A middle-aged woman walked in, and she was the mother of the little girl.

She first thanked Lin Yi and the nurses.

Subsequently, Lin Yi told her about the situation and discussed the surgical plan.

………………

After dealing with the little girl, Lin Yi returned to the consultation room.

After a while, a man of thirty-five or sixteen years old walked into the consultation room with an old lady in her sixties.

The old lady doesn't look miserable, and the spirit head is okay.

As soon as she sat down on the chair, his son next to her said to Lin Yi: "Doctor, my mother has not eaten well for the past two months, you can check it out to see what's going on." ”

It turned out to be a dietary problem, and it is estimated that the problem is not big.

Lin Yi asked, "When you eat and swallow, is there any discomfort?" ”

Lin Yi asked this mainly to rule out esophageal cancer.

Because the symptom of esophageal cancer is progressive dysphagia.

The man said: "My mother has no problem swallowing things, but in the past two months, she has always had a slight stomach pain, nausea, and occasional vomiting, and she always feels that her stomach is swollen and indigestible when she eats." ”

Nausea, occasional vomiting, stomach distension and indigestion, these symptoms are also quite numerous.

It may be chronic gastritis, gastroduodenal ulcer, or poor gastric motility.

Or if the liver and kidney function are not good, it is also possible.

Lin Yi saw that the old lady looked good, so he auscultated her heart and lungs, and found no problems.

Physical examination was done, and the epigastric tenderness was mildly positive, and there was no rebound tenderness.

Auscultation of bowel sounds is also normal.

Lin Yi asked again: "For such a long time, have you done any examinations?" ”

This time the old lady spoke.

"Doctor, I slowly have a bloated stomach, I can't digest it, and I always feel in my stomach when I eat.

I haven't done a test, but I took morpholine, cisapride and omeprazole, but none of them worked. So today I'm going to check and see what's wrong with me. ”

Judging from the symptoms, Lin Yi felt that this old lady's condition should not be serious.

So Lin Yi asked, "Old lady, when you came today, was it on an empty stomach?" ”

The old lady nodded.

"I knew I was going to come for a check-up, so I didn't eat."

"Then let's do it, old lady, in your case, nausea and vomiting intermittently, and the bloating time is not short.

My suggestion is that you should go straight to a gastroscopy and see what is going on inside your stomach. What do you think? ”

The old lady nodded and said, "I came today to do a gastroscopy, you can give me a checklist." ”

Lin Yi prescribed a painless gastroscopy for the old lady.

Because it was done in an emergency department, the old lady's gastroscopy was very fast.

When Lin Yi was about to get off work, the old lady came back with a gastroscopy report.

Lin Yi took the gastroscopy report and looked at it, and was slightly stunned.

This old lady turned out to be gastrolithiasis!

Gastrolithiasis, as the name suggests, is the formation of stones in the stomach.

For example, kidney stones are more common, but stomach stones are rarer.

A foreign body formed by ingestion of a certain plant ingredient or swallowing of hair or certain minerals such as calcium carbonate, barium, secretion, etc., in the stomach is called gastrolithiasis.

The components of gastrolithiasis include plant stones, ruboliths, lactic acid stones, and iatrogenic bezolias.

Among them, plant stones are the most common.

Severe gastrolithiasis requiring minimally invasive surgery to remove stones.

In the case of an old lady, the first thing is to determine the composition of the bezoars.

Seeing that Lin Yi was thinking, the old lady's son asked, "Doctor, I see that the report says that there are stomach stones, what's going on?" Can this disease be cured? ”

Lin Yi put down the report and began to ask about the old lady.

"Old lady, do you usually like to eat persimmons?"

Before the old lady could answer, her son preemptively said, "My mother loves persimmons. In the past, I would eat a few persimmons every three or five days, and I ate them on an empty stomach, but in these two months, I didn't eat them because the stomach was not digested well. ”

The reason was found.

Persimmon is rich in tannic acid and pectin, these substances are not easily absorbed by the human body, when the human spleen and stomach function is weakened, these tannic acid substances will remain in the stomach, and then form gastric stones.

It causes the human body to have symptoms of stomach bloating, stomach pain, and excessive stomach acid.

In severe cases, gastric ulcers and gastric bleeding may occur.

Therefore, do not consume persimmons if the human gastrointestinal function is weak to avoid this situation.

In addition, eating persimmons does not lead to the formation of kidney stones or gallstones in the body.

