stjorthotic Chapter 265
Chapter 265
Chapter 265
“Are you worried about money?”
Lin Feng saw the embarrassment of the couple.
Lin Feng believes in the couple’s love for their daughter, so the only embarrassment for them is ‘money’.
Dad gritted his teeth and said: “Don’t worry, Dr. Lin, we will definitely make up enough money. Please help my daughter cure this disease!”
Lin Feng shook his head: “No need to raise money… If you really don’t have any money, I can apply for the 30,000 yuan. I have an account in the City No. 1 Hospital. I just need to make a call…”
The tens of millions in that account came from Lin Feng.
Based on Lin Feng’s relationship with the City First Hospital, 30,000…
When Xiao Fei and her parents heard this, they were suddenly excited.
Thanks again and again:
“Thank you Dr. Lin! Thank you Dr. Lin!”
soon,
Lin Feng started to prescribe the medicine, and then instructed the nurse how to dispense and infuse the medicine…
After all this,
Reporter Zhang Zhen: “Dr. Lin, can I interview you specifically? Many people on the Internet are concerned about Xiaofei’s disease. I wonder if you can explain it to us?”
Lin Feng: “No problem… This is the first case of Talaromyces marneffei found in our country, but I think it will not be the only case in the country. There should be other patients, but they have been misdiagnosed. That’s it… I hope that more and more people will know about this disease, and then discover it and cure the patient! ”
Then,
Lin Feng explained in detail the characteristics and inspection methods of “Talaromyces marneffei”.
Reporter Zhang Zhen listened and looked at Lin Feng’s confident and handsome face, and she couldn’t help but worship.
…
1 hour later,
An article “Answers to Xiaofei Cases Revealed: Dr. Lin Feng Announces “Talaromyces Marneffei””
In the article,
Introduce Lin Feng’s consultation process,
Then Lin Feng spent 7 days and came up with a conclusion.
Every word and sentence in the article is full of admiration for Lin Feng.
Because there are a lot of people following,
so,
In 10 hours, it rushed to the hot search.
#Doctor Lin Feng successfully cracked Xiaofei’s case#
Countless people gave their own admiration.
“Unexpectedly cracked, too powerful!!”
“Dr. Lin Feng is awesome!!”
“Dr. Lin Feng is handsome and talented, male god!”
“Idol is awesome!!”
…
And another group of people,
At this time, it was surprise, excitement, and crying!
A young male patient in Sichuan Province: “So, my disease is not tuberculosis? It’s this “Talaromyces marneffei”! ”
A female patient in Southern Province: “That is, is my disease saved?”
Hu province, a patient: “Great, I don’t have to die…”
Jiang Province, a doctor is excited: “”Talarella marneffei”? I will take the edge to do a checkup test now! ! ”
One by one, the patients and doctors suspected of “Talaromyces marneffei” began to act.
…
In the next four days,
The first hospital in the city transferred 30,000 yuan, specifically for Xiao Fei’s treatment.
After these 4 days of symptomatic treatment,
Xiao Fei’s condition has improved significantly, and her fever that originally appeared has also gone away! !
Obviously, the disease was found right, and the medicine was used right.
During these four days, a total of 8 patients across the country called to inquire about treatment, and through Lin Feng’s diagnosis, it was determined that it was “Talaromyces marneffei” disease, so he taught a similar treatment plan.
Soon, the conditions of these 8 patients began to improve.
This is great news! !
The news spread to the Internet and was praised.
“Dr. Lin Feng is awesome!”
“Dr. Lin Feng 666!!!”
Next,
The Imperial TV Station and the National TV Station all came to interview one after another.
For this reason, Lin Feng, who has contributed the most, went directly to the news, even the evening news on national television! !It was a big show.
Lin Feng’s status +1+1+1……
…
…
a new day,
Lin Feng made a round and checked the patients with He Shouwu liver disease and Xiao Fei…
Then go back to the clinic,
Continue to sit on the clinic.
Turn on the calling machine,
“Please, Sun*, go to the third consultation room…¨¨…”
Soon, a 28-year-old patient walked into the consulting room.
Supported by his girlfriend.
“sit down……”
Lin Feng looked at the patient, his face was pale, and he was holding his heart, breathing a little bit quickly.
I was shocked.
A series of heart diseases popped up directly in my mind.
“what happened?”
“It hurts here, it hurts…”
Patient Sun Hai clutched his heart and said.
