Chapter 333: Misdiagnosis and Emergency Medicine
Due to the experience of the past, Jiao Liang examined the patient's head carefully, rolled his eyelids, looked at the oral cavity, auscultated the chest cavity, and finally cut the pulse.
It was a good two or three minutes before he made a judgment.
"You're liver disease. Jiao Liang smiled and said: "You have spider nevi on your hands, your face is sallow, the whites of your eyes are also yellow, plus the pulse, I conclude that you are in the early stage of liver cirrhosis, do a liver biopsy! ”
Several old men around nodded in approval, this man obviously has a liver disease face, and an experienced old Chinese medicine doctor can see it at a glance!
Jiao Liang's judgment should be unmistakable!
"Thank you, doctor......" The man got up and bowed to thank him, he knew his illness himself, there was often pain in the liver area, it must be a liver problem.
"Wait a minute. Lin Feng stopped him again, "You don't have liver disease. ”
"Huh?" the man was stunned, isn't it liver disease?
Others, including Chen Guyun, were also stunned, how could such an obvious manifestation of liver disease not be liver disease? What could it be?
"Dr. Lin, this ...... You can't be mistaken, right?" Fang Runze, an expert in liver disease, frowned.
"It's him who made the mistake. Lin Feng pointed at Jiao Liang and said in a deep voice: "Just look at the surface, I don't know the inside, the cause is not clear, so I ask the patient to go for a puncture, this is a wrong diagnosis! In the event of a medical dispute, can he bear the responsibility?"
Jiao Liang's face turned red and he couldn't hold back his words. Obviously it's liver disease, where could it be wrong! Let him be diagnosed again, this is also the conclusion, his level is here, and there can be no other discovery.
Several other experts also looked strange, could it be that this patient is really not a liver disease? Based on their theoretical knowledge of traditional Chinese medicine, judging by his complexion, it should be right!
"You said it's not liver disease, but what kind of disease is it?" Jiao Yu tried his best to defend his grandson, and stepped forward to question: "If you don't tell the reason, you just talk about it, so it's a nonsense!"
"Hehe, Jiao Fat, if I say it's right, you apologize in public?"
"Okay!" Jiao Yu patted his chest and shouted: "If you say an answer that convinces everyone, I, Jiao Yu, will not only apologize, but also respect you as a senior!"
"Okay, listen up!" Lin Feng pointed to the patient and said: "He is a gallbladder disease, not the liver, the liver and gallbladder are interdependent, and the gallbladder blockage causes liver qi stagnation, which is the fundamental cause! Only by curing the gallbladder disease can the liver qi be relaxed, and treating the symptoms but not the root cause is equivalent to being busy in vain." ”
"Bile disease?" Fang Runze looked at the patient carefully, his eyebrows were deeply locked, bile disease may indeed cause liver depression, and liver depression will make the face yellow, and then make the liver disease face appear.
The manifestations of biliary disease are not obvious, the gallbladder itself is very small, attached to the liver, easy to be ignored, only the most intelligent doctors, through the face-to-face diagnosis, can find the lesions of biliary.
"Where do you tell if he has a gall disease or not a liver disease?" Jiao Yu was not convinced, feeling that Lin Feng's words were not very credible.
Lin Feng snorted coldly and said impatiently: "Open your eyes and see clearly, there are bruises on both sides of the bridge of his nose, which is a gall omen, the gallbladder is very seriously blocked, and this rarely happens in ordinary liver disease patients." Looking at his eyes again, although the whites of his eyes are yellow, the pupils are normal, and in addition, this patient's occupation is also a high-risk industry for biliary disease!"
"What kind of profession is he?" Sun Fuzhong asked casually.
"Fishermen. Lin Feng said with a smile: "Fishermen have the habit of eating raw food, and there must be parasites in his gallbladder, has he vomited recently?"
"Yes, yesterday and the day before yesterday!" the man looked at him with surprise, "Is it a mud snail? I often eat drunk mud snails! There are homemade ones, and there are also market-bought ones." ”
"That's right, remember not to eat raw food in the future, no matter how delicious things are, they must be cooked and eaten!" Lin Feng said with a smile: "Go to the hepatobiliary department!" Ask the doctor to prescribe some deworming medicine for you to try first, if it has an effect, you can take one less knife, otherwise you can only cut the gallbladder." ”
"Thank you...... Thank you, doctor!" The man was grateful, and when he left, he glared at Jiao Liang fiercely, and scolded in a low voice: "Phew, quack!"
Jiao Liang's face suddenly turned pale, his eyes were hollow, he looked at the man, and clenched his fists.
"Jiao Fatty, what did you just say?" Sun Fuzhong smiled and looked at Jiao Yu, whose face was also gray.
"I ...... Senior, let's go!" Jiao Yu arched his hand at Lin Feng, hating these two people to death in his heart.
Yue Lingrou missed the diagnosis, Jiao Liang misdiagnosed, and Wang Yaotang was left without a move, as for Lin Feng, there is no need to verify it, everyone also knows that he far surpasses all the candidates.
"Classmate Wang, it's your turn!" Chen Guyun signaled, not surprisingly, the results of this screening have been released.
Wang Yaotang hesitated, not knowing which patient to choose, this was his only chance, the chance to overpower Yue Lingrou! If he didn't pick well and the diagnosis was wrong, then he would be like everyone else, he would have no advantage at all.
