socalfunplaces Chapter 222
Chapter 222
Just when Lin Feng was about to measure the blood sugar of fan Jiawen,
On Dr. Wang Yi's side, he communicated well with the operating room and prepared for surgery, just to find Jiawen.
"What about the patient? Where did it go? "
I looked for it several times, but I didn't find it!
Wang Yi asked Jiawen's parents: "What about your daughter?" Where did it go? "
Parents: "I don't know, I'm still here just now..."
Also panicked.
Hurry up and shout.
"Zhang Jiawen!"
"Jiawen, where are you?"
A crowd shouted.
"Mom, I'm here..."
Jia Wen heard the voice and walked out of Lin Feng's consultation room.
The mother looked at it and breathed a sigh of relief.
"Why are you here? The doctor is looking for you for surgery..."
"Oooh, I met my idol, Dr. Lin!"
"Isn't your idol the Hanazawa?"
"It's changed, since the day before yesterday, I have been fanning my male god Dr. Lin Feng!"
Jia Wen giggled.
Dr. Wang Yi scolded, "What's going on? Don't know if you need surgery? Still running around? "
Harmony Hospital itself is very busy, many doctors are acute, Jia Wen ran and let him look for it.
The mother quickly apologized: "I'm sorry, doctor, the child is not sensible..."
Dr. Wang Yi made a cold face: "Go and prepare for the operation, the operating room has already made an appointment!" "
The mother nodded repeatedly: "Okay, okay." "
As soon as Jiawen was pulled, Jiawen did not move.
Jia Wen looked at Lin Feng.
Lin Feng: "Wait..."
Dr. Wang Yi frowned: "How?" "
He glared angrily at Lin Feng.
He was already very unhappy with Lin Feng, but he spent 500,000 yuan and worked hard to join Harmony Hospital.
And Lin Feng?
A young man actually joined the harmony so simply, and the director was so good to Lin Feng.
Not convinced!
Accurate!
Eat one's heart out!
He originally wanted to give Lin Feng a dismount.
As a result, now Lin Feng is going to give him a horse power!
Lin Feng: "Doctor Wang... I..."
Lin Feng originally wanted to say his judgment in public: Jiawen's condition was not caused by intestinal obstruction, but may be blood sugar.
But after thinking about it, I just came to Harmony Hospital, I can't make enemies casually, I should be harmonious and friendly.
So Lin Feng deliberately walked a few steps, stood with Dr. Wang Yi, and said in a low voice:
"Doctor Wang, it's like this, I think Jiawen's disease is not caused by intestinal obstruction, but because the blood sugar is too high..."
When Dr. Wang Yi heard this, he immediately exploded!
Lin Feng really robbed his own patient!
I am the attending doctor of this patient Jiawen, why did you Lin Feng interfere? Not afraid to cross the line?
And
"Hahaha, what an international joke!"
It's loud!
It attracted the attention of surrounding patients, doctors, and nurses.
"CT shows intestinal obstruction, is absolutely fine, is this still fake? You tell me high blood sugar? "
"Moreover, Jiawen is only 14 years old now, how can she have high blood sugar so easily!"
His eyes looked at Lin Feng angrily, with mockery, as if to say: You are from a small hospital, why question me?
Lin Feng: ".................."
Frowning.
I felt that Dr. Wang Yi's mood was not quite right.
He had tried not to let anyone else know, whispering. As a result, Dr. Wang Yi spoke directly and loudly to Balabala, and everyone heard it.
Lin Feng: "You didn't measure your blood sugar, it doesn't matter if you measure it now..."
Wang Yi looked at Lin Feng coldly: "The comprehensive assessment already has indications for surgical intervention, so naturally surgery is necessary!" You're deliberately disgusting me! "
Disgusting you?
Lin Feng was also angry!
Who has time to disgust you when stepping on a horse?
This Jiawen is my fan, can I watch her go to the operating table for nothing?