Then, from the patient’s mouth, Linfen knew the general situation.
5 days ago,
The patient Sun Hai suddenly felt a faint pain in his breastbone.
At that time, the patient Sun Hai felt that he might be angry.
Then my throat hurts.
“Get upset?”
Lin Feng shook his head subconsciously.
His first reaction was not getting angry, but angina!
[Angina pectoris]: It is a clinical syndrome mainly manifested by episodic chest pain or chest discomfort caused by insufficient coronary blood supply, rapid temporary ischemia and hypoxia of the myocardium.The first manifestation of angina: pain behind the breastbone!
Next, the next day, noon.
When the patient Sun Haihai finished work and was about to go to the dining room to eat, he felt that the pain in his sternum increased.
Suddenly the left hand began to ache, accompanied by chest tightness.
(Ps: It can only be the left hand, because that is the lateral area where the heart (on the left side of the body) is located)
However, this process took a 30-minute break and finally eased.
Lin Feng nodded.
Yes,
This is in line with one of the typical features of angina pectoris:
“It will increase after fatigue, but it can be relieved after rest”!
Moreover, the pain of this condition had reached his arm, indicating that his myocardial ischemia and hypoxia were already very serious at this time, and his death had already waved to him.
However, Sun Hai did not understand.
After finishing a day of work and returning home, he began to feel suffocated, his chest pain became worse, and he couldn’t even lie down, sitting almost all night.
The back of the breastbone is hot, like a severely angry sore throat.
Lin Feng heard this,
Judgment has been made:
The condition has deepened further!
“Acute myocardial infarction!”
Acute myocardial infarction: It is myocardial necrosis caused by acute and persistent ischemia and hypoxia in the coronary arteries.
In other words,
·During the day, ischemia, hypoxia.
·At night, due to prolonged ischemia and hypoxia, myocardial necrosis has occurred in the heart, and there are still a large number of deaths.
“Myocardium”: A type of muscle tissue composed of cardiomyocytes.
but,
Patient Sun Hai still didn’t know the danger.
He is still going to work, sometimes taking sick leave and resting at home.
But I didn’t pay much attention to the condition and thought that rest would be alleviated.
In this way, 5 days passed in a flash.
Nowadays,
The girlfriend felt very wrong when he saw him like this, and then strongly asked to take him to the hospital for treatment.
“What kind of hospital to go to, every time I go, hundreds of thousands of dollars are gone!”
Before the patient Sun Hai, he still felt sorry for the money and didn’t want to come.
But his girlfriend wanted him to come, so he reluctantly came to the emergency room to see a doctor.
“Make an electrocardiogram…”
“Xiao Ai, make him an electrocardiogram…”
“Yes.”
soon,
Connect the electrocardiograph.
The ECG band began to stretch…
Lin Feng looked at the band, his face suddenly became serious.
·Acute anterior myocardial infarction!
In other words, a large amount of myocardium has died.
“Quick, nitroglycerin tablets, take it under the tongue!”
Lin Feng quickly asked the nurse to fetch nitroglycerin lozenges!
This is a kind of medicine to dilate blood vessels, the fastest and most accurate medicine, and it has better effect than Suxiao Jiuxin Pill!
After taking nitroglycerin,
“Go and do a B-ultrasound, let’s be an urgent one over there!”
The patient Sun Hai panicked when he saw Lin Feng’s face.
“Doctor Lin, what’s wrong with me?”
“Myocardial infarction, you should get a B ultrasound as soon as possible…”
Swipe…
billing.
The patient Sun Hai did not dare to delay and was about to rush to the B-ultrasound room.
Lin Feng quickly stopped!
“Don’t… you lie on the bed and let the nurse push you over…”
“Huh? So serious?”
The patient Sun Hai panicked at this moment.
The nurse found a flat car, and Sun Hai lay on it and sent it to the ultrasound room.
10 minutes later,
The B-ultrasound results were sent to Lin Feng.
·Segmental abnormal wall motion
·Enlarged left ventricle
·Decreased left ventricular systolic function
·pulmonary hypertension
Lin Feng took a look and focused on “segmental wall motion abnormalities”!
What does that mean?
Specifically, the patient’s myocardium is not a whole piece in contraction and relaxation. There are so few pieces in the position that it hardly moves!
This shows: that part of the immobile myocardium is dormant or dead!
