Chapter 626: Trying Yang Jingxiang to press his feet, he met an eye disease patient for the first time (Happy New Year!)
The next thing was easy, and Fangyan began to arrange treatment.
According to the previous dialect, treatment process.
Smoke and apply medicine in an orderly manner.
The process of this process, Fangdian also did the prevention and treatment of his feet, because Fangdian remembered it very clearly that his medical record said that both feet had been frostbite.
After taking the medicine, the admission procedures were completed and the patient was transferred to the hospitalization floor of the Chinese medicine department on different floors on the same floor.
Then Fang Yan arranged a massage for Yang Jingxiang. Anyway, the acupuncture points and veins near the veteran’s feet must be massaged for one hour and one foot for half an hour.
The methods used are kneading and rubbing, which are based on warmth and help dispel cold evil and unblock qi and blood.
I don’t let others do this living dialect, so let Yang Jingxiang do it.
Isn't he a bad temper? Do you like everything fast? Then leave this matter to him!
Another moxibustion job was originally quite a test of people, but he invented the moxibustion box himself. Now this job is easy. You just need to pay attention to the temperature to avoid burns from the patient.
However, Yang Jingxiang did not dislike this job at all, and even because he could press his feet on the veteran comrades, it felt like Fang Yan took care of him.
Being able to treat a combat hero and give him physical massage every day has never experienced it in his previous life.
Then Fangyan took the patient Chinese medicine again.
Then half an hour later, the patient found that there was a significant pain in the wound of his foot, from the numbness and slight coolness before to the stinging and fever now.
This is the effect of the accelerated flow of qi and blood in the veins and the spread of yang energy into the injured position. Although the pain is coming, the patient gradually finds the feeling of his feet.
Before, he always felt that his legs were not his own. Only when he was scalding with hot water could he feel that his feet were his own.
In order to relieve his pain, Fang Yan gave him acupuncture treatment and increased the amount of pain-relieving medicines, camphor and bone-punching grass.
Try to let the patient suppress the pain after using it tomorrow.
These made by Fangdian were written by his assistant Zhang Yanchang today, and he recorded them step by step on medical cases.
In fact, the veteran's gangrene is a relatively special situation.
The clinical manifestations of cervical degeneration are divided into three stages.
The first phase is the ischemia period, which is manifested as: coldness, fear of cold, numbness, soreness at the ends of the affected limb, intermittent claudication, and after walking 500 to 1,000 meters, there is a calves or soles of the affected limb. When you feel swelling and pain, you will feel limp. After a while, the symptoms will relieve or disappear. When you walk the same or shorter distance, the swelling and pain will appear again.
The second phase is the nutritional disorder period, which is manifested as: coldness, fear of cold, numbness, swelling and pain in the affected limbs, intermittent claudication worsens, and resting pain, severe pain at night, and difficulty in sleeping. Patients often sit with their knees in their arms. The muscles of the affected foot are significantly atrophy, dry skin, hair loss, thickening toenails and slow growth, and pale or flushing or cyanotic skin.
In the third phase, a fork will enter, which may cause necrosis or gangrene.
At that time, due to severe blood circulation disorders, ulcer necrosis or gangrene falls off due to severe blood circulation disorders. It mostly starts from the toes and gradually spreads upwards. Gangre is dry or wet. When it is infected, systemic symptoms such as high fever and chills appear.
But the patient was about to enter the third stage, but before he entered the third stage, he had an accidental traumatic infection and had surgery to cut off his toe, and then he started to intervene and treat again.
Although he has not recovered and his wounds are still deteriorating, he has not entered the third phase.
Then it was delivered here.
In fact, if he had not had that trauma, according to the soldier's temper, he would definitely not care about this matter. He might not think of treatment until his feet completely entered the third stage.
It was even more difficult to cure at that time.
So, it’s still the same thing, it’s a blessing to lose one’s wife.
Although he has a military doctor's wife at home, this one is like the one at Meng Jimin's family. She is very busy all day long and has no mood to pay attention to her husband's affairs.
After setting up here this time, they immediately returned to the work.
It is said that someone will come to accompany you later.
During this free time, I asked the comrades in the hospital to help take care of them.
At this time, Fangyan suddenly understood Lao Meng a little.
…
At 11:00 noon, the director told me that someone had come to the hospital to see him.
After hearing this, Fang Yan took two assistants to the clinic.
There were not many patients here this time, only three.
The dialect also specifically distinguished the family and the patients.
Confirm that there are only three.
If these three people read dialect quickly, they should be able to finish reading everyone within an hour and then go back to have a meal.
In the afternoon, he could go to Shuangqiao in Sanjianfang Township to find Old Lady Luo.
The first one to come up was a woman in her early thirties.
She was wearing sunglasses and looked sarcastic.
The one who accompanied her should be her husband. When Fang Yan asked them to see the doctor, her husband helped the woman to Fang Yan.
Fang Yan saw that it seemed like a blind man, so he asked: "Lesbian, tell me about your situation."
The female patient said to Fang Yan: "My surname is Xiang, I am 34 years old this year. My eyes have been blurred when I see things three years ago, and I can't see things clearly now." Fang Yan suddenly realized after hearing this. It turned out that This is why she wore sunglasses, so Fang Yan said to her: "Put off your glasses and I'll take a look." After the patient said that, he took off his sunglasses and took them away. Go down.
