latelenovela Chapter 352
Chapter 352
"Wine !!"
Lin Feng remembers clearly,
When the patient was questioned by Lin Feng, he did not say that he was addicted to alcohol, and he said that he did not drink much.
Therefore, Lin Feng did not think about 'wine' at first.
Why, Lin Feng cares so much about this 'wine'?
Because drinking alcohol for a long time can lead to a deficiency of "vitamin B1".
And "vitamin B1", also known as "anti-neuritisin"!!
(PS: The first vitamin discovered in the world.) ）
Looking at the name "antineuritis", you should understand that this thing is related to nerves.
Specifically: vitamin B1 is an important part of sugar metabolism, if deficient, it will lead to energy metabolism disorders, nervous system, cardiovascular system problems, some people manifest as neuroinflammation, some people manifest as heart failure.
In addition, vitamin B1 was discovered because a doctor studied beriberi in the army of East India in the 19th century, and finally discovered vitamin B1.
"You've been drinking since you were a child, isn't it more than 20 years?"
"Yes..."
"Drink it every day?"
"Yes, drink every day, it's not comfortable not to drink ..."
"Then why did I start asking you that you don't drink much?"
"I... I bought some insurance, and I heard that many diseases cannot be claimed if caused by drinking, so..."
Lin Feng: "...................................."
Got it.
I was afraid that insurance would not work, so I hid drinking in my medical records.
What a cunning!
Patient: "Dr. Lin, is my illness... Something to do with drinking? "
Lin Feng nodded: "99% likely, there is!" "
So here's the problem.
Why do alcoholics cause vitamin B1 deficiency?
There are many reasons for this.
First of all, the patient often drinks alcohol, then he will definitely eat less, and get less vitamin B1 from vegetables and meat, (it is estimated to eat more peanuts and rice).
In addition, people who drink alcohol for a long time can cause digestive diseases such as gastritis and malabsorption of the small intestine, which will also lead to impaired absorption of vitamin B1, and will also lead to increased excretion of vitamin B1...
Drinking alcohol - vitamin deficiency, in fact, is not directly related.
However, in a statistical sense, there is a very strong correlation between them.
All paper statistics show that people who love to drink have a very high probability of vitamin B1 deficiency.
The patient in front of him, because of the habit of drinking for a long time, then the reasoning about all the previous diseases (electromyogram, spinal fluid, etc.) has to be recovered.
That is to say, Lin Feng misdiagnosed because the patient concealed drinking.
The patient may not be Guillain-Barré syndrome at all.
Patient: "Dr. Lin, what now?" "
Lin Feng: "Very simple answer, just take an injection, vitamin B1 will do..."
If it is really vitamin B1 deficiency, the treatment is much simpler than Guillain Barré syndrome.
Lin Feng said to the nurse: "Give him an injection of vitamin B1, 100mg." "
At this point,
The doctor who handed over also nodded.
He also reacted, did Lin Feng suspect that the patient had a vitamin B1 deficiency caused by long-term drinking?
soon
The nurse injected the patient with 100 mg of vitamin B1.
Lin Feng: "If after a few hours, you recover your strength, it means that it is indeed a vitamin B1 deficiency... If it's still the same, then reconsider going back to "Guillain-Barré syndrome"... By the way, don't drink, got it? "
The patient nodded repeatedly.
His wife was also next to him: "Doctor Lin, don't worry, I will definitely discipline him well!" "
......
Lin Feng handed over...
Work
The next day, I continued to return to work.
The first time is to come to the hospital for ward rounds.
Lin Feng came to the patient who lacked vitamin B.
The patient was very happy when he saw Lin Feng: "Dr. Lin, haha, thank you, I'm fine!" "
He was so happy!
The disease is finally cured!
Lin Feng: "Strength? "
The patient got out of bed and jumped happily a few times: "I had strength after 10 o'clock last night, and then I can get out of bed now and jump around." "
Lin Feng breathed a sigh of relief: "That's good..."
The patient got it,
Then Lin Feng was relieved, and went to check the other wards...
Just when Lin Feng finished handing over and was ready to return to the consultation room,
suddenly
The ICU patient called.
"Dr. Lin... There is a patient, is there time to palm the palm? "
"Huh?"
"A patient with heart failure has just been sent from another hospital, and doctors are consulting, and then the director thinks of Dr. Lin, are you free?"
"No problem..."
Lin Feng nodded in agreement.
ICU Lin Feng, but it was the first time that Lin Feng was invited to consult.
"I'll go over now..."
......
After 10 minutes,
Lin Feng came to one of the wards of the ICU.
As soon as you enter,
Boy
Many doctors have come, blood, extracardiac, intracardiac... Departments...
The entire independent ward was packed with people.
The patient was put on a ventilator and lay on a hospital bed.
"I heard that this patient is the family of the big boss above..."
"No wonder the director came in person..."
Lin Feng was shocked.
The so-called big boss, naturally, is not the kind of boss who does business, but the kind of boss who is a leader, as for how big, then it is not clear, anyway, it is very large, otherwise the director of the harmonious ICU does not need to give this kind of face.
Lin Feng was still the first time he encountered such a big boss's family.
A little fresh.
The director then began to tell the patient's case.
Patient, female, 53 years old, Chen Moumou (confidential) ...
Past medical history: Early lung cancer was discovered a year ago and has been surgically removed...
No history of high blood pressure, diabetes, heart disease...
More than 1 month ago, I had sore throat, fatigue, chills and other manifestations... The time dragged on for 1 week and was not cured... Subsequently, nausea, vomiting appeared...
Admitted to the hospital next door, chest CT, determine a little inflammation, but not much, lung cancer has no metastasis...
Blood draw results: the rest of the indicators are normal, and platelets are one-fifth - one-fifteenth of the normal value.
(Platelets are a key factor in the coagulation system, and if there are few platelets, the body is likely to bleed nonstop.) ）
3 days ago, due to general weakness, chest tightness, shortness of breath, difficulty swallowing drinking water, and no chest pain, he began to be admitted to the ICU of the hospital next door.
Do a thorough examination: electrocardiogram, blood routine, myocardial enzymes, troponin, liver and kidney function...
Test result: The rest is normal, except for "brain natriuretic peptide" (exceeded the upper limit of the test, burst the meter)
·「 Brain natriuretic peptide" explains: heart tissue release, generally its elevation means heart failure.
。。。。