Chapter 98

after an hour,

Bao’s mother, grandparents and grandparents returned to the emergency room holding the baby.

This time, Bao Ma went to Lin Feng directly instead of Zhang Yuan.

(Zhang Yuan: “…” crying~~~)

“Doctor, check the report at this time…”

“Let me see.”

Bao Ma looked regretful: “I regret not listening to your doctor at that time.”

She thought that Lin Feng was a quack, but it turned out not. If she had listened to Lin Feng’s advice, such a serious matter would not have happened.

Lin Feng didn’t say a word and looked at the inspection report carefully.

·The results showed that: plasma urea nitrogen increased, blood creatinine increased, plasma carbon dioxide binding capacity decreased, serum potassium increased, serum sodium decreased…

· Especially blood creatinine, a sudden increase of 0.3 milligrams per deciliter (mg/dl), or a 1.5-fold increase from baseline.

Lin Feng breathed a sigh of relief.

Fortunately, it is only in the first stage, not in the second and third stages, and there is no need for hemodialysis.

“I will prescribe some syrup to balance the electrolytes for the baby, and pay attention to a light diet…”

“Thank you doctor, thank you doctor!”

In the afternoon, there were countless little red rashes all over the baby, and the fever disappeared.

Fever and rash come out!

Proved that it is indeed an acute rash in children.

Moreover, because Lin Feng prescribes the medicine to balance the electrolytes in the baby’s body, the baby’s spirit is much better.

The baby’s family once again expressed their thanks to Lin Feng!

Bao Ma: “Dr. Lin, I’m sorry, you are not a quack!”

Lin Feng: “Eight Seven Three” “…………”

I really appreciate your affirmation!

Bao’s mother and grandparents left with the baby girl.

Lin Feng will continue to receive treatment after leaving get off work in 1 hour.

The next patient.

“Dad, be careful.”

“Slower……”

Lin Feng looked up and saw that two sons in their thirties were supporting an elderly person in their sixties, with concerns on their faces.

The old man clutched his stomach and walked tremblingly.

Lin Feng moved the stool to a good position and let the old man sit down.

“Old man, why are you uncomfortable…”

“stomachache……”

“Here? Here? Or here?” Lin Feng pointed to the past patiently.

“It’s here…” The old man pointed near the upper left abdomen.

“How long does it hurt?”

“It started to hurt at five or six in the morning (10 hours), and it keeps hurting…”

Lin Feng asked while taking a physical examination. He gently moved the old man’s hand that had age spots, and then pressed on and around the upper left abdomen.

Hiss~~~

Lin Feng found that in the upper left abdomen, the hand feels a bit hard, as if there are stones in it (imagine a pile of hard shit stuck in the intestines).

Judging from the response of the elderly, there should be tenderness.

“Do you feel nauseous and want to vomit?”

“Have.”

Lin Feng nodded.According to the feeling of pressing the part and the symptoms, Lin Feng probably judged it as “intestinal obstruction”.

“Intestinal obstruction”: Intestinal contents (understood as blocked by excrement?) can not pass through the intestine smoothly, which is called intestinal obstruction.

Intestinal obstruction is one of the common acute abdomen in surgery!

Rapid development and severe illness, often requiring emergency treatment, second only to acute appendicitis and biliary tract diseases, occupying the third place.

Mortality: The mortality rate of severe strangulated intestinal obstruction is 10%!

so,

Lin Feng suddenly became vigilant!

In addition, one of the causes of intestinal obstruction is bowel cancer, so Lin Feng thinks that there may be small bowel cancer. If the two diseases are combined, it will be even more troublesome!

Lin Feng informed the patient of his condition.

The two sons should be quite filial. As soon as they heard Lin Feng said that the illness was more urgent, they immediately became nervous.

“I’ll open a few orders, you go and check…”

·Blood routine, urine routine…

·CT plain scan of abdomen…

Lin Feng pointed to the abdominal CT list: “You can skip blood and urine routines first, and do a plain abdominal CT scan… By the way, I’m off work in 1 hour, so try your best to speed up.”

