Reasoning diagnosis: Big brother, your wife has been prescribed medicine!
Chapter 204 It's finally over, the Zhang family sleeps!
Chapter 204 is finally over, go home and sleep!
And that big pit, when you get closer, you can still see the fluctuations of drums and drums.
If some children see this kind of person, they will be scared away.
If the patient is too old or the family does not want to do cranioplasty again.
Then the patient will always live with such a big hole in his head.
However, it should be noted that the surgical site is very fragile because there is no skull protection.
If accidentally touched, the patient may faint immediately.
Therefore, under normal circumstances, patients who undergo decompressive craniectomy will undergo cranioplasty three months later to protect the brain tissue.
This decompressive craniectomy took one and a half hours.
After the operation, the dilated pupil on the left side of the patient has also retracted.
It shows that the pressure of the brain tissue has dropped, and the operation is successful.
Of course, the success of the operation does not necessarily mean that the patient is completely safe.
He will also face the possibility of complications such as intracranial infection and hypostatic pneumonia.
It also requires a doctor's best treatment.
Because the patient was very heavy, he was sent directly to the ICU even after leaving the operating room.
Patients with severe traumatic brain injury may spend longer in the ICU after surgery.
It will take at least a week, and if it is longer, it may take several months.
So this is a huge test for the financial capacity of the patient's family.
Although this patient was caused by a car accident, the insurance company can reimburse him.
However, during the hospitalization, the required expenses must be paid in advance by the family members.
Only after discharge from the hospital, the insurance company will pay the corresponding compensation according to the liability appraisal.
For patients with particularly severe craniocerebral injuries, if they stay in the ICU for a long time, some families have poor economic conditions and cannot afford to pay in advance.
Then in the end, they may choose to voluntarily leave the hospital because they cannot pay the medical expenses in advance.
If the condition is still serious, then for the patient, it is equivalent to giving up treatment...
At this time, the patient's condition was very serious, so Lin Yi also explained the situation to the family members, so that the family members had a psychological preparation in advance.
If a patient with craniocerebral injury lives in the ICU for a month, the cost may be more than 30.
This is not something ordinary families can afford.
After Lin Yi and Sun Yan, the family member of the patient, the family was silent for a moment, and nodded and said that the medical expenses would definitely make up.
Even if you want to borrow it, you have to borrow it!
They can't give up!
Lin Yi and Song Borui returned to the office. When they passed other offices, they saw Zhang Qingyun, the emergency surgeon who was on duty tonight, sitting in the office at this time, constantly beating his back.
Song Borui couldn't help walking in, looked at him and said with a smile:
"What's the matter, Doctor Zhang, are you tired?"
After seeing Song Borui, Zhang Qingyun immediately said:
"Of course! We did this operation for more than three hours at once, but I was exhausted."
The patient he did was considered to have intestinal rupture caused by trauma.
However, after a laparotomy, it was discovered that this patient not only had intestinal rupture, but also colon cancer.
This shocked the doctors present!
Due to an accident during the operation, Zhang Qingyun got off the operating table and communicated in detail with his family members waiting outside the operating room.
This patient was diagnosed with colon cancer after a car accident caused intestinal rupture.
The patient didn't find it before, but now that the doctor knows about it, he must take this opportunity to treat the colon cancer as well.
This must be discussed with the family.
At that time, all the family members were stunned, and they didn't believe Zhang Qingyun's words at all.
Zhang Qingyun took photos and videos of the situation in the patient's stomach in advance, and then took the photos and videos to explain in detail to the family members again.
With photos and videos, the family members also had to believe that the patient was not only injured, but also suffered from colon cancer.
Also had to sign again to agree to colon cancer surgery.
So Zhang Qingyun performed this operation for more than three hours at once.
Otherwise, it would have been off the operating table long ago with a simple intestinal rupture.
"It's still Dr. Lin who is young and energetic, he doesn't look tired at all!"
Zhang Qingyun looked at Lin Yi and couldn't help saying.
………………
After returning, it was nearly midnight.
Although Lin Yi has increased energy and physical strength, he is also very tired after this day.
