Rebirth 90: I opened a hospital in Shencheng
Chapter 635 Technology is still insignificant in the face of life and death!
Chapter 635 Technology is still insignificant in the face of life and death!
"In the department, the air is always sweet."
Nie Chen, who returned to the emergency room, drank iced cola and smelled the faint smell of medicine in the air. Nie Chen felt refreshed.
Routine rounds then began.
"Doctor, doctor! Look, I just went to the toilet! I complained of stomachache within a few minutes of coming back."
The patients in the third bed in the observation area were sitting on the bed, holding their stomachs.
"How does it hurt?" Nie Chen put away the notebook.
"The pain is so severe every minute that I can't sit still even when I do anything." The patient grimaced in pain.
Nie Chen asked, "What did he have for dinner?"
Patient's family member: "I just ate a bowl of noodles. I tasted it, and it's not hard."
"Come and lie down." Nie Chen and the resident doctor Peng Yueling helped her to lie down.
Nie Chen stretched out his hand to press the patient's left abdomen, and before he could exert any force, the patient was clamoring for pain.
"What about this?"
"pain!"
"here?"
"pain……"
"Doctor, doesn't this mean that everything is fine? I will be discharged from the hospital tomorrow. Why does it suddenly start to hurt again?" The patient's family asked urgently.
Nie Chen said: "The patient had a gallbladder removal surgery, not a major surgery. It has been a week and he is recovering well. Did he defecate when he went to the toilet at night?"
"It's... dry. It took me a long time." The patient said weakly.
Peng Yueling said, "Isn't it because the wound was stretched?"
"Go get ready for a piercing."
"Hey, okay." Peng Yueling replied.
Nie Chen took the stethoscope and listened to the patient's chest, but couldn't hear anything...
At this time, Tian Jiaming and Peng Yueling came over.
"Don't touch it with your hands. This is a sterile area. I will do a puncture for you. It will hurt a little. Please bear with it a little bit." Peng Yueling said.
The needle pierces the patient's flesh and draws a little blood from inside.
Peng Yueling was stunned for a moment and asked: "Why is it blood? The location is correct."
Nie Chen said, "Notify the operating room to prepare for surgery."
"Okay." Peng Yueling replied, and then went to find the person in charge of the operating room.
The family members of the patient said anxiously: "What the hell is going on, doctor!"
"Bleeding in the abdominal cavity! Surgical exploration is needed," Nie Chen said.
Patient's family: "Huh? I still need surgery."
Nie Chen said: "The last time he had a laparotomy, this time he was going to make a hole in the original position for laparoscopic surgery."
"Then, why is it bleeding?"
Nie Chen said: "Within two or three days of gallbladder removal surgery, there was occasional bleeding, and it's been a week, and the recovery is good. After a week of bleeding, surgery is needed for investigation."
"What time is the meal?"
"Probably, about two hours ago." The patient's family members replied.
"The time is too short, let's go on stage first, and I'll talk to the anesthesia."
The patient's family members nodded.
operating room.
The patient has been anesthetized.
Nie Chen appeared in the operating room wearing a medical sterile suit and Peng Yueling.
"Can we start?" Nie Chen asked the anesthesiologist.
"Okay."
After checking with an interventional catheter, the bleeding point has disappeared.
This situation is even rarer.
Nie Chen looked at the screen and said, "The bleeding point has stopped, and no bleeding point was found."
"There was a lot of bleeding, but all the vital signs were normal." Peng Yueling said.
Nie Chen nodded and said, "It should be venous bleeding, and the blood has clotted automatically. Go and explain to the family members. I will observe it for a few minutes."
"Hey, okay." Peng Yueling replied.
After a while, still no bleeding was found.
Nie Chen said, "Sew it up."
After the operation, he hurried to the office, and the hospital's internal system was checking medical records from more than ten years ago.
This person had intra-abdominal bleeding and then stopped the bleeding automatically, which seemed a bit weird. Besides, the bleeding point was not found, so we should not be careless.
