blenderwars Chapter 481
Chapter 481
Chapter 481
Emergency Department,
Lin Feng is treating one of the patients.
This patient didn’t come to see a doctor, but wanted to ask Lin Feng some questions.
The patient is an elderly in his 60s, accompanied by his son.
Old man: “Dr. Lin, it’s like this. My heart has a period of coronary atherosclerosis, which is a bit serious…”
Lin Feng: “Huh? What’s wrong? Do you want to be hospitalized?”
The old man shook his head: “I want to ask, Dr. Lin, can you perform this kind of surgery…”
Lin Feng: “Yes, it’s quite simple…”
The old man took out a report of coronary atherosclerosis examination (picture) and handed it to Lin Feng~.
“Doctor Lin, what if you do this operation for me? How much does it cost-how much?”
Lin Feng pondered: “Recently, the state has introduced a new medical policy, which included certain types of arterial stents in the medical insurance coverage. Originally it was more than 10,000 to 20,000, but now it is about 700, plus the surgical fee, about 3,000 to 4,000. …Of course, this requires you to make medical appointments in Harmony Hospital…”
After Lin Feng finished speaking, the old man breathed a sigh of relief and smiled.
“Dr. Lin, you are really a doctor of conscience!!”
“????Why do you say that?”
Lin Feng was puzzled.
When the old man said this, he became a little angry: “I have been to several hospitals, and the current doctors, in order to make money, know that the stent can be reimbursed, they told me that the stent is not good enough to make airbags… and they told me about airbags. better……”
Lin Feng: “………………”
The face is weird.
Interventional balloon dilatation surgery involves only sending the balloon in, pumping up air, squeezing the atherosclerotic blood vessel wall, expanding the blood vessel, and then removing the balloon.
This thing can only work once, and it is estimated that it will recur in one or two months.
The intervention of the stent will be significantly better, as long as it is not bad, it will be no problem for more than ten or twenty years.
Therefore, the doctor said that the airbag is better than the stent, which is pure nonsense. (Unless atherosclerosis is not serious)
Lin Feng judged the condition of the old man in front of him. Obviously, it was a bit serious, and the stent was better.
“Then do you want me to admit you to the hospital, and I will perform interventional surgery for you at night…”
“Okay, please Dr. Thorin.”
“Remember to make medical appointments, otherwise there will be no reimbursement.”
“Okay, thank you Dr. Lin.”
Admission to the hospital for the elderly,
Just as the next patient was being prepared, a nurse from outside ran in.
“Dr. Lin, there is a patient at the hand surgery department who said that you will be asked to go by… the location is in the 9th operating room…”
“?????”
Lin Feng was at a loss.
…
10 minutes later,
Lin Feng came to the surgery waiting hall.
As soon as he entered the waiting hall, the patient’s parents with severed fingers ran over, took Lin Feng’s hand, and said pleadingly.
“Doctor Lin, please be sure to help my son with his severed fingers.”
“Yeah, if he doesn’t have his index finger, what can he do for the rest of his life!”
The parents cried loudly.
“Don’t get excited, let me understand the situation first…”
Lin Feng is also very helpless. In fact, this is a bit of a rush to surgery, and it is a taboo in the workplace.
Fortunately, Lin Feng has a good relationship with each department, otherwise it would be embarrassing.
5 minutes later,
Lin Feng entered the operating room and started the operation.
First, find the most difficult distal finger artery.
30 minutes……
1 hour……
Lin Feng reluctantly gave up.
The distal finger arteries are too fuzzy and puffy to sew at all.
Exit the operating room.
“I’m sorry, there is nothing I can do…”
Lin Feng apologized.
The patient is depressed and has no eyesight.
The parents were silent.
Moments later he cursed: “Your hospital is all rubbish… rubbish…! My son’s hands were all destroyed by you!”
Lin Feng faced the emotionally excited family members and left the operating room silently.
Doctor, not a god!
He wanted to do his best, but he didn’t want to do his best to cure the patient.
…
…
Go back to the consulting room.
At this time, a mother outside the door took Lin Feng’s arm.
“Doctor Lin, help me see my son…”
Mother pointed anxiously at a 10-year-old girl lying on the hospital bed at the door.
Lin Feng stopped: “What’s the matter?”
My mother said anxiously: “I was playing that kind of climbing pole just now in the playground, and then I fell from the top and kept crying for chest pain…”
Lin Feng nodded: “Don’t worry, I will help you see…”
Lean over and do a physical examination for the little girl.
“Kid, where does it hurt?”
“Here… (pointing to the left chest)…”
0 ········Find flowers·····
Lin Feng lifted his clothes.
There is no bruise on the little girl’s chest…
Finger press.
“Does it hurt here?…what about here?…here?…”
Pressed it and found that it was pain in the left lung, but there was nothing wrong with the precordial area…
Stethoscope,
Obviously a wet rale was heard.
“How long have you fallen?”
“Half an hour, I’ll take a taxi here…”
Lin Feng nodded.
Infection and inflammation can be temporarily ruled out,
It should be the “traumatic wet lung” caused by a fall…
“Traumatic wet lung”: A comprehensive lesion of lung tissue congestion, interstitial edema or hemorrhage caused by chest injury. It is a common lung parenchymal injury, mostly caused by rapid and blunt injuries, such as car accidents, collisions, squeezing, and falling.
. … 0
Lin Feng thought for a while: “Go and be a CT…”
Generally speaking, children are relatively small, and Lin Feng is reluctant to do CT for children because of the relatively large radiation.
But this traumatic wet lung has no B-ultrasound, only CT.
The CT order was opened as quickly as possible, and Lin Feng signed it.
“Thank you Doctor Lin!”
Mother thanked her again and again. She was worried just now that she would stop Lin Feng directly. She was afraid that Lin Feng would ignore her. She didn’t expect to be so enthusiastic to help her daughter diagnose her.
Mother took the little girl to do CT.
Lin Feng went to the dining hall for dinner.
…
After eating, Lin Feng returned to the clinic.
“Doctor Lin!”
At this time, the mother was walking anxiously at the door of the emergency department, with tears on her eyes. After seeing Lin Feng, she was overjoyed and rushed over.
“Dr. Lin, help me look at this report. Why does it feel like it’s serious…”
She looked worried, she should have cried just now.
Lin Feng glanced at the report.
·Limited pulmonary bullae at the tip of the right upper lobe and subpleural, the size is 8X7X5……
Lin Feng was stunned for a moment.
Not “traumatic wet lung”?
It’s “Bullae”?
Moreover, the volume of 8X7X5 is a bit big!
“Lung bullae”: refers to the air sac-containing cavity formed in the lung tissue due to the increase in pressure in the alveolar cavity due to various reasons, the rupture of the alveolar wall, and the fusion with each other. It may occur before and after birth.
“Dr. Lin, my daughter…”
——
ps: End of today. again.