blenderwars Chapter 354
Chapter 354
Chapter 354
“liquor!!!”
Lin Feng remembered clearly,
When the patient was questioned by Lin Feng, he did not say that he was addicted to alcohol, and he said that he did not drink much.
Therefore, Lin Feng didn’t think about “wine” at first.
Why does Lin Feng care so much about this ‘wine’?
Because of long-term drinking, it will lead to the lack of “vitamin B1”.
And “Vitamin B1”, also known as “Antineuritis”! !
(Ps: It is the first vitamin discovered in the world.)
When you look at the name “antineuritis,” you should understand that this thing has something to do with nerves.
Specifically: Vitamin B1 is an important part of glucose metabolism. If it is lacking, it will cause energy metabolism disorders, and neurological and cardiovascular problems. Some people have neuroinflammation, and some people have heart failure.
In addition, vitamin B1 was discovered because a doctor studied beriberi in the Dongyindu army in the 19th century, and finally discovered vitamin B1.
“You have been drinking since you were young, isn’t it more than 20 years old?”
“Yes……”
“Drink every day?”
“Yes, I drink it every day, it’s uncomfortable not to drink…”
“Then why when I started asking you, I said you don’t drink much?”
08 “I…I bought some insurance. I heard that many diseases cannot be compensated if they are caused by drinking, so…”
Lin Feng: “…………………………”
understood.
I was afraid that insurance would not work, so I concealed drinking in the medical record.
It’s really cunning!
Patient: “Dr. Lin, is my illness… related to drinking?”
Lin Feng nodded: “99% possibility, yes!”
So here comes the problem.
Why do alcoholics cause vitamin B1 deficiency?
There are many reasons for this.
First of all, patients who drink frequently will definitely eat less, and get less vitamin B1 from vegetables and meat (it is estimated that they will eat more peanuts).
In addition, people who drink for a long time can cause digestive diseases such as gastritis and intestinal malabsorption, which can also cause vitamin B1 absorption disorders and increase vitamin B1 excretion…
Drinking—vitamin deficiency is actually not directly related.
However, in a statistical sense, there is a very strong connection between them.
Statistics from all the papers show that people who love to drink have a very high probability of causing vitamin B1 deficiency.
The patient in front of him has a long-term drinking habit, so the reasoning about all the previous diseases (EMG, spinal fluid, etc.) has to be stroked again.
In other words, Lin Feng misdiagnosed because the patient concealed drinking.
The patient may not be Guillain Barre syndrome at all.
Patient: “Dr. Lin, what should I do now?”
Lin Feng: “It’s a simple answer, just a shot, vitamin B1 will do…”
If it is really vitamin B1 deficiency, then the treatment can be much simpler than Guillain Barre syndrome.
Lin Feng said to the nurse: “Give him a shot of vitamin B1, 100mg.”
at this time,
The handover doctor also nodded.
He also reacted. Is Lin Feng suspected of vitamin B1 deficiency caused by the patient’s long-term drinking?
soon,
The nurse gave the patient 100 mg of vitamin B1.
Lin Feng: “If you regain your strength after a few hours, it means that it is indeed a vitamin B1 deficiency… If it is still the same, then reconsider the “Guilan Barre Syndrome”… By the way, don’t drink. Do you understand? ”
The patient nodded repeatedly.
His wife is also next to him: “Dr. Lin, don’t worry, I will take care of him!”
…
Lin Feng handover is complete…
get off work,
The next day, continue to come back to work.
The first time is to come to the hospital for rounds.
Lin Feng came to the patient with vitamin B deficiency.
The patient saw Lin Feng and was very happy: “Dr. Lin, haha, thank you, I’m fine!!!”
He is so happy!
The disease is finally cured!
Lin Feng: “You have strength?”
The patient got out of bed and jumped a few times happily: “I had strength at around 10 o’clock last night, and now I can get out of bed, jumping around without any problems.”
Lin Feng breathed a sigh of relief: “That’s good…”
The patient is done,
Then Lin Feng was relieved, and went to check other wards…
Just as Lin Feng finished the handover and was about to return to the clinic,
Sudden,
Icu’s patient called.
“Dr. Lin… There is a patient, do you have time to come over and palm your hands?”
“what?”
“A patient with heart failure has just been sent from another hospital. The doctors are consulting. Then the director thought of you, Doctor Lin. Are you free to come over?”
“no problem……”
Lin Feng nodded and agreed.
Icu Lin Feng is familiar with it, but it is the first time that Lin Feng has been invited to the consultation.
“on my way……”
…
10 minutes later,
Lin Feng came to one of the wards of icu.
Once in,
Good guy,
A lot of doctors have come, blood, extra-cardiac, intracardiac… all departments…
The entire independent ward was crowded with people.
The patient got on the ventilator and lay on the hospital bed.
“I heard that this patient is a family member of the big boss above…”
“The director who is strange is here in person…”
Lin Feng was surprised.
The so-called big boss is naturally not the kind of boss who does business, but the kind of boss who is the leader. As for how big it is, it is not clear. face.
It is the first time that Lin Feng has met the family of such a big boss.
Kind of fresh.
Then, the director began to tell the patient’s case.
·Patient, female, 53 years old, Chen XX (confidential)…
·Past medical history: Early lung cancer was discovered a year ago, and it has been surgically removed…
·No history of high blood pressure, diabetes, heart disease…
· More than a month ago, there were symptoms such as sore throat, fatigue, chills… The time was delayed for 1 week, and it was not cured… Then, there was nausea and vomiting…
·In the next hospital, CT of the chest confirmed a small amount of inflammation, but not much. There is no metastasis of lung cancer…
· Results of blood draw: the other indicators are normal, and the platelets are one-fifth to one-fifteenth of the normal value.
(Platelets are a key factor in the blood coagulation system. If there are few platelets, the human body may be bleeding.)
·3 days ago, due to general weakness, chest tightness, shortness of breath, difficulty swallowing with water, and no chest pain, he started to enter the ICU of the next hospital.
·Do a thorough examination: ECG, blood routine, myocardial enzymes, troponin, liver and kidney function…
·Examination result: Everything else is normal, except for “brain natriuretic peptide” (exceeding the upper limit of detection, it bursts)
·”Brain Natriuretic Peptide” Explanation: Released by heart tissue, generally its rise means heart failure.
. . . . .