Chapter 655
Chapter 655
"How is that possible?"
Both the female patient and the husband were taken aback.
Neither of them understood, how could it be amazing?
Didn't it roll around like that before?
Why did allergies occur this time?
"Doctor Lin, this... Impossible, right? Previously we..."
Lin Feng explained: "It's normal, this is called "postpartum allergy". "
"Postpartum allergy",
There are very few such patients!
As for the mechanism of generation, it is now widely understood that:
When a woman is pregnant, in order for the baby to grow in the body, the immune system in the body will be suppressed, that is, when the immune system recovers after giving birth, there will be some false memories.
This can lead to new allergens that may occur in women after childbirth.
These new allergies can be drugs, such as penicillin, or food, such as wheat.
Even!
Some women may even be allergic to the milk they feed their children!
It's that weird!
And the male amazement, seminal plasma contains dozens of antigenic substances, is the culprit that causes allergies.
Explained it simply,
The husband and wife looked at each other.
A look of bitterness.
It's over!
If you are amazingly allergic, wouldn't the life of a couple be after that...
Tears run ~~~
"Doctor Lin, after that, what should we do?"
"Just take security measures..."
"And what if you want to get pregnant?"
Lin Feng: "Artificial surprise..."
Husband: ".................."
Wife: ".................."
Pit!!
Lin Feng thought for a while, and said: "There is another way: 30 minutes before the game, you can take oral anti-allergic drugs 1 time, such as any one of sislimin, chlorpheniramine, diphenhydramine, etc., 1 tablet each time, which has a better effect on people with mild astonishment allergies, and can also reduce the symptoms of people with severe allergies... However, not insurance! "
After listening to it, both husband and wife felt that this method was not advisable.
In case of severe allergies again, it will be confused.
Next, there is anti-allergy treatment.
Treatment: The main method abroad is to eliminate the symptoms related to it by injecting pure amazing protein into the patient's body.
However, this kind of thing in China will be rejected by patients.
Therefore, anti-allergic drugs and symptomatic treatment are mainly used.
......
Lin Feng just finished diagnosing this patient,
Then I heard a chaotic cry from the other side of the emergency room.
As if something had happened.
Lin Feng is used to it, the emergency room is too chaotic.
It didn't take long for you to do so.
A nurse ran over.
"Doctor Lin, are you free? In the third group, there is a patient who needs your help to persuade the family... It's a bit urgent..."
"Free, what's wrong?"
Lin Feng stood up and followed the nurse out.
The nurse was quick and kept talking:
"The patient had a ruptured spleen and hemorrhage, and we drew a lot of blood from the abdomen, which was clearly diagnosed... The doctors in the three groups are doing anti-shock rehydration, but what, the patient's wife is more difficult..."
"How difficult is it..."
“...... Well...... Baidu doctor..."
"Oh..."
Lin Feng understood.
Baidu doctor, which means that people who often see doctors in Baidu have a certain understanding of medical knowledge, but do not understand.
At this time, if you discuss it with the doctor, it is easy to question the doctor's decision, and then hesitate and delay time.
And since it has been diagnosed as bleeding from the spleen, then the bleeding rate will be very fast, and maybe it will die soon.
Usually, the fastest diagnostic method for doctors is - a needle is taken down and the blood in the abdominal cavity is withdrawn.
And then
Just send it for surgery.
But!
A needle down, this is not recognized in the 'law'.
That is to say, this diagnosis is not 'legal' enough.
Without CT evidence, the doctor's judgment is subjective and has no objective basis. You go for surgery, the person is saved, no problem. If the person is not rescued, or there are complications with the operation, and a dispute arises, you will lack objective evidence, and it is easy to lose the lawsuit and lose money.
Many doctors miss the past.
In the past (20 years ago), the level of medical technology would be much worse than now, but the success rate of real emergency surgery rescue is not low.
Because before that, doctors have no worries and can go all out to buy time to rescue patients.
Later, the number of troublemakers gradually increased.
Later, there was a "reversal of the burden of proof" in China.
That is to say, the doctor must first prove that his diagnosis is correct, the surgical decision is correct, and there must be evidence in advance. And the evidence must be objective evidence, which can be laboratory sheets, X-rays, CT films and other evidence that can be fixed.
The records of interrogations and physical examinations (the act of drawing a tube of blood is also counted) are only subjective evidence collected by doctors.
If a medical case is initiated, this subjective evidence is not reliable in the judge's evidentiary judgment.
So
Like the patient's spleen ruptured, if CT is not done, then the hospital has no evidence.
If you don't go for CT, in case of family trouble, doctors and hospitals will be responsible.
Of course
Harmony Hospital, in the face of this situation, most of them are direct operating tables, because CT takes 30 minutes, and it is easy to die halfway.
......
Lin Feng came to the third group,
The family is the patient's wife.
The patient is a middle-aged man in his forties.
At this time,
The third group of doctors who communicated with their families were already a little impatient.
"Auntie, I don't explain much to you, there is no time. Now every minute you drag, your husband is in danger of death. In a word, if you don't have surgery right away, your husband may die in half an hour, and your husband will definitely die in 2 hours. "
"Then go to the operating table now, will he die?"
"If you have surgery right now, you may also die on the operating table..."
"Since they can all die, why not make a clear diagnosis? You draw a tube of blood and say that the spleen is ruptured ... I don't believe it! "
The family aunt is still very firm!
Nurses: "...................................."
Headache!
Splitting headache!
This kind of family is really going crazy.
At this time, this family aunt suddenly saw Lin Feng.
"Hey, Dr. Lin!"
The mood seems to be a bit of a surprise.
Lin Feng: "??? "
。
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