Chapter 9

at this time,

Zhang Yuan’s mood is still very shocked.

Because Lin Feng just asked for a doctor, he didn’t look like a cute new person at all, but like an ‘old driver’.

·The problem is accurate!

·Physical examination is also accurate!

·The checklist is also very targeted, and it is clear that there is a certain degree of certainty in the judgment 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 most Lin Feng’s level.

His experience also thought of pancreatitis for the first time.

“Is this really the first consultation?”

“F*ck, is there such an exaggerated genius in this world?”

Zhang Yuan was stunned secretly.

“Doctor……”

At this time, the young man looked at a pile of checklists and hesitated.

As patients, especially those with poor economic conditions, I am most afraid of all kinds of checklists. Once they are checked, a few hundred yuan will go out.

“Doctor, I’m gastritis. The same symptom was 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 have read your medical record and know that you have been here for treatment of acute gastroenteritis last time, but…I judge, you should not be gastroenteritis, but pancreatitis.”

“You take a deep breath.”

“Suck~~~ Cough cough~~~~”



The fat young man was holding his stomach with severe pain.

Lin Feng: “Look, this is also one of the manifestations of pancreatitis… I just listened to your heartbeat. It is superficial and fast… Many manifestations indicate that it may be pancreatitis…”

However, the fat young man still didn’t believe it, he was very assertive.

“No, I should have gastroenteritis, just hit a bottle.”

“…”

“Doctor, open a sling for me to hang water!”

“…”

The fat young man handed a cigarette in favor: “Doctor, save us some money…”

At this moment, Lin Feng had a headache.

‘Doctor, we are poor’,’Doctor, please prescribe cheap medicine’,’Doctor, save us some money’… Many doctors don’t like to listen to this kind of words, because it sounds like they are questioning doctors. Medical ethics (although there are indeed many doctors with poor medical ethics).

Lin Feng resisted his temper and persuaded: “It can save, I will definitely save you, but for your disease, my opinion is to do these checks.”

Then patiently explain the “pancreatitis” to the fat young man and explain its harm.

The young fat man insisted: “Examination is a waste of time, should I get an infusion first?”

Lin Feng: “………………”

At last he grinned.

“Either check or see another doctor!”

Lin Feng will not go against his own diagnostic principles. He will never prescribe a treatment plan indiscriminately.

“Next!”

The corners of the fat young man’s mouth moved, and finally took the checklist and went for a checkup.

after an hour,

The young fat man came back with the test results.

·The value of blood amylase is 5 times higher than usual.

· Lipase 4 times.

·……

· CT results showed that the patient’s pancreas had obvious exudative changes.

Based on all the indications, Lin Feng has made a judgment with countless world-class experience.

“Doctor, how is it? Is it gastroenteritis?”

“It’s pancreatitis… prepare to be admitted to the hospital…”

Lin Feng knows that this pancreatitis is not a minor disease, and it may cause death if it is not observed.

“What? Admission?”

The fat young man was shocked on the spot, stood up abruptly, and looked at Lin Feng in disbelief.

“Isn’t it just a small pancreatitis? Why do I need to be admitted to the hospital?”

It costs a lot of money to be admitted to the hospital.

Lin Feng had to explain again the severity of pancreatitis.

“…”

Finally, the fat young man agreed to be admitted to the hospital under Lin Feng’s persuasion.

Lin Feng contacted the inpatient department, then arranged a bed and issued an admission form.

The fat young man said at this time: “I’ll go to the toilet.”

Lin Feng: “Go out and turn left…”

5 minutes……

10 minutes……

15 minutes……

The fat young man has not returned yet.

“F*ck…he ran away?”

Lin Feng just woke up at this time, obviously the young man didn’t want to be hospitalized!

Ten thousand grass-mud horses rushed past in their hearts!

“Forget it, it’s not my fate.”

Lin Feng discovered for the first time that no matter how strong the medical skills are, it will not necessarily cure everyone.

After seeing a few more patients, Lin Feng kept thinking about the fat young man in his mind. In the end, he couldn’t bear to watch the 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 never got through.

Lin Feng gave up.

“It’s hard to persuade the 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 admitted and the operation should be done as soon as possible.

Lin Feng should be invited to the consultation.

Lin Feng wondered: “Why did you want me to go? I’m in the emergency department? Didn’t I ask the specialists to go?”

Nurse icu: “Dr. Lin, this is the case. This patient was in your emergency room two days ago. You made the diagnosis at that time. You are familiar with his condition and have reference value…”

Lin Feng suddenly said, “Oh, it’s him, he is in the hospital?”

Putting down the telephone command, Lin Feng hurried to icu.

He was a little speechless. The fat male patient delayed his illness and prolonged acute pancreatitis into severe acute pancreatitis.

Acute pancreatitis can also be controlled with drugs, but severe acute pancreatitis cannot be done. Major surgery is required to clean up the necrotic tissue.

Severe acute pancreatitis: 20%-30%, the hospital fatality rate is 15%, and the treatment cost is very high.

The gain is not worth the loss.

. .

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