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

"Huh, mango?"

This evening at 23:30.

Lin Feng came to the emergency department and was going to be on the night shift (N shift).

As soon as he walked into the lounge, Lin Feng was surprised to see a fruit basket on the lounge table.

A lot of mangoes...

"What's the matter? Who gave the fruit?"

"Dr. Lin, the son of Aunt Zhang from the dining room brought here, and the pennant for you..."

Lin Feng silk banner+5……

"But, why give mangoes?"

Lin Feng covered his face.

Mango, meaning: busy...

The doctor is most afraid of the fruit like mango, I am afraid that the night shift god will not be able to cover it tonight, and he will be busy with a dog.

Just after the ward round and handover, Lin Feng officially went to work.

...

24:05,

A male emergency patient in his 40s, supported by his family, came to the emergency department.

Lin Feng received the consultation,

The patient sits down.

"Name? Age? ID number?"

"Lin Jichun, 46 years old, ID number is XXXX..."

"What's the specific situation?"

"That's it. In the afternoon, when I went to work, I suddenly felt a pain in my chest. At that time, I almost fainted. After a while, it turned into chest pain and abdominal pain."

"Wait, how long is it not long?"

"Ten minutes..."

"Have a medical history?"

"hypertension."

"???"

Lin Feng thought of the old man with severe high blood pressure last time and didn't take his medicine on time.

"I just said where is the chest pain? Front, back? Up, down, left, and right?"

"Back pain."

Lin Feng suddenly became vigilant.

If there is "tear-like" pain in the chest and back, it is likely to mean a disease with extremely high mortality:

"Aortic Dissection"!

(Ps: I wrote about this disease before)

Or another name: "Aortic aneurysm" (ps: due to translation problems, tumors do not mean tumors. There are other meanings, aortic aneurysms are not tumors).

Of course, it may also be confused with diseases such as acute gastritis, acute cholecystitis, renal colic, peptic ulcer, and acute pancreatitis.

"How painful ¨¨?"

"It hurts, just like being torn apart!"

Lin Feng is now on his guard again!

The probability of aortic dissection has increased to 70%...

"How many years have you had high blood pressure?"

"Ten years."

"Do you take your medicine on time?"

"Uh...this..."

The patient was embarrassed.

Lin Feng understood, that is, he didn't take medicine on time, and he didn't actively and regularly control blood pressure.

The probability of aortic dissection has increased to 90%...

"Xiao Wang, take Mr. Lin's blood pressure..."

"OK."

Lin Feng instructed the nurse to measure the patient's blood pressure, and then Lin Feng continued to consult.

"I thought it was a stomach attack. After taking two stomach medicines, there was no effect."

At this time, Lin Feng finally found the patient's medical records from the system of Harmony Hospital.

· A year ago, had a gastroscopy, erosive gastritis.

"I used to have stomach problems, so I thought it was a stomach attack at first."

"So, I did not come to the hospital the first time. After the oral gastric medicine was ineffective, I drank some ginger syrup. Not only did it have no effect, but I had headaches, nausea, and panic."

At this moment,

The patient's wife couldn't help it.

"Doctor, you don't know. My husband is so stubborn and painful when he sleeps. He just kneels on the bed and sweat keeps coming out. I asked him to come to the hospital for treatment, but he refused to live or die!"

In the end, I forced him to come to the hospital.

Lin Feng: "………………"

I couldn't help sighing in my heart.

Why is the patient unwilling to seek medical attention with such severe pain?

On the one hand, I believe in my own judgment: If you have stomach problems, you will be fine with medicine.

On the one hand, I don't want to go to the hospital to spend money.

On the one hand, I don't believe in hospitals.

At this time, the nurse girl has completed the blood pressure measurement.

Left upper limb blood pressure 180/115mmHg,

Right upper limb blood pressure 170/110mmHg

This blood pressure is already very high!

"Did you take antihypertensive medicine when you came?"

"After eating, after eating, I feel a lot more comfortable."

Lin Feng is more vigilant.

After taking the antihypertensive medicine, it is still so high. When the medicine is not taken, doesn't it soar to 200?

The probability of aortic dissection has increased to 95%...

Lin Feng: "In this way, I suspect that your disease is an aortic dissection. This is a very serious disease..."

Then, Lin Feng said about its seriousness.

According to statistical conclusions:

If it is really an aortic dissection, 25% of people die within 24 hours! 50% of patients die within a week! The mortality rate is as high as 75% one month after the onset of illness! One year after the onset of the disease, the mortality rate of the disease is as high as 90%!

The mortality rate is so high!

"what?"

"so serious?"

Both of them were taken aback and frightened.

"｀"Doctor, don't lie to me! "

Then, the middle-aged male patient showed a vigilant look on his face.

That's exactly the same as the old man three days ago!

That is distrust!

It was as if Lin Feng wanted to deliberately deceive him money.

Lin Feng's heart burst into flames.

Ignorance! !

However, this patient is different from the original old man. It turned out that the old man was not so serious, and the patient in front of him was very serious.

The conscience of the doctor, Lin Feng needs to persuade the patient as much as possible.

Lin Feng looked at his wife.

"My diagnosis is like this. I think your husband's disease is very dangerous. He needs a chest CT. If necessary, he can do aortic CTA. And it can't be delayed. You need to have surgery as soon as possible!"

Middle-aged male patient: "Doctor, how much is this Ct?"

Lin Feng: "More than 200."

The middle-aged male patient was surprised: "So expensive!"

Another look on Lin Feng cheating him money.

Lin Feng: "………………"

I really want to take a look at this person's head and exchange more than 200 for (Nuo Wang Zhao) a life, but I don't want to?

The wife said: "Inspection must be inspected. Although more than 200 are expensive, but..."

Before he finished speaking, he was interrupted by the patient.

"No, absolutely not. I don't check. I just have a stomach attack. At best, it's just a bit more serious. Just take some medicine."

Even curse

"What's wrong with the current doctors? Will you stop seeing a doctor if you leave the instrument? Do you need to do an examination if you consider what kind of illness? Can you get a refund if the examination is normal? Isn't ordinary people's money money? Do you think ordinary people make money? Is it equally easy for you?".

Lin Feng: "……………………"

Male Gobi!

I can get the pulse too!

But how can it be proved that this disease is an aortic dissection?

Will you believe me?

In the end, you still won't believe it!

In the end, you still only believe in instruments!

Such patients!

Can't afford it! !

. .

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