Chapter 93

“It’s definitely not a problem with cherries!”

The girl yelled and was dragged by her boyfriend for a checkup.

Originally, her boyfriend felt that there were too many checklists and thought Lin Feng cheated him, but when he heard iron poisoning, he panicked.

Go and check quickly.

Lin Feng breathed a sigh of relief.

In the next two hours, more than 50 patients were received. The efficiency was fast, but the number of patients in the emergency hall did not decrease, but increased.


Watching Lin Feng shed tears~~

When it was about to get off work, the cheery couple came back.

“Doctor, help look at these results…”

The boyfriend nervously handed the inspection report to Lin Feng.

Lin Feng view:

· Serum iron detection: The peak value of serum iron exceeds 350μg/dl, indicating the presence of iron poisoning.

· Blood routine: the hemoglobin is reduced and the hematocrit is increased, indicating that there is significant fluid loss, which is consistent with the symptoms of iron poisoning.

· Liver CT: increased liver density, increased tissue iron, and increased sensitivity.

·……

All checks point to one point:

Iron poisoning! !

The boyfriend stretched his head over: “How is it? Doctor “Eight or Seventy”?”

Lin Feng: “I’m sure, iron poisoning… Moreover, both acute and chronic…”

Lin Feng explained in detail the meaning of acute and chronic iron poisoning.

Lin Feng finally said: “It is estimated that your girlfriend has been taking cherries for a long time, or taking iron drugs (iron drugs: common drugs for iron deficiency anemia) and other drugs…”

The girl shook her head quickly: “I didn’t take iron pills or something…I just like to eat cherries. I have been drooling when I see it for several years…”

Boyfriend: “Doctor, what should we do?”

Lin Feng: “You can only take medicine, and you have to take it for a long time, and slowly get rid of chronic iron poisoning. There is no way, take it slowly…”

girl:”………………”

I wonder if she dare to eat so much cherries.

After the follow-up visit, the Chelizi girl was off work almost noon.

Lin Feng glanced at the declining number of patients outside and breathed a sigh of relief.

“It’s done soon, come on!”

The next patient.

A young patient with a fever wanted to walk in, and as a result…

“and many more……”

The nurse Xiaoli pushed the flat car with a middle-aged man lying on it, clutching her waist, groaning in pain.

“Handsome man, can you please wait a minute? There is a patient who is more anxious!”

Nurse Xiaoli apologized.

“Well, you first…” The young patient with a fever was kind-hearted.

“thanks!”

The flat car advanced to the entrance of the consulting room.

·Patient: Middle-aged male, about 40 or 50 years old.

· Family members: one person, female, probably a wife.

The middle-aged wife had a violent temper: “Doctor, give my husband a painkiller. He has ureteral calculi again…”

Ureteral stones?

“Have you checked before? Are you sure there are stones in the ureter?”

Lin Feng asked, got up quickly and checked the patient.

The patient’s expression was very painful, he was holding his back with his hands and groaning in pain.

It seems that it is indeed the painful part of ureteral stones, and of course kidney stones are not excluded…

Middle-aged wife: “Yes, we came to this hospital for a CT scan three days ago, and the outpatient doctor said it was a ureteral stone!”

The middle-aged wife produced a CT report.

CT report showed: right ureteral stones.

However, Lin Feng is still very cautious and requires careful physical examination.

“Where do you hurt now?”

“Here, here…” The patient pointed to the “abdominal back” and “chest back” on the right side and replied.

Lin Feng frowned suddenly.

“Are you sure it’s here?” Lin Feng pointed to the “chest and back” position.

“Yes, it’s here.” The patient reluctantly said.

Lin Feng suddenly increased his vigilance!

The location is wrong!

·Ureteral calculi: The pain is often severe, and the patient is often unbearable. It is also called “renal colic” clinically, and the location is often “waist and abdomen pain.”

The painful part in front is the right side of the symptoms of ureteral stones-“abdominal and back”.

However, this patient’s second pain site is in the “chest and back”! !

Renal colic, renal colic, it must be around the kidney area, how did you run your chest and back?

so,

has a problem!

Lin Feng suddenly became vigilant.

Pain in the chest and back, what is the general possible cause?

Lin Feng suddenly thought of: arteries, meridians, heart…such diseases, such as the arterial dissection of the patient during the last operation.

The danger is higher!

