This doctor has a system

Chapter 512 575. You come from a poor family, and you are full of coldness
"To use a kitchen knife to cut it like this, that's a very capable person." A director of the intensive care unit said after looking at the incision, "Professor Gao is really decisive."

"No, I wouldn't dare to do that." Someone nearby said, "It's a good thing they were rescued. If anything went wrong, it would be a big trouble."

"Who says it's not true? But Professor Gao is different from us. He is very confident and is not afraid of the risk."

"Yeah, there's not that much scruple when taking action."

However, after discussing for a while, everyone felt that even if they did not have to take any risks and were only given a kitchen knife, they probably would not dare to step forward and perform a tracheotomy on the patient.

A few hours later, Zhao Laowu woke up. After opening his eyes, he was stunned for a while, and then he felt a pain in his neck.

"hiss"

"Oh, he's awake!" The nurse quickly called the doctor on duty.

"How are you? Are you feeling unwell now?" asked the critical care doctor on duty.

"It hurts!" Zhao Laowu answered subconsciously, but he found that he seemed unable to make any sound, which made him very frightened.

"Don't be afraid, you've had a tracheotomy," the attending doctor soothed him. "There's a hole in your throat, and air flows out from there, so your voice will be very low."

Zhao Laowu looked at him blankly.

"You are suffocating due to acute epiglottitis."

"Luckily you met Director Gao, otherwise you would be dead."

Zhao Laowu thought for a while and finally remembered something, "So I was unconscious at that time?"

"Yes." The nurse said to him, "Didn't you go to the emergency room at noon? Why didn't you get treatment?"

"It could have been cured with medication, but now I have to have a tracheotomy and be in intensive care."

"Not only does it cost a lot of money, but people also have to suffer so much."

"Wow wow wow" the tattooed brother Zhao Laowu shed sad tears, "I didn't know it would be like this"

"Where's my wife?" he asked.

"She's waiting outside." The nurse checked her phone and said, "Visiting hours will begin soon. I'll ask her to come in."

Zhao Laowu finally stopped crying, "Nurse, what is this?"

"Oh, the catheter."

"Can it be removed? I don't feel well." Zhao Laowu said with a sad face, "I can connect it myself."

"You can't remove it now. I've clamped it shut for you. Try to practice your urination function first." The nurse said and went to work.

Zhao Laowu's wife came in and started crying, "You idiot, I told you to go see a doctor, why did you go out to eat with someone else?!"

"You really deserve it!"

"It would be better if I died!"

Zhao Laowu didn't dare to say a word and was scolded harshly.

Two days later he was transferred to the general ward. Due to his good physical condition, Zhao Laowu recovered quickly.

To the relief of the doctors, even though the trachea was cut open with an unclean kitchen knife, there were no signs of infection at the wound.

The patient's luck is still good.
-
In the hot summer, people come and go in the hospital. Medical staff walk hurriedly in their white work clothes. Occasionally, calls and the sounds of medical equipment can be heard.

Outside the window, the scorching sun shines brightly on the entire city, and the light coming through the window is reflected on the ground, as if dancing.

The breeze from the air conditioner in the East District Clinic brings a slight coolness.

"Why are you feeling unwell?" Gao Feng asked, sitting opposite a young man.

"I felt a sharp pain here when I coughed yesterday." The patient pointed to his right chest and said, "It stopped hurting after I rested for a while, but I felt something was wrong when I got up today."

"What's wrong? Can you describe it in more detail?" Li Youliang said as he was typing on the keyboard.

"I can't explain it, but it just feels different from usual." The patient frowned and said, "It may still be a problem in my chest."

"Is that so?" Gao Feng pondered for a moment, "When did the cough appear? Has it been going on for the past few days?"

"I caught a cold a few days ago, and after I recovered, I coughed from time to time." The patient replied that because the weather was hot, he turned on the air conditioner a little too hard and caught a cold at night.

"Come, let me listen." Gao Feng picked up the stethoscope.

2 minutes later

"The breath sounds on the right side are a little lower." Gao Feng put down the stethoscope and said, "It may be a pneumothorax."

"Have you ever had a chest CT scan before?" he asked.

"I did it four months ago." The patient began to look through his phone. "I think he said there were some minor problems at the time."

Gao Feng looked at the report saved by the patient, which showed that there were bullae in both lungs.

In this way, the diagnosis of pneumothorax is almost certain.

Various reasons lead to increased pressure in the alveolar cavity, rupture of the alveolar wall, and fusion of the ruptured alveoli, forming air-filled sacs with a diameter greater than 1 cm in the lung tissue, which are called bullae.

