bookmarkrole Chapter 343
Chapter 343
Chapter 343
10 minutes……
20 minutes……
Patients who have taken 100 colchicine tablets are undergoing emergency gastric lavage…
Of course, blood is drawn and sent to the laboratory for colchicine component inspection. It is also doing…
In addition, the doctor also used hormones, liver protection, kidney protection and other drugs…
During this process,
The middle-aged male patient had diarrhea 3 times and vomited 6 times…
The cleaner aunt broke down a bit.
Lin Feng sighed. The patient is a middle-aged man with a very careful combing of his hair. Obviously he wants to work or rest as usual today. Perhaps something caused him to collapse in his heart, and then he ate 100 pieces of autumn. Narcissus committed suicide.
Lin Feng thought of the sentence on the Internet…
The breakdown of adults is often at that instant.
Lin Feng doesn’t know what happened to the middle-aged man, but hopes that he will be stronger in the future.
…
after an hour,
The hematuria test result came back.
·Colchicine positive,
It was determined that it was colchicine poisoning.
Then gastric lavage, drainage, blood purification… continue.
“Zero Three Zero” until the afternoon,
The patient vomited more than 10 times and had diarrhea nearly 20 times.
If it hadn’t been for continuous rehydration, I am afraid that vomiting and diarrhea would make him shocked.
15:00 pm
The patient’s gastric lavage and purification are finally over.
The patient has collapsed, lying on the bed, and will be hospitalized for a few days to monitor the condition…
actually,
The kidney damage and liver damage in this patient have already appeared, which is irreversible at all.
What’s more serious is that there may be complications such as bone marrow transplantation, severe infection, coagulation dysfunction, etc.
These are unknown.
…
the next day,
The sister and mother of the middle-aged patient came from other provinces.
Holding the patient and crying, the mother even cried and fainted.
The middle-aged patient also cried loudly and kept shouting sorry to his mother.
…
…
some company,
A meeting chaired by the director leader takes place in the conference room.
The director is at the table, eloquent, talkative and compelling.
under,
The subordinates held their heads up, listened carefully, and did not dare to neglect.
At this time,
“Snoring~~~”
“Snoring~~~”
A snoring sound rang.
Director leadership: “……………………”
Subordinates; “……………………”
who?
So bold?
Dare to doze off in front of me (director)?
He glanced at one of the seats.
A fat man.
After a few minutes,
There was an angry roar from the director in the conference room, as well as many trembling subordinates, as well as the trembling apology of the fat employee.
noon,
A group of employees surrounded the fat man.
“Fatty? What’s the matter? Do you dare to sleep at the director’s meeting?”
“Yeah, don’t you want to die?”
The fat man wanted to cry without tears: “I don’t know. In the past few days, I have been very sleepy and lack energy…I don’t want to sleep either. I have pinched me several times, and finally fell asleep. I didn’t do this before. Ah…I go to bed early every night…”
confused.
distressed.
When colleague 1 heard it, he felt something was wrong: “Fatty, your situation is not right, do you want to see a doctor?”
Colleague 2: “Yes, fat man, I remember you were very energetic without taking a nap…”
Colleague 3: “How about going to see a doctor?”
…
Got the patient who committed suicide by taking medicine,
Lin Feng returned to the clinic,
“Chou*xian, please go to the third clinic…”
Then,
A fat man weighing about 190 kilograms walked into the consulting room.
“Doctor Lin!”
The fat man’s eyes lit up when he saw Lin Feng, and he said excitedly; “I’m so lucky to meet Dr. Lin you… Dr. Lin, sign me, my sister is your fan!”
Lin Feng smiled: “The signature is okay. See a doctor first, and I’ll show you afterwards…”
Lin Feng has too many fans in the emperor. One-third of the patients will eventually ask Lin Feng to sign a copy, either for their daughter or granddaughter…
Lin Feng: “Let’s talk about it, what’s the disease?”
Lin Feng saw that this patient was so fat, he started to think about obesity in his mind.
The fat man began to say: “Dr. Lin, it is like this. I don’t know why when I went to work recently. I haven’t had any energy… before, I didn’t need to take a lunch break, and I didn’t have to work for a whole day.”