The two sons nodded again and again: “Okay, okay, thank you doctor.”

Then he took the old man and rushed to the imaging department quickly.

Lin Feng thought for a while and called the imaging department. The doctor over there readily agreed to jump in the queue and expeditiously.

Half an hour later,

The two sons came quickly with the old man, and gave Lin Feng the film of Ct in the abdomen.

“Doctor, take a look…”



Lin Feng glanced at the result.

· Transverse colon obstruction.

Lin Feng looked at the results and found that the situation is a bit serious. According to Lin Feng’s experience, colonic obstruction is likely to require surgery because the effect of drug treatment is not good!

The eldest son said worriedly: “Doctor, how is it?”

Lin Feng: “The good news is that there is no bowel cancer. The bad news is that this is a colonic obstruction. The patient needs to be hospitalized and prepared for surgery.”

The two sons nodded again and again: “Okay, be hospitalized, be hospitalized immediately!”

But the old man was reluctant: “You can’t be hospitalized, you can’t be hospitalized… it costs a lot of money.”

The eldest son is anxious: “Dad, listen to the doctor. The doctor said that you will be hospitalized when you are hospitalized. You don’t have to worry about money.”

The old man yelled: “How can I leave it alone? The grandson came out from what uc last time he had an operation. There are tens of thousands every day. There is no money at home. If I am hospitalized again, where can I have money to live at home?”

Younger son: “Dad, don’t worry about money. You should stay in the hospital with peace of mind. Your health is important.”

Old man: “Don’t live!”

The three people have been arguing.

Lin Feng probably understood.

Their family consists of two elderly people, two sons, two daughters-in-law, and three grandchildren. They have a total of 7 people. The family conditions are not good. They belong to Peng Piao. Their son and daughter-in-law have average income, and they have three children together.

Last month, the 8-year-old grandson drank expired milk, entered PICU for 8 days, and spent more than 200,000 yuan.

Fortunately, the two sons are united enough, and the daughter-in-law is harmonious, which is a model, so the two families bear the burden together, but it also makes the family’s economy worse.

This is why the old people resist being hospitalized.

No money!

However, Lin Feng still wants to fight for it.

“This man, you have a colonic obstruction. I think the problem is quite serious. It is a closed loop. The effect of gastrointestinal decompression in the treatment is very unsatisfactory. It requires surgery as soon as possible. Trouble, I was forced to go to the operating table.”

The old man’s attitude was firm: “I won’t be hospitalized, go home!”

But the two sons dragged him and refused to let the old man go.

The movement also aroused the idea of ​​other doctors in the emergency department, and finally shocked Director Zhou Guorong.

Director Zhou came out, looked at the ct results, and performed a physical examination for the elderly, and began to persuade the elderly.

Before long, two daughters-in-law came with three grandchildren and granddaughters.

“Dad, you should have this operation.”

“Yes, we will find a way for money.”

“I don’t think it will cost much.”

“Your old man’s health matters.”

“Which hospital do I live in? I’ll get some Chinese medicine and take it, maybe it will be fine!” The old man was angry.

“What if it doesn’t work?”

“I’m not hospitalized anyway, I don’t have the money!”

“We all said that we will find a way for money!”

Sure enough, she is a good daughter-in-law of China, and she is very filial to the elderly.

Lin Feng is in the hospital and has heard a lot of gossip, and many family members will dislike elderly patients.

The old man has lived a lifetime and has seen him in the world. He is so old, his speech is not good enough, his ears can’t be heard, and his movement is inconvenient. Not only is it useless, he also has to eat, drink, pull and sprinkle. It has become a burden for everyone to take care of them, and they have reached the age of “damn”.

But this family, the son and daughter-in-law insisted on treating the elderly, and the old man did not want to increase the burden on the son and daughter-in-law.

Let Lin Feng see what is called-the true love in the world!

After more than ten minutes, after repeated persuasion by his son and daughter-in-law, the old man was reluctant to agree to be hospitalized.