The last operating table, the money was tens of thousands, right?
The prognosis of surgery is troublesome, right?
And there are risks to surgery?
Lin Feng's expression turned cold: "I don't have the heart to disgust you, I just say what I think... I suggest that the patient Jiawen measure his blood sugar, use a blood glucose meter, prick a finger, and the result will be available in less than a minute. "
Wang Yi: ".................."
Chill the air!
I feel that Lin Feng is going to make trouble, and he wants to step on him in the Harmony Hospital!
It's just rampant!
Think it's amazing to have 40 million fans?!
At this point,
The dispute between the two attracted many doctors, nurses, and patients to gather around.
"What happened?"
"It's like two doctors got into an argument."
"This Lin Feng is so arrogant, he actually started picking thorns on the first day of work!"
"It's a prick!"
"This is robbing patients, doctors!"
"I think Dr. Lin is right, there is a problem, naturally I have to raise it."
"Haven't you heard? That little sick girl is a fan of Dr. Lin, and Dr. Lin naturally wants to give advice. "
Many doctors are unhappy with Lin Feng's behavior of picking and robbing patients.
But the nurse was very supportive of Lin Feng, and felt that Lin Feng was right to do so, after all, appearance is justice.
At this time, nurse Xiao Ai took the blood glucose meter and handed it to Lin Feng.
"Dr. Lin, the blood glucose meter you want..."
Dr. Wang Yi next to him glared coldly at nurse Xiao Ai.
As a result, Xiao Ai directly ignored it.
......
It is worth mentioning that
Nurses, doctors, not the same system.
Nurses are under the jurisdiction of the nursing department, and doctors have no control over them.
Moreover, the professional ability of harmonious nurses is very strong, and the new generation of nurses are basically key undergraduate and graduate graduates, and their status will not be much lower than that of doctors.
Lin Feng's handsomeness is very lethal to the nurse girl.
Thereupon......
Faced with Dr. Wang Yi's cold face, nurse Xiao Ai ignored it and handed the blood glucose meter to Lin Feng.
Lin Feng smiled: "Thank you." "
Nurse Xiao Ay was very happy, feeling that the whole world was alive at this moment.
Lin Feng took out the needle and turned to the patient Jia Wen.
"Stick out your finger..."
Jia Wen was slightly afraid: "Doctor Lin, will it hurt?" "
Lin Feng smiled and comforted: "Prick your fingers, it will pass all at once." "
Pricking your finger is to take the peripheral blood sugar, which is the fastest way to measure blood sugar.
Jia Wen was encouraged: "Well..."
Stretch out your finger.
Lin Feng pinched her fingers and pricked a needle.
Blood retrieval successful!
Jiawen only felt pain for a while, and then she didn't feel it...
"Okay!"
Lin Feng put the blood into the blood glucose meter and tested it.
beside
Dr. Wang Yi hugged his chest with both hands and looked at Lin Feng with a sneer.
"When the blood sugar comes out, I'll see how you lose your face!"
He felt that Jia Wen was so young, it was impossible for her blood sugar to be high, she hadn't eaten for so long, and she was a tall fart.
Moreover, CT clearly shows intestinal obstruction!
There is also evidence of appendicitis surgery!
100% surgery!
Dr. Wang Yi has already thought about it, and when the blood sugar comes out, he must taunt Lin Feng and suppress Lin Feng's arrogance.
Right now!
Suddenly!
The meter sounded an alarm!
Abnormal blood sugar!
Dr. Wang Yi's face changed!
Take a look at the blood glucose meter,
The result shows, "HI!"
Hi, it means high!
That is, the blood sugar is too high and has exceeded the highest measurement range of the blood glucose meter!
Can't detect it at all!
This blood glucose meter is the same as that of the first courtyard of the city, if Lin Feng remembers correctly, its highest measurement value is 31mmol/L!