Then Fang Yan saw the red catfish at the corners of her eyes.
The cataract refers to an abnormal membrane-shaped or sheet-shaped turbid substance that appears on the eyes, while "red" is the cataract accompanied by red and red color, which is usually caused by inflammation.
In addition, the right eye is close to the pupil, and there are a pile of white clouds on the outside.
To put it more details, it is the white sheet-shaped or cloud-shaped cataract that appears in the black eyes (cornea) and other parts.
The shape of "white sheet" is similar to that of sheets, while "Yunyi" describes it as clouds, with relatively blurred boundaries, thinner texture, and white in color, which is a common manifestation of corneal turbidity.
It is a white sheet-shaped cloud-like turbidity visible on the black eyes, with porcelain white and grayish-white colors, with unclear boundaries, like clouds and mist, as if someone applied a layer of frost on it.
This situation suddenly made Zhang Yanchang and Yang Jingxiang frown. Zhang Yanchang had no idea how to treat it. Yang Jingxiang discovered that this was another difficult and complicated disease, and it had progressed to a very deep level. "Can you close your eyes normally?" Fang Yan asked the patient.
No mistakes, one poem, one post, one content, one in 6, one book, one bar, one read!
They performed differently, but in contrast, the dialect was still very calm and kept observing the patient's condition.
The patient closed his eyes and then slowly opened them.
Dialect found that something similar to eye poop was squeezed out on the red cataract of the patient's eyes.
And when she closed her eyes, she could see that the white eyeballs (sclera) inside her eyes were slightly protruding outward.
At this time, the patient's husband took over the conversation and said to Fang Yan: "She was in a bad mood because of a quarrel with someone at work three years ago, and then she said she had chest tightness. She had been chest tightness for about a week. Time, then the two eyes became blurred in their eyes…”
Speaking of this, the patient said: "I'll just talk about it myself." The patient's husband patted her hand and agreed.
Then the patient began to narrate it herself, and she said: "Just like my husband said, I had a fight with my colleague at work, and was in a bad mood, and then I went to my chest. It was like a stone pressing on it. It took about a week for chest tightness. It didn’t appear that the eyes were blurred after a week, but that the eyes were blurred and ghosted at the beginning of chest tightness. "
"And I still remember it very clearly. At that time, I couldn't eat anything and felt very irritable. I wanted to destroy everything and wanted to smash it."
Fang Yan thought for a moment when he heard this, and then asked. "Have you ever found a hospital for diagnosis?" The patient said: "At that time, I asked the doctor from the unit hospital for diagnosis, and the doctor said it was caused by a bad mood. , let me relieve my mood. Later, I thought there was something wrong with the person in that unit, so I was transferred from that unit. After the transfer, I felt much more refreshed and could eat, but my eyes were blurred and heavy. The phenomenon has never disappeared. ”
"Because I was afraid that people would say I was petty and so angry that I couldn't see clearly, so I never went to the hospital even if I could overcome this symptom."
"..." Fang Yan and everyone else were both Somewhat speechless.
This kind of thing is obviously not a problem with mood, right?
But then I thought about it and could understand it from the patient's perspective.
After all, not everyone studies medicine.
Her reaction is much like most women, in the face of normal reactions.
Then the patient continued: "I suddenly started having a headache half a year ago, and my eyes became more and more blurred when I saw things. The first thing I did was to start was to have a thorough right eye. The same was true in the left eye. Later, we went to several hospitals for examination and diagnosed with purulent fundus. "
" Then we started taking various Western medicines." >
Fang Yan showed a puzzled look, is the purulent fundus leaking? Why haven't you heard of this name?
After thinking for a moment, he asked the patient tentatively: "Did the hospital diagnose it as "suppurative inflammation of the fundus" or "pseudo-sacritic duct caused by dacryocystitis?" >After hearing Fang Yan say these two names, the patient's husband immediately nodded at him and said: "Oh, yes, Dr. Fang is still your professional. The name you said is right. Purulent inflammation of the fundus! "
Fang Yan breathed a sigh of relief and said... Why are there any purulent pus?
This suppurative inflammation of the fundus is mostly caused by infection with pathogens such as bacteria, viruses, and fungi.
It may also be that autoimmune diseases involve the fundus, such as shotgun bullet-like retinal choroidal lesions, etc. In addition, trauma causes intraocular infections, or systemic diseases such as eye complications caused by diabetes, etc., which may also cause suppurative inflammation of the fundus.
The main symptom is that patients often experience acute visual decline, accompanied by a sense of flashing light when floating in the dark shadow in front of them.
Severe pain occurs in the eyes under inflammation stimulation, and the rotation of the eyeball is restricted.
Then at the most serious time, there will be a lack of vision, or nothing can be seen, only the sense of light will be retained.
But based on the self-reported symptoms of the patient in front of him, it doesn’t look like this disease?
Fang Yan asked them: "Do you still remember what medicine you took? Or did you have any test reports or something?"
Others You can ignore any ward, but on this part of your eyes, he really has to see what medicine he has used. "Yes!" The patient's husband nodded.
Then he took out a file bag from his own coat pocket and handed it to Fang Yan.
(This chapter ends)