After 100 Days Of Sign-In, The First Operation Shocked The World

End the operation...

...

Although the operation was successful,

But Lin Feng knew that the patient's brain herniation was not mild.

Once something like a brain herniation appears, it means that it has caused damage to the patient's brain.

Statistically speaking, the prognosis of brain herniation is very poor, and the mortality and disability rate is very high.

so,

Whether this patient is good or not depends on luck.

Push back to the emergency department,

Lin Feng instructed the bedside doctor and nurse to end this patient.

...

Lin Feng went to the alcoholic patient.

Checked the patient's condition.

A pain test was performed.

Although the patient was in a coma, he had a strong pain response.

Lin Feng breathed a sigh of relief.

Obviously, the therapeutic effect of vitamin B1 has appeared.

This is a further presumption: the patient is indeed "Wernicke encephalopathy"!

Back to the clinic,

No patients come to the emergency department, it's easy...

Until 3:12 in the morning, the nurse from the ward ran over.

"Dr. Lin... the alcoholic patient, wake up!"

"Woke up?"

Lin Feng was overjoyed.

This time, it is completely concluded: "Wernicke's encephalopathy"! !

Lin Feng went to see the alcoholic patient, and he was sober, communicated 170 times, his thinking was clear, and he did a motion test and it was no problem.

Lin Feng smiled.

"Thank you Doctor Lin..."

The patient's son thanked Lin Feng again and again.

Lin Feng nodded, but couldn't help but exhorted:

"Look at your dad in the future, don't drink too much, try to give up alcohol..."

"sure!"

"Also, your dad has atrial fibrillation in his heart. This is a very dangerous disease. Emboli will form inside the heart. Once it falls off, it may cause cerebral embolism... So you have to tell him to take medicine regularly in the future-a kind of "Warfarin" medicine..."

"Warfarin" is a classic anticoagulant drug, which has an anti-vitamin K effect in the body. It can inhibit the synthesis of coagulation factors Ⅱ, Ⅶ, Ⅸ and Ⅹ involved in vitamin K in the liver.

It can prevent thrombosis on the heart valve, and at the same time prevent the thrombosis that has formed from continuing to expand.

"what??"

The patient's son was surprised.

He thought it would be over if the alcoholism was done, and as a result, there were even more dangerous diseases lurking in his father's body.

...

...

God of night shift bless...

Then this night, Lin Feng and the nurses had a very leisurely time.

Happy night, passed.

...

On the third day,

Lin Feng works day shift.

During the rounds, the alcoholic patient had already unplugged the ventilator and was about to be discharged today.

Lin Feng told patients that they must take warfarin regularly, and must stop drinking or drink less...

However, Lin Feng looked at the old man with disapproval. He was probably a stubborn old man. It might be a bit difficult to take the medicine on time.

Lin Feng can even imagine that in a few months, half a year, or a year, this stubborn old man will suffer from "Wernicke's encephalopathy" due to alcoholism and cause fainting, or direct thrombosis and cause cerebral embolism to be admitted to the hospital...

In the rounds, another patient with a brain herniation in a traffic accident was expected to have a poor prognosis, and there was a problem with her mobility. It should be that the brain herniation affected the functional areas of the brain.

Only then did Lin Feng know that the police had come and the patient had been involved in a car accident because he was fighting with others. It is estimated that with the other side of the car, it is a bunch of ridiculous things.

...

Back to the clinic,

Open a consultation,

The dozen or so patients in the front are all sick with fever and abdominal pain.

Lin Feng finished the diagnosis quickly.

The 18th patient is finally a little different.

...

·Patient, 36 years old, a migrant worker who went to work in the city, Huang Jishuang.

Condition: Suppurative infection on the sole of the right foot.

The patient limped and walked in,

Taking a step, his face distorted, obviously his feet hurt.

Patient: "Dr. Lin, I have sores on my feet..."

Lin Feng: "Raise your foot, show me..."

The patient raised his foot.

Lin Feng saw pus, cavities, and redness and swelling around the patient’s feet...

It's purulent.

Look left and right, it's not like a sore...

(aicd)

"How long……"

"It appeared a week ago... At first I went to the pharmacy and bought some compresses, which worked, but later it didn't work. It became more and more painful, and I felt that the mouth was getting bigger and bigger..."

"Have you been injured before?"

"Yes... I work on a construction site. Half a year ago, I stepped on a nail and pierced it..."

"It's also this position?"

"Yes……"

"Have you had suppuration before?"

"Yes, it has been suppurated twice before, but it's better later... now it's suppurated again..."

"That is, it has been purulent three times in the past six months..."

"Yes……"

When Lin Feng heard this, he probably had a judgment.

·A lesion, if the infection recurs in the same place, there may be a foreign body inside!

so,

The high probability is that when the patient pierced Tieding last time, the debridement was not clean and something was left in it.

"After being pierced in the foot, where did you go to debride?"

"What is debridement?"

"It means cleaning up the wound, disinfecting, bandaging..."

"The worker helped me get it..."

"Huh? Didn't go to the clinic? The hospital?"

"It's too expensive, it's not necessary, just make it up as you like..."

".................."

Lin Feng didn't know what to say.

"Go make an X-film and see if there is anything in the foot..."

Lin Feng opens the order.

X-rays are cheaper and suitable for the patient who wants to save money.

"How much is the X film?"

"Not much, 80..."

"That's okay, I'm afraid it will cost several hundred, it will be too expensive..."

The patient breathed a sigh of relief.

...

after an hour,

The patient returned with X-rays...

Lin Feng glanced, sweating violently.

X-ray: Osteolytic lesions (with a hole) in the cuboid bone, but no signs of foreign bodies.

X-ray, I didn't see the problem.

(Some foreign objects cannot be seen by X-ray.)

Lin Feng helplessly said: "Go take another CT..."

X-rays are not that sensitive, and CT is needed at this time.

The patient was dumbfounded: "What? Still taking pictures?"

Lin Feng had to patiently spend a few minutes to explain.

When the patient learned that CT actually cost 700 yuan,

The patient is even more difficult to accept, and a little angry: "Your hospital is too expensive. Wait for the medicine to be added. I can't come for less than 1,000 yuan. I will never come again..."

Lin Feng is very serious: "It's not like that. If you can go directly to the hospital for professional debridement when you are injured for the first time, then there will be no such things..."

Patient: "Is there any other way?"

Lin Feng: "Yes...not according to CT...I will operate on you directly, cut open the wound, and re-debride it..."

The patient's eyes lit up: "How much is this?"

. .

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