blenderwars Chapter 351
Chapter 351
Chapter 351
“I heard that Dr. Lin Feng from the Emergency Department of Harmony Hospital has very good medical skills…”
The legend of Lin Feng is popular in various circles in the imperial capital.
Moreover, it is not as difficult as those experts.
then,
Mr. Qin decided,
Go directly to the emergency department of Harmony Hospital and specify Lin Feng for diagnosis and treatment.
Nurse: “Hello, Dr. Lin has now reached 25 people, and you are not in a sudden illness, so you can’t jump in the queue…”
Mr. Qin’s face became stiff: “How long will it take 25 people in line?”
Nurse: “According to Dr. Lin’s speed, it usually takes 3 hours, but sometimes it will be delayed by other patients… it’s possible in the afternoon.”
Mr. Qin: “……………………”
But when I think of it, if I go to another doctor, I might be tossing about it.
Mr. Qin gritted his teeth: “I decided to continue waiting for Doctor Lin!”
The nurse nodded: “Okay, I will arrange for you…”
Then……
The first wait is 4 hours, which is 1 o’clock in the afternoon…
Mr. Qin, this is the opportunity to enter Lin Feng’s clinic.
…
“Doctor Lin, I have low back pain. It’s been five years…”
After Mr. Qin came in, he began to talk about his own experience.
Lin Feng: “Five years…”
Over time, many illnesses will become more serious.
“Where does it hurt?”
“Here (pointing to the left kidney position)…”
“Urinary system… Do you have symptoms such as dysuria, frequent urination and urgency?”
033 “No, this aspect has always been good…”
“The digestive system…is there any symptoms such as nausea, vomiting, abdominal pain, and bloating?”
“nor……”
“Fever and chills? Or the heart and lungs, breathing is not smooth, or something…”
“still none……”
Lin Feng was surprised.
However, it is still the same sentence, if you are over 40 years old and have chest and abdomen pain, you need an electrocardiogram first…
Lin Feng used the pulse instead to save some money, because he also felt that it was unlikely to be a myocardial infarction.
Lin Feng’s pulse level is still very high. After all, he has accumulated thousands of years of experience. The pulse can replace the electrocardiogram to a certain extent.
Pulse pulse result: the heart is no problem…
Then stethoscope, listen to the heart sound, there is no problem…
above,
Ruled out heart problems.
At the same time, exclude lumbar muscle strain, because this time is too long, 5 years, the probability is not high, and it is not fatal (Method: pay attention to rest, reduce waist activity, and use some anti-inflammatory painkillers).
Next step,
Consider the urinary system.
Low back pain and urinary system, the most common diseases in outpatient clinics:
·Kidney stones…
·Ureteral stones…
Lin Feng told the patient Mr. Qin of his diagnosis.
Mr. Qin: “Then what shall I do next?”
For this disease, X-ray, CT, or B-ultrasound can be done directly.
Lin Feng looked at the patient and found that the clothes (aicd) should have some money, so he waved his hand.
“You go to be a CT…”
…
after an hour,
The CT results came out:
·CT showed multiple stones in the left kidney, the largest being 2cm, and a small amount of water in the kidney calyx was also seen.
“You have kidney stones…”
“Kidney stones? Doctor, what should I do now?”
“Kidney stones still need to be dealt with as soon as possible, otherwise it may lead to kidney function damage and even kidney function failure after a long time, and it will eventually fall to the point of hemodialysis, which is too miserable.”
“Huh? Hemodialysis? So serious?”
Mr. Qin is taboo from doctors, but when he hears this hemodialysis, he doesn’t understand, but he doesn’t know how serious he is, and he can’t help but pay more attention to it.
Lin Feng explained: “The existence of stones will irritate the mucous membranes in the kidneys for a long time, which may lead to bleeding, pain, infection, and even cancer. It is more likely that the stones block the urine outflow tract of the kidneys and cause the kidneys. Accumulation of water, eventually kidney failure and need hemodialysis or nephrectomy…”
Finally, Lin Feng added a sentence…
“It took you 5 years to get a kidney stone, and there is no major problem. This is already relatively lucky…”
Mr. Qin sweats violently.
