Rebirth 90: I opened a hospital in Shencheng
Chapter 583 An old man who never asks for help!
Chapter 583 An old man who never asks for help!
Nie Chen smiled and said, "Lin Xuan, take him for a CT scan."
"okay."
"Then let me find him a wheelchair." Lin Xuan hesitated.
The patient who had stabbed the knife got up directly and said, "I don't need a wheelchair, what kind of wheelchair should I sit in? I'm not limping, so I'll go with you."
"Hey, brother, slow down! Let me tell you, it looks fine now, but if you move around, you may hurt your brain tissue and nerves, and you will be in big trouble. It is." Nie Chen said seriously.
"It's all right! Don't make a fuss, it's just a CT scan, I can go by myself." The patient who had the knife inserted was a bit stubborn.
"You are so independent."
Nie Chen has never seen such a patient before, and this is also because he has only been a doctor for a short time and still needs to practice.
Wei Ting said: "This old man doesn't take himself too seriously."
Nie Chen shook his head and said, "He is afraid of troublesome people."
This is a common disease of widowed and lonely elderly people. They are used to doing everything by themselves, but suddenly someone helps them, and I really don't trust them.
Brain CT scans have been hung on the lamp wall.
Nie Chen and Wei Ting both looked at it carefully.
At this time, the knife-throwing patient was sitting in a wheelchair and was pushed back by Lin Xuan.
Nie Chen turned his head and said, "The knife on your head has already pierced your skull, but it didn't hurt the functional area of your brain, so you can speak and move freely."
The patient who inserted the knife grinned and said, "Doctor, just look at me and say I'm fine."
"We still need to be cautious about this matter," Wei Ting said.
Nie Chen nodded and said, "Come on, you go here."
The patient who had the knife inserted got up and lay flat on the hospital bed.
"Alcohol gauze, cotton, needlework, gauze."
"Okay, I'll go prepare." Lin Xuan replied.
Nie Chen said: "If you want to pull out your knife, you have to shave your hair first, do you agree?"
"I agree, you can shave!"
Nie Chen took a clipper and shaved off the area around the patient's wound.
Lin Xuan put the tools in the tray and placed them on the mobile cart.
"Relax, don't move."
Nie Chen's technique is obvious to all. He pressed the patient's head with one hand, and directly pulled the handle of the knife with the other hand, and pulled out the knife!
As for the patient's head, there was not a lot of bleeding, but the capillaries under the scalp were bleeding, but they had coagulated long ago.
The wound was sterilized, and then three stitches were stitched, and the patient's head was wrapped with gauze.
Since it was a traumatic wound and did not damage the brain tissue, it did not constitute a serious cause, so there was no need to be hospitalized.
"Go to the hospital for intravenous infusion of anti-inflammatory drugs for three days in a row, come back after seven days to have the stitches removed, don't get wet, and don't play around with those people." Nie Chen warned.
The patient who stabbed the knife was stunned, and asked: "Then can I go home?"
"Ah, all right."
The patient who had stabbed the knife got up, walked out of the treatment room by himself.
Nie Chen sat beside the hospital bed, stunned for a moment.
"Are you scared?" Wei Ting asked.
Nie Chen turned to look at her, and said, "How can it be, I just find it strange that this patient's mental state is not very good."
"Alcohol poisoning." Wei Ting said.
Nie Chen was stunned: "Oh, let me tell you, why is he flabbergasted."
This knife-throwing patient is chronic, and has already damaged the central nervous system, resulting in a decline in response ability. Although all aspects of function are normal, it will still be a scourge in the long run.
down for a few days.
Wei Ting adapts very well in the emergency department, and has become acquainted with her colleagues.
And picked up a patient with stomach pain, is currently undergoing examination.
Nie Chen had just finished suturing a patient with a cut when he heard Lin Jianjie greet him.
"how?"
"Didn't you perform a splenectomy on the patient in the seventeenth bed yesterday?"
Nie Chen stood up and nodded: "Yes, is there a problem?"
"Well, the patient is 23 years old. He has a history of atrial fibrillation induced by hyperthyroidism. Yesterday, he was cut by a kite string while riding a motorcycle, which resulted in rupture of the spleen in the neck. The spleen ruptured, and then the spleen was removed."
Nie Chen nodded: "Well, I know all of this."
Lin Jianjie then said: "The main thing is to confirm."
"How is the patient recovering?"
"Everything is back to normal, but today suddenly the left lower limb swelled, the skin temperature was high, and the fever was low." Lin Jianjie explained.
Nie Chen nodded and asked, "What about the other leg?"
"The other leg is not swollen, and the skin temperature is normal."
The two walked to the ward and walked straight in.
I saw two family members surrounding the patient's bed, and they were all female family members. One of them was the patient's mother and the other was the patient's wife.
Both the patient's mother and wife were kind. When the operation was completed on the patient, the patient's mother also thanked Nie Chen.
"Doctor Nie."
"Well, I'll come and take a look." Nie Chen nodded.
He walked over and lifted the quilt covering the patient's left leg, and then pressed lightly on the patient's calf, and saw that the patient's skin was sunken, and a hole was made by his fingers.