Peng Yueling walked over and said, "Doctor Nie, what's going on?"
Nie Chen said: "I doubt it. It's because the stool is too dry. When I went to the toilet, I burst it hard."
"The stitching is so strong, if it is broken, it will be broken? That only shows that there is something wrong with our suture."
Peng Yueling nodded: "That's right."
early morning.
Nie Chen walked around the observation and inpatient areas and wards according to the steps. The equipment and everything were cleaned by special nurses, so he didn't need to worry about it.
He saw Li Xiuzhen hurrying towards the triage table, and then returning lost.
"What's the matter, Doctor Li?"
"There is a sutured patient over there. There are too few people in our emergency department who can be sutured." Li Xiuzhen said.
"Let Zou Jiaqi go over and try it. Last time she sewed up one, it was not bad."
"That's fine." Li Xiuzhen nodded.
Nie Chen notified Zou Jiaqi to come over.
"Listen to Dr. Li and don't make up your own mind."
"Understood, Dr. Nie." Zou Jiaqi said.
Li Xiuzhen waved her hand and led Zou Jiaqi away.
At this moment
There was a bang at the door.
"Don't touch me! Let me die! I want to die!"
A female patient wearing a yellow top and tight pants, with bright red blood oozing from her abdomen!
She was tied to the bed car and could only struggle and yell.
Lin Xuan ran over immediately after hearing this.
Nie Chen followed closely...
"What's going on?" Nie Chen asked.
The family member of the patient is a man. He said: "It was found in the bathroom, and the wrist was cut again!"
"What do you mean by cutting your wrists again?"
"Oh, this is already the third time!" The patient's family members were quite helpless.
"Calm down first, calm down first! Lin Xuan, blood pressure!"
"Blood pressure 165/90, heart rate 123!"
"Draw blood to check blood type!" Nie Chen said.
"Ok."
"No need to check, type O, type O blood!" said the patient's family.
"Let's go to the treatment room, debridement and suture!" Nie Chen said.
"Eh."
Dispose of indoors.
The patient yelled tearfully: "Please, don't save me, let me die! It's useless to save me, I don't want to live anymore!"
"Calm down first! Calm down! Trust me, we will definitely help you, okay? No matter what happens, you have to survive first. If you survive, there is hope!"
"It's useless, I won't die this time, and there will be another time!" the female patient yelled.
Nie Chen was helpless, how could this patient not understand.
"stable!"
"it is good."
"Hold it, calm down! Hold your hand, give the injection."
After a diazepam injection, the patient quickly calmed down.
"Prepare the gauze."
The wound on the patient's wrist was not deep and only needed a bandage, and the bleeding had stopped.
"Who are you from her?"
After bandaging the patient's wound, the patient fell asleep.
The patient's family said: "I am her husband."
Nie Chen nodded: "Do you know the reason why she committed suicide?"
"Ask, why are you asking this?" The patient's family members were somewhat repelled.
"I am her attending doctor. I must know why she committed suicide, whether it was psychological or physical, so that I can give her the most accurate treatment."
The family member of the patient said: "I don't know very well."
Nie Chen smiled and said: "She is sick and needs to be treated, you have to cooperate with me, you just have the heart to see her like this? Are you looking for life and death again and again?"
Peng Yueling said: "Yes, the important thing is that you don't feel uncomfortable seeing her like this? You can tell me what difficulties you have."
The man said, "Are you sure you can really help us?"
"I can only tell you that we will do our best, but only if you cooperate with us." Nie Chen said.
"Doctor Nie, why don't you let him think about it?"
"kindness."
Nie Chen nodded: "You can ask Lin Xuan to come over and watch later. I'll go upstairs."
"Ok."
EICU ward.
Nie Chen had already changed into a sterile suit, a mask, a hat, and gloves and walked in.
"Doctor Nie."
"Well, how's it going?" Nie Chen asked.
"everything is normal."
The patient lying on the bed has woken up, he is the patient who had intra-abdominal hemorrhage last night.
"How do you feel about yourself?"
