After 100 Days Of Sign-In, The First Operation Shocked The World

Chapter 76

At this moment, a familiar voice sounded.

“what happened?”

Lin Feng turned his head and saw Director Zhou Guorong in a white lab coat and a stethoscope around his neck, walking in hastily.

Lin Feng organized the language and briefly introduced the patient’s situation.

“Director Zhou, what do you think?”

Zhou Guorong took a deep breath and whispered: “This is troublesome, ketoacidosis…”

He has been a doctor for decades and has extensive first aid experience. However, Liu Lei’s symptoms are more difficult than ever.

In an instant, countless thoughts flashed through Zhou Guorong’s heart, but none of them worked!

Director Zhou: “Lin Feng, do you think you should do this?”

Lin Feng: “First give him a deep vein supplement with 500ml glucose, the concentration is controlled at 5%…”

Director Zhou: “Well, you can…”

The nurse turned around and went to prepare the glucose.

Director Zhou: “Has the patient’s family been notified?”

Lin Feng: “His girlfriend is outside.”

Director Zhou: “Go, follow me to meet her.”

Step out quickly.

“What about people?”

The corridor was empty.

Zhou Guorong stopped and asked with a puzzled face.

“this……”

Seeing this situation, Lin Feng was also stunned.

The two walked along the corridor to find the entrance of the hall.

nothing!

He never expected that the idiot would run away.

“Director Zhou, Doctor Lin, are you going out?”

The night security guard Huang Lufeng leaned over, with a pleasing smile on his face.

Lin Feng asked urgently: “Did anyone go out just now?”

Huang Lufeng nodded: “It seems that there is a woman, young, wearing high heels, and she went out of the hall.”

Lin Feng frowned, his expression quite dissatisfied.

This woman, who actually threw her boyfriend in the hospital, is too inhuman!

Zhou Guorong rubbed his temples and asked tiredly, “Did she pay?”

Lin Feng shook his head and whispered: “I don’t know.”

“ok, I get it.”

Zhou Guorong didn’t say more, and took Lin Feng back to the rescue room.

Seeing no one around him, he frowned and said, “Fortunately, we found it in time, otherwise, our emergency department would be unlucky.”

“Director Zhou, what are you…”

“Xiao Lin, you are still too young,” Zhou Guorong shook his head slightly, with a wry smile on his face: “This patient, you shouldn’t be sent to the emergency room.”

“why?”

“You know the situation of this patient roughly. It is very dangerous. Ketoacidosis has two contradictory diseases. Treating that disease will make this disease worse, and treating this disease will make that disease worse and very troublesome, so… …”

Zhou Guorong did not say the latter part of the speech. However, Lin Feng understood what he meant.

If the patient died in the rescue room, there would be a stain in his medical career.

At this moment, a nurse pushed open the door and hurried out.

“Director Zhou, Doctor Lin, go and take a look!”

“What’s wrong?”

“The patient’s sinus tachycardia, but his blood pressure began to drop…”

“Whatever you are really afraid of…” Zhou Guorong sighed and pulled Lin Feng back to the rescue room.

850　 The two checked Liu Lei’s condition and found that his blood pressure dropped very quickly. If this continues, the patient will soon fall into a state of shock.

After pondering for a moment, Lin Feng combined Liu Lei’s test sheet to give his own judgment.

“Director Zhou, if the patient’s blood pressure continues to drop, he will definitely kill him! I suggest that the two same routes be fully opened and the patient’s blood pressure can be raised by means of rapid rehydration.”

Zhou Guorong shook his head and said: “In my clinical experience, a large amount of fluids, especially a large amount of saline in the middle, will aggravate cerebral edema (the specific mechanism is to cause central abnormal acidosis). Unless the patient’s tolerance is very good, otherwise It is very possible to send the patient away directly.”

Lin Feng knows very well that Zhou Guorong’s worries are not unreasonable.

Unfortunately, the family did not come…

At this moment, the nurse led a middle-aged couple over, walking in a hurry.

“Director Zhou, Doctor Lin, Liu Lei’s family members are here.”

Lin Feng and Director Zhou Qi Qi are happy.

It’s too fast, is it nearby?

“Doctor, how is my son?” the middle-aged man panted.

“Are you his father?”

The patient’s father nodded repeatedly: “My name is Liu Yongjun and Liu Lei is my son. Please tell me, how is my son?”

