novelslam Chapter 156
Chapter 156
Chapter 156
After Lin Feng exchanged warm greetings with the county leaders, the county leaders invited them to dinner in the evening.
Lin Feng went to the village to follow the customs, so he agreed.
The county leaders saw Lin Feng’s enthusiastic attitude, and couldn’t help but think about it:
“Dr. Lin has 20 million followers on Weibo, and there are many tourist destinations in Xinyuan County, which are only a two-hour drive away from the provincial capital. Perhaps Dr. Lin can be our county’s image promotion ambassador…”
The county leader is also a leader who has a vision to keep pace with the times, so he thought of this approach.
This matter must be considered in the long term, not in a hurry.
The county leader is happy to leave.
And Dean Liu Changming enthusiastically pulled Lin Feng into the hospital.
Lin·Vice Dean·Feng is modest: “Dean Liu, I just came here, and I don’t know anything. How about you come to make arrangements in these two days?”
Dean Liu laughed and said: “Okay… or else, go to the emergency department today and the whole hospital ward tomorrow? I will let all the doctors in the hospital listen? Tomorrow afternoon you will pick two patients and have an operation? All Doctor study?”
In short, it is to maximize Lin Feng’s advantages as a big doctor.
Not limited to a certain department, but all subjects are taught once!
Dean Liu has already asked about it. Lin Feng worked as an emergency doctor for one year when he was in the No. 1 Hospital of the city. He has rich experience in general medicine.
Lin Feng nodded: “No problem, I will listen to Dean Liu’s arrangements!”
…
At 10 o’clock in the morning, Lin·Feng’s first general emergency department officially began.
The clinic is closed.
All the patients who came to see the doctor gathered here to Lin Feng.
Because there are too many doctors studying, Dean Liu directly used the live video, focusing on Lin Feng’s diagnosis process, and then broadcasting it in the big media conference room, and the doctors who were studying could watch the live video in the conference room.
Before it started, the doctors started talking.
“General Surgery, is Doctor Lin really okay?”
“It should be okay, there is a problem, Dr. Lincoln said.”
“I heard that Dr. Lin is very good in general medicine!”
Lin Feng turned on the number calling machine,
First patient, start!
…
The first patient,
A 48-year-old man named Huang, a villager.
And his wife.
“Doctor Lin, my right eye is a little bit painful, and now I can’t see things clearly, please help me see…”
Villager Huang in 910 felt incredible about Lin Feng being so young, but he heard that the doctor in front of him was invited by the county hospital from the big city, and he became the vice president.
Deputy Dean!
That’s a big person that they can’t even get in touch with the chain!
The strength must be good!
Lin Feng wore gloves, disinfected with disinfectant, and then checked the right eye of villager Huang.
· Right eye: hyperemia, very redness and swelling.
· Right eye: Omentum has obvious oozing, bleeding, peeling, and abnormal lens turbidity.
·Right eye: signs of retinal detachment
Lin Feng suddenly became alert.
This is definitely not an ordinary eye disease!
Lin Feng is serious: “Tell me the details…”Villager Huang: “Good doctor, five days ago, I felt a little pain in my right eye. At first I thought it was sand getting in and rubbed it. It was useless. Originally, I had “trachoma”, but I used “erythromycin eye.” “Ointment”, but later the right eye became more and more painful. ”
“The next day, it got worse and my vision began to blur. I was a bit afraid that my eyes would be blind. So I ran to the town clinic and went to the doctor at the clinic. The doctor said that I was “conjunctivitis” and then prescribed “Nofloxa”. Star Eye Drops”…”
Lin Feng nodded.
Norfloxacin eye drops, a broad-spectrum antibacterial drug, an antibiotic, it has a certain therapeutic effect against various inflammatory infections caused by Staphylococcus aureus.
Lin Feng: “Then what?”
Villager Huang continued: “I have used it for another day, and it feels even more wrong. The entire right eye is completely invisible, and it is hazy. Now I look at the left eye supporting it.”
“Then I went to check again. The doctor at the clinic finally said that it was not conjunctivitis, but “acute panuveitis.” “Missone” and then prescribed a new medicine to me, but after using it for a day, the pain in my right eye became worse, and I also felt swelling and swelling. ”
“Doctor Lin, you have to help me!”