Nie Chen muttered, "From this point of view, it should be a venous thrombosis."
"You don't have to worry, it's mainly because the patient has been bedridden for a long time after surgery and the venous return of the lower limbs is not smooth."
He looked at Lin Jianjie again and said, "Go and make an appointment for him to have a lower limb vein color ultrasound. If the diagnosis is correct, give him these medicines."
Lin Jianjie nodded, took the notebook, and said, "Okay."
Nie Chen turned to the patient and said, "I'll ask the nurse to come over and teach you how to do rehabilitation training in bed."
"Thank you, thank you doctor."
"Hey, it's starting to hurt again." The patient closed his eyes tightly and shouted.
Nie Chen immediately turned his head and asked, "It hurts? Why does it hurt?"
"Here, belly."
"What kind of pain is it, tingling, cramping, or stomach pain?" Nie Chen asked with a frown.
Because the patient's abdomen had just been operated on, it was normal for him to experience pain, but with the venous thrombosis, Nie Chen had to pay attention.
"I, I can't tell, anyway, I just have a stomachache and feel uncomfortable."
Sometimes the patient is easily confused when describing the symptoms, because he is not a doctor, so he sometimes does not understand what kind of pain method it is.
"But this will be better." The patient said again.
Nie Chen asked, "Just a burst, isn't it?"
"Correct."
This is a kind of labor pain, which is generally manifested after the operation, caused by improper posture, or caused by negligent care after the operation.
"Well, let's observe again." Nie Chen said.
"oh oh."
He said to Lin Jianjie, "Call me immediately."
"kindness."
"Thank you doctor."
More than two hours later, Nie Chen was chatting with Yu Zhongcai in the office.
Lin Jianjie came again.
"Director Yu, the patient in the seventeenth bed had another problem. You were not there at the time, so I went to see Dr. Nie."
Nie Chen nodded, and said, "Yes, I also performed his surgery, so he is my patient. Does he still have abdominal pain?"
"Yes, and Dr. Nie's judgment is very accurate, he is a venous thrombosis." Lin Jianjie nodded.
Yu Zhong got up and asked, "Have you been there?"
"Well, you were on stage just now, so I went over." Nie Chen nodded.
Yu Zhongcai took the patient's checklist, and Lin Jianjie said: "The patient's abdomen is very soft and there is no tenderness, but he just complains of stomach pain, and the family members are particularly yin and yang, and I can't digest it."
Nie Chen smiled and said, "Aren't those two family members very kind?"
"It's not them, it's the patient's aunt, you haven't seen it."
(End of this chapter)
Nie Chen smiled and said, "Lin Xuan, take him for a CT scan."
"okay."
"Then let me find him a wheelchair." Lin Xuan hesitated.
The patient who had stabbed the knife got up directly and said, "I don't need a wheelchair, what kind of wheelchair should I sit in? I'm not limping, so I'll go with you."
"Hey, brother, slow down! Let me tell you, it looks fine now, but if you move around, you may hurt your brain tissue and nerves, and you will be in big trouble. It is." Nie Chen said seriously.
"It's all right! Don't make a fuss, it's just a CT scan, I can go by myself." The patient who had the knife inserted was a bit stubborn.
"You are so independent."
Nie Chen has never seen such a patient before, and this is also because he has only been a doctor for a short time and still needs to practice.
Wei Ting said: "This old man doesn't take himself too seriously."
Nie Chen shook his head and said, "He is afraid of troublesome people."
This is a common disease of widowed and lonely elderly people. They are used to doing everything by themselves, but suddenly someone helps them, and I really don't trust them.
Brain CT scans have been hung on the lamp wall.
Nie Chen and Wei Ting both looked at it carefully.
At this time, the knife-throwing patient was sitting in a wheelchair and was pushed back by Lin Xuan.
Nie Chen turned his head and said, "The knife on your head has already pierced your skull, but it didn't hurt the functional area of your brain, so you can speak and move freely."
The patient who inserted the knife grinned and said, "Doctor, just look at me and say I'm fine."
"We still need to be cautious about this matter," Wei Ting said.
Nie Chen nodded and said, "Come on, you go here."
The patient who had the knife inserted got up and lay flat on the hospital bed.
"Alcohol gauze, cotton, needlework, gauze."
"Okay, I'll go prepare." Lin Xuan replied.
Nie Chen said: "If you want to pull out your knife, you have to shave your hair first, do you agree?"
"I agree, you can shave!"
Nie Chen took a clipper and shaved off the area around the patient's wound.
Lin Xuan put the tools in the tray and placed them on the mobile cart.
"Relax, don't move."
Nie Chen's technique is obvious to all. He pressed the patient's head with one hand, and directly pulled the handle of the knife with the other hand, and pulled out the knife!
As for the patient's head, there was not a lot of bleeding, but the capillaries under the scalp were bleeding, but they had coagulated long ago.
The wound was sterilized, and then three stitches were stitched, and the patient's head was wrapped with gauze.