Zhou Guorong looked serious: “Your son is now suffering from ketoacidosis, and depending on his symptoms, there may be complications with hypokalemia, hypocalcemia, cerebral edema…very serious!”

The middle-aged mother almost weakened her legs on the spot.After working so hard to raise his son for more than 20 years, he was told that he might be dead?

Lin Feng was next to him, explaining to two family members what is ketoacidosis, and then explaining low potassium, low calcium, cerebral edema…

After listening,

The parents of the patient turned pale.

“Doctor, can you save it?” The patient’s mother almost knelt down and begged. It was as if the sky had collapsed.

Lin Feng: “Maybe, I can only say try…Of course, you can also contact the big hospitals in the provincial capital, but the only problem is that they will take time to come here, and I am afraid that there will be problems in the middle.”

When the patient’s parents heard it, Liushen Wuzhu was even more pronounced.

I don’t know whether to send it away or not.

Finally, Liu Yongjun gritted his teeth: “Doctor, why not treat here first? Then I called the big hospital in the provincial capital?”

Lin Feng nodded: “It’s okay…but, because your son’s condition is too serious, so you need to sign.”

Liu Yongjun: “Doctor, you…how successful are you…sure?”

Looking at the eyes of the two of them, Lin Feng wanted to say ten percent. However, he was careful. When it came to my lips, it was changed to “seven percent.”

The two looked at each other. After a long while, Liu Yongjun gritted his teeth and whispered: “Doctor Lin, we…we sign…”

“Old Liu…”

Liu Lei’s mother grabbed her husband, and two lines of tears flowed down her cheeks.

“Stop talking, I believe Dr. Lin.”

Liu Yongjun turned to Lin Feng and pleaded, “Doctor, don’t… let us down!”

Lin Feng is serious: “At this point, I will try my best.”

At this moment, a nurse ran over and said eagerly: “Director Zhou, Doctor Lin, patient…the patient’s condition is even more dangerous.”

Without waiting for Zhou Guorong to speak, Lin Feng rushed to ask: “Have you retested your blood qi?”

“It’s been tested,” the nurse said back fluently: “Serum potassium 3.2, PH7.25, blood calcium 1.04, blood sugar 14.9, bicarbonate 5.9…”

Lin Feng thought about it, and said in a deep voice, “Go get the risk agreement and ask Sister Zhang to give him an infusion to stabilize the patient’s blood pressure.”

Nurse: “Okay.”

After speaking, he turned and ran into the rescue room.

Lin Feng said in a deep voice to the patient’s parents, “Two, prepare to sign.”

“Okay, we sign.”

Liu Yongjun agreed, followed Lin Feng and bookmarked the risk agreement.

Then Director Zhou Guorong also signed.

After signing, Lin Feng said to Liu Yongjun: “Uncle, I’m going to the rescue room, please wait outside.”

“Hey, good… good…”

Liu Yongjun took his wife and sat outside the door of the rescue room, waiting fearfully.

…

Rescue indoor.

“Doctor… I’m so uncomfortable…” Liu Lei was lying motionless on the hospital bed, looking quite painful.

Lin Feng comforted: “If you bear it, it should be fine…”

The nurse said quickly at this time: “Dr. Lin, his blood pressure is dropping rapidly!”

“Heart rate is 180 beats per minute.”

At this time, Lin Feng faced a choice:

Whether to add sodium bicarbonate!

· Supplementing sodium bicarbonate cautiously will increase cerebral edema!

·Not supplementing the patient’s arrhythmia will kill him!

Finally, Lin Feng chose: Let’s open!

Lin Feng started to direct.

“Open the other two venous accesses, first with 125 sodium bicarbonate intravenously!”

“Yes!”

Rehydration quickly.

Supplement sodium bicarbonate!

·The cause of acidosis in the patient is ketone bodies, and the patient’s blood sodium is low, so supplementation of sodium bicarbonate (sodium supplementation) is supported.

·However, a large amount of sodium supplementation can cause aggravation of hypokalemia and aggravate arrhythmia.

Therefore, Lin Feng continued to ask the nurse to prescribe intravenous drip, supplement potassium (potassium chloride) + glucose!

It’s like a seesaw.

Potassium supplements and sodium supplements should be placed on both sides, and neither side should be too warped.