The value of fasting is generally 3.9~6.0mmol/L!
(The patient Jiawen did not eat, so it is considered an empty stomach.) ）
In other words, Jiawen's value is more than 5 times more than normal!
"Wow~~~~"
At this moment,
All the doctors, nurses were in an uproar.
Shocked and stunned looking at Lin Feng!
Lin Feng said it right!
It turned out to be really high blood sugar!
At this moment, it was not Lin Feng who was slapped in the face, but Dr. Wang Yi!
And the parents were also confused at this time.
What's going on?
Inverted?
But what does high blood sugar mean?
They don't understand.
Dr. Wang Yi was a little incredulous and asked the parents:
"Did she (Jiawen) have diabetes before?"
"Nope!" The parents replied.
Lin Feng said: "Such a high blood sugar, the probability is diabetes, if it was not before, it may be now... I suggest, quickly check the arterial blood gas, as well as blood ketone bodies, urine sugar, urine ketone bodies, etc..."
At this time, Lin Feng probably had a guess!
"Diabetic ketoacidosis"!
This is an acute complication of diabetes.
In the past, when Lin Feng was in the first hospital of the city, he rescued a patient with "diabetic ketoacidosis".
Almost died!
Later, he was rescued by Lin Feng!
Lin Feng was also anxious at this time.
"It may be "diabetic ketoacidosis", call the laboratory department and let them speed up!"
Diabetic ketoacidosis?!
Now,
All the doctors' faces changed!
This is not as simple as intestinal obstruction!
Intestinal obstruction can still be dragged, but diabetic ketoacidosis is absolutely not allowed to be dragged!
Dr. Wang Yi's face changed.
If it is really diabetic ketoacidosis, and you take the patient to the operation yourself, it may delay the patient's condition!
Thinking of this, he broke out in a cold sweat.
At this moment, the parents were also panicked by the expressions of Lin Feng and other doctors!
"What's going on? Doctor? "
"yes, what's wrong with our daughter?"
Lin Feng comforted: "It's okay, it's harmonious here, we doctors are the most powerful." "
In this way, the parents were slightly relieved.
And Jia Wen was also panicked, her hand tightly grasped Lin Feng's sleeve, at this moment, Lin Feng was like a safe harbor, making her feel safe.
......
The rush from the emergency department is very effective!
After 10 minutes,
The results of the blood gas test are out!
pH7.3
Metabolic acidosis!
Soon, the blood ketone body also came out, significantly increased!
Urine sugar is also 4 pluses!
Sure!
It is "diabetic ketoacidosis"!
It appears because the patient has insufficient insulin secretion or antagonizes too much insulin hormone, because of the lack of insulin, the body can not use blood sugar (resulting in elevated blood sugar), but instead uses fat, increased lipolysis will produce a large number of ketone bodies (leading to acidosis).
This is why the patient Jiawen has high blood sugar!
Lin Feng asked: "Is the amount of food during this time larger than before?" Eat more? Urine more? Drink more? Lost weight? "
Jia Wen thought about it and nodded: "It seems to be so, a month ago, my appetite suddenly improved, but I became thinner again..."
Lin Feng: "That's right, this is a typical manifestation of diabetes!" "
The mother cried at this time: "It's all to blame me, I didn't find this, I thought the child studied hard to lose weight, but I didn't expect it to be diabetes." "
Father: "Then doctor, what is the intestinal obstruction?" "
He felt that the hospital CT was wrong, there was no intestinal obstruction at all.
Lin Feng patiently explained: "Diabetic ketoacidosis may indeed cause digestive dysfunction... This intestinal obstruction may be related to adhesions caused by previous appendicitis surgery, or it may be a symptom of ketoacidosis.
......
Now that ketoacidosis has been identified,
Then the treatment plan has changed.
removal of intestinal obstruction from surgery,
It becomes a reversal of ketoacidosis.
Lowering blood sugar and replenishing fluids may be the most critical methods.
