blenderwars Chapter 246
Chapter 246
Chapter 246
Facing such a stupid patient,
Lin Feng didn’t want to persuade him.
“As a doctor, I have an obligation to tell you the results of my diagnosis. As for whether I accept it, I can’t control it. If you don’t check, you will bear the consequences?”
The middle-aged male patient looked disdainful: “Threat me? Frighten me? I still don’t know you doctors? I want to covet my money. This is my disease, I don’t need you to be responsible, I am responsible!”
Lin Feng sneered.
Are you responsible?
You don’t even know how dangerous you are!
After you die, do you still bear this responsibility?
Lin Feng said with a cold face,
However, in order to prevent the patient from saying at the end: “You are a doctor, you understand, but our people don’t understand!”
Therefore, Lin Feng talked about the condition again.
“Sign it…”
“Write on: I have been informed by the doctor in detail that there may be “aortic dissection” and the danger and refused the doctor’s suggestion for further examination and treatment… and the signature, time, how many points…”
When the middle-aged male patient heard this, he coldly snorted, “Sign it!”
“and many more……”
At this time, the wife couldn’t help but talk.
“Husband, let’s go check it out. I think this disease is really dangerous.”
967 she felt the solemnity of Lin Feng’s attitude.
The middle-aged male patient stubbornly said: “What’s the use of this CT? It is so expensive? I have a stomach problem, and it is better to have a gastroscope! I only ask the doctor to give me some pain relief medicine. The doctor will not let me have any way.”
The wife said with tears: “The doctor said that he couldn’t make a diagnosis. He wants you to do CT. If you don’t do CT, the doctor sees the doctor like this? When I come to the hospital, I just listen to the doctor!”
Then,
It was another 10-minute quarrel to persuade.
Finally, the middle-aged male patient finally agreed to go for a CT examination.
…
Because of the disease of aortic dissection, the patient may die at any time.
And the patient in front of him has torn to the abdomen, which may have been very serious.
so,
When doing CT, Lin Feng personally went to the imaging department to see the CT results on the spot, instead of waiting half an hour for the CT results to come out.
“Doctor Lin!”
When the female doctor on night shift in the imaging department saw Lin Feng, the night shift was ecstatic and bored. At this moment, it became exciting and active.
Happy mood~~~~
“I’ll do a CT for this patient… Just rest, I’ll do it.”
“OK!”
Doctors in the imaging department know that Dr. Lin Feng can not only perform various operations, but also CT, X-ray, B-ultrasound, MRI…
He is so proficient in everything, it’s too awesome.
Some people even say: The value of the face determines knowledge?
…
10 minutes……
The CT results came out.
confirmed!
It is “aortic dissection”!
5cm near the pulmonary aorta!
I have a 1cm large aortic dissection (tumor)!
“It turned out to be true!!”
Hearing this result,
The patient’s wife was in a cold sweat!
And the middle-aged male patient was too scared to speak at this moment, and he was afraid for a while when he remembered that he had just vowed to say, “It’s just a stomachache,” and “I’m responsible.”
“Doctor Lin, you can save me!”
The middle-aged male patient was completely softened at this moment.
Don’t be stubborn!
He didn’t dare to be stubborn, his life was gone, and he quickly pleaded with Lin Feng for help!
He is only 46 years old and he doesn’t want to die!
Lin Feng nodded: “Don’t worry, I will try my best to help you…”
Lin Feng did not take the complaints of the patients into his mind at all.
Not because of Lin Feng’s generosity, but because there are too many such things in daily work, and he has long been used to it.
The profession of a doctor has received a lot of praise from the society, and naturally it has to pay a lot.
at this time,
What Lin Feng had in mind was how to perform an operation on this patient.
Conventional medication is definitely needed.
But it also requires surgical treatment.
·The first type (aicc): surgical operation!
·The second type: interventional surgery!
The two surgical methods are as follows:
·Surgery: This is the most accurate way to treat aortic dissection, and it can usually be “radical.” Surgical treatment is to replace diseased blood vessels, eliminate false cavities, and rebuild blood supply to branch vessels.
·Interventional surgery: The interventional method is mainly endovascular repair/isolation. The artificial blood vessel is seamlessly fixed to the normal artery wall at both ends of the diseased artery through the elastic expansion force of the special “stent graft” to seal the dissection breach.
Disadvantages of both parties:
·Surgery: large trauma, poor prognosis
·Interventional surgery: The trauma is small and the prognosis is quick, but it may not be cured, and there is a risk of recurrence.
Lin Feng then asked the patient to do a complete “Aortic CTA” examination.
“Aortic CTA”: refers to the vascular imaging technique of the aorta under CT, that is, CT imaging of the aorta.
soon,
The result came out.
This time it was shown more carefully.
Lin Feng made a detailed assessment of the condition, and finally felt that interventional surgery is better and faster.
In recent years, the concept of “Hybrid” hybrid surgery has also begun to be used in AD (aortic dissection) to reduce the scope of surgery, reduce the operation time, avoid the huge trauma of surgery, and reduce the mortality rate. It has achieved good clinical results.
Lin Feng asked, it happened that Harmony had a corresponding stent device, which of course would be a bit more expensive.
“Everything depends on the doctor!”
at this time,
The stubborn middle-aged male patient has become obedient. As for money, he has not considered it. He only thinks that what Lin Feng said is the best, and he can trust it unconditionally.
Half an hour later…
Pushed into the operating room…
Radiography…
Insert the guide wire, and then go into the catheter + stent…
Implant stent, gelatin sponge…
Withdraw, stop bleeding…
End the operation…
The entire operation took only 30 minutes.
It’s very simple.
Also very fast.
“Is this done?”
The middle-aged male patient is unbelievable!
He was going to have a few hours of surgery…
As a result, go up, 30 minutes, come down…
Don’t even need anesthesia!
It’s over!
However, the tearing pain in the back is gone!
incredible!
My wife is also unbelievable!
The two couldn’t help shouting!
“Doctor Lin is awesome!!!”
Afterwards, after a day of testing, the patient was discharged directly without incident.
“Thank you Doctor Lin!!”
Another fruit basket + pennants…
Lin Feng Pennant Achievement +6……
“Remember to take antihypertensive medicine on time…”
“No problem, Doctor Lin!”
At this time, the middle-aged male patient has completely turned into a big fan of Lin Feng! !
. .