Smaller single bullae may not cause any symptoms; larger or multiple bullae may cause symptoms such as chest tightness, shortness of breath, and difficulty breathing.

When the bullae rupture, the patient may develop spontaneous pneumothorax, with sudden shortness of breath, cough, difficulty breathing, cyanosis, and displacement of the trachea to the healthy side.

The severity of the patient's symptoms depends on the amount of pneumothorax, how long it has been onset, and whether there are other lung diseases.
The bullae in this young patient's lungs were very small and should not have any symptoms, but now he felt unwell, and this feeling occurred after coughing.

Combined with previous chest CT results, spontaneous pneumothorax caused by rupture of pulmonary bullae is still considered.

"We need to do a CT scan to confirm the diagnosis." Gao Feng said.

The patient was very positive about the examination and left with the list.

"elder brother."

"Gao Zhenzhen?!" Gao Feng was stunned for a moment, "Why are you here?"

"Didn't I just transfer money to you some time ago?"

"Have you finished spending?"

"I can't come to you for something else." Gao Zhenzhen was a little dissatisfied when she heard that.

"Other things?" Gao Feng frowned. Wouldn't it be more troublesome?
"Go ahead, I'll send you some money later."

Gao Zhenzhen

"No! My classmate is not feeling well and wants to see you."

Gao Zhenzhen went to the door and pulled in a girl who was about her age.

"Tingting has been feeling chest tightness these past two days. She received an IV drip outside, but the effect was not good."

The girl named Tingting was a little shy. When Gao Feng spoke to her, her face turned red.

"I just feel stuffy and uncomfortable, especially when I'm lying in bed."

"How was your health before?"

Tingting said that her health was neither good nor bad. Although she was rather thin, she had never had any serious illness.

I don't know why, it just happened two days ago.

After listening to her story, Gao Feng felt a little strange, so he performed a stethoscope on Tingting and found some fine moist rales in her lungs.

"Do a chest CT scan and cardiac ultrasound."

"Let me take them there." Li Youliang stood up.

"There's no need to cut in line." Gao Feng said. Tingting walked here by herself and seemed to be in good condition.

"Don't cut in line." Li Youliang said with a smile. Patients are now very sensitive to things like cutting in line, and if things go wrong, complaints may easily arise.

But there is always a way. The International Medical Center has a special CT machine, and there are usually not many patients. "Can I bring someone over now?" Li Youliang asked over the phone.

"Come on, Dean Li."

When Li Youliang brought Tingting and the others to the examination room, there was no one in the room except for a lonely doctor and two nurses.

"Brother Yun, aren't you just slacking off every day?"

"I don't want to touch it either, but there are no patients." Zhou Chengyun from the imaging department said helplessly, "I don't understand why the hospital has to put a machine here."

He always felt that it was a waste of manpower and resources.

You know, other CT machines are running at full capacity, but this one only operates less than two people a day.

The International Medical Center of the Provincial Hospital was established last year. The name sounds very grand.

In fact, it is very high-end. The registration fee for doctors here is at least 500 yuan, and the service targets some special groups.

These groups are not short of money, but they lack time or they focus more on experience.

They are unwilling to squeeze in the outpatient clinic like ordinary people. They want to see a doctor and enjoy attentive and thoughtful service.

"It's just a waste of money." Zhou Chengyun from the Radiology Department complained, "It's the same doctor, but when I change the doctor's office, the registration fee goes from 25 to 500."

“But there are people coming here.”

"Brother Yun, those who come here are not short of money." Li Youliang said with a smile, "Don't feel sorry for them."

As they were talking, Tingting's chest CT scan was completed. Dr. Zhou took a quick look and his expression changed.

"Why is this still a white lung?"

"What's the disease?"

"Is it serious?" Li Youliang was shocked. "The patient is a classmate of my boss's sister."

"It's a bit serious." Zhou Chengyun said, "The pictures have been uploaded. You should go back and let Professor Gao take a look."

Gao Feng looked at the chest CT image on the computer with some surprise, "Have you come into contact with anything special these days?"

"Have you ever inhaled any irritating gas or chemicals?"

"No." Tingting said after thinking carefully.

"Brother, Tingting has been with me these two days and has not left school." Gao Zhenzhen said.

That was strange. The patient's lungs showed large areas of white lesions. The report suggested: "white lung." Gao Feng felt that it was very likely acute allergic pneumonia.

But the patient said that he had not come into contact with anything special, which made him puzzled.

"Think again, what did you do before you felt unwell?" he asked again.

"No, I was just attending class that day." Tingting replied, "With Zhenzhen."