If there is no abnormality in gastrointestinal function, persimmons can be eaten normally.

But it's not easy to overdo it.

Especially on an empty stomach.

If the gastric stone is too large, it can be removed by gastroscopy.

This method is a minimally invasive treatment, which has little damage to the human body and has a good effect.

But in the case of the old lady, Lin Yi did not plan to do any invasive treatment for her.

Her stomach stones belong to the early stage stones, and they are not big, Lin Yi has a better way to let her heal painlessly.

Lin Yi said: "Old lady, your symptoms of stomach distention, stomach pain, and indigestion and inability to eat are caused by stones in your stomach. It is mainly caused by poor stomach function in the elderly and eating too many persimmons. ”

"I suggest you don't eat persimmons in the future. If you really like to eat, then just eat less after a meal. Don't eat it as a snack. ”

"Then how do I get rid of the stone in my mother's stomach? Do I need surgery? ”

The old lady's son asked.

Lin Yi said with a smile: "In the case of the old lady, there is no need for surgical treatment for the time being. When you go back, let the old lady drink Coke on an empty stomach every day. Drink 300 to 500 ml at a time, three times a day, for half a month, and then come back for gastroscopy.

If the gastric stone does not fall off by then, consider minimally invasive stone removal if necessary. ”

The mother and son's eyes widened.

The man was surprised: "Doctor, there are stones in this stomach, can drinking Coke cure the disease?" ”

Lin Yi explained: "According to the size of the old lady's stomach stones now, it can be eliminated by drinking Coke.

If the stone becomes hard and larger for a longer period of time, drinking cola may not work well. ”

"Of course, now your mother does not have diabetes, if she has diabetes, this method will not work, and you can only consider minimally invasive stone removal under gastroscopy."

The man nodded as if he didn't understand.

He somewhat didn't believe what Lin Yi said.

If you have a stone in your stomach, how can you cure it by drinking Coke?

Seeing that Lin Yi did not prescribe any medicine to his mother, the man led his mother out of the consultation room.

He plans to go back and check online to see if cola can cure stomach stones.

Of course, Lin Yi also saw the suspicious look in the man's eyes.

But the least painful way to treat the old lady, Lin Yi has already informed them.

As for whether they did what they said, it was up to Lin Yi.

They didn't have long to go.

Two policemen pushed the door open and walked in with a middle-aged man in his forties.

"Doctor, this person is suspected of drunk driving, and after being intercepted by us, he was going to take a blood test, but he said that he ate cephalosporin yesterday and now his chest is uncomfortable. Doctor, you check him to see if he really has a problem. ”

That's what happened!

Under normal circumstances, when the traffic police investigate drunk driving, they will indeed encounter drunk drivers who quibble in every way.

Some are sprinkled and tricked, and some don't blow the alcohol tester, anyway, it is a reason to resist, and there are all kinds of reasons.

And the middle-aged man in front of him is likely to be pretending to be sick in order to escape the punishment of the law.

Of course, judging from the current situation, it can only be predicted that this person is pretending to be sick.

He said he ate cephalosporin, so who knows.

But Lin Yi carefully observed the middle-aged man in front of him, and the man found that something was wrong.

The expression on this man's face didn't seem to be pretending.

He clutched his chest and shouted, "Doctor, I'm stuffy and out of breath." Hurry up and show me. I ate cephalosporin yesterday, is it dying? ”

The middle-aged man was a meter away from Lin Yi, and he smelled the smell of wine.

I don't know how much I drank, but I still dare to drive, it's really taking the lives of passers-by, and I don't take it seriously.

To be honest, Lin Yi himself is also a person who hates drunk driving.

Because after drinking, no one can control their behavior.

If you drive, the risk factor will increase significantly.

But this middle-aged man was escorted to the hospital by the traffic police, and Lin Yi, as a doctor, had to examine him even if he hated drunk driving.

Since the middle-aged man said that his chest tightness was uncomfortable, Lin Yi led them to the rescue room and gave him an electrocardiogram first.

This electrocardiogram is completely a routine examination, and all patients who say that their chest is uncomfortable, have chest pain and tightness, must check the electrocardiogram.

Originally, Lin Yi thought that there would be no problem with this middle-aged man, but when the electrocardiogram came out, he was dumbfounded.

The electrocardiogram showed V1 to V5, and the ST segment was acutely elevated, which is a manifestation of acute myocardial infarction.

Lin Yi's expression immediately became solemn.