Since it was a traumatic wound and did not damage the brain tissue, it did not constitute a serious cause, so there was no need to be hospitalized.
"Go to the hospital for intravenous infusion of anti-inflammatory drugs for three days in a row, come back after seven days to have the stitches removed, don't get wet, and don't play around with those people." Nie Chen warned.
The patient who stabbed the knife was stunned, and asked: "Then can I go home?"
"Ah, all right."
The patient who had stabbed the knife got up, walked out of the treatment room by himself.
Nie Chen sat beside the hospital bed, stunned for a moment.
"Are you scared?" Wei Ting asked.
Nie Chen turned to look at her, and said, "How can it be, I just find it strange that this patient's mental state is not very good."
"Alcohol poisoning." Wei Ting said.
Nie Chen was stunned: "Oh, let me tell you, why is he flabbergasted."
This knife-throwing patient is chronic, and has already damaged the central nervous system, resulting in a decline in response ability. Although all aspects of function are normal, it will still be a scourge in the long run.
down for a few days.
Wei Ting adapts very well in the emergency department, and has become acquainted with her colleagues.
And picked up a patient with stomach pain, is currently undergoing examination.
Nie Chen had just finished suturing a patient with a cut when he heard Lin Jianjie greet him.
"how?"
"Didn't you perform a splenectomy on the patient in the seventeenth bed yesterday?"
Nie Chen stood up and nodded: "Yes, is there a problem?"
"Well, the patient is 23 years old. He has a history of atrial fibrillation induced by hyperthyroidism. Yesterday, he was cut by a kite string while riding a motorcycle, which resulted in rupture of the spleen in the neck. The spleen ruptured, and then the spleen was removed."
Nie Chen nodded: "Well, I know all of this."
Lin Jianjie then said: "The main thing is to confirm."
"How is the patient recovering?"
"Everything is back to normal, but today suddenly the left lower limb swelled, the skin temperature was high, and the fever was low." Lin Jianjie explained.
Nie Chen nodded and asked, "What about the other leg?"
"The other leg is not swollen, and the skin temperature is normal."
The two walked to the ward and walked straight in.
I saw two family members surrounding the patient's bed, and they were all female family members. One of them was the patient's mother and the other was the patient's wife.
Both the patient's mother and wife were kind. When the operation was completed on the patient, the patient's mother also thanked Nie Chen.
"Doctor Nie."
"Well, I'll come and take a look." Nie Chen nodded.
He walked over and lifted the quilt covering the patient's left leg, and then pressed lightly on the patient's calf, and saw that the patient's skin was sunken, and a hole was made by his fingers.
Nie Chen muttered, "From this point of view, it should be a venous thrombosis."
"You don't have to worry, it's mainly because the patient has been bedridden for a long time after surgery and the venous return of the lower limbs is not smooth."
He looked at Lin Jianjie again and said, "Go and make an appointment for him to have a lower limb vein color ultrasound. If the diagnosis is correct, give him these medicines."
Lin Jianjie nodded, took the notebook, and said, "Okay."
Nie Chen turned to the patient and said, "I'll ask the nurse to come over and teach you how to do rehabilitation training in bed."
"Thank you, thank you doctor."
"Hey, it's starting to hurt again." The patient closed his eyes tightly and shouted.
Nie Chen immediately turned his head and asked, "It hurts? Why does it hurt?"
"Here, belly."
"What kind of pain is it, tingling, cramping, or stomach pain?" Nie Chen asked with a frown.
Because the patient's abdomen had just been operated on, it was normal for him to experience pain, but with the venous thrombosis, Nie Chen had to pay attention.
"I, I can't tell, anyway, I just have a stomachache and feel uncomfortable."
Sometimes the patient is easily confused when describing the symptoms, because he is not a doctor, so he sometimes does not understand what kind of pain method it is.
"But this will be better." The patient said again.
Nie Chen asked, "Just a burst, isn't it?"
"Correct."
This is a kind of labor pain, which is generally manifested after the operation, caused by improper posture, or caused by negligent care after the operation.
"Well, let's observe again." Nie Chen said.
"oh oh."
He said to Lin Jianjie, "Call me immediately."
"kindness."
"Thank you doctor."
More than two hours later, Nie Chen was chatting with Yu Zhongcai in the office.
Lin Jianjie came again.
"Director Yu, the patient in the seventeenth bed had another problem. You were not there at the time, so I went to see Dr. Nie."
Nie Chen nodded, and said, "Yes, I also performed his surgery, so he is my patient. Does he still have abdominal pain?"
"Yes, and Dr. Nie's judgment is very accurate, he is a venous thrombosis." Lin Jianjie nodded.
Yu Zhong got up and asked, "Have you been there?"
"Well, you were on stage just now, so I went over." Nie Chen nodded.
Yu Zhongcai took the patient's checklist, and Lin Jianjie said: "The patient's abdomen is very soft and there is no tenderness, but he just complains of stomach pain, and the family members are particularly yin and yang, and I can't digest it."
Nie Chen smiled and said, "Aren't those two family members very kind?"
"It's not them, it's the patient's aunt, you haven't seen it."
(End of this chapter)
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