Villager Huang was really panicked, he was really afraid that he would be blind in the future.
Lin Feng started to verify various experiences in his mind at this time.
This eye does not look like an ordinary eye disease.
Lin Feng: “Do you have any other problems besides your eyes and your body?”
Villager Huang thought for a while: “No…”
When the wife heard this, she became anxious: “Why don’t you have it! You didn’t mean you were dizzy, had a low fever, had a bad appetite, and didn’t eat anything. You have felt that you have lost weight these days and you still have a cough…”
Lin Feng became more alert when he heard it.
Fever, appetite, these may not be eye problems, but chest and abdomen problems!
Lin Feng ordered the hospital assistant to print out the chest CT sheet and hand it to the villager Huang.
“Immediately, get a chest and abdomen CT, as soon as possible!!!”
Villager Huang: “Ah? Also check these? Didn’t I have a problem with my eyes?”
The wife urged: “The doctor asks you to go, you go!”
Hurry up and get a CT.
After Lin Feng watched them leave, he began to broadcast live to the camera, and began to review the case with the doctors.
“This patient is very typical. The eyes are sick. First of all, we can list various ophthalmological diseases, inflammation… When the patient uses antibiotics and antibacterial drugs (not anti-inflammatory, the details are not detailed temporarily), it is useless, then the ophthalmologist Be careful, it may be caused by other causes…At this time, the ophthalmologist should look for doctors in other departments to diagnose.”
The ophthalmologists at the county hospital nodded.
Experience +1+1+1+1+1+1+1……
Next, Lin Feng continued to receive other patients.
The second, the third, the fourth…
The tenth, the eleventh…
They are all common diseases, and Lin Feng sees a doctor very quickly.
While seeing a doctor, through live video broadcasting, the medical knowledge and experience of the relevant system of the doctors are imparted…
County doctors: Experience +10+10+10+10+10+10…
At this moment,
Villager Huang and his wife rushed over with CT films.
“Doctor, the result is out!”
“Doctor, help my husband see if there is a problem!”
Lin Feng took the CT film and took a look!
really!
There is a big problem!
·On CT, it can be seen that Huang has several lumps in both lungs and liver, and some of the lumps are still hollow with fluid in them.
·Conclusion: Lung abscess, liver abscess! !
Lin Feng’s face became serious!
No wonder the patient has cough and fever again!
This is all caused by lung abscesses!
The only good news is that this lung abscess is not big, it’s still small!
In addition to lung abscess, there is also liver abscess, but fortunately it is not big!
Based on experience, Lin Feng roughly came to a conclusion!
“Klebsiella pneumoniae infection”!
Klebsiella pneumoniae is the most important type of bacteria in the Klebsiella genus of the Enterobacteriaceae (commonly known as Pneumoniae Bacillus). The disease caused by it accounts for more than 95% of Klebsiella infections.
This is a kind of bacteria, because it often causes pneumonia, it is very aggressive, and it is very easy to spread to the eyes, lungs, brain, bone marrow and so on with the bloodstream.
This disease progresses very fast. If it continues to invade the brain and spinal cord at the end, it will undoubtedly die!
And its aggressive liver abscess syndrome has three typical manifestations: “(aicc) liver abscess”, “lung abscess”, and “endophthalmitis”!
This happens to be exactly the same as the patient in front of me!
Experienced doctors can easily think of this disease when they look at the three symptoms together.
In fact, ordinary patients will first have symptoms of liver abscess (that is, abdominal pain and bloating), and then spread to the eyes, leading to endophthalmitis, eye swelling and pain, and decreased vision.
However, the patient in front of him is the opposite!
Only the eyes have symptoms (lung and liver symptoms are not obvious), so I went to the clinic doctor. The clinic doctor didn’t understand such advanced things, thinking it was an eye disease, and delayed the condition.
Fortunately, when the patient in front of him discovered this disease, it was already a little too late.
The patient Huang Villager panicked and asked, “Doctor, how is it? Has my cause been found?”