The patient said, "It's fine, doctor, what's going on with me?"
(End of this chapter)
"In the department, the air is always sweet."
Nie Chen, who returned to the emergency room, drank iced cola and smelled the faint smell of medicine in the air. Nie Chen felt refreshed.
Routine rounds then began.
"Doctor, doctor! Look, I just went to the toilet! I complained of stomachache within a few minutes of coming back."
The patients in the third bed in the observation area were sitting on the bed, holding their stomachs.
"How does it hurt?" Nie Chen put away the notebook.
"The pain is so severe every minute that I can't sit still even when I do anything." The patient grimaced in pain.
Nie Chen asked, "What did he have for dinner?"
Patient's family member: "I just ate a bowl of noodles. I tasted it, and it's not hard."
"Come and lie down." Nie Chen and the resident doctor Peng Yueling helped her to lie down.
Nie Chen stretched out his hand to press the patient's left abdomen, and before he could exert any force, the patient was clamoring for pain.
"What about this?"
"pain!"
"here?"
"pain……"
"Doctor, doesn't this mean that everything is fine? I will be discharged from the hospital tomorrow. Why does it suddenly start to hurt again?" The patient's family asked urgently.
Nie Chen said: "The patient had a gallbladder removal surgery, not a major surgery. It has been a week and he is recovering well. Did he defecate when he went to the toilet at night?"
"It's... dry. It took me a long time." The patient said weakly.
Peng Yueling said, "Isn't it because the wound was stretched?"
"Go get ready for a piercing."
"Hey, okay." Peng Yueling replied.
Nie Chen took the stethoscope and listened to the patient's chest, but couldn't hear anything...
At this time, Tian Jiaming and Peng Yueling came over.
"Don't touch it with your hands. This is a sterile area. I will do a puncture for you. It will hurt a little. Please bear with it a little bit." Peng Yueling said.
The needle pierces the patient's flesh and draws a little blood from inside.
Peng Yueling was stunned for a moment and asked: "Why is it blood? The location is correct."
Nie Chen said, "Notify the operating room to prepare for surgery."
"Okay." Peng Yueling replied, and then went to find the person in charge of the operating room.
The family members of the patient said anxiously: "What the hell is going on, doctor!"
"Bleeding in the abdominal cavity! Surgical exploration is needed," Nie Chen said.
Patient's family: "Huh? I still need surgery."
Nie Chen said: "The last time he had a laparotomy, this time he was going to make a hole in the original position for laparoscopic surgery."
"Then, why is it bleeding?"
Nie Chen said: "Within two or three days of gallbladder removal surgery, there was occasional bleeding, and it's been a week, and the recovery is good. After a week of bleeding, surgery is needed for investigation."
"What time is the meal?"
"Probably, about two hours ago." The patient's family members replied.
"The time is too short, let's go on stage first, and I'll talk to the anesthesia."
The patient's family members nodded.
operating room.
The patient has been anesthetized.
Nie Chen appeared in the operating room wearing a medical sterile suit and Peng Yueling.
"Can we start?" Nie Chen asked the anesthesiologist.
"Okay."
After checking with an interventional catheter, the bleeding point has disappeared.
This situation is even rarer.
Nie Chen looked at the screen and said, "The bleeding point has stopped, and no bleeding point was found."
"There was a lot of bleeding, but all the vital signs were normal." Peng Yueling said.
Nie Chen nodded and said, "It should be venous bleeding, and the blood has clotted automatically. Go and explain to the family members. I will observe it for a few minutes."
"Hey, okay." Peng Yueling replied.
After a while, still no bleeding was found.
Nie Chen said, "Sew it up."
After the operation, he hurried to the office, and the hospital's internal system was checking medical records from more than ten years ago.
This person had intra-abdominal bleeding and then stopped the bleeding automatically, which seemed a bit weird. Besides, the bleeding point was not found, so we should not be careless.
Peng Yueling walked over and said, "Doctor Nie, what's going on?"