In order to suppress the condition, Lin Feng can only continue to add weight to both sides.

The final decision on whether the patient is good or not depends on whether the patient can withstand the weight of the heavier weight on both sides.

·If you resist, the illness will pass.

·If you don’t resist, go to see King Yama.

It’s that simple!

With the introduction of sodium bicarbonate, the patient’s heart rate decreased.

Then on the other side of the channel, continue intravenous infusion of potassium chloride + glucose…

Half an hour later…

“Check your blood…”

Soon, the blood gas analysis results came out.

Lin Feng took a look and thought it was okay.

after an hour……

Continue to bloody, the situation is still OK, fairly stable.

Three long hours.

Lin Feng suffers.

Family members are also suffering.

While waiting anxiously, the nurse suddenly said, “Dr. Lin, the patient is awake.”

Patient Liu Lei opened his eyes.

Lin Feng lifted his spirits and asked Liu Lei: “How do you feel?”

“Also… okay,” Liu Lei’s consciousness gradually became clear: “Doctor Lin, I… am I still alive?”

Lin Feng smiled and said, “Don’t worry, Lord Yan said, the underworld is full, so you can choose another day!”

As soon as this remark came out, several nurses laughed unanimously.

Obviously, Liu Lei’s life has been recovered!

Forget the amount of rehydration.

12,000 ml!

Lin Feng was shocked!

Fortunately, Liu Lei’s body is strong enough to withstand the pressure of this seesaw and survive the (aicc) ghost gate.

Check the blood: blood potassium 3.2, PH7.25 carbon dioxide partial pressure 13.7 blood calcium 1.04 blood sugar 14.9 bicarbonate 5.9

This data, no problem!

Liu Lei’s situation finally stabilized.

Taking a look at the time, it was already 6:45.

Three hours have passed.

Lin Feng breathed a sigh of relief, and said to everyone: “Well, leave one person to watch him, and the others should rest.”

Upon hearing this, the nurses relaxed, and suddenly became exhausted.

They were talking in a low voice while packing medical equipment.

“Dr. Lin not only looks handsome, but also has such great medical skills!”

“Of course, it would be great if I had such a boyfriend!”

“I want it too, I want it too!”

“What do you think? You will never be allowed to defile my male god!”

…

Amidst the women’s rushing discussions, Lin Feng pushed open the door of the rescue room and walked out slowly.

“Doctor Lin, Doctor Lin!”

Liu Yongjun and his wife rushed forward, and asked in a trembling voice: “How is my…my son?”

When they reach middle age, they are just such a precious son. If there is an accident, they really don’t know how to live on in the future.

Under the ardent gazes of the two, Lin Feng stopped, with a smile on his face.

“The patient is out of danger and will be able to fully recover after a few days of hospitalization for observation.”

Liu Yongjun grabbed Lin Feng’s hand and said excitedly: “Thank you… Dr. Lin, thank you so much…”

Lin Feng smiled and pretended to say: “My job, no need to say more.”

At this moment, the accident happened again.

It turned out that Liu Lei’s mother was so excited that she fainted.

Liu Yongjun supported his wife and shouted nervously: “Xuejuan, what’s the matter with you? Wake up soon, his son is still waiting for us!”

Lin Feng smiled bitterly and pinched the other person. A few seconds later, Liu Lei’s mother groaned and slowly opened her eyes.

“Lin… Doctor Lin…”

Liu Lei’s mother looked at Lin Feng and asked in a trembling voice, “I want to go… see my son…”

“this……”

Lin Feng hesitated and said in a low voice: “The patient is physically exhausted and needs to continue to rest, or… you can see him again at noon.”

Seeing that his wife was not reconciled yet, Liu Yongjun persuaded him: “Xuejuan, Doctor Lin is already very tired, let’s not trouble him.”

“okay then……”

Liu Lei’s mother stopped talking, but slowly stood up with her husband’s support.

Lin Feng looked at his mobile phone and said to the two of them: “It’s getting late. I have to go back to the office to write down the medical records. You can go through the hospitalization procedures.”

“Okay, let’s go through the formalities now.”

Back at the office, Lin Feng took out paper and pen and began to write medical records.

He organized the language, wrote down Liu Lei’s situation clearly, and told the next doctor what to pay attention to, so he was relieved.

get off work.

Handover.

