radicalducati Chapter 556
Chapter 556
Lin Feng didn't understand at first.
But when I heard the second daughter say:
"Doctor Lin, we have tried our best, if we can't save it, then forget it..."
"Yes, give up rescuing..."
Lin Feng understood.
A surge of anger welled up in my heart...
However, it soon went out again.
Do you still want to ask these sons and daughters to take care of the elderly like this and spend a lot of money every day?
It is said that there is no filial piety in front of the bed for a long time.
And this old lady is already a pseudo-vegetative person, and her consciousness is estimated to have long been gone, that is, the body's natural reaction is carrying.
So these sons and daughters are like this, and Lin Feng can't scold.
Maybe it's human nature.
Or maybe it's the cold human heart.
Lin Feng also has no right to set a beak.
Lin Feng was silent for a moment, and all the children lowered their heads.
The atmosphere is silent.
"Sign it... For the rest of the time, let the old lady stay in the hospital..."
The children immediately showed a relieved smile.
"Thank you, Dr. Lin!"
Lin Feng nodded.
Instruct the nurse to type a "Consent Form for Waiver of Rescue" and ask them to sign it.
The family members were quick to sign.
Lin Feng nodded,
At least, these sons and daughters are still reasonable, if they encounter unreasonable family members, because such family members themselves are unwilling to further actively rescue and treat, but they are unwilling to say it, they have to wait for the doctor to say: "The patient has no hope, I suggest you give up rescue and go home!" "
Standing and standing.
Sign.
Handle admission, and then hire a hospital aunt to carry feces and urine, more than 100 a day ...
As for the treatment or something, just oxygen, there is no other drug treatment.
......
The next day,
When Lin Feng went to work,
During the ward rounds, I learned that the old lady had passed away.
The children sent the old lady to the funeral car, went to the crematorium, cremated, and then sent back to her hometown.
Such a group of children can also say to relatives back home, "We have done our best. "
No moral pressure.
......
Lin Feng followed the director and went for a big round, during which he solved 2 difficult patients.
Under the gaze of many doctors666, he returned to the consultation room.
Emergency.
First patient.
This time it was finally not abdominal pain, but nosebleeds.
"Doctor Lin, help me see, I have a lot of nosebleeds!"
Coming in was a middle-aged woman, probably about 40 years old.
Tilt your head,
Paper towels are stuffed in both nostrils.
Even so, blood slid down the nasolabial folds.
Patient, Zhang Chendi, female, 41 years old,
The bleeding can't stop.
Lin Feng saw her like this: "Don't raise your head, raising your head will not stop the bleeding, but will flow into the oropharynx..."
"No, as soon as I bowed my head, blood flowed down..."
“...... If you look up, the blood will still bleed... In this way, you pinch your nose ... Pinch your nose is the most correct way to stop bleeding (press to stop bleeding)..."
"Oooh, okay, okay..."
The patient tilts his head, sits down, and begins to pinch his nose.
"Tell me, what's the situation? Why did you suddenly have a nosebleed? "
"I don't know, I just finished breakfast and bleed, and I didn't bump it, I can't understand it now..."
"Has it been bloody before, I said recently?"
"Yes, there is... I came out a few days ago, but I looked up and stopped for more than a minute..."
"How much blood was shed?"
"I can't tell, four or five lids on Coke?"
Lin Feng Yile.
First time hearing this description.
But four or five caps, that's 30 ml, not much.
"Doctor Lin, am I hot?"
"I don't know, I have to check it out... Are you sure you haven't had any injuries to your nose? ......"
"No..."
"Was there any rhinitis before? Have you ever picked your boogers? "
"No, no, no..."
Lin Feng nodded.
Start the analysis.
Local diseases of the nose can cause nosebleeds, such as nasal inflammation (chronic rhinitis, acute rhinitis, etc.), or trauma to the nasal cavity, and even some people can dig out a pile of blood by picking their noses.
However, the patient's chief complaint did not, and it was ruled out for the time being.
Besides
The most dangerous thing is that there is a tumor in the nasopharynx, and the tumor will bleed after rupture, such as nasopharyngeal cancer.
But
With Lin Feng's rich experience, most of the bleeding from nasopharyngeal cancer is blood in the nasal discharge, rather than blood like this.
There is another condition: dry mucous membranes of the nasal cavity and bleeding.
"Do you think your nose is dry?"
"I didn't feel it, it's okay..."
Lin Feng nodded and glanced at the patient Zhang Chendi in front of him.
complexion
It's a little dark, and it doesn't feel the same as being blackened by the sun.
In short, it doesn't look like a normal face.
Liver disease face?
Kidney disease face?
Lin Feng secretly guessed.
When a patient's liver and kidney problems, it will lead to darkening of the complexion, dark complexion, and lack of luster...
Of course, this condition also occurs when other organs cause endocrine disorders.
However, liver and kidney are the most obvious.
"Any other questions, right?"
"Yes, I always eat during this time, my teeth are easy to bleed, I don't know what the problem is..."
Lin Feng became more serious.
Patients who have bleeding gums and nose bleeding may be really problematic.
The nose couldn't find the reason, so he looked up at the black face.
Combined with bleeding gums, there may be a problem with blood clotting.
Many clotting factors are synthesized by the liver, and once there is a major problem in the liver, resulting in abnormal clotting, it can lead to possible bleeding in various parts of the body.
So, start with the liver and ask:
"Was there hepatitis B or hepatitis C before?"
"There is... It's hepatitis B..."
Lin Feng nodded.
Hepatitis B - cirrhosis - liver cancer...
If coagulation dysfunction, then at least the degree of cirrhosis is required, and it is already decompensated (advanced) cirrhosis, otherwise there will be no coagulation dysfunction and no bleeding.
"At present, it is suspected that cirrhosis is ..."
Female patients do not know enough about cirrhosis at this time, and only think that it is a small stage of liver disease.
So did not show a lot of panic.
I'll give you an examination, you go and draw a blood, check the liver function... The results came out in about an hour, and then came back to me after the results.
"Doctor Lin, do you need to register again?"
Recently, the matter of continuous registration has been widely discussed on the Internet, causing many netizens who have experienced this to complain about the inhumane hospital.
The cause of this matter was that a patient finally hung up an expert number, which was laborious, but the expert looked at it for 2 minutes and asked the patient to go for an examination, and the next day the patient took the test results to the hospital to find a specialist, but the expert did not answer because the patient did not register (if it is registered again, it will take a lot of effort). Then the patient was very angry, ran to the Internet to complain, suddenly became a hot spot on the fishing wheel, and also on Douyin hot search, Weibo hot search.
So this female patient also has this worry.
Lin Feng said with a smile: "No need, just come directly, but you can't cut in line and affect other patients... I'll put a number for you then..."
"Thank you Dr. Lin..."
"If you don't want to spend money, you can add a B-ultrasound, which is more direct than liver function results... It saves time, and I am doing B-ultrasound after not using liver work..."
"Then give me the price B ultra... I trust you, Dr. Lin..."
Lin Feng smiled.
The trust of patients is the best encouragement to Lin Feng.
"Well..."
The female patient happily took the "blood routine and liver work" to draw blood.
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ps: Full moon wine, only one more today, sorry, 2400 words ...
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