A hundred days after signing in, the first surgery shocked the world!

Chapter 349

"I heard that Dr. Lin Feng from the emergency department of Harmony Hospital is very powerful..."

The legend of Lin Feng is popular in various circles in the imperial capital.

Moreover, it is not as difficult to hang as those experts.

thereupon

Mr. Qin decided,

Go directly to the emergency department of Harmony Hospital and indicate that Lin Feng should be diagnosed and treated.

Nurse: "Hello, Dr. Lin has now lined up to 25 people, and you are not an emergency, so you can't cut the queue..."

Mr. Qin's face froze: "25 people, how long will it take to queue?" "

Nurse: "According to Dr. Lin's speed, it usually takes 3 hours, but sometimes it is delayed by other patients... It's possible in the afternoon. "

Mr. Qin: "..........................."

But when I think about it, if I find other doctors, I may still be rotten.

Mr. Qin gritted his teeth: "I decided to continue to wait for Dr. Lin!" "

The nurse nodded: "Okay, I'll give you a row..."

And then......

The wait is 4 hours, which is 1 o'clock in the afternoon...

Mr. Qin, this is the opportunity to enter Lin Feng's consultation room.

......

"Dr. Lin, I have low back pain, it's been five years..."

After Mr. Qin came in, he began to talk about his experience.

Lin Feng: "Five years....................."

Over time, many diseases will become more serious.

"What position hurts?"

"Here (pointing to the left kidney)..."

"The urinary system ... Do you have symptoms such as painful urination, frequent urination, and urgency? "

"No, it's been good in this regard..."

"That digestive system... Are there any symptoms such as nausea, vomiting, abdominal pain, bloating, etc.? "

"Nor ..."

"What about fever and chills? Or cardiopulmonary aspect, poor breathing or something..."

"Still not..."

Lin Feng was surprised.

However, it is still that sentence, over the age of 40, chest and abdominal pain, first need an electrocardiogram ...

Lin Feng replaced it with a pulse, saving some money, because he also felt that it was unlikely to be a myocardial infarction.

Lin Feng's pulse level is still very high, after all, it is thousands of years of experience accumulation, pulse can replace electrocardiogram to a certain extent.

Take the pulse result: the heart is fine...

And then the stethoscope, listen to the heart sound, there are no problems ...

above

Heart problems are ruled out.

At the same time, exclude psoas muscle strain, because this time is too long, 5 years, the probability is not large, and it is not fatal (method: pay attention to rest, reduce lumbar activity, and use some anti-inflammatory painkillers at the same time).

Next

Consider the urinary system.

Low back pain and urology, the most common diseases in the outpatient setting:

Kidney stones...

Ureteral stones...

Lin Feng told his patient, Mr. Qin, about his diagnosis.

Mr. Qin: "Then what am I going to do next?" "

For this disease, X-rays, CT, and B ultrasound can be done directly.

Lin Feng looked at this patient, the clothes should be a little money, so he waved his hand.

"You go for a CT..."

......

An hour later,

The CT results came in:

· CT showed multiple stones in the left kidney, the largest of 2 cm, and a small amount of hydrops was also seen in the renal calyces.

"You have kidney stones..."

"Kidney stones? Doctor, what should I do now? "

"Kidney stones still need to be disposed of as soon as possible, otherwise it may cause kidney damage for a long time, and even lead to kidney failure, and eventually fall to the point of hemodialysis, which is too miserable."

"Huh? Hemodialysis? So serious? "

Mr. Qin was afraid of medical treatment, but when he heard this hemodialysis, he couldn't understand it, but he didn't know it, and he couldn't help but pay attention to it.

Lin Feng explained: "The existence of stones will stimulate the mucous membrane in the kidney for a long time, which may cause bleeding, pain, infection, and may even cause cancer, more likely, the stone blocks the outflow of kidney urine, resulting in hydronephrosis, and eventually kidney failure and the need for hemodialysis or nephrectomy..."

Finally, Lin Feng also added...