Nie Chen said: "I doubt it. It's because the stool is too dry. When I went to the toilet, I burst it hard."
"The stitching is so strong, if it is broken, it will be broken? That only shows that there is something wrong with our suture."
Peng Yueling nodded: "That's right."
early morning.
Nie Chen walked around the observation and inpatient areas and wards according to the steps. The equipment and everything were cleaned by special nurses, so he didn't need to worry about it.
He saw Li Xiuzhen hurrying towards the triage table, and then returning lost.
"What's the matter, Doctor Li?"
"There is a sutured patient over there. There are too few people in our emergency department who can be sutured." Li Xiuzhen said.
"Let Zou Jiaqi go over and try it. Last time she sewed up one, it was not bad."
"That's fine." Li Xiuzhen nodded.
Nie Chen notified Zou Jiaqi to come over.
"Listen to Dr. Li and don't make up your own mind."
"Understood, Dr. Nie." Zou Jiaqi said.
Li Xiuzhen waved her hand and led Zou Jiaqi away.
At this moment
There was a bang at the door.
"Don't touch me! Let me die! I want to die!"
A female patient wearing a yellow top and tight pants, with bright red blood oozing from her abdomen!
She was tied to the bed car and could only struggle and yell.
Lin Xuan ran over immediately after hearing this.
Nie Chen followed closely...
"What's going on?" Nie Chen asked.
The family member of the patient is a man. He said: "It was found in the bathroom, and the wrist was cut again!"
"What do you mean by cutting your wrists again?"
"Oh, this is already the third time!" The patient's family members were quite helpless.
"Calm down first, calm down first! Lin Xuan, blood pressure!"
"Blood pressure 165/90, heart rate 123!"
"Draw blood to check blood type!" Nie Chen said.
"Ok."
"No need to check, type O, type O blood!" said the patient's family.
"Let's go to the treatment room, debridement and suture!" Nie Chen said.
"Eh."
Dispose of indoors.
The patient yelled tearfully: "Please, don't save me, let me die! It's useless to save me, I don't want to live anymore!"
"Calm down first! Calm down! Trust me, we will definitely help you, okay? No matter what happens, you have to survive first. If you survive, there is hope!"
"It's useless, I won't die this time, and there will be another time!" the female patient yelled.
Nie Chen was helpless, how could this patient not understand.
"stable!"
"it is good."
"Hold it, calm down! Hold your hand, give the injection."
After a diazepam injection, the patient quickly calmed down.
"Prepare the gauze."
The wound on the patient's wrist was not deep and only needed a bandage, and the bleeding had stopped.
"Who are you from her?"
After bandaging the patient's wound, the patient fell asleep.
The patient's family said: "I am her husband."
Nie Chen nodded: "Do you know the reason why she committed suicide?"
"Ask, why are you asking this?" The patient's family members were somewhat repelled.
"I am her attending doctor. I must know why she committed suicide, whether it was psychological or physical, so that I can give her the most accurate treatment."
The family member of the patient said: "I don't know very well."
Nie Chen smiled and said: "She is sick and needs to be treated, you have to cooperate with me, you just have the heart to see her like this? Are you looking for life and death again and again?"
Peng Yueling said: "Yes, the important thing is that you don't feel uncomfortable seeing her like this? You can tell me what difficulties you have."
The man said, "Are you sure you can really help us?"
"I can only tell you that we will do our best, but only if you cooperate with us." Nie Chen said.
"Doctor Nie, why don't you let him think about it?"
"kindness."
Nie Chen nodded: "You can ask Lin Xuan to come over and watch later. I'll go upstairs."
"Ok."
EICU ward.
Nie Chen had already changed into a sterile suit, a mask, a hat, and gloves and walked in.
"Doctor Nie."
"Well, how's it going?" Nie Chen asked.
"everything is normal."
The patient lying on the bed has woken up, he is the patient who had intra-abdominal hemorrhage last night.
"How do you feel about yourself?"
The patient said, "It's fine, doctor, what's going on with me?"
(End of this chapter)
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