Gastrointestinal surgery.
Tan Feng, the director of surgery, has been hearing recently that there is a very good intern in the emergency department, and the operation is as artistic as the master chef's cooking.
He doesn't believe it!
As a surgical boss, I naturally know that surgery is practiced, not seen by reading books and videos.
An intern, who has never practiced it, and the first surgery is made into art?
Hum!
Today, he patrols the department on a daily basis.
And then....
"Have you heard? Dr. Lin did another operation, colon cancer, the kind that was removed..."
"What's more, I heard that this operation was completed in an hour."
"What? An hour done? "
"Isn't it?!"
"So soon? Faster than our director? "
"Shhh... The director is in the back... Hello Director! "
Feeling the sincere and fearful look on the face of the attending physician who slandered him in front of him, Tan Feng snorted coldly.
Left.
He became interested in this emergency intern Lin Feng!
Boy, you managed to get my attention ·jpg
......
......
"Ahhh
In the emergency room, Lin Feng sneezed.
Unimpressed.
Continue to talk to patients and families after colon cancer surgery about some points to pay attention to after surgery.
After the successful operation, there is actually no big problem in the back.
The next few days: the patient is hospitalized for observation, the nurse maintains the water-electrolyte balance of the patient, gives parenteral nutrition therapy as appropriate, and then changes the abdominal incision on the third day, and drains the patient if there is a problem. On the 1st, 3rd, and 5th days, blood routine, electrolytes, etc. were reviewed, and antibacterial drugs and parenteral nutrition therapy were adjusted according to the test results.
Finished instructing,
Lin Feng began to continue to sit in the clinic.
Soon, a male patient in his 20s with a pale face (whiter than all of Lin Feng's previous pale-faced patients, terribly white), still covered his stomach and walked in.
Lin Feng was taken aback!
How do nurses do it?
This patient looks like he is about to 'hang', and it looks like myocardial infarction or aortic dissection.
Lin Feng hurriedly inquired about his condition.
The patient smiled while hurting
"Doctor, don't be nervous, I'm used to it, I started after drinking alcohol once 6 years ago, and now I have hurt hundreds of times."
Lin Feng: "............"
At the same time of surprise, my heart was relieved.
"Show me the medical records..."
It is estimated that the medical records are very rich.
Sure enough, the patient handed Lin Feng 3 thick medical records, which were full of checklists and diagnostic sheets....
Exclusion of pancreatitis....
Stones are excluded....
Exclusion of myocardial infarction....
·......
Many diseases were ruled out.
But I just can't find the reason.
These three medical record books represent that he searched almost all the top tertiary hospitals in the province, but he could not find the reason.
The patient said on the side: "Doctor, just give me painkillers, anyway, I can't find the reason." "
Lin Feng nodded.
Give analgesics first, and then find the cause slowly.
Morphine, tramadol, sufentanil....
Tried them all.
As a result, the effect is not very obvious, which is very unreasonable.
Suddenly, Lin Feng's mind flashed.
"Epilepsy??"
Lin Feng recently browsed the doctor's public account of a certain big man, and there was a case mentioned in it, and the symptoms were very similar to this person.
"Try to stabilize it..."
Valium: also known as diazepam, medicine/injection, can be combined with other antiepileptic drugs to treat large or small seizures.
The nurse quickly pushes the diazepam injection into the vein.
It didn't take long for the patient to feel a lot less pain.
The patient was pleasantly surprised: "Huh... There is an effect, doctor, what kind of medicine is this? "
He was fed up with the helpless pain of the doctors every time he went to the hospital, and he felt the hope of happiness.
Lin Feng: "Valium injection, if you have pain in the future, you can tell the doctor to try this medicine." "
The patient nodded repeatedly: "Valium injection, right?" Okay, I made a note of it. "
Brush brush brush ~~~~
Lin Feng's computer typed out two checklists: magnetic resonance imaging (MRI) and electroencephalogram.
"Let's go for these two tests..."
"Okay, okay, I'll go right away, thank you!"
The patient was already very convinced of Lin Feng at this time, cheered and took the checklist, and went straight to the MRI department on the sixth floor.
......
An hour later....
The patient quickly returned to the emergency room with the examination report.
"Doctor, help me see, see what the problem is?"
Lin Feng Results Inspection Report:
MRI results: "NMR." Illustration of cystic lesions of the left temporal lobe with solid parietal nodules."
EEG: "Characteristic of temporal lobe epilepsy"
Lin Feng returned the report to him.
Lin Feng: "It was found out, and it was written that temporal lobe epilepsy is the pain caused by this disease." "
Patient: "Temporal lobe epilepsy? ...... Doctor, how to treat this? "
Lin Feng: "How to treat it specifically, you go to a neurology expert to take a look." "
Actually,
This is a refractory epilepsy that cannot be treated with drugs.
Lin Feng also has no good way, so he doesn't tell the patient how to treat, the neurology department has more experience in this area, which just adds some performance to the neurology department, right?
I'm such a good man!
(Neurologist : I %...#¥#@#@...) I really appreciate you! )
。
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