Lin Feng breathed a sigh of relief.

This family member is really awesome!

Much better than the family members who dragged the patient away!

Lin Feng issued a bill: “Go to pay the bill, and apply for admission…”

Family members are grateful: “Thank you doctor!”

Check in, bed 3 0 ……..

At this time, it’s time to get off work.

Lin Feng got off work, changed clothes, and then went back to the dormitory to wash up. In the evening, he made appointments with Tan Jianzhao and Wu Jiahao for dinner.

In the past few days, after some ‘IQ’, they finally realized that Lin Feng was originally ‘Emergency Doctor Lin’, and they were shocked.

After learning that Lin Feng’s income last month exceeded 200,000, he was even more jealous and said on the spot that he would kill Lin Feng severely. At the same time, I was very excited. With Lin Feng as the backer, it was right for them to come to the City First Hospital!

Charcoal barbecue, let’s go…

At the same time, the emergency department Song Ziming was on p shift (pm, afternoon shift).

Sudden,

“Someone has fallen!”

“Come on!”

When Song Ziming heard this, he ran out quickly.

I saw several nurses rushing into the first ward, bed 3.

It was discovered that the old man with colon obstruction admitted to the hospital this afternoon fell to the ground with his eyes closed.

“what happened?”

Song Ziming was surprised, and quickly stepped forward to check.

It was found that the old man had become unconscious, he was short of breath, and his lips were cyanotic.

As soon as the clothes were opened, multiple ecchymosis formed on the skin all over the body.

Brain?

heart?

“Quickly, put him on a ventilator!”

The people worked together and quickly put the old man on a ventilator, intubated the trachea, and the ventilator assisted in ventilation.

Once the monitor is on, it’s over!

Arterial blood oxygen saturation is 76%!

98% of normal people, the decline is terrible!

Song Ziming is going crazy!

Why is it so difficult when I go to work!

Isn’t this old man intestinal obstruction? Why is blood oxygen so low? Unreasonable!

Fortunately, after getting on the ventilator and intravenous infusion, after a lot of work, the old man’s condition stabilized.

“dad!!!”

At this time, the eldest son packed his food from outside, walked into the ward, and was shocked to see this situation.

“Doctor? What happened to my dad?”

“I don’t know yet, it will be done after the inspection…I will open the bill now, and you should pay the bill as soon as possible.”

The eldest son hurried to pay the fee.

Then Song Ziming quickly took the patient to take a CT scan.

This time head CT, chest CT, and electrocardiogram, all have to be checked!

There are a lot of blood tests!

after an hour……

The results are all out:

· No abnormalities in head CT.

· Chest 2.2CT: high-density shadow of both lungs, pleural effusion.

· ECG: ST segment elevation.

·blood:

·Virus:

Preliminary diagnosis: It is possible that acute coronary syndrome, acute left heart failure, acute pulmonary edema, etc. are possible.

Ling Ling Ling~~~

Lin Feng’s cell phone rang.

Caller: Attending Song Ziming.

Lin Feng: “………………”

Have no time for a meal?

Connected.

Song Ziming: “Lin Feng, the old man you took this afternoon, the one with colon obstruction…”

Lin Feng: “What’s wrong?”

Song Ziming: “One hour ago, he fainted and the blood oxygen dropped to more than 70%. Then I was shocked. After checking it, I found that he may have heart disease or lung disease…”

“Huh?” Lin Feng was taken aback.

Song Ziming explained the whole process and inspection results in detail, and then sent Lin Feng a picture of the inspection results.

Wu Jiahao: “What’s wrong?”

The two looked at Lin Feng with serious expressions, knowing that something big had happened.

Lin Feng explained it again.

Wu Jiahao: “………………”

Tan Jianzhao: “………………”

Look dazed, dumbfounded!

Lin Feng, do you know what you just said, I don’t understand it at all? !

(╯‵□)╯︵┻━┻ Ah!

With graduation, Ru He Xiu!

. .

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