Chapter 53: Decisive Refusal
"Okay, I'll tell Yuan Xuan in the afternoon. By the way, what time is the movie at night? ”
"Eight o'clock. I asked Sister Xue to wear the work clothes of the Inland Revenue Department so that Dr. Yuan could easily identify her. ”
"Hehe, it's still thoughtful."
"Hey, this isn't the trick that Sister Lan taught us before."
"That's, actually, it works." The two of them are chatting, and they both hope that Miyuki can find what they like.
Especially Meiyi, this desire is even stronger. Yes, she is married and pregnant, but her sister is not married yet. From a traditional point of view, being a sister is very uncomfortable. Besides, except for not going to college, Miyuki is not much worse than Meiyi in other aspects.
In the afternoon, Lin Lin found Yuan Xuan and told him about the situation. Yuan Xuan was very happy when he heard this. Although he has never seen Miyuki, Miyi often goes in and out of the hospital, and he has seen it. Meiyi's sister will definitely not be far behind. Moreover, he still works in the tax bureau, which is very much in line with Yuan Xuan's requirements.
Lin Lin didn't ask about their next situation, but just heard Meiyi say that they had already begun to "press the road".
As Lin Lin carefully tapered the intravenous and intramuscular medications, the patient with status epilepticus slowly woke up and did not have any more seizures. Now, the patient has switched to oral medication.
"It seems that my rebirth is here to make up for the regrets of my previous life." Lin Lin thought to herself.
Yes, as one after another patients who died in their previous lives due to incurable death were revived in the hands of Lin Lin after being reborn, Lin Lin's thoughts became stronger and stronger.
In his previous life, he struggled for half his life and rescued countless patients. After being reborn, he will continue to walk on the medical road with superb medical skills and save more patients who can be saved.
In this regard, Lin Lin has no regrets!
January 29 is the Spring Festival of 1987, and Lin Lin has asked someone to tell her parents that because Meiyi is pregnant, she will not go home for the holiday this year.
After Lin Shaoqiang and Zhang Cuiyu received the news, although they were a little regretful, they were more joyful, happy, and expectant.
On January 27, Lin Lin was on duty. At around seven o'clock in the evening, a call came in from the emergency department.
"There is a patient with a severe headache, the condition is very critical, please ask your doctor on duty to come and see it quickly."
"Okay." The nurse who answered the phone immediately relayed it to Lin Lin. Lin Lin didn't say a word, picked up the ophthalmoscope, and rushed to the emergency department. In 1987, the emergency department was weak and its role was only a triage and transfer station. The treatment of emergencies still depends on the strength of various specialties.
The patient is a 48-year-old male surnamed Mai and named Qiang. According to Mai Qiang's wife, they have been doing business in Shencheng for the past few years. Three weeks ago, because of a "cold and headache", he was treated in Shencheng.
After a week of treatment, the situation did not improve. Mai Qiang didn't dare to wait any longer and contacted a friend who worked at the Nanjiang Provincial Health Department. The friend immediately contacted the Nanjiang Provincial People's Hospital and sent a car to Shencheng on the same day to take the patient to Guangcheng and arrange for him to be admitted to the Nanjiang Provincial People's Hospital.
"At the Nanjiang Provincial People's Hospital, the same treatment is based on colds, but the effect is very good. Hospitalized for more than a week, the headache disappeared completely. Seeing that the Chinese New Year was approaching, we decided to drive home. ”
"When the car was still more than ten kilometers away from home, my husband began to have a severe, unbearable headache in his head again. We decided not to go home for the time being, and immediately rushed to the affiliated hospital for emergency treatment. Mai Qiang's wife finally said.
Lin Lin in her previous life did deal with such a patient during this time period.
Although Lin Lin in her previous life had handled it well, the process was full of dangers. Unexpectedly, after being reborn, he also met.
Under such medical conditions, Lin Lin believed that although he had a wealth of experience in rebirth, at this moment, these experiences were not used at all, and he had to start over again according to the methods of his previous life.
Lin Lin used an ophthalmoscope to observe the patient's fundus, and found that the edge of the optic disc of the patient's fundus disappeared, the physiological depression disappeared, the veins were significantly thickened, and the retina was oozing and bleeding.
This is a typical fundus manifestation of increased intracranial pressure, and this increase in intracranial pressure has been going on for some time before such fundus changes occur.
The outward manifestation of increased intracranial pressure is an unbearable, explosive headache that the patient feels.
"I have to be hospitalized immediately, and I have to pay a deposit of 2,000 yuan, do you have enough money?" Lin Lin asked the patient's wife.
In 1987, $2,000 was not a small amount. But Lin Lin already knew the diagnosis of this patient. For the condition, 2,000 yuan is just a drizzle.
"Yes, I'll pay 5,000 yuan." The patient's wife is also aware of the seriousness of the problem.
Lin Lin and the interns who followed him on duty sent the patient back to the ward.
"Go and get ready, and do a lumbar puncture for the patient right away." Lin Lin said to the intern.
"Okay, Mr. Lin, I'll go."
After settling the patient, Lin Lin called the patient's wife to the doctor's office and told her about the danger of the patient's condition.
"From what you said, I don't agree that the patient had a cold. The patient's improvement during treatment at the Nam Giang Provincial People's Hospital, if I guessed correctly, must be related to the use of hormones. ”
"Yes, you're right. At that time, my husband had difficulty falling asleep and had frequent hiccups after taking the medication. I asked the doctor in charge and the doctor told me that it was a side effect of using hormones and that it would go away later. Mai Qiang's wife said immediately.
"Hormones can only work for a short period of time, and the patient's headache now has little to do with whether the hormone is stopped or not. Because, if the disease progresses to a certain extent, it will definitely worsen rapidly. ”
"Of course, this is just my preliminary judgment. After a while, I personally performed a lumbar puncture for him and took cerebrospinal fluid for examination to further confirm the diagnosis. Only when the diagnosis is clear can the medication be accurately administered. ”
"The patient's headache is related to the high pressure in his brain. At this time, it is very risky to do lumbar puncture. However, if it is not done, the diagnosis cannot be made. So, I have to tell you about the necessity and danger of doing this test. ”
Lin Lin told the patient's wife in easy-to-understand language about the danger of the patient's condition and the necessity of the examination.
"I saw the way he had a headache and knew it wasn't easy. Please Dr. Lin do his best to save the life, and I will fully cooperate. "1987, the golden age of being a doctor.
Patients and their families trust the doctor, and the doctor will do everything in his or her power to treat the patient, and the goals of both efforts are highly aligned.
"Teacher, can you let me do this waist wear." The student approached Lin Lin and asked quietly.
"No, this patient can't let you do it, you're watching. You'll understand in a moment why I didn't let you do it. Oh, by the way, you have to use a No. 7 waist needle, not a No. 9 one. ”