medical road high rise

Chapter 461

Chapter 463 Atelectasis of Lower Lung Segment

"Why? Because you violated the hospital's regulations and almost killed the patient!" Li Xuewen roared angrily.

In the past, when Qin Feng came into contact with Li Xuewen, Li Xuewen was a very docile person, but today's fury is the first time Qin Feng has seen him, and Qin Feng is also very angry.

It's not that I'm angry that Wang Xiong performed the operation without authorization, but that after Wang Xiong completed the operation, he didn't care about the patient. Even if your skills are good, what's the use?

"Didn't Doctor Qin get up by doing surgery without authorization? Why do you want to fire me? How did I harm the patient? My surgery was successful!" Wang Xiong argued.

"Let me ask you a question, is the patient in the corridor operated by you?" Qin Feng asked calmly.

"Yes."

"Do you know what will happen to the patients who are off the operating table, if they don't use normal saline to adjust the internal circulation? And you also performed intestinal perforation surgery. Although I used to do surgery without authorization, at least I will be responsible to the patient to the end. , instead of using the patient as a tool to show off, to win the so-called fame and fortune." Qin Feng said word by word.

"I'm going to finish the call..."

"When you finish the call, the patient may die." Li Xuewen pushed Wang Xiong away violently, and then pulled Qin Feng away, "You will be responsible for the follow-up, just wait for the news."

Li Xuewen and Qin Feng walked side by side, neither of them spoke a word along the way.

"Alas, I set a bad example." Qin Feng shook his head.

"It's not that your model is bad, I've heard of your deeds, but you are not as proud of it as he is, but you are obsessed with surgery and serve the patients. A doctor like you is forgivable even if you violate the regulations. , and he did it entirely for his own self-interest." Li Xuewen sighed.

In fact, he was quite fond of Wang Xiong. After all, the child was very honest at the time and was willing to do anything. Unexpectedly, this kind of thing happened.

Qin Feng also felt that it was a pity that Wang Xiong's career as a doctor was over.

After all, he doesn't have a system like himself, nor does he not pursue fame and fortune like himself, and the final result is to be pushed out of the medical profession.

Back in the ward area, Li Xuewen took the lead in asking the chief resident, "How is the patient doing now?"

"Fortunately, it's just that the lack of water and the severe pain made the patient unconscious. After replenishing the water, the situation has stabilized, but the patient's incision suture showed signs of cracking, and a second suture was needed." The hospital manager said.

"Well, if you need anything at that time, just call me." Li Xuewen patted the hospital chief on the shoulder, and walked towards the patient's family.

The patient's family members seemed to be a simple family, and there was no anger in their eyes, but worry on their faces.

Li Xuewen bowed deeply to his family members, "I'm sorry, this time it was a mistake in our work that led to such a problem. Our department will bear the follow-up treatment expenses and the early operation expenses of the patients."

He was talking about the department, but Li Xuewen paid for the money himself. He didn't have to pay the money, but it was also for peace of mind.

"No, doctor, is my husband okay now?" the patient's wife asked worriedly.

"Don't worry, the patient is in a stable condition now, but the wound is a little cracked, and only needs to be sutured once." Qin Feng reassured.

"Is it dangerous to suture?"

"It's not dangerous." Qin Feng said.

"As long as there is no danger, doctor, I will trouble you." The patient's wife said.

The attitude of the patient's family members made Qin Feng and Li Xuewen feel even more uncomfortable, which was in stark contrast to Wang Xiong's irresponsibility.

Before the two of them came over, they were prepared to be abused or even pushed, but they didn't expect the patient's family members to be so reasonable.

Li Xuewen's compensation should really be given to this kind-hearted family.

Later, Wang Xiong was expelled, and the whole hospital notified it, which attracted the attention of the whole hospital. Qin Feng's hospital life did not change because of Wang Xiong, but remained the same as before.

In the afternoon of the next day, Qin Feng received a difficult patient from the Department of Thoracic Surgery, and asked Qin Feng to go over for consultation.

Qin Feng got the patient's medical record handed over by the thoracic surgeon and read it.

The patient is a female patient who repeatedly coughs up sputum and has severe wheezing. She suddenly developed a severe cough three years ago. After a period of treatment, she began to cough intermittently again this winter. The thoracic surgery department arranged an examination, but there was no Find the cause.

"Did you diagnose bronchial asthma?" Qin Feng asked.

"Well, the patient has been to many hospitals before, and the diagnosis given by those hospitals is bronchial asthma, so the medicines he takes are hormone-based cough and asthma medicines, which have a certain therapeutic effect, but once the medicine is stopped, the patient's The condition will recur." The thoracic surgeon said.

Qin Feng nodded. The advantage of this kind of patients who have been taking medicine for a long time is that their illness has indeed been cured, but there is also a fatal problem.

That is, the long-term use of hormones and the side effects of drugs are particularly obvious in her body.Because hormones have a certain impact on the glucose metabolism of the human body, this impact is multifaceted, including activating glycogen synthase to promote gluconeogenesis, promoting the decomposition of fat into fatty acids, providing energy for gluconeogenesis, and reducing muscle and adipose tissue. Responsiveness to insulin etc.

This will cause the patient's blood sugar to rise, diabetes is prone to occur, and the patient's body will become bloated, which looks like edema.

This is because when blood sugar rises, insulin secretion will increase, and fat will be synthesized. While decomposing and synthesizing, it will produce different reactions. Fat cells in different parts of the human body have different sensitivities to glucocorticoids, which will lead to extremities. The fat on the body is getting less and less, while the neck, supraclavicular area, trunk and other places will become more and more hypertrophic, which is also called central obesity.

With a buffalo back, a bear waist, and a thick neck, the limbs appear a little slender, which looks extremely abnormal.

Although the side effects are severe, it is difficult for patients to stop taking the medicine. Once the medicine is stopped, the patient may cough to death.

This time I came to Ruijin because the cough suppressed by the medicine broke out suddenly, which was even more terrifying than before.

"Where's the patient's film?" Qin Feng asked.

The thoracic surgeon quickly took out the film and handed it to Qin Feng, who hung up the film reader.

"After entering the hospital, we immediately performed a chest CT examination on her and found that her right lower lung segment was atelectasis and had malignant lesions," said the thoracic surgeon.

The structure of the lungs is very similar to that of leaves, with a hierarchical distribution. If the right lower lung is atelectasis, it means that there is local infection in the lower part of the right lung, leading to bronchial obstruction, which will cause the distal lung tissue to lose functionality. It is a more serious disease.

(End of this chapter)