"I remember now, maybe it was because of the sunscreen spray." Gao Zhenzhen said, "You coughed a few times at that time."

Because of the hot weather, sunscreen spray has become a must-have for almost every girl who cares about her skin.

Gao Zhenzhen is no exception. She specially bought a blue sunscreen spray with good reviews, SPF 50+, which claims to provide 24-hour long-lasting sun protection.

Good sisters naturally have to share with each other, but Tingting seemed to be intolerant to the smell, or maybe she didn't hold her breath when spraying, so she started coughing after just a few sprays.

Gao Feng felt that this might be the reason.

"This patient needs oxygen inhalation, hormones, anti-inflammatory and anti-allergic treatment, and symptomatic treatment." He wrote out a hospitalization certificate, "Stay in the general department."

In fact, allergic pneumonia caused by sunscreen spray is not uncommon, which is mainly caused by the irritation of certain chemical components in the spray.

When using sunscreen spray, try to avoid being in small, enclosed, unventilated spaces. Also, keep the distance at least 10 cm from the skin and never spray directly on the face.

"I don't understand why you bought this." Gao Feng glanced at his sister in dissatisfaction, "Is it that hot?"

"It's just very hot." Gao Zhenzhen said, "All of our classmates use these things."

"I don't need it. What if I get heat stroke?"

"Don't worry, you won't get heatstroke." Gao Feng said.

"Why?" Gao Zhenzhen's forehead was full of question marks, "I can't stand the heat either."

"You come from a poor family, and you are full of coldness. This little sun can't hurt you."

"Tsk." Gao Zhenzhen rolled her eyes. "Stop talking. Give some money to the poor students."

As I was saying this, the young patient who had taken the CT scan earlier came back.

Gao Feng looked at the film and found that it was just as he expected, a pneumothorax on the right side.

"It's best to stay in the hospital for observation," he suggested.

"How should it be treated? Should a chest drain be inserted?" the patient asked.

"Are you a medical student?" Gao Feng asked, but he didn't look like one, as he didn't have the indescribable stupid temperament that a medical student would have.

"No, a classmate of mine had pneumothorax, and a tube was inserted in the front of his chest." The patient replied, "It hurts, right?"

"You can observe this temporarily." Gao Feng said, "The compression is relatively small, so you can leave it alone for now."

Generally speaking, if lung compression exceeds 30% and tension pneumothorax occurs, closed chest drainage should be performed as soon as possible. However, the patient's compression was only about 10%, and it was his first pneumothorax.

You can breathe oxygen and observe. If it can be absorbed by itself, that would be the best and you can avoid getting a shot.

The patient thought about it and decided to listen to the doctor and went to apply for hospitalization quickly.

Soon it was 12 o'clock, and Gao Feng was about to go to the ward to take another look at his sister's classmates, but as soon as he arrived at the department, he saw a lot of people standing outside Ward 10.

"what happened?"

"The old man in bed 10 went out to drink secretly this morning, and now he says he's feeling sick." A nurse said to Gao Feng, "The antibiotics he's been receiving these days are cefoperazone sodium and sulbactam sodium."

Gao Feng suddenly felt speechless. Don’t ordinary people know that cephalexin can be taken with alcohol and you can just leave at any time?

Could it be that this old man doesn't want to live anymore?
Family conflicts? Disharmony between husband and wife? Unfilial children?

"Neither." Li Youliang came over, "He just had a craving for alcohol, so he secretly drank half a bottle of Old Village Chief."

"Is the person okay after death?" Gao Feng asked.

"He's making so much noise that he feels chest tightness."

In the ward

"Are you still upset?" Bu Zhengyang asked, "Don't be afraid, we have given you the medicine."

"Doctor, I promise I won't drink it again next time." The old man said, "If I drink it again, I'll be hit by a car and killed!"

"Yeah, I believe you." Bu Zhengyang replied with a smile.

I don’t believe you, I’m going to drink you to death sooner or later, you old bastard, he cursed in his heart.

This old man is a person who never changes his ways. He had done this before. He urinated and defecated in the ward after getting drunk and insulted other patients. At that time, he also swore and swore solemnly, but then he turned around and continued to drink.

Today's society is so developed that buildings are getting taller and taller, and lightning rods are always installed on them.

This resulted in these bastards who were swearing and swearing being unable to be struck to death by lightning.

Gao Feng thought about it and decided to go and take a look.

"Zhengyang." He called out, "How is it?"

"It should be a disulfiram-like reaction." Bu Zhengyang replied, "The vital signs are all fine."

(End of this chapter)