I dare not say that I have used painkilling plasters for 5 years.
“Doctor Lin, then quickly get rid of this stone!”
“Okay… Now let me tell you about the method of crushing kidney stones…”
Lin Feng started to introduce:
“The first type: take medicine. Unfortunately, 2 of your kidney stones are a bit big, and the medicine is useless.”
“The second type: extracorporeal shock wave lithotripsy, non-invasive, directly hit with shock wave, there is a possibility of breaking the stone… yes, not necessarily.”
“The third type: percutaneous nephrolithotomy… it requires surgery and puts the nephroscope in. (Refer to Gastroscope)”
“The latter two, you choose by yourself…”
Lin Feng finished,
After thinking about it, he said again.
“Normal kidneys shouldn’t have stones. It must be because the body’s metabolism is wrong or the kidneys are not part of the problem… So, you’d better do a “urine culture” to see what bacteria are…”
“Huh? Okay…”
“Why, have you considered it?”
“Think about it, I choose the non-invasive impact…”
“Okay, but what I want to say is that extracorporeal shock wave lithotripsy is not always possible. If it fails, you may have to perform surgery through a nephroscope. By then, you will have to spend 2 money…”
“I’m not afraid of money, I have money…”
As the boss of a big company, Mr. Qin still has money.
“Go, I’ll take you to the urology department…”
Because extracorporeal shock wave lithotripsy equipment is available only in urology.
…
soon,
Lin Feng took Mr. Qin to the urology department.
“Doctor Lin…”
“Doctor Lin…”
Numerous doctors and nurses greeted one after another.
“Excuse me, I’m here to pick up the equipment and make a kidney stone extracorporeal shock wave lithotripsy for my patient…”
Urologists and nurses: “……………………”
I’m coming.
That man (Lin Feng) is finally about to start with the urology department! !
5 minutes later,
The patient, Mr. Qin, was lying on the shock wave bed, with the instrument facing his left kidney…
The shock begins!
咚咚咚咚~~~~
Impacted for 3 minutes…
Finish.
Mr. Qin went to the B-ultrasound department with a small number of people to review the B-ultrasound to see if there was any successful lithotripsy!
…
1 hour later…
The B-ultrasound results came out.
·A few kidney stones do not move at all!
Lin Feng: “………………”
Mr. Qin: “………………”
There is no choice but to choose another operation:
Surgery!
“Percutaneous nephrolithotomy”!
Mr. Qin signed the “Notice of Knowing the Condition”…
Then began to do a more complete inspection:
· “Intravenous pyelography”!
Why do this?
Didn’t you do CT before?
Because of the CT results, there are stones in the left kidney and the appearance of the ureter can also be seen.
(Ps: Human urinary tract: kidney (filter) → ureter → bladder (storage) → urethra → outside of the body.)
However, CT has no way to determine whether the urine can go down the kidney→ureter like this (blocked?).
so,
On a whim, Lin Feng gave the patient a more complete examination and added this “venous pyelography” to this patient.
To facilitate further evaluation of urinary system function.
Mr. Qin: “Okay, do it!!”
Mr. Qin is not short of money, and at this time he regrets that he had been taboo and avoiding doctors, so now that he has kidney stones, he will naturally not save money.
What Lin Feng said, he did what he did.
Then,
It took Lin Feng half an hour to do an intravenous pyelogram to the patient Mr. Qin.
In fact, the process is similar to intervention.
A contrast agent was injected intravenously, and X-rays were taken at his urinary system.
After the contrast agent enters the vein, it will soon flow into the kidney, and be filtered out, and enter the renal pelvis → ureter → bladder.
result!
Just do this radiography!
Found a new problem! !
The contrast agent did not appear in the left kidney + left ureter! !
“Why didn’t it develop?”
Lin Feng was shocked!
…….