Lin Feng: “I’m not in good spirits, right?”
Bad spirits,
The first thing to consider is:
· Chronic fatigue syndrome.
There are three reasons for chronic fatigue syndrome:
·Working hours are too long: too much pressure…
·Insufficient sleep at night: As a result, people always want to sleep during the day and lack energy.
· Abnormal liver function: the liver’s detoxification function is reduced, which causes the accumulation of toxins in the body, and people will feel fatigued and weakened.
Lin Feng needs to be eliminated one by one.
“You said you didn’t know how to do it before?”
“will not.”
“Before it was almost the same amount of work? Could it be that you worked more all of a sudden and then became more stressed?”
“No, there is no difference in work, and it will not be stressful.”
Rule out the first reason.
“How about sleeping at night?”
“Should be okay? I go to bed early every night and then wake up regularly…”
“Do you snore?”
Lin Feng glanced at the patient’s fat figure and neck…
“I don’t know… I live alone… Oh, by the way, these days I am on a lunch break at the company at noon, and my colleague said I would snore… very loud…”
Snoring……
Very loud…
Lin Feng’s hand hit the keyboard and stopped.
Snoring, many people think it is tired, sleep soundly, very one-sided, not completely right.
Notice:
·If you are tired from work, fall asleep quickly at night, and then snor, and you are full of energy during the day, you will generally not be sick 0 ……..
·However, if you fall asleep at night and snoring, and you are mentally weak during the day, the possibility of the disease is very high.
Lin Feng looked at the neck of the fat patient…
“Come here, let me see…”
The fat man moved his chair and came to Lin Feng.
Lin Feng squeezed…
The patient’s neck is a bit thick and fat, so he can’t feel anything.
But what Lin Feng considered for the first time was “sleep apnea hypopnea syndrome” (I wrote about this disease before)…
Because it is too fat, fat accumulates, and when sleeping at night, it relaxes and withstands the airway…
This requires a “respiratory monitoring” for investigation.
Next is the third reason: liver.
“Have you ever had a history of liver disease? Hepatitis, hepatitis B, hepatitis C… etc…”
“No…but there should be fatty liver…”
“Ok…do you have a headache?”
If it is caused by the liver, it will be accompanied by headaches and body swelling.
“No headache…”
Lin Feng nodded, and then checked the body of the fat patient, and there was no swelling.
Temporarily rule out liver problems.
So far…
All consultations and physical examinations are completed.
Lin Feng probably knows…
“Go for a “sleep breathing monitoring”. If you are not too troublesome or afraid to spend money, you can take blood to do a “liver work”…”
Lin Feng explained his diagnosis in detail.
After the fat man listened, he decided:
“Doctor Lin, don’t be afraid to spend money, let’s do the liver function together.”
Payment,
The follow-up nurse will follow up. Lin Feng is not needed…
If it is “sleep apnea hypopnea syndrome”, there are two ways:
·Either surgically remove a part or buy a portable ventilator.
·Use a ventilator to take part of the breath while sleeping.
…
The next patient. 2.3
“Cough cough~~~~ cough cough~~~~~ cough cough cough~~~~~~”
He heard his voice before seeing him.
Before Lin Feng saw the patient, he heard a series of coughs that lasted more than 20 seconds.
This is the patient Lin Feng has heard of the longest cough.
Then,
Lin Feng saw the patient.
·Age about 30 years old, wearing Anta T-shirt and sweatpants, a very energetic young man.
He walked in.
“Doctor Lin…” The young man held a tissue and covered his mouth.
“Sit…what’s the problem?”
“I have been coughing, dry cough, and throat fever these six months. I always feel that something is in my throat…”
Lin Feng nodded.
Coughing is actually caused by many and very complicated reasons.
·Respiratory tract diseases: such as respiratory tract inflammation, chemical, allergic factors to the trachea and bronchus irritation…
·Digestive tract: such as gastric reflux…
·Pleural diseases: such as lung, cardiovascular diseases…
·Central nervous system: such as encephalitis, meningitis…
·psychology:……
certainly,
The most important thing is the respiratory tract, digestive tract…
. .