“Doctor Lin, I bought you breakfast.”

A nurse at work took soymilk fried dough sticks and sent it to Lin Feng.

I don’t know when it will start, but the nurses in the emergency department negotiated and took turns to buy breakfast for Lin Feng every day.

Lin Feng was not used to it at the beginning, but later succeeded in becoming a fed pig.

Someone buys breakfast, it’s so cool.You see, the interns, Gui Pei, and the principals next to him all looked at Lin Feng enviously.

“Uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu…

“Suddenly feel that the crystal glue in my hand doesn’t smell…”

“Is it handsome?”

“Quick and cold, when will the ugly stand up!”

“This kind of unfair corruption, we must resolutely resist… Oh, it’s Doctor Lin, that’s all right!”

Have breakfast, the emergency atmosphere is joyful.

Soon, it’s time for work.

Director Zhou and the head nurse started to grumble and started to work.

Lin Feng and other night doctors are off work,

Go back to the dormitory to sleep.

Lying in bed and still awake,

Ding Dong~~~~

Lin Feng’s phone shook.

“School notice: Dear students, there are still two months before graduation. Now the school has invited 8 hospitals in the province to come to the school for an open job fair. The recruitment time is April 7th and 8th. Students who are interested in applying are invited. , Go back to school to participate in hospital recruitment.”

Lin Feng took a look.

Well, it’s none of your business.

Continue to sleep with your head covered.

In a flash, 8 hours passed.

Lin Feng wakes up, washes, then goes to the dining hall to eat, and stops by the emergency room.

Just stepped into the emergency internal office, see you on a break,

A group of doctors hand in hand, rest and chat.

The interns are discussing the recent job fairs of major medical colleges and universities.

“I didn’t get the contract from the hospital, so I can only go to the job fair.”

“Yes, I want to go back too.”

“Envy Dr. Lin and the others…”

“By the way, have you thought about what department to go to?”

“I definitely won’t join the emergency department again. The emergency department is too busy and I am tired every day.”

“I want to go to the oncology department of Xingyao Xingyao. I have more money and little doctor-patient relationship. Lancet sci likes the subject most. I can apply for the National Natural Science Foundation… It’s a pity. Dealing with urine together is really tragic…”

“I think dentistry is good. I mainly study dentistry. I want to find a dentistry department. It’s a lot of money and easy…”

One by one began to discuss the advantages and disadvantages of each department.

And regulation training, attending…

After listening, I became interested, joined the conversation, and talked about my own experience.

The anesthesiology department is the worst, busy and busy, but no one takes it seriously.

Surgery, rich!

In anorectal surgery, every patient may have been stabbed in a chrysanthemum by them.

Laboratory, imaging, pharmacy, stubborn departments that are not taken seriously.

Department of Gynecology and Pediatrics, a large number of doctors and nurses are short of doctors and nurses, so they are busy on the street…

Lin Feng couldn’t help laughing at the corners of his mouth as he listened to these remarks full of life.

“Hey, Lin Feng is here!”

The intern Wu Haoming first saw Lin Feng, and then curiously asked: “Lin Feng, the internship is over in 2 months. Are you staying in the hospital? Do you want to go back to the big hospitals in the provincial capital?”

Lin Feng: “I still stay in our hospital and have promised the dean…”

Everyone was stunned.

It seems that the rumors are true. The hospital gave Lin Feng a very generous contract to retain talent. It is said that the treatment is not worse than that of the director of the department.

I really envy people drooling!

However, they are also convinced, after all, Lin Feng is really awesome!

at this time,

Ling Ling Ling~~~~

Lin Feng’s cell phone rang.

Dean Wang Chang’s.

“Lin Feng, on the 7th and 8th the day after tomorrow, you, Director Zhou and various doctors, go to your alma mater Soy Sauce University to host recruitment and recruit some students back…”

Lin Feng: “………………”

I?

Back to his alma mater to host recruitment?

Hey~~~

Classmates, sorry!

Although I, Lin Feng, don’t want to pretend to be forced, but the leader doesn’t allow it!

Stop pretending, I have a showdown!

Actually I am a big brother!

Shake, classmates!

——————————————

ps: The two chapters 4300+5400=9700 words that stayed up late. I don’t know if there will be a third chapter in the afternoon. Maybe it will be two chapters today. Today is the third anniversary, begging book friends for your life~~.