So after washing up, he fell on the bed and fell asleep!
The next day.
When Lin Yi came to the office, his buttocks were still warm.
A doctor from the emergency department walked in.
"There is a patient who is a bit complicated. Dr. Lin, I want to ask you to help."
Lin Yi and the others immediately looked up at him.
"What's the situation? Tell me!"
So Lin Yi immediately said to him.
"The patient is a 24-year-old male who has intermittent violent convulsions for half an hour and has no previous medical history."
The emergency physician immediately began taking the medical history of the emergency patient.
"The patient was still convulsing after getting off the ambulance. I immediately gave him [-] mg of diazepam intravenously. After it worked, I pushed him for a head CT."
"But on the film, it didn't show any problems, no brain tumor, no hemorrhage, and no cerebral infarction."
"The patient had no history of epilepsy before and was in good health. Today is a sudden seizure."
The emergency doctor paused after saying this.
After looking at Lin Yi and the others, he continued:
"That's the problem. What is the reason for this young man's violent convulsions?"
"Is he congenital epilepsy? But he has never had a seizure before!"
After some inspection, no problems were found.
So the emergency doctor found himself in a vortex of difficult questions.
That's why he had to come to the office and ask Lin Yi to have a look.
After listening, Wu Jiang thought about it and said: .
"There is no brain tumor, no cerebrovascular blockage, no bleeding, and no convulsions before, so why does this patient have epilepsy symptoms?"
"Yeah, after the film came out, I also thought about it for a long time, but I couldn't figure out what his cause was."
The emergency doctor also looked puzzled.
Wu Jiang thought for a while and said to him:
"I think you might as well give him another head MRI to see if there are any other findings!"
"Well...it makes sense, then I'll go now!"
Just now, due to time constraints, he did not perform a head MRI on the patient.
Since you need it now, do it right away.
So the emergency doctor hurried to the ward and pushed the patient back into the MRI room.
Twenty minutes later, he came back.
He held the MRI film in his hand, with a dejected expression on his face.
"It's really strange, there is nothing wrong with the MRI!"
With that said, he handed the MRI film to Wu Jiang.
(End of this chapter)
And that big pit, when you get closer, you can still see the fluctuations of drums and drums.
If some children see this kind of person, they will be scared away.
If the patient is too old or the family does not want to do cranioplasty again.
Then the patient will always live with such a big hole in his head.
However, it should be noted that the surgical site is very fragile because there is no skull protection.
If accidentally touched, the patient may faint immediately.
Therefore, under normal circumstances, patients who undergo decompressive craniectomy will undergo cranioplasty three months later to protect the brain tissue.
This decompressive craniectomy took one and a half hours.
After the operation, the dilated pupil on the left side of the patient has also retracted.
It shows that the pressure of the brain tissue has dropped, and the operation is successful.
Of course, the success of the operation does not necessarily mean that the patient is completely safe.
He will also face the possibility of complications such as intracranial infection and hypostatic pneumonia.
It also requires a doctor's best treatment.
Because the patient was very heavy, he was sent directly to the ICU even after leaving the operating room.
Patients with severe traumatic brain injury may spend longer in the ICU after surgery.
It will take at least a week, and if it is longer, it may take several months.
So this is a huge test for the financial capacity of the patient's family.
Although this patient was caused by a car accident, the insurance company can reimburse him.
However, during the hospitalization, the required expenses must be paid in advance by the family members.
Only after discharge from the hospital, the insurance company will pay the corresponding compensation according to the liability appraisal.
For patients with particularly severe craniocerebral injuries, if they stay in the ICU for a long time, some families have poor economic conditions and cannot afford to pay in advance.
Then in the end, they may choose to voluntarily leave the hospital because they cannot pay the medical expenses in advance.
If the condition is still serious, then for the patient, it is equivalent to giving up treatment...
At this time, the patient's condition was very serious, so Lin Yi also explained the situation to the family members, so that the family members had a psychological preparation in advance.
If a patient with craniocerebral injury lives in the ICU for a month, the cost may be more than 30.
This is not something ordinary families can afford.
