"Old Shao, tell the truth, what have you done to the patient?" Su Yun asked with a smile while watching the film.
Lao Shao's expression changed greatly. Fang Lin stopped him and said with a smile: "Brother Yun, don't make such a joke with Lao Shao. He is timid."
"Yes, yes, I was almost scared to death because of this patient." Shao Jinghe looked sad.
Zheng Ren felt strange. It was a difficult disease. Was he going to be scared to death? Where did this come from
Moreover, it was strange that Dr. Shao directly brought the patient to 912.
In general, in Haicheng, for example, if a problem cannot be solved, it would be good for local doctors to help contact higher-level hospitals. It was either a fatal illness like myocardial infarction or a close relative or friend who escorted her here in person.
Even relatives and friends may not have time, and no one has a lot of things on their hands.
Shao Jinghe not only contacted Fang Lin, but also sent the patient directly. There must be a story in this.
For this patient, Zheng Ren highly suspected that he had missed some bullae during the operation, which caused the patient to have problems again and again.
This is just a possibility, and the possibility is actually not high.
"I'm going to see the patient," Zheng Ren said.
If it is a rare disease, let Big Pig Hoof help solve it. Zheng Ren has gone through the stage of seeing mountains as mountains and seeing mountains as mountains, and has reached the level of seeing mountains as mountains.
There is such a convenient method as big pig's trotters, why not use it
You can tell at a glance whether it is a problem with Shao Jing and Dr. Shao, so you must use it as soon as possible. As for accumulating clinical experience, experience is accumulation.
"Boss Zheng, come this way." Fang Lin took off the red stethoscope hanging around his neck and handed it to Zheng Ren.
"The patient is in ward 12, and I specially assigned him to the ward." Fang Lin said with a wry smile.
"Oh? What's going on?"
"An old man from the patient's family came with him. It is said that he is some kind of rural godly person. It is said that she will be fine if she stays in Ward 12 this time."
"Isn't this nonsense? If it's really accurate, why have I had so many illnesses before?" Su Yun said with disdain.
"Brother Yun, Lao Shao said it. She said before that she couldn't let Lao Shao handle it. Don't you believe it in the family? They say that the old man is old and talks confusingly." Fang Lin said mysteriously.
"Speak up, believe it or not, I will kick you into the duty room!"
"Brother Yun, if you want to trouble me, kick me directly to the female duty." Fang Lin was used to joking and was not afraid of Su Yun's threat at all.
"You've lost your temper." Su Yun said with a smile. Fang Lin knew that now was the most dangerous time, so he quickly said: "Brother Yun, if you don't make trouble, let's talk about serious things. Do you know why Lao Shao is here with you?" What?"
"Why?"
"The old man said that if the child cannot be cured this time, his condition will get worse and worse in the future, and he will definitely die within three years." Fang Lin said, "She also said that if the child dies, she will take Lao Shao to die with her."
"Did she say that it would be okay to seek medical treatment from you?" Su Yun didn't believe this and laughed.
"I'm asking you, Brother Yun, to give me a slap. You are a legendary friend of women. Just take a look at the patient." Fang Lin said with a smile.
While joking, the three of them came to Ward 12. The moment they walked to the door, Su Yun and Fang Lin both became serious.
Talking and laughing behind my back is nothing serious. But in front of the patient's family, that's another story.
As a doctor, being serious in front of patients can also give patients and their families more confidence.
Arriving at the ward, Fang Lin went in first and stood next to the middle bed and introduced to Zheng Ren and Su Yun, "This is the patient I mentioned before."
Zheng Ren took a glance and saw that the patient's system panel was red, and the diagnosis was clear - left spontaneous pneumothorax, bullae rupture, chronic suppurative pleurisy, and localized pulmonary fibrosis.
Plus, there’s a weird diagnosis—endometriosis.
There is no special disease, just various complications caused by spontaneous pneumothorax. The complications are not serious. Empyema can be removed during laparoscopic surgery.
If you take antibiotics for a few days after the surgery, you should be fine.
Then Zheng Ren took a look at the patient. She was sallow and thin, holding her stomach.
abdomen
Why cover your belly
It must be endometriosis, Zheng Ren guessed.
The pain of endometriosis is really excruciating, and it can be said to be excruciating.
"Are you Qi Xiaojuan? Why are you holding your stomach?" Zheng Ren walked to the patient's right side and asked softly with a red stethoscope.
Sitting next to the patient was a thin, withered old lady. She was blind. She rolled her eyes and looked at Zheng Ren, saying, "The baby is coming."
Sure enough, the guess was right, the big pig's hooves were very reliable.
Zheng Ren smiled, showing his gentlest side, "Lie down, let me listen to your breathing sounds."
The girl was very docile, but she didn't want to speak. According to Zheng Ren, she endured the pain and lay flat on the hospital bed.
A chest tube was placed between the 6th and 7th ribs on the left side of the chest and at the mid-axillary line. Zheng Ren took a glance and saw that there was light yellow liquid coming out of the chest tube.
"Cough." Zheng Ren said.
"Ahem." The patient named Qi Xiaojuan coughed twice.
"Gulu gulu." Bubbles began to bubble out of the breast bottle.
This is a typical symptom of an open hole in the lung, and it has been there for many days and has not healed at all on its own. There’s nothing to say, let’s go straight to the surgery.
Zheng Ren would not follow this kind of surgery, it was really not difficult. Just fill the chest with warm salt water carefully, then inflate the lungs and see if there is any bubbling place.
Zheng Ren also suggested cutting out some suspected small lung bullae that had not yet broken.
But now is not the time to talk about this matter. Let's have a physical examination first and then go back to the office.
Because a closed drainage was inserted into the left chest, the patient's breath sounds were only slightly weak. The breath sounds on the right side were normal and nothing was wrong.
After checking, Zheng Ren carefully pressed the patient's belly again. There were no positive signs in the abdomen. The patient would only curl up in bed until his menstrual period.
Carrying the red stethoscope, Zheng Ren left the ward without saying a word.
Although patients and their families will be slightly dissatisfied if this is done. But this was the Thoracic Surgery Department, and Fang Lin was just looking for him to take a look. There was no reason to pretend to be a director in the ward and point fingers.
After leaving the ward, Zheng Ren said: "The condition is very simple, let's do it. It is probably due to the rupture of the bullae, which caused the pneumothorax."
"good."
Hearing what Zheng Ren said, Fang Lin let out a sigh of relief.
Boss Zheng has said it, so is there anything left to doubt
"Boss, don't you think seven surgeries are too weird?" Su Yun disagreed with Zheng Ren's point of view and raised an objection.