At this point,
Zhang Yuan's mood was still very shocked.
Because Lin Feng had just consulted, he didn't look like a new man at all, but like an 'old driver'.
Accurate questions!
・The physical examination is also accurate!
The checklist is also very targeted, and it is obvious that there is a certain degree of certainty in the judgment of the cause.
Zhang Yuan asked himself that he had been deeply engaged in the emergency department for several years, and he could achieve the level of Lin Feng at most.
His experience also immediately thought of pancreatitis.
"Is this really the first consultation?"
"Nima, is there really such an exaggerated genius in this world?"
Zhang Yuan secretly said to himself.
"Doctor..."
At this time, the young man looked at a bunch of checklists and hesitated.
As a patient, especially a patient whose economic conditions are not very good, I am most afraid of various checklists, and once checked, a few hundred yuan will go out.
"Doctor, I am gastritis, I was also infusion here for this symptom half a month ago, and two bottles of medicine can be good."
Patients don't want to spend this money.
Lin Feng shook his head: "I have read your medical record book and know that you came here for treatment of acute gastroenteritis last time, but... I judge that you should not be gastroenteritis, but pancreatitis. "
"You take a deep breath."
"Suck ~~~ Ahem~~~~~"
The fat young man covered his stomach with severe pain.
Lin Feng: "Look, this is also one of the manifestations of pancreatitis... I just listened to you a heartbeat, shallow and fast... Many manifestations mean that it may be pancreatitis..."
However, the fat young man still did not believe it, he was very assertive.
"No, I should be gastroenteritis, just hit the hanging bottle."
“............"
"Doctor, open a hanging bottle for me and hang water!"
“............"
The fat young man handed over a cigarette flatteringly: "Doctor, save us some money..."
At this moment, Lin Feng had a headache.
'Doctor, we are poor', 'Doctor, trouble prescribe some cheap medicine', 'Doctor, help us save some money'... Many doctors don't like to hear this kind of thing, because it sounds like they are questioning the doctor's medical ethics (although, there are indeed many doctors with poor medical ethics).
Lin Feng endured his temper and persuaded: "If you can save, I will definitely save you, but your disease, my opinion is to do these examinations." "
Then patiently explain "pancreatitis" to the fat young man and explain its harm.
The fat young man insisted: "The examination is too time-consuming, let's get an infusion first, right?" "
Lin Feng: ".................."
Finally, the tiger faced.
"Either check it or see another doctor!"
Lin Feng will not violate his own diagnostic principles, and he will definitely not open the treatment plan indiscriminately, otherwise there will be a problem at that time, who is it?
"Next!"
The corner of the fat young man's mouth moved, and finally took the checklist and went for the examination.
......
An hour later
The fat young man returned with the results of the examination.
The value of blood amylase is 5 times higher than usual.
Lipase 4 times.
·......
· As a result of CT scanning, the patient's pancreas has significant exudative changes.
Based on all the indications, with countless world-class experiences, Lin Feng has judged.
"Doctor, how's it going? Is it gastroenteritis? "
"It's pancreatitis... Get ready for admission..."
Lin Feng knew that this pancreatitis was not a minor disease, and one could cause death without noticing.
"What? Admission? "
The fat young man was shocked on the spot, stood up abruptly, and looked at Lin Feng in disbelief.
"Isn't it just a little pancreatitis? How do I need to be admitted to the hospital? "
Admission, representatives cost a lot of money.
Lin Feng had to explain again the seriousness of pancreatitis.
“......"
Finally, the fat young man agreed to be admitted to the hospital under Lin Feng's persuasion.
Lin Feng contacted the inpatient department, then arranged a bed and opened an admission form.
The fat young man said at this time: "I'll go to the toilet." "
Lin Feng: "Turn left when you go out..."
5 minutes....
10 minutes....
15 minutes....
The fat young man has not returned yet.
"Nima... He ran? "
Lin Feng only woke up at this time, it was obvious that the young man did not want to be hospitalized!
10,000 grass and mud horses are galloping through their hearts!
"Forget it, it's not my life."
For the first time, Lin Feng discovered that no matter how strong the medical skill was, it would not necessarily be able to cure everyone.
After seeing a few more patients, Lin Feng kept thinking about this fat young man in his mind, and finally couldn't bear to watch the patient die, so he asked the nurse to call the fat young man's phone and try to contact.
As a result, I made many phone calls and never got through.
Lin Feng was dead.
"Good words are hard to persuade damn ghosts..."
......
Lin Feng quickly forgot about this patient.
As a result, on the third day, the ICU of the intensive care unit called and said that a patient with severe acute pancreatitis was received and needed surgery as soon as possible.
It is necessary to invite Lin Feng to come over for consultation.
Lin Feng wondered: "Why did you want me to go?" Am I in the emergency room? Aren't you invited to various specialties? "
ICU nurse: "Dr. Lin, this is so, this patient was in the emergency room with you two days ago, you diagnosed him at that time, you are familiar with his condition, and it has reference value..."
Lin Feng suddenly said: "Oh, it's him, he's hospitalized?" "
Putting down the phone command, Lin Feng rushed to the ICU.
He was a little speechless, and the fat male patient delayed the condition and dragged acute pancreatitis into severe acute pancreatitis.
Acute pancreatitis can also be controlled with drugs, but severe acute pancreatitis is not, and major surgery is required to clean up necrotic tissue.
Severe acute pancreatitis: 20%-30%, hospital fatality rate is 15%, and treatment costs are very high.
Pay for one's whistle.
。
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