N-A-A Chapter 523
Chapter 523
Hear this,
The middle-aged woman nodded repeatedly: "Doctor Lin, help me squeeze it, don't operate!" Big deal, relapse, find Dr. Lin again, you can help me squeeze it out..."
Lin Feng nodded.
However, from his perspective on many patients, he obviously felt that the middle-aged woman in front of him was a more stingy and snarky master.
And just now apparently deliberately waited here and then stopped himself, right?
Thinking of this,
Lin Feng, who was not prepared to receive medical fees, changed his mind.
"You go and hang up..."
"Huh? You still have to register... Dr. Lin, no need, right? Your number is too hard to hang ... You're right in front of me right now, can you just help me squeeze it right away?" "
Lin Feng sneered.
Is he going to get used to this kind of patient?
"That doesn't work, you go to the register."
Lin Feng's attitude was a little cold.
Then this middle-aged woman just had a good voice, and she exploded all of a sudden.
"What? Dr. Lin, you are a multi-millionaire, and you still have this registered money from me? "
"It's not a bad question, it's me getting paid, it's reasonable."
"Ouch... Dr. Lin, don't do this... Or you show me first, I will definitely register you after reading it, anyway, they will come..."
“......"
And then a bunch of words:
"As long as she is treated, she is willing to pay anything."
Lin Feng only sneered.
Seeing more people with such sweet mouths, it is to see through and not to say broken.
Look at Lin Feng's refusal,
The middle-aged woman scolded and left.
"It's really petty..."
"What else to say about good medical ethics, I bah!"
Then he ran to another doctor and started fooling the other doctor.
Lin Feng looked at her back and shook his head and sighed.
In fact, it is easy to help her squeeze, but if you help her, are you still worthy of those patients who honestly give money?
Honest people should suffer?
(If it is unintentional to evade the fee, Lin Feng will still help...) ）
......
Afternoon
Keep going to work.
Often the first patient is a more serious patient.
"Doctor Lin..."
A woman in her 30s, supported by her husband, walked in.
Her forehead was covered with sweat.
Cover your right lower abdomen and limp with a limp.
It obviously hurts.
Patient, Wang Lijuan, female, 32 years old...
"Sit... Tell me about the situation..."
After the patient Wang Lijuan sat down, her husband began to explain the condition to Lin Feng.
"Three days ago, my wife started to have pain in her right lower abdomen, and at first I thought that my stomach was eating bad things, and then I took drugs such as abdominal coan, but it didn't work..."
Finish a bunch of words.
After listening, Lin Feng subconsciously felt that it was "appendicitis"...
Appendicitis, emergency regulars...
Typical is pain around the navel, then pain in the right lower abdomen...
"Lie down, I'll give you a check..."
Physical examination.
• There is tenderness in the right lower quadrant Mai's point and rebound tenderness.
More and more like appendicitis.
Lin Feng waved his hand and asked the patient to do B-ultrasound, blood routine, urine routine...
......
An hour later,
The results came out.
• Blood routine showed that white blood cells were also elevated, consistent with his diagnosis of appendicitis.
• Normal urinalysis to exclude right lower quadrant pain caused by common ureteral stones.
But B ultrasound is a little different, generally appendicitis has swelling and thickening, but this female patient Wang Lijuan's appendix is only slightly larger.
But in any case, Mai's spot pain + blood routine white blood cells + B ultrasound have signs of enlargement, and the probability of appendicitis is very large.
"First admission... Observe for 1 day first..."
For the sake of caution, Lin Feng did not make a surgical plan at once.
Lin Feng opened the bill.
The patient Wang Lijuan was about to take the slip and leave the consultation room...
"Ugh..."
Whoops~~~
Wang Lijuan's legs went weak and she fell to the ground.
"What's wrong?" My husband panicked and helped him up.
"It's okay..."
"I'll carry you..." my husband said thoughtfully.
"Wait..."
Lin Feng shouted at this time.
Lin Feng was very surprised in his heart, he had never seen a patient suffering from appendicitis and could not walk.
This is a strange situation.
"Are you in pain?"
"It hurts..."
"It hurts so much that you can't walk?"
"It's not either... I just don't have the strength..."
Lin Feng was stunned.
"You just fell because it hurts? Or is it because of lack of strength? "
This is important.
For different reasons, it will point to a constant disease.
"It's because I don't have the strength..."
"I'll go..."
Lin Feng scolded secretly.
Overlooked!
At first, Lin Feng thought that the patient Wang Lijuan was helped in by her husband, and then helped out, because of the pain.
As a result, it turned out not pain, but weakness!
This is definitely not the symptom of appendicitis as it should be!
So, there must be another disease that is affecting patients.
"You tell me more about the condition... You (pointing to Wang Lijuan) may not be accurate..." Lin Feng said seriously.
Wang Lijuan endured the pain: "Okay, I don't know why for 4 days, suddenly I had no strength, and then my stomach began to hurt 3 days ago..."
"Why didn't you just say it?"
Lin Feng said with a reproachful look.
"I..." The patient Wang Lijuan looked at a loss.
Lin Feng: "Forget it... No strength, what is the lack of strength method? Which part? "
Wang Lijuan: "Two legs..."
Lin Feng immediately said:
"You lie in bed, I'll give you another personal examination..."
Lie down.
Then Lin Feng carefully did a muscle strength test!
It was found that the patient's muscle strength in both lower limbs was only level 3 (normal people are grade 5)
Increased muscle tone, hyperpain in the abdomen skin below the umbilicus,
Loss of temperature sensation.
What is the problem?
This is definitely - a neurological problem!!
In other words, Wang Lijuan is probably not "appendicitis".
But below the lower abdomen, there is a problem with the nerves!
The answer is coming!
Backbone!!
Something went wrong with the spine!!
Lin Feng still remembers that when he used to be in college classes, some teachers shared special cases.
"Spinal canal tumors"!
Relatively rare.
And there is a case that causes symptoms similar to "appendicitis" - right lower abdominal pain.
Lin Feng said his discovery.
"Let's go for an MRI..."
To see if there is a tumor in the spinal canal, MR is the best way.
"Okay, Dr. Lin..."
The patient Wang Lijuan and his wife trust Lin Feng very much, although the price of MR is relatively expensive, more than 1,000 yuan, but they still do not hesitate to go for the examination.
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ps: End today... Well, Hongxing Erke is awesome, plan to buy a pair of shoes in the next few days, and book lovers also support it!