As for the decrease in left ventricular systolic function, it is because of myocardial death, which will definitely decrease…
Lin Feng was shocked!
This is definitely a big trouble!
Can’t drag it!
Lin Feng yelled: “Xiao Ai, immediately tell the intervention department that there is a patient who needs to be rescued, myocardial infarction, and it is critical. Be quick!”
When the patient heard this, cold sweat came out of fright.
Fortunately, I didn’t faint, but the blood pressure increased for sure.
…
soon,
The Intervention Department prepared the operating room.
Lin Feng’s status in the interventional department is still ranked among the top five.
Lin Feng gave an order, and 300,000 tiger soldiers rushed for performance…Oh no, it was for Lin Feng to prepare the operating room.
…
Surgery: find the cause of ischemia, treat the disease
Chief surgeon, one and two assistants: Lin Feng, interventional doctor
Onlookers: Interventionalists
The operation started,
Radiography…
Soon, the contrast agent enters the human body through the blood vessels, all the way to the position of the coronary arteries.
“｀ “His hiss…”
As soon as the coronary angiography appeared, the patients in the intervention department took a breath.
The radiography showed that the anterior descending branch of the patient Sun Hai (a famous nickname “Widowmaker”) was severely narrow.
This narrow section is still near!
No wonder it will cause a large area of myocardial ischemia!
“Use the IABP pump!”
Lin Feng quickly ordered.
“IABP pump”, the name is: internal aortic sac pump, the operation is fully automated.
Because of the severe heart failure, Lin Feng needed to insert an IABP pump to help Sun Hai’s heart work. The pump also works once every time the heart beats.
This allows the dying heart muscle to have a buffer of recuperation.
soon,
Lin Feng began to intervene,
Insert the guidewire catheter…
Into the stent…
Open the stent, narrow the position of the anterior descending branch, and open…
…
The whole journey takes 23 minutes…
The operation is over!
After the operation, the patient Sun Hai was sent to the CCU intensive care.
(CCU is the cardiac intensive care unit.)
the next day,
Sun Hai’s parents rushed over from other provinces.
Standing in front of Sun Hai’s bed crying.
Lin Feng shook his head and sighed.
The experience of the patient Sun Hai is a typical tragedy, and such tragedies are staged in the hospital almost every day.
However, with a little bit of common sense, this tragedy can be completely avoided!
Common sense is the “16-character maxim”: induced by labor, relieved by rest, relieved by taking medicine, 2 points or more.
Induced by labor: Generally, the pain will be induced or aggravated in the case of fatigue.
Rest alleviation: Rest immediately after the pain occurs, and the pain will be relieved after a while (Nuo Zhao Zhao).
2 points or more: the pain lasts for more than two minutes. If it is lightning-like pain, it must not be.
Relief by taking medication: here mainly refers to “nitroglycerin” and “quick heart-relief pills”.
How to choose these two medicines and who is the real life-saving medicine? The following top three will explain in detail:
Both of these medicines are used for the same disease, which is “angina pectoris”!
Angina pectoris is a typical symptom of coronary heart disease.
Simply put, blood lipids are too high, plaques are formed, and the blood vessels of the heart are blocked and narrowed.
(It is not the same thing as thromboembolism.)
Therefore, when the patient is tired or excited, the myocardium will be ischemic due to the narrowing of the blood vessels and insufficient blood supply, so angina pectoris will occur.
The effect of these two drugs is to “blood blood vessels”, allowing blocked blood vessels to temporarily unclog and relieve the symptoms of chest pain.
So here comes the problem,
When angina pectoris occurs in patients with coronary heart disease,
Should I eat nitroglycerin first?
Or is it a quick-acting heart-relief pill?
the answer is:
Nitroglycerin is the first aid medicine of choice!
The method of taking is:
When patients with coronary heart disease have an acute attack of angina (chest pain or chest tightness after exertion), nitroglycerin can be taken under the tongue.
Don’t swallow it!
Can be chewed slightly!
It takes 2 to 3 minutes to take effect, and the effect can last for 20 to 30 minutes.
Secondly, it is recommended to sit down and take the clothes.
The reason is that this medicine lowers blood pressure.
Standing clothes may cause insufficient blood supply to the brain, while lying down may increase the burden on the heart.
.
——————————
ps: That’s all for today, 2900+4100=7000 words, the old man went back to his hometown to visit the grave, it took too much time and energy to bring the baby, sorry~~
. .