blenderwars Chapter 409
Chapter 409
Chapter 409
It took 2 days,
After Wang Huizhen was hospitalized, all the examination results came out:
·Rheumatoid arthritis, deformities of hands and feet…
·The test result of powder composition: contains a lot of hormones!
·The liver and kidneys have certain features of functional failure.
·Osteoporosis……
·diabetes……
·Corticosteroid sign…
·Digestive tract ulcer…
obviously,
The powder (a lot of hormones) has destroyed the body functions of the patient Wang Huizhen in a large amount.
When Wang Huizhen heard the news, she hugged the quilt and cried.
“I should have heard from the doctor earlier… blame me… blame me…”
She regretted it greatly.
The doctor of rheumatology and immunology department sighed as she watched her cry of regret.
According to his judgment, the patient’s condition has obviously reached a more serious stage.
Rheumatism, there is no way to treat it, it can only be controlled by taking medicine.
As for the other liver and kidney? It’s hard to say if you can recover…
so,
For rheumatism, you must take medicine regularly, follow the doctor’s advice, and don’t think that taking painkillers (such as ibuprofen) is enough.
…
…
night,
Lin Feng is on night shift.
There are a lot less patients at night than during the day, and a lot easier. Those who come to the hospital at night are usually not a minor illness.
Night, 02:21
A 60-year-old man walked into the emergency department.
While walking, he bent 08 and coughed.
His face is still a little pale…
Breathing a little bit…
The nurse took her personal temperature and brought her into Lin Feng’s clinic.
“Doctor Lin…”
“Grandma, sit down… What kind of illness does Grandma see?”
“Dr. Lin, it’s like this. Five days ago, I didn’t know why I caught a cold suddenly, and then cough, sputum, fever… I took some anti-fever medicine, but it didn’t work…”
Grandma’s cough was a bit severe, and she coughed several times while she was speaking.
Lin Feng: “Fever? Did you take your temperature at the door just now? How many degrees?”
Granny: “The girl just measured it for me, 38.6 degrees…”
Lin Feng did not ask why only the grandmother came alone, maybe the children are a little busy…
“Grandma, did you have high blood pressure, high blood fat, diabetes, etc.? Or coronary heart disease, cerebral infarction…”
Lin Feng asked about the medical history,
Most of the elderly have medical history, and the condition is more complicated, so the medical history must be asked.
Granny: “I don’t have anything else, just have rheumatoid arthritis…”
Rheumatism~~~~
Lin Feng secretly said, good fellow, why the number of patients with rheumatism has increased recently.
Lin Feng asked: “Grandma specifically asked, when did you get sick, see a doctor, and take medicine?”
The grandmother was able to talk and whispered: “3 months ago, I felt a little finger pain, then I went to see the doctor, and the doctor told me it was rheumatoid arthritis…”
Lin Feng: “What about taking medicine?”
Granny: “I’m still very punctual when I take the medicine.”
Lin Feng nodded.
“Have you brought the medical record?”
“Brought…”
The medical records are very thick, but the grandmother is an experienced patient (a good doctor for a long time?). The medical records are kept neatly and arranged in chronological order, so they can be seen comfortably.
Final summary:
·3 months ago: Diagnosis: Rheumatoid arthritis with mild interstitial pneumonia (not serious, mild)
·The doctor prescribes medicine: hormones, hydroxychloroquine, methotrexate…
Lin Feng took a look and found a small problem.
Rheumatoid arthritis, relatively mild?
“Grandma, do you always take the medicine you just said? Three months…”
Granny smiled: “Yes, after eating for 3 months…”
Lin Feng was surprised: “No, the doctor told you to eat for three months?”
Granny: “That’s not true. The doctor said that I would take it for a month, and then let me go for a review…”
Lin Feng: “…Have you reviewed it?”
Granny: “No… Didn’t the doctor ask me to insist on taking the medicine, and then I thought that it would be too troublesome to go to the doctor for a review, and I registered and ran for a day, so I went to the pharmacy to buy the medicine and took it…” (coughing again in the middle Several times)
Lin Feng: “…………………………”
He couldn’t help correcting a wrong point made by his grandmother.
“Grandma, medicine is not eaten like this, you have to listen to the doctor’s orders to eat…”
Many patients with rheumatism are actually in front of the rheumatologist, asking “Doctor, how long will I take my medicine?” “I’m finished this month, do I still want to take it?” If the doctor is asked too much, they will probably be annoyed directly. Say “eat to death”.
The doctor’s words are correct, “eat to death”!
