Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 115 Intestinal infarction requires surgery! (Please subscribe!)

Lin Yi patted him on the shoulder as a sign of comfort.

After a while, Chen Qiang's mood returned to normal, and he looked at Lin Yi with a smile:

"I'm sorry, Brother Yi, it's getting too far."

"It's okay. In this way, you go with him and let the doctor who examines him hurry up."

"I suspect he has an intestinal infarction..."

Intestinal infarction, also known as intestinal infarction, has a sudden onset, and symptoms such as abdominal pain, vomiting, constipation, and dehydration may suddenly appear.

There are many causes of intestinal infarction, including intussusception, volvulus, and mesenteric thrombosis.

In medicine, there is no particularly good treatment for intestinal infarction. Generally, surgery is required immediately after discovery.

Otherwise, if it continues to be serious, it will cause intestinal ulceration and threaten life.

"Okay, okay, Brother Yi, I'll go find him now!"

When Chen Qiang heard this, he nodded nervously.

He knew the urgency of intestinal infarction, and when he thought of the uncle who was reluctant to spend money and endured the pain just now, he felt even more uncomfortable.

After speaking, he immediately walked out.

At this time, the water friends in the live broadcast room launched barrages one after another:

"Intestinal infarction? Is it real or not? It's just a stomachache. Can the anchor confirm it's intestinal infarction at a glance?"

"Yeah! I think this kind of situation is quite common!"

"I often have this kind of situation, and I didn't say what it was intestinal infarction."

"I just went to the Internet to check it out. The best treatment for this intestinal infarction in the later stage is surgery."

"Then that uncle just now has to spend more medical expenses? He must be very distressed..."

"Fuck! Guys, can you understand the mentality of a guy who is having a stomachache and throwing up right now seeing this?"

"Haha! Congratulations brother, you have won the lottery! Go to the hospital immediately!"

"Don't panic, brothers, what the anchor said is a bit exaggerated. Maybe it's just a bad stomach, not necessarily some intestinal infarction!"

Lin Yi sat on a chair, looked at the barrage on the public screen, just smiled and didn't speak.

More than 20 minutes later, Chen Qiang walked in hurriedly from the door with the inspection report.

"Brother Yi, the test results are here! The patient's white blood cell count and neutrophil ratio have increased!"

"The diameter of the B-ultrasound small intestine is 7 cm, and it shows the liquid, gas and intestinal content in the dilated intestine, showing anechoic, hypoechoic and moderately strong punctate echoes."

"CT showed a mass in the obstructed segment of the large intestine, and X-ray showed signs of pneumatosis, effusion and bird's beak."

Immediately afterwards, Chen Qiang reported in one breath.

Hearing this result, the barrage in the live broadcast room went up again:

"Brothers, do you understand, what does this mean? What beak?"

"Does the mass in the obstructed segment of the large intestine mean intestinal infarction? I don't understand either, I understand it literally..."

"Yes, the results of this report show that the uncle just now was indeed having an intestinal infarction!"

"Yes, I am the doctor in the hospital, I know!"

"This... the host is really right?"

"Damn, brothers, keep watching, I have to go to the hospital right now, there is no delay!"

Lin Yi was not surprised at the result.

After he took the inspection report, he scanned it again, then he couldn't help frowning and shaking his head, saying:
"It really is an intestinal infarction, and it can be seen from the CT light that the patient's intestinal infarction is already quite serious..."

"Besides, his pain has been going on for a long time, so the only option is surgery."

"Generally, in the early stage of intestinal infarction, the pain is not so severe. It may be painful and not painful. After a while, the pain may disappear for a while."

"Most people don't pay much attention to this kind of situation. They think it's a bad stomach, so they choose to endure the pain. Almost 70.00% of people will choose not to take the initiative to go to the hospital for examination."

"I have to wait until the pain is unbearable to come to the hospital, which delays the condition and reaches a more serious stage."

As soon as Lin Yi said this, the barrage in the live broadcast room was even more unleashed:
"Okay, anchor, don't talk about it, just report me your ID card and get it!"

"I'm going to the hospital now, don't wait!"

"It hurts around the navel...I'll rub it!"

"To the hospital, add me!"

"It's normal not to worry about it at the beginning! Ordinary people, who would go to the hospital for a stomachache?"