Seeing his hesitant look, the patients and family members waiting in line were not happy, and someone shouted: "We don't want free treatment, as long as Dr. Lin asks for a consultation!"
"Yes, as long as Dr. Lin asks for a consultation! everyone else is a half-baked doctor, I don't believe it!" an old man shouted, causing everyone to echo him.
"That's right, Dr. Lin is a brilliant doctor, worthy of the title of divine doctor!"
The situation of the two patients just now made the bystanders more and more distrustful of the young doctor, but they were convinced of Lin Feng's medical skills and wanted him to treat themselves.
"This ...... Dean, look at ......" Fang Runze asked Chen Guyun's opinion, in this way, Wang Yaotang may not be able to continue the consultation.
Chen Guyun is also a little difficult, patients don't trust doctors, this is the biggest trouble, you can't force Wang Yaotang to treat people, right?
Seeing this situation, Lin Feng took the initiative to say: "Everyone, I am not the attending doctor of the Chinese Medicine Hospital, if there are difficult diseases that cannot be treated by other hospitals, you can go to the Friendship Hospital to hang my expert number." Today, I only have one place in my hand, but I will wait for this Dr. Wang to see it before it is my turn to officially consult. ”
"Doctor Lin, will you sit for a consultation tomorrow? I'll go to the Friendship Hospital tomorrow to register!"
"Yes, go to the Friendship Hospital!"
A large group of patients immediately flocked to the Friendship Hospital, as if all of them were incurable.
"Look, isn't this an advertisement for the Friendship Hospital, Dean Chen, you can bear it, but I can't bear it if it were me!" Zhang Li fanned the flames on the side.
Lin Feng turned his head and smiled: "Zhang Li, how do you talk to your seniors? What kind of attitude do you have!"
"I'm ......" Dean Zhang immediately wilted, and shrank to the back of the crowd with a disgraced face.
At this moment, behind the crowded crowd, someone suddenly fell to the ground with a "bang!"
"What's wrong with this man, doctor! Doctor, come and see!" the crowd stirred. "Get out of the way!" Many doctors were present, and they were all experts and deans, and when this happened, the nurses were the first to step forward to deal with it.
This is a very gentle middle-aged man, wearing a tie, purple lips, eyes closed, unconscious, the case book in his hand is still new, and there is no record of any past cases.
"The patient is in shock!" a nurse shouted, "Quick, stretcher!
When waiting for the stretcher, Chen Guyun and others hurriedly stepped forward to check, Fang Runze and Yan Hongcai, two experts, each set up one hand to cut the pulse, and Chen Guyun checked the patient's face and opened the patient's mouth.
"It's a heart attack!"
Chen Guyun decided to take the opportunity to investigate Wang Yaotang's ability, "Classmate Chen, tell me, how should this condition be handled?"
Wang Yaotang was secretly overjoyed, and immediately moved out the guidance plan in the textbook, "Dean, to rescue a patient with a myocardial infarction, we must first ensure that the breathing is smooth, as you just did, open the patient's mouth, if necessary, carry out artificial respiration, heart compression, grasp the golden time for rescue, and send it to the hospital as soon as possible." ”
"Then the current situation, with your doctor's duties, how to deal with it?" Chen Guyun asked again.
Wang Yaotang hesitated for a moment and said, "This ...... Patients can be given nitroglycerin sublingually, CPR, and rushed to the emergency room with defibrillators, oxygen machines, and thrombolytic therapy if necessary......"
"This has something to do with traditional Chinese medicine!" Lin Feng squeezed into the crowd and snorted coldly: "It's on paper! With this kung fu, I have saved everyone!"
"You, what are you talking about? Can you save him?" Wang Yaotang resolutely disagreed, the mortality rate of people with heart attack is extremely high, and sometimes surgery is required to save the life, and without professional medical facilities, it is impossible to do it.
Therefore, many medical experts present did not act rashly, but only let the person lie flat, observe his breathing and heartbeat, and wait to be sent to the rescue room with the help of medical machinery to further determine the treatment plan.
Lin Feng didn't have time to pay attention to him, he found a box of silver needles out of nowhere, lifted the patient's shirt, and kept measuring his chest with his fingers, testing, and then under the stunned gaze of everyone, a needle pierced straight into the heart!
Seeing his movements, the medical school members gasped, this is a stab to the heart! There is such a terrifying operation!
"Ho ......" Unexpectedly, after this needle, the man suddenly took a long breath, as if he was cheating a corpse, and suddenly opened his eyes!
"Don't move. Lin Feng warned him in a deep voice: "You have a sudden myocardial infarction, I am giving you first aid and keep your breathing steady." ”
When the man heard this, he looked up nervously and looked around, surrounded by a circle of white coats, all of them looked very powerful, and he remembered that he was waiting in line for free treatment, but he didn't expect to really win the lottery.
"Listen to him!" Chen Guyun squatted down, held the patient's hand, and quietly checked his pulse, this check, the old man's face was shocked, the patient's heart pulse was beating vigorously!
It is a miracle that a heart attack patient with a heart attack can have a strong heartbeat and normal breathing with just one silver needle!
Lin Feng didn't stop there, and near the heart, he put another needle, this time it was extremely slow, as if it had slowed down more than ten times in slow motion, which made people very confused.
What kind of fame is this?