medical road high rise

Chapter 62 Hematuria ([-])
Chapter 62 Hematuria ([-])
Qin Feng didn't say a word, holding the utensil in his hand, various judgments appeared in his mind.

"I suggest you do a chest and abdominal CT. It may be aortic disease that causes hemorrhage and hematoma, resulting in hematuria." Qin Feng said.

"Will someone die?" This is what patients care about most. If the situation is not serious, patients will not take it seriously.

"Yes, once the aorta is damaged, you will definitely die within six hours."

Qin Feng is not alarmist, this is the fact, what the vascular doctor is most afraid of is encountering such a situation, once the aorta is really damaged, the patient may not have time to be pushed onto the operating table.

Unless it is auspicious, the damaged part is right around some viscous connective tissue, and the connective tissue will wrap the damaged part to form a short-term blood block.

In this case, surgery is also a huge challenge for doctors.

After all, the separation of connective tissue is a technical task, but you still wrap the aorta, which means that if you separate the connective tissue, it will cause massive bleeding.

Severe hemorrhage is the situation that all doctors are most afraid of during surgery. During surgery, they try to avoid bleeding as much as possible. They would rather do it slowly than take shortcuts.

"Little doctor, you won't scare me, will you?" The patient's voice trembled.

"You'll know when you go for an examination." Qin Feng pushed the wheelchair back to the ward, and then handed over the patient's urine to the nurse to be sent to the pathology room for an examination.

After the patient returned to the ward, he told his wife what the little doctor said just now.

"He's just a little doctor. What does he know? Maybe he deliberately asked us to spend money to make money." The patient's wife gave Qin Feng a disdainful glance.

If you have no hair on your lips, you will not be reliable in your work.

"However, I did urinate with hematuria. I still want to have an examination, so I can rest assured." The patient said.

"Old Meng, are you addicted to being hospitalized? Do you know how much your daily medical expenses are? You still want to have a checkup. Why don't you write an application and just go to the hospital for retirement." The patient's wife paused Respond.

After all, the patient has not yet experienced any adverse symptoms, and the symptoms of leg numbness have also subsided, so the patient's wife is even more unscrupulous.

"The condition cannot be delayed. Even if the patient does not have a problem with the aorta, it may be an intramural hematoma. If the bleeding is not timely, it will become a thrombus." Qin Feng explained from the side.

This is also for the benefit of the patients. Qin Feng has seen too many patients in the outpatient clinic during this period, so he has his own confidence in the diagnosis.

The patient's hematuria is enough to prove that there must be something wrong with the chest and abdomen, and it must be bleeding, otherwise hematuria cannot occur for no reason.

"How many times have I said that my old Meng doesn't need to be checked, even if something happens, we will take care of it ourselves." The patient's wife shouted impatiently.

The family member of the patient next to the bed also said: "Your doctor only knows how to check up and prescribe medicine all day long, and doesn't consider our feelings at all. We are all ordinary families, how can we afford such a price?"

"Yeah, you doctors are all standing up without back pain, doing wrong things, and asking our patients to pay the bill, why don't you let us finish all the examinations in one go, and let us do it one by one. "

Listening to the accusations from the family members of the patients around him, Qin Feng frowned and checked one by one, which was not what the doctor wanted.

Sometimes the inspection is repeated because the patient's condition needs to be imaged to determine the development trend, such as a tumor.

Your oncology department one month ago will definitely have a different tumor one month later. If you perform surgery according to the tumor one month ago, there will definitely be problems.

Of course, it's not that there are absolutely no doctors who have hidden thoughts, and there are such people.

But most doctors try to save money for patients as much as possible. Otherwise, wouldn’t it be better for the patient to have a comprehensive CT and the doctor can see it directly through the CT?

It's just a big expense for the patient's family.

"What's wrong?" Director Jin walked in with Zhao Qi. He came here specifically to see Qin Feng.

"Leader, you little doctor can't do it, you want to cheat our common people's money." The patient's wife complained directly, emphasizing what Qin Feng suggested to do the inspection.

Director Jin immediately lost his temper and said: "Qin Feng, what's the matter with you? You are a doctor, not a capitalist, and you are not here to suck blood. We doctors are here to save lives and heal the wounded, not to force patients to die."

"Director Jin, I think you misunderstood. The patient has symptoms of hematuria. Without an examination, it is impossible to determine whether there is a problem with the aorta." Qin Feng naturally saw that Director Jin was targeting himself, but for the sake of the patient Well, Qin Feng can only persevere.

"Is hematuria necessary to be checked? What's your reasoning? Didn't you send it to the pathology department? We'll just wait for news from the pathology department." Director Jin said.

Qin Feng understands, Director Jin is playing against himself today, as long as he is a normal doctor, if he encounters hematuria, he will suggest the patient to go for a checkup.

In order to target himself, Director Jin even ignored the patients, and even thought up all kinds of words to hate himself.

As for the examination by the pathology department, it is true that the approximate results can be obtained, but the pathology department conducts so many quality inspections every day, and it will take at least two days for the results to come out.

"Director Jin, this is not a joke." Qin Feng said seriously.

"I'm not kidding you. The patient doesn't have continuous hematuria, it's just the first hematuria. When the second and third hematuria occurs, there's still time to go for a checkup." Director Jin wrote down the symptoms of hematuria on the patient's medical record. .

Qin Feng didn't want to argue with Director Jin any more, and there was no point in arguing any longer. It was clearly aimed at himself or within the rules.

If Director Dong were here, the scene would definitely be different.

"I sincerely suggest you go for a check-up." After Qin Feng said this, he left directly.

Zhao Qi watched Qin Feng leave, feeling extremely proud, and finally saw Qin Feng deflated.

Before, when Qin Feng was in the operating room, he slapped Zhao Qi's face. Zhao Qi always remembered this hatred.

Director Jin also had a faint smile on his face, and then re-examined the patient and asked about some conditions.

Just as he picked up the clothes on the patient's legs and touched the blood vessels in the patient's thigh, Director Jin pinched it, and the patient passed out directly, with his head turned to one side.

"Is there any feeling here?" Director Jin is still asking.

"Director Jin, the patient is in a coma." Zhao Qi said quickly.

"What? Get on the ECG."

The patient's wife was stunned, and quickly realized that she shouted, "Old Meng, don't scare me!"

(End of this chapter)