"That's right, I won't anyway."

After hearing this, Chen Qiang nodded in understanding, and then asked:

"Then what do we do now?"

"Call the patient in first."

"it is good!"

Afterwards, Chen Qiang brought in the man who was clutching his stomach and sweating from the outside.

"Doctor, what's the matter with my stomach? Why don't you stop fussing and give me some painkillers quickly."

The man endured the pain, looked at Lin Yi and said.

"Brother, don't worry, sit down first and then talk."

Lin Yi stretched out his hand to signal him.

After the man sat down, Lin Yi said in a deep voice:

"Your current condition is a bit complicated. After examination, it was found to be intestinal infarction."

"What's dead?"

Hearing the word "death", the man's eyes widened and he was startled.

Seeing his big reaction, Lin Yi smiled and waved his hands, saying:
"Brother, don't be afraid, it's not death, it's intestinal infarction!"

"It means that there is a section of your intestines that is necrotic, and you need to have an operation to cut that section off."

"For example, let's say there is a section of water pipe with a broken part in the middle, just cut off the broken section."

"The intestines in the human body are about 6.5 meters to 8.5 meters long. It is no problem to cut a small section."

"So you don't have to worry too much. You'll be fine after the operation, and it won't have any impact on your future life."

After listening to Lin Yi's explanation, the man breathed a sigh of relief, but then frowned, looked at Lin Yi and asked:

"But...the operation will cost a lot of money, right?"

Hearing that the man asked this kind of question again, Lin Yi felt helpless.

This is the difficulty of seeing a doctor for the poor. The first thing that comes to mind is the cost...

Afterwards, Lin Yi thought for a while and said to him:

"The price of the operation is not very sure now, because an angiogram is needed to determine the damage to the intestines."

"If the damage is not serious, and it is an adhesive intestinal obstruction caused by a single fiber that causes intestinal angle deformity, then it is enough to cut or remove the cord. The cost of the operation is about more than 1 yuan."

"However, if it is a relatively serious intestinal obstruction, such as the intestine has been festered, it must be removed. This will be more troublesome and the price will be higher. The general operation cost is between 2 and 3."

Of course, this is also related to your own physical fitness. If your physical fitness is not good and you need to be observed in the ICU for a long time after the operation, the cost will be higher. "

"So, let's go for further inspections first."

After listening to Lin Yi's words, the man's painful expression instantly turned into surprise.

Then he asked in shock:
"Does it cost tens of thousands? This is too expensive!"

"If... I don't have surgery, but just take medicine, will the damaged intestine heal by itself?"

"Of course not!"

Hearing the man's question, Lin Yi immediately denied it.

The water friends in the live broadcast room couldn't help but send out the barrage:
"Hey... tens of thousands of dollars may be a big expense for the elder brother."

"I really don't dare to get sick casually. Once I get sick, the money I earn in a year may not be enough for medical expenses."

"Normal. I have an uncle who suffered from intestinal infarction a few years ago. After the operation, he lived in the ICU. He finally spent more than 20 yuan to get out of the hospital!"

"This is really sudden, and it must have dealt too much blow to the uncle!"

Although Lin Yi said no, the man still shook his head stubbornly and said:
"No, it's too expensive, too expensive!"

"I used to spend all my money on my illness. What about my wife and children?"

"It's okay, doctor, don't worry about it, just prescribe me some medicine, and I can solve it myself!"

After hearing what he said, Lin Yi was angry and pitiful.

"How do you solve it yourself? If you don't have an operation, you won't be able to bear the pain at all, and your body will be destroyed!"

"Do you think your wife and children are willing to see such a result?"

"Besides, you should have medical insurance, and you can also claim part of the medical insurance."

"Okay, don't waste time here, go to pay the fee and go through the formalities!"

Immediately afterwards, Lin Yi shouted at him in a strong tone.

For a mere tens of thousands of dollars, even your life?Absurd!
"You... why don't you wait for a while, I'll go out and think about it, and call my wife to discuss it."

After pondering for a moment, the man looked at Lin Yi and said hesitantly.

"I'll wipe it! This big brother is so anxious that my heart bleeds!"

"It hurts like this, what else is there to think about!"

"That's right! Just agree to the operation quickly, wouldn't it be more troublesome to delay?"

"No matter how you say it, money is not as important as life!"