After Lin Yi and Sun Yan, the family member of the patient, the family was silent for a moment, and nodded and said that the medical expenses would definitely make up.
Even if you want to borrow it, you have to borrow it!
They can't give up!
Lin Yi and Song Borui returned to the office. When they passed other offices, they saw Zhang Qingyun, the emergency surgeon who was on duty tonight, sitting in the office at this time, constantly beating his back.
Song Borui couldn't help walking in, looked at him and said with a smile:
"What's the matter, Doctor Zhang, are you tired?"
After seeing Song Borui, Zhang Qingyun immediately said:
"Of course! We did this operation for more than three hours at once, but I was exhausted."
The patient he did was considered to have intestinal rupture caused by trauma.
However, after a laparotomy, it was discovered that this patient not only had intestinal rupture, but also colon cancer.
This shocked the doctors present!
Due to an accident during the operation, Zhang Qingyun got off the operating table and communicated in detail with his family members waiting outside the operating room.
This patient was diagnosed with colon cancer after a car accident caused intestinal rupture.
The patient didn't find it before, but now that the doctor knows about it, he must take this opportunity to treat the colon cancer as well.
This must be discussed with the family.
At that time, all the family members were stunned, and they didn't believe Zhang Qingyun's words at all.
Zhang Qingyun took photos and videos of the situation in the patient's stomach in advance, and then took the photos and videos to explain in detail to the family members again.
With photos and videos, the family members also had to believe that the patient was not only injured, but also suffered from colon cancer.
Also had to sign again to agree to colon cancer surgery.
So Zhang Qingyun performed this operation for more than three hours at once.
Otherwise, it would have been off the operating table long ago with a simple intestinal rupture.
"It's still Dr. Lin who is young and energetic, he doesn't look tired at all!"
Zhang Qingyun looked at Lin Yi and couldn't help saying.
………………
After returning, it was nearly midnight.
Although Lin Yi has increased energy and physical strength, he is also very tired after this day.
So after washing up, he fell on the bed and fell asleep!
The next day.
When Lin Yi came to the office, his buttocks were still warm.
A doctor from the emergency department walked in.
"There is a patient who is a bit complicated. Dr. Lin, I want to ask you to help."
Lin Yi and the others immediately looked up at him.
"What's the situation? Tell me!"
So Lin Yi immediately said to him.
"The patient is a 24-year-old male who has intermittent violent convulsions for half an hour and has no previous medical history."
The emergency physician immediately began taking the medical history of the emergency patient.
"The patient was still convulsing after getting off the ambulance. I immediately gave him [-] mg of diazepam intravenously. After it worked, I pushed him for a head CT."
"But on the film, it didn't show any problems, no brain tumor, no hemorrhage, and no cerebral infarction."
"The patient had no history of epilepsy before and was in good health. Today is a sudden seizure."
The emergency doctor paused after saying this.
After looking at Lin Yi and the others, he continued:
"That's the problem. What is the reason for this young man's violent convulsions?"
"Is he congenital epilepsy? But he has never had a seizure before!"
After some inspection, no problems were found.
So the emergency doctor found himself in a vortex of difficult questions.
That's why he had to come to the office and ask Lin Yi to have a look.
After listening, Wu Jiang thought about it and said: .
"There is no brain tumor, no cerebrovascular blockage, no bleeding, and no convulsions before, so why does this patient have epilepsy symptoms?"
"Yeah, after the film came out, I also thought about it for a long time, but I couldn't figure out what his cause was."
The emergency doctor also looked puzzled.
Wu Jiang thought for a while and said to him:
"I think you might as well give him another head MRI to see if there are any other findings!"
"Well...it makes sense, then I'll go now!"
Just now, due to time constraints, he did not perform a head MRI on the patient.
Since you need it now, do it right away.
So the emergency doctor hurried to the ward and pushed the patient back into the MRI room.
Twenty minutes later, he came back.
He held the MRI film in his hand, with a dejected expression on his face.
"It's really strange, there is nothing wrong with the MRI!"
With that said, he handed the MRI film to Wu Jiang.
(End of this chapter)
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