"You dragged on kidney stones for 5 years, and there were no major problems, which is already relatively lucky..."

Mr. Qin sweated wildly.

I don't dare to say that I have used painkiller plasters for 5 years.

"Doctor Lin, then quickly remove this stone!"

"Well... Now let me tell you about the method of crushing kidney stones..."

Lin Feng began to introduce:

"The first type: take medicine, but unfortunately 2 of your kidney stones are a little big, and the medicine is useless."

"The second: extracorporeal shock wave lithotripsy, non-invasive, directly hit with shock wave, there is a probability of breaking stones ... That's right, not necessarily. "

"The third type: percutaneous nephroscopic lithotripsy ... To open the operation, put the nephroscopy into it. (Refer to gastroscopy)"

"The latter two, you choose by yourself..."

After Lin Feng finished speaking,

After thinking about it, he said again.

"Normal kidneys should not have stones, it must be because of a problem with the body's metabolism or a local problem in the kidney... So, you'd better do a "urine culture" to see what bacteria there are..."

"Huh? Okay, okay..."

"How, have you thought about it?"

"Thinking about it, what impact do I choose that non-invasive..."

"Okay, but what I want to say is that extracorporeal shock wave lithotripsy is not necessarily possible, if it fails, it may have to be operated through the nephroscopy, and then you will have to spend 2 copies..."

"Don't be afraid of money, I have money ..."

As the CEO of a large company, Mr. Qin still has money.

"Go, I'll take you to the urology department..."

Because extracorporeal shock wave lithotripsy equipment is only available in urology.

......

soon

Lin Feng took Mr. Qin to the Department of Urology.

"Doctor Lin..."

"Doctor Lin..."

Many doctors and nurses greeted one after another.

"Excuse me, I'm here to pick up the instrument, give me a kidney stone extracorporeal shock wave lithotripsy..."

Urologists, nurses: "........................"

Here it comes.

That man (Lin Feng) is finally going to attack urology!!

After 5 minutes,

The patient, Mr. Qin, was lying on a shockwave bed, with the instrument pointed at his left kidney...

The shock begins!

Knock knock knock ~~~~

Shocked for 3 minutes...

Come to an end.

Mr. Qin went to the B ultrasound department with few people, reviewed the B ultrasound, and saw if there was any successful gravel!

......

1 hour later...

The ultrasound results are out.

A few kidney stones don't move!

Lin Feng: ".................."

Mr. Qin: "....................."

There is no way, you can only choose another surgery:

Surgery!

"Percutaneous nephroscopic lithotripsy"!

Mr. Qin signed the "Notice of Knowledge" ...

Then start doing a more polished check:

·「 Intravenous pyelography"!

Why do you want to do this?

Didn't you do CT earlier?

Because of the CT results, you can see that there is a stone in the left kidney, and you can also see the appearance of the ureter.

(PS: The urinary tract of the human body: kidneys (filtering)→ ureters→ bladder (storage)→ urethra → outside the body. ）

However, CT has no way to determine whether urine can flow down the kidneys → ureters (blocked?). ）。

So

Lin Feng did a more perfect examination for the patient on a whim, and added this "intravenous pyelography" to this patient.

Facilitates further assessment of urinary function.

Mr. Qin: "Okay, do it!!" "

Mr. Qin is not poor in money, and at this time he also regrets that he was avoiding medical treatment at the beginning, so now that he has kidney stones, he naturally will not save money.

What Lin Feng said, he did.

And then

Lin Feng spent half an hour doing intravenous pyelogram on the patient Mr. Qin.

In fact, the process is similar to intervention.

A contrast medium was injected intravenously and X-rays were taken against his urinary system.

After the contrast agent enters the vein, it quickly flows into the kidneys and is filtered out into the renal pelvis→ ureters → bladder.

Outcome!

This imaging is done!

New issues found!!

Contrast agent, not present in the left kidney + left ureter!!

"Why didn't it develop?"

Lin Feng was shocked!

......