He hurriedly called the nurse and looked at the middle-aged man, not letting him move and not getting out of bed.

Lin Yi contacted the doctor in the intensive care unit and came out to receive the patient.

The two traffic policemen saw Lin Yi's solemn expression, and there were obviously several medical personnel coming towards the rescue room.

One of the traffic policemen also asked a little nervously: "Doctor, he won't really be fine, right?" ”

"There is a problem, he is now suffering from an acute myocardial infarction. Contact his family as soon as possible. We're going to give him an emergency PCI. ”

The two traffic policemen were also dumbfounded all at once.

The two traffic policemen glanced at each other, and they both saw the incredulity in each other's eyes.

Neither of them could have imagined that this man was really sick, and originally thought that he was pretending to be sick in order to escape the punishment of the law.

As a result, when I came to the hospital for an examination, it was still the most serious acute myocardial infarction in the heart disease.

That's a coincidence!

This unfortunate thing, how did they meet the two of them!

Fortunately, the two of them sent the middle-aged man to the hospital for examination.

If they don't come to the hospital for examination, but are directly escorted to the station, and the middle-aged man suddenly dies suddenly, then the work of the two of them may come to an end.

After all, the middle-aged man was found to have a real heart attack, and the tall traffic police hurriedly used the police communication to start inquiring about the contact information of the man's family, so that their family members could come to the hospital as soon as possible.

After making the call, the tall traffic policeman looked at another traffic policeman and smiled bitterly: "Brother, why do you say the two of us are so unlucky?" The drunk driving investigation also found out the accident!

Now it's okay, this driver not only can't press the house. I don't know if the two of us will get into trouble. You say it's unlucky. ”

Another traffic policeman also sighed.

"Brother, who said it wasn't, fortunately the two of us brought him to the whole hospital, otherwise the consequences would be terrible!

Fortunately, this doctor's medical skills are very good, and he directly checked the electrocardiogram, in case he is also like us, suspecting that he is pretending to be sick, just deal with it, I think the three of us can't escape the involvement. ”

Twenty minutes later, an obese middle-aged woman hurried into the emergency hall.

She saw two traffic policemen standing in the hall, so she hurriedly walked over and shouted, "Did you two arrest my husband?"

My husband has a heart attack, it must be the two of you who abused him, so he had a heart attack, I tell you, my husband has three long and two short. I'm going to sue you. ”

The tall policeman immediately said: "This lady, please pay attention to your words, we are now recording the whole process."

Your husband has violated the law by drunk driving, and the evidence is conclusive. He said he was uncomfortable with chest tightness, and we rushed him to the hospital in time. He had a heart attack, which was due to his own body. What does it have to do with our investigation of drunk driving? ”

But the middle-aged woman didn't eat him, and still said unrelentingly: "I don't care if you check drunk driving or not, in short, my husband was arrested by you and had a heart attack."

If he has a bad one, none of you can escape, and I must sue you. ”

The middle-aged woman said, throwing down a sentence and hurried towards the doctor's office.

Before he could walk into the office, he heard her shouting, "Doctor, doctor." Where's my husband? What the hell is going on with him now? ”

Hearing the middle-aged woman's shout, Lin Yi frowned slightly.

The quality of this woman is also too poor!

Didn't know this was a hospital? Yelling

He looked at the middle-aged woman who walked in aggressively and said, "Your husband is now in the intensive care unit, we have given him emergency treatment, and the next step is to perform emergency PCI on him."

"Don't tell me anything P, what I, I'll just ask you, is this treatment for my husband now?"

"Nope."

"Why didn't you give my husband the surgery you mentioned? Don't you know that human life is at stake? If my husband has three long and two short, can you afford it? ”

The woman came up and was reprimanded.

Lin Yi is also very helpless about this kind of indiscriminate and indiscriminate patient family members.

This kind of unreasonable family member, even if you patiently explain it to her, she won't listen to you at all.

To put it bluntly, it is a matter of quality, or from the bottom of my heart, I don't recognize the hospital.

Lin Yi said solemnly: "To make a coronary stent for a patient, you need a family member to sign, if you don't come, you don't sign, we can't operate." ”

As soon as she heard Lin Yi's words, the middle-aged woman was immediately unhappy.

"Ah, dare you to watch my husband suffer here, no matter how you became a doctor?

Now that the patient is dying in pain, don't you have a little sympathy? Why don't you treat my husband right away? ”

Lin Yi didn't want to mess around with this unreasonable middle-aged woman.