Maybe after getting ketoacidosis, the body is better, and then use some drugs, or maybe the intestinal obstruction can be cured without surgery.
So, next,
That is, to determine who will be the attending doctor of the patient Jiawen?
Logically speaking, Dr. Wang Yi is Jiawen's attending doctor and should be done by him.
However, Lin Feng detected the real cause.
The doctors and nurses were silent, looking at Dr. Wang Yi and Lin Feng.
Lin Feng: "This is still from Dr. Wang Yi..."
Lin Feng wanted to be humble,
However, these words fell in the ears of Dr. Wang Yi, who was very unhappy with Lin Feng, but he felt that Lin Feng was 'yin and yang strange qi', stabbing him!
"No need, since you diagnosed it, it's up to you!!"
Dr. Wang Yi turned away with a cold face.
Lin Feng: ".................."
Speechless.
Give him steps and don't!
At this time, Jia Wen pulled Lin Feng's sleeve and looked at Lin Feng with a pair of eyes, full of trust.
Lin Feng nodded: "Okay, I'll be your attending doctor." "
The parents will not object, if it were not for Lin Feng, it is estimated that the daughter will go to the operating table. In this regard, Lin Feng is a great benefactor!
"Please Dr. Lin!"
"You're welcome... Please sign it! "
Notification of critical illness!
The parents signed it quickly.
Lin Feng looked at the nurse Xiao Ai on the side.
"Go, take her to the rescue room."
"Okay!"
"Go!"
......
Come to the rescue room.
"Get to bed!"
The patient Jiawen lay in bed.
She looked flustered and pulled Lin Feng's sleeves.
"Lin Shuai, I'll be fine, right?"
Lin Feng nodded: "Don't worry, there will be no problem." "
"ECG monitor..."
"Blood oxygen test..."
All of a sudden, all kinds of equipment are used.
Breath 23 breaths/min...
Heart rate 120 beats per minute...
Blood pressure 110/80mmHg...
Blood oxygen saturation 100%...
All good!
Lin Feng breathed a sigh of relief and began to order.
Lowering blood sugar (insulin)!
・Replenish fluids and maintain water electrolytes!
• Anti-infection!
After some medication, go down...
Subsequently, intestinal obstruction should also be countermeasured: gastrointestinal decompression.
That is, to insert a gastric tube to let the stomach breathe out and decompress.
After some medication, go down...
Inserted a gastric tube...
It's been 10 minutes.
Patient Jiawen's condition did not have much ups and downs.
Lin Feng breathed a sigh of relief.
"It seems that the situation is very good..."
suddenly
"Doctor Lin, it's not good, my heart rate has accelerated!"
Nurse Xiao Ai exclaimed in surprise!
Lin Feng was startled and looked at the ECG monitor.
really
The heart rate shown above suddenly jumps up without warning!
120 times/min...
130 times/min...
140 times/min...
In less than 30 seconds, it jumped to 140 beats per minute!
And it's still rising!
And the central venous pressure also began to soar!
At this time, Jiawen's face showed a painful look.
"It's not good, it's shock!"
"Quick, the drip rate of dual-channel sodium supplementation is doubled!"
At this time, the heart rate has run to 170 beats per minute!
With such a fast beating of the heart, the load will be very large!
Sodium supplementation is a quick way to lower your heart rate.
Fortunately, the patient Jiawen has already established an intravenous channel, otherwise it will be a big trouble.
With the start of dual-channel sodium supplementation,
The heart rate began to decrease continuously, until it reached 140 beats per minute.
Lin Feng weighed it and said: "Almost, reduce the sodium replenishment speed, reduce one channel, and the speed becomes an ordinary speed!" "
Xiao Ai: "Yes!" "
Those who study high school biology know that too high a salt concentration will lead to water loss in the human body.
Too much sodium supplementation can easily cause cerebral edema.