Lin Feng nodded: “The reason is found. You have abscesses in your lungs and liver. It should be caused by “Pneumonia bacillus”…”
“Huh? Lung, liver abscess?”
“Does this disease really kill people?”
The two couples felt faint and faltered!
Huang’s wife’s tears are about to fall.
Lin Feng: “But the good news is that the liver and lung abscesses are not serious, so there should be no surgery, but you need to be hospitalized for observation and treatment. I will be in the hospital today and tomorrow. I will watch it, don’t worry…”
“Okay, thank you doctor…” The couple breathed a sigh of relief, nodding their heads to thank you again and again.
Lin Feng began to deal with it.
·First, take blood and culture to see if it is really “Pneumonia bacillus” (all test results have the final say).
·Secondly, temporarily use the strongest antibiotic “Imipenem”, try my best to control the “Pneumonia bacillus”, and then let the body recover continuously!
Lin Feng thought for a while and said to the patient: “There is another thing, you have to be psychologically prepared: the bacteria in your right eye may infect the brain at any time, so be prepared to remove your eyes!”
“Ah!” When the patient heard this, he staggered and fell to the ground with a sad expression on his face.
Lin Feng shook his head.
He is not a god, he is just a doctor, he can only help here…
Soon, the patient paid the fee and was hospitalized in the Hepatobiliary Surgery, where he was given strong antibiotic treatment, and the liver abscess was punctured and drained to aspirate the abscess.
No surgery is needed anyway.
As for whether to cut off the right eye first? This is a difficult choice.
Finally, the patient chooses to keep it first and see the follow-up…
…
Soon, the whole morning was over.
Lin Feng received 47 patients in total.
The most typical one is the patient with pneumonia bacillus just now.
but,
The county doctors felt that they had benefited a lot!
Lin Feng treated 47 patients and basically covered the general practice. Lin Feng taught them while receiving the treatment. From knowledge to experience, the system was very systematic, so that every doctor seemed to have a sense of ‘new life’!
“Doctor Lin, awesome!”
“It feels much better than the teacher I went to school back then!”
“I feel that my level has improved a lot!”
“I think so!”
“This is the legendary boss!”
“The annual salary is 500,000 yuan, the deputy dean, he deserves it!”
…
afternoon,
Continue emergency treatment.
Call number.
The first patient.
Male, surnamed Chen, in his 30s, dark skin, wearing work clothes on the site, and a lot of dust.
In his hand, he carried a bunch of films, X-ray, CT…
Worker Chen sat down and looked at Lin Feng respectfully: “Dr. Lin, I heard that your medical skills are very good. My right ear is always buzzing and it is very noisy!”
Lin Feng nodded: “Tinnitus, right? Is there only a right ear? Isn’t there a left ear?”
Worker Chen nodded: “Yes, tinnitus, only the right ear, very noisy, no matter the day or night, the right ear keeps ringing, banging and banging, it has been ringing for more than 3 months, I now listen to other people chatting very much. It takes a lot of effort, and sleep is noisy.”
He said bitterly.
Lin Feng: “Have you checked it?”
Worker Chen became angry at once: “I have come to the county hospital for many inspections, including the ear, nose, throat, brain, nerves… and later went to the psychiatric department…”
Then he carried the handbag, a bunch of reports.
at this time,
The doctors who watched the live broadcast in the conference room have already started to talk.
“I have received several ENT consultations for this patient, but the cause of my tinnitus has never been found.”
“I also watched the brain department. He had a fall, but there was no tumor, and no hematopoietic brain…”
“I also looked at the neurology department, but I really don’t see any problems…”
Obviously,
This patient has become quite a few “acquaintances”.
“I don’t know if Dr. Lin can help us solve this patient.”
“How could it be that Doctor Lin…”
…
On Lin Feng’s side, he checked the patient’s ears.
No problems with the ears!
Begin to ask in detail about the patient’s medical history and life…
The more I asked,
My brows are frowning!
Still didn’t find any problems!
Look at the patient’s various examination results…
Still no problem!
“This is weird…”
Lin Feng looked at this patient carefully. Isn’t he here to fuck me?
——————————
ps: Inflammation: refers to the body’s defense response to a variety of injury factors, not all caused by microbial infections such as bacteria.
. .