Lin Feng: “What is the method of pain? Is it colic? Tearing pain?”

the difference:

·Ureteral stones: colic!

·Arterial dissection: tearing pain, or cutting pain!

Patient: “I don’t understand either, doctor, I’m very painful. Could you please give me an analgesic injection.”

The middle-aged wife next to him was also distraught and dissatisfied: “Doctor, what are you still doing? Hurry up and give my husband a painkiller!”

Lin Feng had no choice but to prescribe an analgesic and injected him to relieve the pain.

The nurse went down with a needle,

Perhaps it was a psychological effect, or perhaps the medicine had an effect, and the patient’s pain eased a little.

Lin Feng persuaded: “I think the pain just now is a bit wrong, or I will give you an order and make an electrocardiogram?”

Lin Feng’s experience is: this kind of pain, do not say anything, first do an electrocardiogram!

As a result, the family members are not happy.

“Electrocardiogram? What do you mean?” The patient’s wife showed a fierce look.

Lin Feng patiently: “I think your husband’s pain is not in the right position. It may be caused by arterial dissection, heart and other diseases. It is safer to have an electrocardiogram.”

The middle-aged wife shouted: “Don’t do it! I want to lie to us again!”

Lin Feng: “…”

Can’t help but patiently explain in detail the problem of pain in this position.

At this time, the middle-aged patient has relieved pain and can walk.

Middle-aged wife: “Husband, let’s go. This hospital is a black heart. We always let us do this check, do that check. Last time we checked a bunch of them, and it cost hundreds!”

The middle-aged male patient nodded in agreement: “Yes, go 0…”



Then, got out of bed and left the emergency room.

Lin Feng: “Wait…”

The middle-aged wife was very impatient: “They said we won’t check it anymore, and you still want to force us to fail!”

Lin Feng helplessly: “No, since you don’t listen to my opinion, please help me sign…”

Lin Feng took out a copy of “Information of the Condition” and handed it to his middle-aged wife.

“I think your husband’s illness is very serious. You need to get an electrocardiogram. If you don’t want to go, then sign it. If something goes wrong, I won’t be responsible for it…”

The middle-aged wife disdain: “Exciting general? Can’t I sign it? What happened has nothing to do with you.”

Swipe~~

Sign and leave!

Very chic.

I feel a sense of pride after ‘victory in a vicious battle against the black hospital’.

Lin Feng: “…”

Forget it, it’s hard to persuade the damn thing.

Originally, Lin Feng thought that this happened.

result……

At 10 am the next day, when Lin Feng went to work,

Director Zhao Wangyang of the Outpatient Cardiac Surgery Department called over there.

“Xiao Lin, you received a middle-aged male patient with ureteral stones yesterday? Did you ask them to do an electrocardiogram?”

Lin Feng: “Yes, what’s the matter?”

Zhao Wangyang: “You are so amazing. In the morning, the patient was seriously ill. The family members sent this patient to our department. Guess what?”

Lin Feng: “What?”

Zhao Wangyang: “The T wave of the ECG is inverted!”

Lin Feng: “What do you mean? Myocardial ischemia?”

Zhao Wangyang: “That’s right… Then we did an enhanced CT examination, and then we found out the aortic dissection!”

Lin Feng: “Have you had the operation?”

Zhao Wangyang: “The operation was 2.2, but the person was not rescued.”

Lin Feng: “…”

Sigh~~~

Thousands of words, not just where to start…

Forget it, I am not a god, anyone can save.

Ling Ling Ling~~~

Just then, Lin Feng’s cell phone rang.

Caller: Classmate Tan Jianzhao.

“Hey, Lin Feng, Jiahao and I went to the City No. 1 Hospital to report today. We will arrive at about 13:00. Please wait to meet us!”

“Okay, I’ll pick you up at the train station!”

Lin Feng smiled.

After Tan Jianzhao and Wu Jiahao were recruited by Lin Feng into the City No. 1 Hospital last time, they should have come to the City No. 1 Hospital to report immediately. The opposite hospital did not release people until now.

Now that Shou is finally done, I’m going to report to the City First Court.

Lin Feng quickly watched the last patient, then changed his clothes and went straight to the train station.

——————

ps: 3100+3100+3400+2700=12300 words… I find that I can’t help but waste time after writing a chapter, so chapter division seriously affects my codeword efficiency.

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