Lin Feng was surprised.
This is because after most people order the anesthetic, even if the corneal foreign body has not been removed, the patient's eye pain symptoms begin to alleviate. After the foreign body is removed, the patient's eye pain will immediately disappear.
but,
Why does the patient still have eye pain after removing the corneal foreign body?
has a problem! !
"Come on, let me see..."
This time, Lin Feng took a lot of seriousness.
The slit lamp turns on.
Then the patient's right eye was examined carefully.
"what……"
Lin Feng found a hidden place with a very small wound. If you don't look carefully, it can easily be overlooked. Although there is no iron filings on the surface, it seems to be deep.
Penetrating corneal injury?
Iron filings got inside the eyeball?
"Foreign body in the eyeball"!
Lin Feng suddenly thought of this possibility.
"Go to "One Seven Seven" to be a CT..." Lin Feng said.
"what??"
"I suspect that there is another piece of iron filings that has entered the inside of the cornea. Now that I can't see clearly with my eyes, I need to do a CT..."
"Okay..."
"But let me tell you, a CT is about 700 yuan up..."
"More than 700!!!"
The patient's face changed on the spot.
Because he is relatively poor, he saves money, and 700 yuan is already a huge sum of money for him.
The patient was embarrassed: "Dr. Lin, can you not do this check? Is there a cheaper one?"
Lin Feng shook his head: "No, only this method is the best..."
The patient hesitated, and finally gritted his teeth: "Doctor Lin, I believe you!"
He believes that Lin Feng will not cheat his money.
If it is another doctor, I am afraid he will mutter: Is this doctor trying to cheat my money?
(Other doctors: "I feel offended!")
...
40 minutes later,
The CT report came out.
·CT tomography: There is a white spot in the eyeball, which is the "foreign body in the eyeball"!
obviously,
Lin Feng's guess is correct.
It should be that the patient did not wear goggles during work, and the flying iron filings penetrated his eyes. There were two particles, one of which was relatively shallow and stayed in the cornea, while the other penetrated the cornea. Through the iris, into the eyeball.
"did not expect……"
After listening to Lin Feng's explanation, the patient was confused.
Just being lazy for a while, not wearing goggles...
"Doctor Lin, what should I do then? Are my eyes going to be abolished?"
In his opinion, this foreign body is so small that it has penetrated deep into the eyeball, so it shouldn't be taken out, right?
He was terrified!
He doesn't want to be monocular blind!
"Don't worry, these eyes can still be kept..."
Lin Feng smiled slightly.
For this disease, in fact, as long as a "vitrectomy" is performed, the iron filings deep in the eyeball can be taken out.
"Really?" The patient was pleasantly surprised.
"Of course it's true... but it might cost some money..."
"Money doesn't matter, as long as the eyes are good... Dr. Lin, how much does it cost?!"
"Well...between 15000-25000 yuan..."
Puff~~~~
The patient almost spurted blood on the spot!
too expensive!
My heart began to bleed!
"I knew that I was suffering and spending money, so I should wear goggles when I work!"
regret but too late! !
...
...
The 14th patient.
An old man, about 60 years old, walked in slowly.
"This uncle, sit down... old man, what's the problem with you?"
"Doctor Lin..."
The old man rolled up his sleeves and revealed his left arm.
"Help me see this..."
On the left arm, below, there is a long strip wound about 1cmX6cm.
It's not the kind of "fresh wound" with blood flowing.
It has been a long time, and it has become a wound of ‘rotten flesh’.
"carrion"!
That is, this part of the meat has rotted.
The color is yellow.
Rotten flesh is a common feature of chronic wounds.
Lin Feng: "How did this wound come from?"
Old man: "A month ago, I was playing in the park. I accidentally wiped a tree branch and made a big cut. Then I went to the hospital for stitching. It slowly became like this later."
Lin Feng nodded.
Old people’s wounds are called "acute wounds."
Acute wounds generally go through several orderly healing stages: hemostasis, inflammation, repair and reconstruction, and finally achieve healing 0 ........
The controllable release of growth factors, cytokines and proteases throughout the process controls cell migration, differentiation and proliferation.
However, some wounds cannot be healed along the established trajectory for some reasons, and eventually become "chronic wounds."
"Rotten flesh" means chronic wounds.
"Chronic wounds" often stagnate in the inflammatory phase of healing.
Persistent inflammation leads to abnormally increased levels of matrix metalloproteinases, resulting in decreased levels of growth factors, leading to cell death.
Rotten flesh is essentially a by-product of the inflammation phase of wound healing.
The ingredients are: fibrin, white blood cells, dead/living cells, microorganisms and protein substances...etc...
"I'll make an order, clean it up..."
"OK……"
Lin Feng opened the bill and handed it to Xiaoru.
Debridement is simple, remove the rotten flesh, disinfect, apply growth factor drugs, and bandage the wound...
Not difficult.
Lin Feng will let the students do this kind of thing. Lin Feng no longer does this kind of small ‘surgery’.
Ling Ling Ling~~~
at this time,
A phone call comes.
The caller was from the Senior Inpatient Department.
The patients there are either rich or expensive, and their identities are not ordinary.
"Dr. Lin, there is a leader here who is ill. If you have time, come over and take a look?"
"Leader? Are you in a hurry?"
"It's not in a hurry, this leader is sore in his hands and feet, but I can't find the reason..."
2.3 "Then wait until I finish the emergency room, and I will be over at noon..."
"No, Lin Feng (lowly whispering)... He is a certain leader of Zheng Axe. He is about to retire. He is older and has a bad temper. You have to come quickly, otherwise the leader is unhappy..."
"???"
Unhappy? Take care of me!
"Lin Feng..."
"I see... I'll go over after eating... That's it, busy..."
Then Lin Feng hung up the phone directly.
Continue to call the next patient.
...
Senior Inpatient Department,
vip ward.
"Dududu~~~~~"
The leading doctor, Wang Sheng, deputy director, stared blankly at the phone that was hung up.
"Come after dinner?"
"Aren't you afraid of the leader being angry?"
. .
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