Rebirth 90: I opened a hospital in Shencheng

Chapter 636 Emotions change due to illness!

Nie Chen said: "The current situation is unknown, and you still need to be hospitalized for observation for a few days."

The patient said: "I could have been discharged from the hospital today, but I have already told the unit that I will go back to work tomorrow."

"I'm sure I won't be able to go to work tomorrow, so stay at ease for two days and check it out."

"Ah, Doctor Nie, am I on the line between life and death?"

Nie Chen nodded: "It can be said that bleeding in the abdominal cavity is also very dangerous. Fortunately, you should be bleeding from a vein, and it will self-coagulate soon. If it is an arterial condition, it will not
It's easy to say, and the processing is relatively timely. "

"Thank you, doctor, for your hard work!"

Nie Chen said, "It should."

Then he turned his head and said to the bed doctor: "After two days of observation, if there is no serious abnormality, you should be sent back to the ward first."

"Okay." The doctor in bed responded.

As soon as I returned to the observation area, I saw Peng Yueling, and she said anxiously, "Doctor Nie, the patient who committed suicide had extremely high blood pressure and blood sugar."

"Super tall?"

Nie Chen frowned.

"The inspection result is written like this, you see."

Nie Chen took the test sheet, glanced at it, and said, "Appoint her for an abdominal ultrasound."

"Ok."

b Ultrasonic indoor.

The patient's abdomen is smeared with gel, and the examiner scans it.

"There is no problem with the one on the right, but the one on the left is not very clear."

Peng Yueling opened the window and called, "Family."

The family members ran in immediately.

"Appoint her for a pelvic CT scan and adrenal scan."

"it is good."

Family members and nurses pushed the patient out.

Peng Yueling followed Nie Chen and asked, "Dr. Nie, do you suspect pheochromocytoma?"

"Huh? How do you know I suspect this?"

"Look, you have B-ultrasound, CT, and adrenal gland scan. It's not pheochromocytoma."

Nie Chen smiled and said, "Very smart."

"Oh, don't praise me, but then again, there are no obvious clues in the current clinical evidence."

Nie Chen said: "It is too early to draw conclusions, and it is always right to investigate some possibilities."

"But I don't think it's necessary." Peng Yueling said.

"Then now the patient has high blood pressure, high blood sugar, extreme irritability, and suicide in a state of hyperactivity, how to explain it?"

"Changes in blood pressure and blood sugar are all caused by excitement and suicide, and you have said in previous cases like this that more attention should be paid to psychological problems and family problems." Peng Yueling asked, blinking her big eyes.

Nie Chen nodded: "So, I asked her husband to have a talk today."

"Then I'll go too."

"kindness."

in the lounge.

Peng Yueling took three disposable cups and put them on the table.

Nie Chen spoke first, and said, "Tell me, if you don't tell the truth, we can't help her."

The family member of the patient glanced at Nie Chen and said, "I have marriage phobia."

Marriage fear?

"In the past six months or so, her personality has changed a lot, and thinking about it makes her fall apart."

Nie Chen interrupted: "Wait a minute, you mean it only started in the last six months? You didn't have this symptom before, right?"

"Yes! In the past six months, I don't know what's going on. She's looking for death and life after this disturbance. Well, if this disturbance continues, I don't want to live anymore!"

"Calm down."

Peng Yueling said: "This is really an inextricable knot."

The family member of the patient continued: "Doctor, I have told you everything, you must think of a way."

Peng Yueling said: "Don't worry, we will definitely help you. We can help her find the best psychologist."

The patient shook his head and smiled wryly: "That's unnecessary, don't worry about it."

Peng Yueling said: "You really can't ignore psychological treatment! Psychological counseling is really important."

"Hey, I don't know how many psychologists I have seen." The patient's family said.

"Psychiatrists are also different. There are high and low levels. The psychiatrists in our hospital..."

"I told you, don't worry about it!" The patient's family was very helpless.

"How can this be called worrying? Since you come to the hospital, you are a patient. Besides, our doctor Nie is different from other doctors. He can treat diseases that others cannot."

Nie Chen turned to look at Peng Yueling, she stuck out her tongue.

It was over, and it was discovered again.

It seems that the identity cannot be concealed.

"Uh, I'm trying."

"Thank you then."

Nie Chen nodded.

Suicide patients like this either have psychological problems or problems in life. They often experience psychological death, such as being severely hit, or having a backlog of life trivial matters, forming the idea of ​​giving up life.

Before reaching the emergency room, Lin Xuan called.

"Come on! The patient in the third bed has smoked again!"

"immediately!"

Nie Chen hung up the phone and quickly ran towards the observation area.

In less than half a minute, he arrived.

The woman in the yellow jacket was twitching non-stop.

Nie Chen stepped forward to take a look, and said, "Hurry up and get her blood tested for catecholamines!"

"it is good!"

"blood pressure!"

"quick!"

The patient opened his eyes and struggled and shouted: "Don't save me, don't save me, let me die, let me die!"

Lin Xuan pushed the pallet truck over and was about to draw blood from the patient.

Then I heard Nie Chen say, "One more urine test for catecholamines."

"it is good!"

With the help of Nie Chen, the patient would definitely not be able to measure her blood pressure.

But Peng Yueling had already rushed over, followed by Ai Mingmei.

"Hold it! Quick."

Peng Yueling and Ai Mingmei hurried forward, each on their own side, holding down the patient's arms and legs.

"Don't move! Don't move!"

"Don't save me, don't save me!" The patient yelled desperately.

Nie Chen no matter how the patient struggles, there is no shortage of measurements that should be done.

He put the blood pressure monitor directly into the patient's arm, then put on the stethoscope and inserted it into the blood pressure sleeve.

"Blood pressure one hundred and eight, 110 five."

"Quickly draw blood and test her blood sugar!"

"Leave me alone, leave me alone..."

"Leave me alone, let me die, let me die!"

"boom!"

The patient clenched his fist and swung his arm stiffly, almost hitting Nie Chen's arm. He dodged back and the patient's arm was bye.

Then, Nie Chen saw the patient's body bumping up and down and shaking constantly.

"Did you see it? A typical seizure!" Nie Chen looked at Peng Yueling.

Peng Yueling recalled: "Phaeochromocytoma..."

"Correct!"

Nie Chen nodded.

"Fenolamine five milligrams, diazepam ten milligrams! Intravenous."

"Ok!"

Lin Xuan had already drawn blood and left, and Liu Xiaoxiao made up.

She answered.

Inside the office.

Yu Zhongcai took the test sheet and said, "It's really a pheochromocytoma."

"Well, the patient's irritability, emotional instability, hurting others, and self-mutilation are all related to the excessive secretion of adrenaline. Fortunately, the tumor has been identified, not in the adrenal gland, but in the retroperitoneum!"

Nie Chen sat at the desk with his legs crossed.

"This diagnosis is absolutely out of line." Yu Zhongcai clicked his tongue.

"So B-ultrasound can't see it, just do an operation and cut it out."

"En." Yu Zhongcai nodded: "Surgery can only solve the problem of her manic episodes, but it can't solve the problem of her husband's fear of marriage."

"Or, you are working hard to cure both of them."

Nie Chen rolled his eyes: "It's hard for an upright official to decide on housework. What am I, a doctor, messing around with?"

(End of this chapter)