Hear this,
The middle-aged woman nodded again and again: "Dr. Lin, help me squeeze it, no surgery! The big deal, if it recurs, you can ask Dr. Lin to help me squeeze it again..."
Lin Feng nodded.
However, with his eyes on the many patients, he obviously felt that the middle-aged woman in front of him was the more stingy and bitter master.
And it was obvious that you just waited here on purpose, and then stopped yourself, right?
Thought of this,
Lin Feng, who was not planning to receive medical fees, changed his mind.
"You go to register..."
"Ah? Need to register... Doctor Lin, don't you need it? Your number is too difficult to call... You are in front of me now, can you just squeeze it out for me right away?"
Lin Feng sneered.
Is he going to get used to this kind of patient?
"That won't work, you can go to register."
Lin Feng's attitude is a bit cold.
Then the middle-aged woman just said "one six three" and was so angry, her hair exploded all of a sudden.
"What? Dr. Lin, you are a multi-millionaire. You still need me the registration money?"
"It's not a question of whether it's bad or not, it's reasonable for me to pay and get paid."
"Oh... Doctor Lin, don't do that... Or you can show me first, and I'll register for you after I've read it. Anyway, I'm here..."
"..."
Then a bunch of words:
"As long as she is treated well, she is willing to pay anything."
Lin Feng just sneered.
Seeing people with such sweet mouths just sees through but doesn't tell them.
Seeing Lin Feng's unwillingness to live and die,
The middle-aged woman left cursingly.
"It's really stingy..."
"What about good medical ethics, I'm pooh!"
Then he ran to another doctor and started to fool the other doctor.
Lin Feng looked at her back, shook his head and sighed.
In fact, it is easy to squeeze her through, but if you help her, can you still be worthy of the patients who honestly give money?
Should honest people suffer?
(If it is accidental evasion, Lin Feng will still help...)
...
afternoon,
Continue to work.
Often the first patient is the more serious patient.
"Doctor Lin..."
A woman in her 30s walked in with the support of her husband.
Her forehead was full of sweat.
He clutched his right lower abdomen and limped.
Obviously it hurts.
·Patient, Wang Lijuan, female, 32 years old...
"Sit... Tell me about the situation..."
After the patient Wang Lijuan sat down, her husband began to explain the condition to Lin Feng.
"Three days ago, my wife started to have pain in her right lower abdomen. At first, she thought she had eaten something bad for her stomach, and then she took medicine such as Belgian, but it didn't work..."
Finished talking a bunch.
After listening, Lin Feng subconsciously felt that it was "appendicitis"...
Appendicitis, a frequent visitor to the emergency department...
The typical pain is the pain around the belly button first, and then the pain in the right lower abdomen...
"Lie down, I'll do a check for you..."
Physical examination.
· There is tenderness and rebound pain at Mc's point in the right lower abdomen.
More and more like appendicitis.
Lin Feng waved his hand and asked the patient to do B-ultrasound, blood routine, urine routine...
...
after an hour,
The result came out.
·The blood test showed that the white blood cells were also elevated, which was in line with the diagnosis of appendicitis.
·Urine routine is normal, rule out the right lower abdominal pain caused by common ureteral stones.
·But the B-ultrasound is a bit different. Generally, appendicitis is swollen and thick, but the appendix of this female patient Wang Lijuan is only slightly larger.
But in any case, Mai's point pain + routine blood white blood cells + B-ultrasound shows signs of enlargement, and the probability of appendicitis is very high.
"Admitted to the hospital first... Observe for 1 day..."
To be cautious, Lin Feng did not make an operation plan all at once.
Lin Feng opens the order.
The patient Wang Lijuan was preparing to take the slip and when she left the clinic...
"Oh..."
Clang~~~
Wang Lijuan's legs weakened and fell to the ground.
"What's the matter?" The husband hurriedly helped up.
"fine……"
"I'll carry you..." the husband said thoughtfully.
"and many more……"
Lin Feng yelled at this time.
Lin Feng was very surprised. He had never seen a patient suffering from appendicitis and unable to walk.
This situation is very strange.
"Are you in pain?"
"It hurts..."
"It hurts so much that you can't walk?"
"It's not... It's just lack of strength..."
Lin Feng was stunned.
"You just fell. Was it because of pain? Or because of lack of energy?"
This is very important.
For different reasons, it will point to constant diseases.
"Because of lack of energy..."
"I go……"
Lin Feng cursed secretly 0 ........
Oversight!
At first, Lin Feng thought that the patient Wang Lijuan was helped in by her husband and then helped out because of the pain.
As a result, it was not pain, but weakness!
This is definitely not the symptom that appendicitis should have!
Therefore, there must be another disease affecting the patient.
"You will ask me more about the course of the illness... For you (pointing to Wang Lijuan), what your husband said may not be accurate..." Lin Feng said solemnly.
Wang Lijuan endured the pain: "Okay, I don't know why for 4 days, and I suddenly lose strength, and then my stomach hurts 3 days ago..."
"Weakness, why didn't you just say it?"
Lin Feng blamed his face.
"I..." The patient Wang Lijuan looked at a loss.
Lin Feng: "Forget it...I don't have strength, why is it a method of lack of strength? Which part?"
Wang Lijuan: "Two legs..."
Lin Feng immediately said:
"You lie on the bed, I will do a personality check for you again..."
Lie down.
Then Lin Feng carefully did a muscle strength test!
·It was found that the muscle strength of both lower limbs of the patient is only level 3 (normal person is level 5)
Increased muscle tone, hyperalgesia on the plane of the abdominal skin below the umbilicus,
· Lack of temperature perception.
What is the problem?
This is definitely a nerve problem! !
In other words, Wang Lijuan is probably not "appendicitis."
But below the lower abdomen, there is a nerve problem!
The answer is ready!
2.3 Spine! !
There is a problem with the spine! !
Lin Feng still remembers that when he was in college in the past, a teacher shared some special cases.
"Tumor in the spinal canal"!
Relatively rare.
And there was one case that caused symptoms similar to "appendicitis"-pain in the right lower abdomen.
Lin Feng recounted his discovery.
"Go and be an MRI..."
To see if there are tumors in the spinal canal, mr is the best way.
"Okay, Doctor Lin..."
The patient Wang Lijuan and his wife trust Lin Feng very much. Although the price of mr is more expensive, it costs more than 1,000 yuan, but they did not hesitate to do the examination.
————————
ps: End of today...Well, Hongxing Erke is awesome. I plan to get a pair of shoes these days, and book friends will support it a lot! .
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