Gastrointestinal surgery.
Tan Feng, the director of surgery, has been hearing recently that a very powerful intern has been hired in the emergency department to perform surgery just like a master chef, full of artistic sense.
He doesn't believe it!
As a big surgeon, I naturally know that surgery is done through practice, not by reading books or videos.
An intern, who has never practiced before, is the first operation made art?
snort!
Today, he routinely inspects departments.
Then……
"Have you heard? Dr. Lin had another operation for colon cancer, the kind of removal..."
"More importantly, I heard that the operation was completed in one hour."
"What? Finished in an hour?"
"Isn't it?!"
"So fast? Faster than our director?"
"Shhh... the director is behind... good director!"
Tan Feng snorted coldly when he felt the face of the attending physician who was slandering him in front of him was sincere and fearful.
left.
He became interested in this emergency intern Lin Feng!
Boy, you successfully caught my attention·jpg
...
...
"Ahhhh~~~"
In the emergency room, Lin Feng sneezed.
Don't care about it.
Continue to explain some points for attention to patients and their families after colon cancer surgery.
After the operation is successful, there is actually no big problem behind.
The next few days: the patient is hospitalized for observation, the nurse maintains the water and electrolyte balance for the patient, gives the patient parenteral nutrition as appropriate, and then changes the dressing of the abdominal incision on the third day, and drains in time if there is a problem. Check blood routine, electrolytes, etc. on the 1, 3, and 5 days, and adjust the antibacterial drugs and parenteral nutrition treatment based on the results.
After telling,
Lin Feng continued to sit on the clinic.
Soon, a male patient in his 20s with a pale face (whiter and terribly white than all the pale patients of Lin Feng before), still clutching his stomach, walked in.
Lin Feng was shocked!
What did the nurse do?
This patient seems to be about to hang up, and it looks like myocardial infarction or aortic dissection.
Lin Feng quickly asked about the condition.
The patient was in pain and smiled and said:
"Doctor, don't be nervous, I'm used to it. I started after drinking once six years ago, and I have suffered hundreds of times now."
Lin Feng: "..."
While surprised, let go of my heart.
"Show me the medical records..."
It is estimated that the medical record is very rich.
Sure enough, the patient handed Lin Feng3 a thick medical record, which was covered with check-up sheets and diagnosis sheets...
·Exclude pancreatitis...
·Remove stones...
·Exclude myocardial infarction...
·……
Many diseases have been ruled out.
But I can't find the reason.
These three medical records represent that he has searched almost all the top tertiary hospitals in the province, but has not found the reason.
The patient said to the side: "Doctor, just give me painkillers, anyway, I can't find the reason."
Lin Feng nodded.
Give the analgesic first, and look for the cause slowly.
Morphine, tramadol, sufentanil...
Tried all of them.
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 official account of a certain big guy's doctor and mentioned a case in which the symptoms were very similar to this person.
"Try stability..."
Valium: also known as diazepam, medicine/injection, can be used in combination with other anti-epileptic drugs to treat major or minor epilepsy.
The nurse quickly pushed the Valium injection into the vein.
Before long, the patient felt a lot of pain relief.
The patient was pleasantly surprised: "Hey...it works, doctor, what kind of medicine is this?"
He was fed up with the helpless pain every time he went to the hospital, and he felt the hope of happiness.
Lin Feng: "Diamen injection, if you have pain in the future, you can tell your doctor to try this medicine."
The patient nodded again and again: "Valium injection, right? Okay, I wrote it down."
Swipe~~~~
Lin Feng's computer produced two checklists: MRI and EEG.
"Go and do these two checks..."
"Okay, okay, I'll go right away, thank you!"
At this time, the patient was very convinced of Lin Feng. With a cheer, he took the checklist and went straight to the nuclear magnetic examination department on the sixth floor.
...
after an hour……
The patient quickly returned to the emergency department with the examination report.
"Doctor, help me see and see if any problems are coming?"
Lin Feng result inspection report:
·Mri result: "MRI. The left side temporal lobe cystic lesion with solid mural nodules is shown here."
·EEG: "Characteristic Temporal Lobe Epilepsy"
Lin Feng returned the report to him.
Lin Feng: "I found it out. It says that temporal lobe epilepsy is the pain caused by this disease."
Patient: "Temporal lobe epilepsy?...Doctor, how can this be treated?"
Lin Feng: "For the specific treatment, you can find an expert in neurology to have a look."
actually,
This is a type of intractable epilepsy that cannot be treated by drugs.
Lin Feng didn't have any good solutions, so he didn't tell the patient how to treat it. Neurology has more experience in this area. This just adds to the performance of the neurology department, isn't it?
I'm such a good person!
(Neurologist: I%……#¥#@#@……I really appreciate you!)
. .
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