Time flies, time flies, life is like a white horse, and a year has passed in a flash.

The Department of Surgery of Jiangx County People's Hospital has injected fresh blood into the department, and the development of the department has been booming since then.

At this time, in the president's office, President Feng Tang was holding a copy of the surgical development plan of Jiang X County People's Hospital that had just been approved by the government department. The tense wrinkles on his forehead slowly relaxed, and he smiled contentedly: "I finally bet on the treasure."

Then he sighed again: "I hope that transfer order will not be issued so soon."

On this day, Lin Chen took Zhu Haoran and Lu Xiaohan to the outpatient clinic as usual, and the surgical outpatient clinic was already crowded at this time, and there was a long queue in the morning.

After Lin Chen walked into the surgical outpatient office, he habitually took off the white coat from the wall, draped it over his shoulders like a wind, and then said to Lu Xiaohan: "Let's start!"

"Please go to the surgical clinic at No. 1 Liu Meifang and see the No. 2 clinic," Lu Xiaohan opened the door and shouted outside.

As soon as the words ended, a female patient about 40 years old walked in from outside.

As soon as he sat down, he couldn't wait to say to Lin Chen: "Doctor Lin, my legs are full of crooked blood vessels, and now I am even more swollen when I walk, what is going on?"

"Xiaohan, take it to the inspection table!" Lin Chen said.

Liu Meifang took off her pants, and saw that the crooked blood vessels in her legs were hovering from bottom to top, especially under the knees, which were rolled into several balls, looking very scary legs.

After Lin Chen motioned to Patient No. 1 Liu Meifang to put on his pants, he returned to his desk and took out an outpatient medical record from the drawer, and then said: "Your disease is a very common disease, don't be afraid, it's not that you have a terminal illness."

"But those horrible blood vessels, as soon as I see them, I am very scared, will I die? I just need to stand for a while now, my legs are very sore, Dr. Lin, you must prescribe me some better medicine to cure it."

Lin Chen quickly recorded the medical history with Liu Meifang on the medical record:

Chief complaint: The superficial blood vessels of both lower limbs were exposed and twisted into clumps for 5 years, and aggravated for one month.

History of present illness: The patient developed superficial blood vessels in both lower limbs after standing for a long time 5 years ago, which was not paid attention to at that time and progressed with the disease. After 2 years, the superficial blood vessels of both lower limbs were exposed, tortuous, aggravated, and continued to develop upward to the inner thighs, especially below the knees. After standing for nearly a month, the soreness in both lower limbs worsened。。。。。。

Physical examination: superficial blood vessels in both lower limbs are clearly exposed and tortuous, clumps below the knees, and the standing position is obvious, which can be relieved in the supine position。。。。。。

Trendelenburg test (+)

Deep venous patency test (Perthes' test) (-)

Traffic valve function test (Pratt test) (+)

......

Diagnosis: stage III varicose veins of both lower extremities

......

"Your disease has reached the third stage of varicose veins, and it can't be relieved by taking medicine, the only way is to give it an operation, otherwise in the terminal stage, your condition will be even more serious," Lin Chen said earnestly.

At this time, Liu Meifang looked at Lin Chen dumbfounded, she didn't expect that her long-term bad habits would cause such scary blood vessels on her thighs, and she became nervous and scared at the thought of surgery.

"Ms. Liu, don't be afraid, your condition is not incurable, while you are still young。。。。。。 ”

......

"Please go to the surgical outpatient clinic on the 5th and the clinic on the 2nd," Lu Xiaohan continued to shout.

At this time, a young girl of about 25 years old came and walked into the examination table, and the blood vessels in her lower limbs were bent and exposed for 3 years。。。。。

Diagnosis: Varicose veins of both lower extremities (stage II)

Lin Chen is now more and more proficient in the diagnosis of diseases, and his judgment of medical treatment is getting faster and faster, and it can be said that there is no second accurate diagnosis like him in Jiang X County, and he can prescribe medicine.

On the operating table, that is the name of Jiangxia's first knife. Gradually, Lin Chen's medical skills have been spreading to the provincial capital.

"Please go to the surgical clinic on the 10th, and the clinic on the 2nd," Lu Xiaohan continued to shout.

Patient No. 10 was a 60-year-old man, and after being brought into the examination table, he saw Wei Ronghua nervously saying, "Doctor, my left leg hurts and is rotten!"

Lin Chen took a look, and saw that the superficial blood vessels of patient No. 10 Wei Ronghua's left lower limb were more tortuous, and the pigmentation in the calf was obvious, and the ulceration part was the ankle of the left calf。。。。。。

Signs: The superficial blood vessels of the left lower limb are obviously tortuous, the knee is clumped, the standing position is obvious, and it can be relieved in the supine position, and the skin of 3*3cm size can be seen at the ankle, without bleeding。。。。。

Diagnosis: Left lower extremity varicose veins with ulcer (stage IV)

。。。。。。

"Doctor Lin, have you misdiagnosed? My old man has varicose veins?" asked No. 10 Wei Ronghua's family with a puzzled expression.

Diabetes can cause ulcers in the lower limbs, according to Lin Chen's unforgettable memory and recent experience, the No. 10 patient Zhu Ronghua is obviously an ulcer caused by varicose veins in the left lower limb, this varicose vein old rotten leg does not have that smell, and the obvious blood vessels are bent into a clump and pigmentation. In addition, the Trendelenburg test (+), deep venous patency test (Perthes test) (-), and traffic valve function test (Pratt test) (+) on physical examination are clearly supported.

Although B-ultrasound has not been done to examine the arteriovenous condition of both lower limbs, the diagnosis of Wei Ronghua is certain.

"According to his condition and physical examination, we have preliminarily diagnosed your family members as old rotten legs with varicose veins," Lin Chen replied in the affirmative.

"My old man retired from the provincial capital, and the doctors in the provincial capital didn't say that surgery was needed to treat this disease," No. 10 Wei Ronghua's family still didn't believe it.

。。。。。。

Lin Chen picked up the pen and wrote on the blank space in the treatment measures: Hospitalization and surgery within a limited time.

"Please ask patient No. 30 Li Chaoyang to go to the surgical outpatient clinic and No. 2 clinic for treatment" The last patient, Lu Xiaohan's voice was almost hoarse.

The last patient was a middle-aged and elderly male, 50 years old. I saw that he was hurriedly carried in by his family and said anxiously: "Doctor, the blood vessel in my left leg suddenly exploded, help me!"

Lin Chen hurriedly brought Patient No. 30 Li Chaoyang into the examination table, and after the patient lay down, he quickly took the sterile gauze handed over from Lu Xiaohan's hand, quickly pressed it against the breach in his left leg that was still bubbling with blood, and wrapped the bandage around and bandaged it. Cautiously asked, "When did you suddenly burst a blood vessel in your left leg and bleed?"

"Doctor, I went to the park to exercise in the morning, the blood vessels in my left leg suddenly burst like an explosion, and I was bleeding a lot, doctor, am I about to die" Li Chaoyang showed a painful expression at this time, and the corners of his eyes were full of tears.

Lin Chen checked again, and the patient's left lower limb was another obvious case of green tendon exposure, and the whole leg was already completely crooked blood vessels, how could such a leg not have high pressure when it was in a standing position? What if it was when exercising? Lin Chen didn't dare to think about how many such patients there were in Jiangxia. If he doesn't get treatment in the future, I'm afraid Jiang Xia will 。。。。。。。。 in the end

Thinking of this, Lin Chen hurriedly dialed the phone number of the dean's office: "Hello Dean Feng, I am surgeon Lin Chen。。。。。。 ”