medical road high rise

Chapter 479 Consultation in God

Chapter 481 Consultation in God

"No, it's just that the house and shop are mortgaged by him, so I probably won't be able to get them back," said the patient.

"It's okay, the house and the store are gone, we can just earn more, your mother and I still have a pension, and the money we have saved for so long is enough for the three of us to live." The patient's father said.

As the pillar of support in the family, a man is always the last backer of the family.

"Wanwan, just tell me and your dad if you need money in the future. Your dad and I don't have much to spend money on, and it's for you to save money." The patient's mother stroked her daughter's long hair with a distressed face. .

The patient's heart was sore, and he couldn't help crying in his mother's arms.

When she was betrayed, used, and abandoned by her husband, she didn't cry.

Even when she committed suicide, she didn't cry.

But at this moment, she couldn't help it.

She has been financially independent since college. She thought that she had successfully got rid of her nagging parents and that she could take care of herself.

After entering middle age, she found that the last reliance was actually her parents, the nagging parents, they were really for her own good.

Parents are nagging, but they are always ready to pay for her behavior and her mistakes.

After Qin Feng waited for the patient to relax a bit, he checked the patient and left without any other findings.

To be honest, Qin Feng was also shocked, gambling is really harmful.

No amount of money can fill this big hole.

If a person has lost so much and hasn't quit gambling, then the person is basically useless.

Qin Feng also lamented that it was not easy for his parents. He had worked hard all his life and hadn't enjoyed it well. In fact, he basically dedicated it to his children.

Back to the truth, Qin Feng began to consult.

The first dozen or so patients were pretty normal, but No. 16 patients were a little different.

The patient is 42 years old, a middle-aged man who works on a construction site in Shanghai, and came by himself.

When he entered the outpatient clinic, he walked with a limp, so Qin Feng asked about his condition.

"Doctor, my feet get sores every winter, and I can't walk at all."

"Let me see."

Frostbite, if the heat preservation is not in place, it will form.

Qin Feng asked the patient to lift his feet, only to find pus appeared on the soles of the patient's feet, and there was even redness and swelling around the patient's feet, which was obviously not frostbite.

"How long has this happened to you?" Qin Feng asked.

"It's been a while. At the beginning, I went to the pharmacy to buy medicine and wiped it off, but the pain in the back became more and more painful, and the wound became bigger and bigger." The patient said.

"Have you ever hurt your foot before?"

"Well, last year when I was working on the construction site, I stepped on a nail, which is where I am now. I didn't pay much attention to it. I just went to the clinic to deal with it."

"Have you ever had suppuration before?"

"some."

Qin Feng nodded. If the wound festers repeatedly, it means that there is an infection. There is a high probability that there are foreign objects inside. It is estimated that the clinic did not debride the wound cleanly and left some things inside.

This is also the reason why Qin Feng has to debride the wound first every time he cleans the patient's wound.

"Let's take an X-ray first." Qin Feng opened the inspection list.

"Doctor, how much is this light film?"

"Around eighty."

"That's okay." The patient breathed a sigh of relief, picked up the receipt and left directly.

Half an hour later, the patient came with an X-ray.

Qin Feng glanced at the film and found that the patient had osteolytic lesions in the shape of a dice, and a hole could be clearly seen on it, but there was no foreign matter inside.

There is no way, Qin Feng can only suggest the patient to get a CT, some foreign bodies can only be seen through CT.

"Ah, do you still need an inspection? How much does it cost?"

"For CT, it costs more than 800." Qin Feng said.

"It's so expensive, forget it, just give me some medicine." The patient said.

"This won't work. We won't prescribe medicine for you until the situation is confirmed." Qin Feng said.

The patient stood up and chose to leave directly, Qin Feng watched the patient leave.

It's not that Qin Feng doesn't want to prescribe medicine, but that Qin Feng doesn't know what medicine to prescribe when he is not sure about his condition.

If only anti-inflammatory drugs are prescribed, it will be much more expensive than an examination, and it will treat the symptoms but not the root cause.

Qin Feng didn't do it for performance or anything, but for the good of this patient.

But the patient doesn't listen, Qin Feng can't hold the patient and prevent the patient from leaving.

"Brother Qin, the Department of Neurology called and said they want you to come over for a consultation." Yue Meng said.

"Consultation? Okay, Zhang Yao, you are in charge here, to appease the patient's emotions." Qin Feng put on a white coat and rushed directly to the Department of Neurology.

At this time, the Department of Neurology was in a state of confusion.

Wang Yu, the deputy director of neurology, was also in a state of distress because of a patient. He was the one who admitted this patient, and he was responsible for it to the end.

This consultation was organized by him.

In addition to Qin Feng, he also invited doctors from several other related departments.

Before admission, the patient's condition was weakness of limbs and numbness of limbs without obvious inducement at the same time. After examination, the patient's blood potassium was very low, which belonged to the range of hypokalemia.

Wang Yu wondered if the patient had hypokalemic periodic paralysis.

This disease is an autosomal dominant genetic disease. It is more common in sporadic cases in my country. Its clinical features are obvious hypokalemia, and the patient's skeletal muscles have flaccid paralysis. There are obvious incentives before.

After questioning, it was preliminarily determined that the patient was hypokalemic periodic paralysis, so Wang Yu prescribed medicine, oral administration, combined with intravenous potassium supplementation, and symptomatic and supportive treatment.

However, on the second day after potassium supplementation, the patient's condition did not improve, but became more serious, with obvious skin tenderness in the lower limbs and numbness in the hands.

At the same time, his condition continued to worsen, and even his face was temporarily paralyzed.

The doctor in charge of the bed and Wang Yu were directly confused. It was the first time for Wang Yu to encounter such a difficult patient in so many years.

There are all kinds of incentives, after all, it is winter, and the patient's own genetic disease.

But now, it is clear that the previous diagnosis will be overturned.

There was no choice but to conduct a new round of examinations. After this round of comprehensive examinations, Wang Yu felt that he must not be able to do it alone, so he contacted other departments and had a consultation.

Now Wang Yu is under a lot of pressure. The patient's family members don't believe Wang Yu anymore, thinking that he is cheating money and is a typical example of taking money and doing nothing.

When Qin Feng arrived, doctors from other departments had already arrived, and the consultation started directly.

When everyone came to the patient's bed, the patient's family was also relieved to see so many doctors.

(End of this chapter)