doctor.”

Half an hour later…

The patient came back with the examination report.

Lin Feng looked at the B-ultrasound results and immediately understood the cause.

·B-ultrasound result: A tubular echo structure with a curling motion was seen inside the stomach cavity (in common saying that there is something like a curved rope in it).

Lin Feng took a look at this B-ultrasound.

confirmed!

It must be one of roundworms, leeches…etc.

And this patient also said that after drinking cold water, it was estimated that there were pollutants in the water, and then he was recruited.

Patient: “Doctor, how is it? Are there any results?”

Lin Feng pointed to the B-ultrasound and smiled: “There are bugs, but it’s okay. Simply take some medicine and pull it out.”

The patient looked relaxed: “Oh, it turned out to be a bug, I see a lot!”

Lin Feng: “………………”

No, what’s the matter with your proud pride?

Lin Feng swiftly prescribes the medicine.

Albendazole tablets (also known as: Shi Ke Chang Chong Qing)!

This is an anti-intestinal worm drug, which has been included in the World Health Organization’s standard list of essential medicines. It is one of the most important basic health drugs. It can be clinically used to repel roundworms, pinworms, tapeworms, whipworms…

The patient took it quickly.

The next patient.

“Doctor……”

A middle-aged woman, supporting a middle-aged man, walked in.

Migrant Workers.

Lin Feng’s hometown (Qian? Zhao) is in the countryside, and his parents used to go out of the city to work. The mental state of the migrant workers in the village is exactly the same as that of the couple. Their hair is early white, and their faces are spotted and wrinkled.

“What’s wrong?”

“Doctor, my husband has a sarcoma in his stomach. I have a little stomachache in the past few days. Can I prescribe some medicine to relieve the pain…”

The word sarcoma is particularly relaxed in women’s mouths.

But it aroused Lin Feng’s vigilance!

As long as the tumor is involved, it is not a minor illness!

Lin Feng asked: “Sarcoma? How do you know it is a sarcoma?”

The male patient chuckled, “Hey, how can I not know this? I have been checked several times before, but they were all sarcomas. The doctor also advised me to cut it, but I didn’t cut it…”

Lin Feng: “………………”

I f*ck!

These two silly!

If it is really a sarcoma, it is definitely a big trouble!

Sarcoma is an extremely dangerous malignant tumor!

There is no good medicine at present, and the treatment mainly depends on surgical resection. The early tumor is small, the treatment is less difficult, and the radical operation effect is good; when the advanced tumor is very large, the risk of surgery is high, and whether it can be cleaned is a big problem.

but……

What did these two people say? A relaxed look? He also said that the doctor persuaded the removal in the first two years, and then did not remove it?

For sarcoma, isn’t it the earlier you cut it, the better?

Lin Feng looked at the middle-aged couple with a weird look.

Middle-aged wife: “Doctor, it’s okay, you can just give some painkillers, don’t cut it…”

Lin Feng: “…”

There was silence.

“Let me see…”

Lin Feng wears gloves and performs a physical examination on a middle-aged man.

Touch the painful part of the abdomen.

Good guys!

Hard, just like a stone!

Moreover, the volume is super large!

The sarcoma near the belly that Lin Feng touched alone was as long as 20cm!

Fill up the pelvic and abdominal cavity!

20cm cabinet!

This is the biggest sarcoma Lin Feng has ever seen based on countless world experiences!

Unprecedentedly huge!

See you for a long time series!

——————————

ps: For the time being today, these three chapters, 3700+4700+5400=13800 words, there are more than 7 chapters, and the manuscripts are gone, so miserable~~

In addition, what kind of financing is that water, now it is no longer the way it used to help patients, hey…

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