"I really want to rush in and force him to agree!"

Lin Yi nodded after listening, and said:
"Okay then, hurry up."

"okay."

The man nodded, then clutched his stomach, and walked out of the consulting room with heavy steps.

Lin Yi immediately looked at Chen Qiang and said to him:
"Xiao Chen, hurry to the door and watch him, don't let him run away."

"Well, don't worry, if he has the idea of ​​running away, I will directly fight him in!"

After finishing speaking, Xiao Chen turned around and rushed out of the consultation room.

"Haha, I laughed so hard, I still have to keep an eye on him so that he doesn't run away!"

"Maybe! Looking at him like that, it feels like he's perfunctory the anchor!"

"Xiao Chen is a fierce man, let him resist directly!"

"Hahaha! People don't talk too much!"

After a while, the man took the initiative to walk in.

"Doctor, I've thought about it. I'll do this operation."

After coming in, he stared at Lin Yi, gritted his teeth and said,
"I just talked about it with my wife and other family members, and they all supported me."

"It doesn't matter if it's money or not. If my body collapses, the whole family will collapse."

"Yeah, that's right!"

Seeing his change of thought, Lin Yi nodded with a smile.

"But I do this operation, but I don't want experts to do it for me. I can't afford the operation fee of experts. Ordinary doctors can do it for me!"

Immediately afterwards, the man asked Lin Yi nervously.

"Well, it doesn't matter."

Seeing his nervous look, Lin Yi thought he was going to say something, but immediately said after hearing this,

"In addition to the anorectal department, this operation can also be performed in our emergency department."

"As for the candidate for surgery, then choose me. I'm the attending doctor, and it's cheaper."

"Well, it's okay if it's cheap, it's fine if it's cheap, it's up to you..."

After listening to Lin Yi's words, the man nodded repeatedly.

The water friends in the live broadcast room couldn't help but burst out laughing:
"Hahaha! I laughed so hard, the anchor is cheap."

"Why does that sound so weird?"

"Haha, that's right, that's right!"

"It feels like I'm picking a product!"

"Choose me, I'm cheap..."

"Ha ha ha ha ha ha ha!"

Now that it has been agreed, Lin Yi didn't waste any more time, and turned to look at Chen Qiang, and said to him:

"Xiao Chen, quickly take him for MRI and angiography!"

"We need to determine the extent of damage to the intestines, and we will make a surgical plan after we get the report!"

Intestinal infarction belongs to the third-level operation, and the Zhou Dynasty has given Lin Yi permission to perform this level of operation directly.

"it is good!"

Chen Qiang agreed, then turned to look at the man,

"Let's go, I'll take you there, and you can hurry up!"

Afterwards, Chen Qiang helped the man out of the consulting room.

After the two walked into the MRI room, the man lay on the machine.

Chen Qiang looked at him and said:

"After a while, the body must not move around and remain still."

"Otherwise, if you move around, the finished film will be invalidated if you can't see clearly. Then you will have to shoot again and pay the money again."

As soon as he heard about the commotion, he had to pay another fee. The man immediately patted his chest excitedly and promised:

"Don't worry, I promise to be motionless from now on, just like a wooden man!"

Chen Qiang couldn't help but smile when he saw his serious face with vicissitudes.

Two hours later, Chen Qiang made arrangements for the man to be hospitalized, and walked into the consulting room with the results of MRI and angiography.

"Brother Yi, the result is out."

After speaking, he handed the report and film to Lin Yi.

Lin Yi looked at the MRI film, and then at the angiography report:
"Leukocyte embolism in the superior mesenteric artery was 25×109/L, serum amylase increased, and CPK increased."

"Stenosis of the superior mesenteric artery branch, spasm of the arterial arch, and hypofilling of the intramural vessels."

"Well...you can ask the patient to prepare later, let's fix the operation time and prepare for the operation!"

After reading it, Lin Yi nodded and said to Chen Qiang.

"it is good!"

"The angiography showed that the patient's intestinal necrosis was about 13cm. I hope this data will not be aggravated during the operation."

Lin Yi frowned and looked at the report, and said,
"If it's more serious, it will be a little troublesome..."

"What's the trouble?"

With a mentality of seeking knowledge, Chen Qiang asked when he didn't understand.

(End of this chapter)