Next
The condition gradually recovers, the blood sugar keeps falling...
The originally rapid breathing also slowed down a lot...
The bloating has also decreased...
"Phew~~~~"
"It's done!"
Lin Feng breathed a sigh of relief!
......
The next day,
Lin Feng rounded the ward, and the patient Jiawen's condition has been completely controlled.
"Dr. Lin, I was in the group and told my classmates about yesterday... My classmates adore you. "
Jia Wen shook the mobile phone in her hand.
Lin Feng smiled: "Thank you..."
Then
Burst~~~~
A farting sound sounded.
And the kind that lasts two or three seconds.
Jia Wen suddenly blushed.
Lin Fengle said: "This is good news, it means that your intestinal obstruction is improving, and you may not need surgery." "
As soon as she heard that she didn't have surgery, Jiawen was happy.
"I'm afraid the operation will hurt..."
"The operation is not painful, because there is anesthesia, that is, the wound will hurt after the operation..."
"It still hurts..."
Lin Feng saw her like this, it was still quite cute, and he couldn't help laughing.
However, Lin Feng also felt a little sorry for her.
Lin Feng just looked at the latest test results and confirmed that she had (1) diabetes, which may be an increase in blood sugar caused by the decline or disappearance of islet function due to immune or viral infections, and insufficient insulin secretion.
That is to say, she may not be able to do without insulin in the future, and she needs to use insulin every day to lower blood sugar.
......
At this point,
Lin Feng's story of 'cutting off his beard and robbing patients' yesterday soon spread throughout the entire Harmony Hospital.
During the interview, I did the fastest surgery in the brain department,
Shocked the whole hospital!
Out of the limelight!
And on the first day of employment, I did things again and robbed patients!
It's just a troublemaker!
Some doctors felt that Lin Feng was right to do this and dared to stand up.
There are also many doctors who think that Lin Feng is a limelight and a thorn.
in a word
There are likes,
There is disgust,
But Lin Feng didn't care, and even scoffed.
What's wrong with annoying me?
In my opinion, you are a bunch of scum!
But, from the point of view of a nurse, it looks so - hero, genius!
The discovery of the condition that the attending doctor did not find shows that the strength is strong!
Dare to stand up, not afraid to offend people, brave hero!
This kind of man is really too handsome!
Unconsciously, Lin Feng gained the favor of most of the nurse girls in Harmony Hospital!
......
Imperial capital, second ring,
A certain neighborhood.
Zhao Hanyu, a news reporter from Didu TV, returned home.
As soon as I returned, I heard my 14-year-old son muttering.
"In the future, I want to be a doctor!"
Zhao Hanyu: "???? "
What's going on?
Didn't his son use to be a scientist? How did it suddenly become a doctor?
When I asked my son, I knew the reason.
It turned out that my son's classmate was hospitalized and almost died, but fortunately because Dr. Lin Feng rescued her.
“？？ Lin Feng? "
This name is familiar.
"Dr. Lin Feng is very powerful, many girls in our class like him..."
Balabala said a lot.
After listening for a few minutes, Zhao Hanyu roughly figured out the situation.
It turned out to be the doctor of the First Hospital of Peng City who rescued a patient at the 40 million fans on the Internet - Lin Feng!
"You mean, Dr. Lin works at Harmony Hospital? ...... Then your classmate was misdiagnosed by the doctor of Harmony Hospital, and was discovered by Dr. Lin and saved your female classmate? "
"Uh-huh, yes!"
Zhao Hanyu listened!
This news, not bad!
He is a news reporter for Didu TV and has a certain journalistic acumen.
Lin Feng's 40 million fans, full of topicality, is now in Harmony Hospital, challenging the authority of the old doctor of Harmony Hospital!
This is definitely big news!
Zhao Hanyu was excited in his heart,
"I'll go to Harmony Hospital tomorrow for an interview!"
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ps: End of update ~~9000 words...
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