radicalducati Chapter 474
Chapter 474
With a single touch,
Suddenly, the baby showed a painful look.
Lin Feng was delighted.
The liver was not enlarged, but when Lin Feng pressed the position of the liver and gallbladder with slight force, the baby showed a painful look.
"Is it biliary atresia?"
Lin Feng brush brush brush...
Billing.
『B ultrasound』......
"You go for a B-ultra... If the liver and gallbladder are okay, come back and review other items..."
Lin Feng tried to save money for this mother, who was dressed generally, obviously the economic conditions were not very good.
"Thank you, Dr. Lin!"
Bao's mother wiped her tears and thanked her again and again.
What Lin Feng did not say was that if it was diagnosed with "biliary atresia", it would be in great trouble, and it would require an operation.
Kasai procedure: A section of the jejunum is taken instead of the bile ducts and then bile (bile is secreted by the liver) is expelled from the liver into the gallbladder.
Even if the operation is successful, it may not last long.
The baby is too small!
Once it fails, liver transplantation is most likely required.
Whether it is surgery or liver transplantation, it is a huge financial pressure for this mother.
......
Half an hour later,
The ultrasound results are out.
Lin Feng breathed a sigh of relief.
B-ultrasound display: there is no problem with the liver and gallbladder!
"Bile duct atresia" excluded!
This is a blessing in misfortune.
Then Lin Feng will open other orders, one by one: thyroid function (thyroid), blood infection indicators (sepsis), liver function (hepatitis)...
It took a day,
Finally figured out the ultimate murderer!
"Hyperthyroidism"!
That is, hyperthyroidism!
There are also abnormal liver function!
Hyperthyroidism, resulting in excessive thyroid hormone secretion, the liver is the main metabolic site of thyroid hormone, too long too long thyroid hormone too much, resulting in liver cell degeneration, necrosis, ALT increased, increase its burden, "liver damage".
Therefore, the baby's condition should be:
Hyperthyroidism - > liver damage - slow metabolism of bilirubin, accumulation - > jaundice...
That's the truth!
Lin Feng breathed a sigh of relief.
The result of "hyperthyroidism" is more acceptable than that of "biliary atresia".
Lin Feng's mother watched.
At this time, Baoma looked nervous, as if waiting for punishment.
"Doctor Lin, how's it going? Have you found the cause? "
To be honest, she still felt a little sorry for the money for those checks, and after various inspections, it cost more than 800...
Lin Feng smiled: "At the beginning, I thought it might be 'biliary atresia'... Let's do it (said a bunch of the dangers of biliary atresia)..."
Baoma's face turned pale, obviously frightened.
"And then..."
Lin Feng's words changed: "In the end, it was found to be "hyperthyroidism"... Let's do it (explain hyperthyroidism and liver damage)..."
Baoma immediately breathed a sigh of relief.
"It's okay, as long as it's not biliary atresia..."
Patting his heart and rejoicing again and again, like the rest of his life after a disaster.
Lin Feng smiled in his heart, if he directly said that it was "hyperthyroidism", this mother estimated that it would be very painful, but first laid the biliary atresia, and then threw out "hyperthyroidism", and immediately felt that "hyperthyroidism" was just that.
High emotional intelligence: the baby thinks that biliary atresia, but it is actually hyperthyroidism.
Low emotional intelligence: the baby is hyperthyroid.
Doctors, to communicate with patients, is also to pay attention to methods and methods...
......
"But... Although it is definitely hyperthyroidism, but also determine whether this hyperthyroidism is brought by you..."
"Huh?" Baoma was stunned.
"Do you have hyperthyroidism?"
"There is..."
"Then the matter is clear, it should be that when you are pregnant, thyrotropin receptor antibodies enter the fetus through the placenta..."
"It turned out to be me... Woo~~~"
At this moment, Bao's mother was once again full of guilt, looking at the poor baby, her heart was about to break, and she blamed herself for not being good, letting the baby suffer like this.
"Dr. Lin, what about my baby now?"
Lin Feng said: "Since the hyperthyroidism caused by the baby comes from the mother, not his own production, so with the continuation of time, thyrotropin receptor antibodies will also degrade on their own, and their hyperthyroid symptoms will gradually be relieved, so without treatment, most of them will relieve themselves 1~3 months after birth, and there are no sequelae... Therefore, the best way at present is to control jaundice (blue light, medicine), liver protection and so on... Hospitalize..."
"Okay, okay!!"
At this time, where would Bao's mother refuse, nodded and agreed.
Due to the complexity of emergency patients, there are various viruses, which is not suitable for a newborn hospitalization.
So Lin Feng called the neonatal department and sent the baby to the neonatal department for hospitalization first.
......
Arrange admission...
Lin Feng received a few more patients, and it was already the end of the afternoon.
Work
Go home.
......
The next day,
As soon as Lin Feng went to work, he met the doctor of the neonatal department in the canteen, and pulled Lin Feng to cry.
"Doctor Lin, the patient you sent over yesterday is really too pitted, last night the baby's grandmother and father came to make trouble, saying that the hospital wanted to trap them for money, to bring the baby back to their hometown for treatment, save money, and also treat all diseases... Almost fought. "
Lin Feng's face suddenly became ugly.
"What happened?"
"Later, the baby's mother called the police, and many family members scolded the strange grandma and father together, and survived until the police... Then the police took the two away, and the baby's mother cried and said that she was going for a divorce..."
"That's okay, that's okay... This marriage is divorced..."
Lin Feng breathed a sigh of relief.
The neonatologist sighed: "I have seen so many strange family members, just these two family members are the most strange..."
Lin Feng said angrily: "You probably don't know, this mother-in-law still wants to take the baby back to the countryside to cut the baby's cheeks and bleed and treat jaundice..."
Lin Feng repeated the treatment of several jaundice remedies.
Neonatologist: ".................."
Other doctors and nurses: "..........................."
All horses are stupid!
Cut your cheeks?
I feel that my IQ is being stepped on the ground, 10,000 times, 10,000 times!!
......
Lin Feng finished breakfast and returned to the consultation room,
At this time, what happened in the neonatal department last night has spread throughout all departments of the hospital.
All doctors and nurses felt - the three views were shattered!
Not at work yet,
Bell bell bell ~~~~~~~
A strange phone call came in.
"Hey, Lin Feng?"
On the other side of the phone, an urgent, anxious voice sounded.
Somewhat familiar.
"I'm Chen Yi, a senior in high school... I just got your phone from someone else..."
"Oooh, remembered... What's wrong? "
In fact
Lin Feng forgot who this classmate was, but in order to avoid embarrassment, he could only pretend to remember.
"Well, my baby has just been splashed with boiling water and scalded to his thighs... I don't know what to do, we have family members who are freaked out and want to ask you what should I do! "
The female classmate with a crying voice, and a thick pleading!
Worried!
"Boiling water hot?!"
Lin Feng suddenly became serious.
"How old is the child? How long has it been hot? Did you wear pants? "
————
ps: End today.