Not only most rheumatism, but even diabetes, high blood pressure, chronic bronchitis, hyperthyroidism and other diseases require long-term medication!
This is determined by the characteristics of the disease itself!
However, this “eat to death” requires specific analysis of specific issues.
For example, some patients do not work well with certain medicines, so they need to change the medicine (there are many medicines for rheumatism). At this time, they need to seek a doctor instead of taking it hard and keep taking it.
There is another situation, just like the grandma in front of me.
Granny’s condition is relatively mild. At first, she used more medicine to make her condition better, and then she started to change to fewer medicines.
But grandma didn’t. This grandma took the medicine and went back and felt the effect was very good. She also found it very troublesome to go to the hospital to get the medicine. She continued to take the same medicine and insisted on taking it for a long time.
Then natural side effects appear.
Lin Feng suspects that the fever and cough are the side effects of grandma’s long-term (3 months) medication.
Next,
Lin Feng asked some questions, and it was probably confirmed that it was a cough caused by pneumonia.
Fever is probably caused by pneumonia.
“Grandma, I will check your personality…”
I took my blood pressure,
A bit low,
Only 90/63…
Stethoscope,
Lin Feng used a stethoscope to listen to grandma’s lungs…
It’s hard to hear!
The wet rales are heavy!
Pneumonia should not be mild!
I stopped my heart, but fortunately there was no murmur, and I was healthy.
“Grandma, are you sure you have no symptoms of breathing difficulties?”
“It’s a little bit, but it’s okay…”
“Okay, grandma will get some blood, do a blood routine, take a CT chest radiograph… Once you have breathing problems, immediately ask the nurse and doctor to explain the situation in time, you know?”
Lin Feng was afraid that he would be directly infected with pneumonia, then fell, or even contracted shock… Then it would be troublesome.
“Okay…”
…
after an hour,
Granny came back with the inspection report.
· Blood routine: white blood cell count is much higher (bacterial infection is more serious), neutrophil count and ratio are higher
·Blood routine: only three-quarters of platelets…
·CT: Pneumonia was diagnosed, but severe pneumonia has not yet reached…
Lin Feng took a look,
Sure pneumonia is undoubtedly,
but,
There is also an anemia, and it is very serious!
Obviously, grandma’s pale face was not caused by the cough and pneumonia that Lin Feng thought at the beginning, but anemia!
Lin Feng told his grandmother about his condition.
“How is it possible? I have been eating well and sleeping well, how can I be like this?”
Grandma looked incredulous.
“Grandma, this anemia should be a problem of taking medicine… Did Grandma pay attention to stool? It’s black?”
“No……”
Lin Feng nodded.
“I prescribe some pneumonia medicine and iron (tonic). When I go back, remember to take it… Then come back for a review in a week. Remember to review it. Then, I will lose a little of the three medicines you usually take… …If something goes wrong in the middle of the week, you should come to the hospital to see a doctor in time, you know?”
Lin Feng said patiently.
“Okay…”
“By the way, grandma 080, your condition is still a bit serious now…tonight is hospitalized for observation for one night…”
“Okay…”
It was about four o’clock in the morning that grandma’s son arrived. Lin Feng asked and realized that he had come back from a field.
——————
Summary: For rheumatism, you must pay attention to the review. You can’t take the same medicine all the time, and take it according to the doctor’s advice.
…
at this time,
There are no patients,
So Lin Feng chatted with a group of nurses on the night shift.
Naturally, jokes are inevitable:
”
There is a nurse Loli who is short in height, so sometimes it is troublesome to change the infusion bottle for the patient.
once,
A new trainee finds it difficult to see the nurse trying to hang the bottle.
So he said: “I’ll help you.”
The little nurse was grateful: “Thank you…”
Before the words were finished, the new intern picked up the little nurse…
Nurse:”……………………”
”
“Hahaha~~~~~”
A group of idiots laughed together.
Gee, the smile is really low~~
Sudden,
The nurse’s station rang abruptly.
The nurse hurriedly picked up.
“This is the emergency department of Harmony Hospital…”
“I am here in the 120 first-aid ambulance, and I am taking a patient to your place, and there are 2 traffic lights…”
“What about the patient?”
“Patient, male, 47 years old, suffered a sharp chest pain from eating a lot of soybeans, but I took a measurement here and my blood pressure exceeded 170/120!…”
“!!!”
The nurse was taken aback.
This blood pressure is so high! !
“Okay, I will prepare right away!”
At this time, Lin Feng and several nurses, already pushing the flat car, rushed to the door of the emergency department.
. .