Chapter 58: Yu Zhitong has something to say
Because Yu Zhitong was listening, Lin Lin knew that the problem must be explained clearly and thoroughly in order to avoid misunderstandings between each other in the future.
"Dr. Lin's analysis just now is very in place and very detailed, and I completely agree. Dr. Lin is solely responsible for the diagnosis and treatment of this patient, and if there is a problem, Dr. Lin must raise it in time, and I will organize the general practice to discuss it. "Ling Xiaoyun is an official, and he does have a set. This sentence not only praised Lin Lin, but also highlighted her authority.
"As a surgeon, I, as a surgeon, have learned a lot from Dr. Lin's analysis just now. Dr. Lin is truly a rising star in neurology and the backbone of our hospital. ”
"In the treatment of Lu Lao, the hospital will fully cooperate. Any needs of the Department of Neurology, such as the procurement of manpower, material resources or special drugs, the consultation of experts from higher-level hospitals, etc., can be put forward in time, and the hospital will do its best to assist in solving them. Dean Xiang also made a statement.
"Thank you very much Dean Xiang, Director Ling, Dr. Ding, and Dr. Lin. After listening to Dr. Lin's analysis just now, I also understand that next, when we accompany the nurse, we should pay attention to what to observe and what kind of diet to provide. ”
"Next, if we need our family members to cooperate, please ask Dr. Lin to bring it up at any time, and we will definitely cooperate. Thanks again Dr. Lim for your detailed analysis and answers. Of course, Yu Zhitong can't be silent.
In the following week, Lin Lin's worries appeared one after another.
The patient's right limb is weak, and the hands and feet cannot be lifted off the bed, which causes the patient to be extremely depressed.
The dysphagia worsens, and eventually, feeding through a nasal tube is required. This, on the other hand, further undermines the patient's confidence.
The patient's hoarseness was even more obvious, and what he said could not be heard by anyone except Yu Zhitong and Lin Lin.
Yu Zhitong relies on the deep relationship between husband and wife for decades, and can understand the meaning of Lu Yiming's eyes and pronunciation. Lin Lin, on the other hand, analyzed the patient's demands according to Lu Yiming's mouth shape and voice changes, and he was also inseparable.
In the end, Lin Lin's worst fearful situation appeared.
Because of difficulty swallowing, secretions from the mouth cannot be swallowed and flow into the respiratory tract. The patient's respiratory tract was already poorly mounted, and soon a serious lung infection developed.
What's worse is that the cause of the infection can't be solved for a while, and the infection in the lungs will come and go, getting worse and worse. The antibiotics in the affiliated hospitals and even the major hospitals in Yingzhou were used in turns, and the infection could not be controlled.
The patient begins to have a high fever, confusion, and even delirium (gibberish talking), which is very dangerous.
The relevant departments in the hospital were invited for consultation in turn, but the situation still did not improve.
"Dr. Lin, the patient's condition is getting worse and worse, what do you think should be done next?" Ling Xiaoyun couldn't sit still, and when he handed over the shift, he asked Lin Lin.
"I think it's very difficult to deal with this patient at the level of our Yingzhou area. Therefore, I suggest inviting Professor Xie Qilin from the Department of Respiratory Medicine of the First Affiliated Hospital of Shuangya Medical College to come for a consultation. For Xie Qilin, Lin Lin admires it very much. When I was studying, I felt that I benefited a lot from listening to his lectures or listening to him analyze problems during clinical practice.
"Okay, I'll report to Dean Xiang right away." Ling Xiaoyun also felt that this was the only way.
After receiving Ling Xiaoyun's call, Dean Xiang immediately reported to the leaders of Yingzhou City. The leaders of Yingzhou City sent the request to the leaders of Nanjiang Province, and on the same day, a special plane flew from Guangcheng to Yingzhou.
Lin Lin and the leaders of the hospital, who had been waiting at the airport for a long time, received Professor Xie and immediately rushed to the affiliated hospital.
Professor Xie listened to Lin Lin's report on the patient's medical history and treatment, carefully examined the patient's condition, and then returned to the doctor's office.
Professor Xie is a man of temperament, quick to talk, and has one thing to say.
"This patient, as Dr. Lin said, has two main problems at present, one is the cause of pneumonia, that is, cerebral infarction. This reason cannot be solved for a while. ”
"The other problem is lung infections. For repeated aspiration pneumonia, the antibiotics you are using are estimated to be resistant to the bacteria in the patient's lungs, and now, it is necessary to change the antibiotics with a wider antibacterial spectrum and no resistance. ”
"I recommend switching to 2 grams of fudaxin every eight hours and adding 5% of glucose intravenous drip. When the patient's body temperature is normal, the blood count is normal, and the rales in the lungs are close to disappearing, the patient should be changed to 1 gram every 8 hours for 1 week. ”
"During the medication, it is necessary to pay attention to the changes in the stool, and if there are signs of superinfection, treat it immediately."
"In addition to the use of Fudaxin, it is also necessary to enhance the patient's immunity and resistance. At present, the treatment in this area is not strong enough, and it is recommended to use Buxuekang, if conditions permit, two bottles per day, continuously. ”
"It's best to use these measures as soon as possible, as soon as possible." Xie Qilin's words were equivalent to telling Yu Zhitong, who was in attendance, that the patient's condition was very serious and could not be delayed.
"Teacher Xie, otherwise, I'll take a trip to Guangcheng with you and prescribe a few days of medicine. For follow-up medicines, we apply to the hospital to purchase them. Of course, Lin Lin understood what Xie Qilin meant.
"No, Doctor Lin, you stay here, I will ask my eldest son, Lu Jun, to follow Professor Xie up. How much is needed, Professor Xie looks at it. Yu Zhitong knows the importance of Lin Lin by her side at this moment.
After discussing it, they set off immediately. In this era, doctors are really heart-to-heart with patients and their families. Xie Qilin refused to even eat, and immediately took Lu Jun on a plane and rushed to Guangcheng.
That night, according to Xie Qilin's consultation opinion, Lin Lin prescribed a doctor's order for the patient and used the medicine brought back by Lu Jun. The rest is stored in the refrigerator.
Looking at her lover who was drowsy and falling asleep because of high fever, and looking at Lin Lin, who was concentrating on guarding these two bottles of liquid, Yu Zhitong's eyes were hot, and tears couldn't help but fill her eyes.
She turned around, wiped her eyes, and then said to Lin Lin, "Xiao Lin, go and sit in the doctor's office, I have something to say to you." ”
"Okay." After adjusting the drip rate of the infusion, Lin Lin and Yu Zhitong came to the doctor's office together.
"Aunt Yu, don't be sad, in my opinion, these drugs can definitely play a good role."
"Thank you, Kobayashi. I know that Xiao Yang is pregnant, but you often guard our old deer, Auntie thank you. ”
"Aunt Yu, you're welcome. Like you, I hope Uncle Deer gets better soon. ”
"Your heart, I know. Xiaolin, you may not know that your Uncle Lu was already depressed enough to experience the blow of this disease. ”