"You write the prescription. I've checked it and it's all fine, so I'm going to sleep. You write the medical record yourself. I'll get up and take a look. After you finish writing the medical record, go to sleep with that kid." Sun Yubo told her.
It's twelve o'clock, go to bed if you want, don't wait until midnight when you will be too exhausted to deal with the emergency.
He took out a pen and quickly wrote out medical orders for the extra bed and bed 49, asking Teacher Sun to review them. No problem. Sun Yubo went back to the lounge to sleep first, giving the students a chance to exercise their independence. If there are other problems, Xie Wanying can call him again and ask him to get up and deal with them.
After the teacher left, Xie Wanying went into the doctor's office to write the electronic medical record. Click, click, click, her hands quickly tapped the keys on the keyboard. Don’t print out the finished medical record yet. Wait until Teacher Sun finishes reviewing it in the morning.
The extra bed was sent for inspection and came back. The patient's sister can be heard in the corridor constantly nagging: "Yes, three young doctors. I thought Director Shen's arrangement would be better. Who would have thought that when I arrived at the ward, the doctors upstairs were younger than the doctors in the emergency room downstairs. I told them to relieve my brother's pain first, but they disagreed. My brother was in so much pain, but he had to be sent for examination, and they said nothing could be done before the test results came out. My God, isn't this just waiting for my brother to die?"
Is it true that a doctor arranges for a patient to undergo a checkup and lets the patient wait to die?
The family members really understood it this way: "If this examination doesn't find anything wrong, won't it make my brother die of pain?"
Seeing the patient coming back, Xie Wanying got up from the office, walked to the nurse station and called the CT room to inquire about the situation. Because the CT room is not quick to produce paper reports. At the same time, the patient had previously had blood drawn in the emergency room, and the nurse ran to the laboratory to retrieve some test reports that could produce urgent results. After making the call and checking the test results, Xie Wanying confirmed that her and Teacher Sun's judgment was correct, it was a hiatal hernia.
In a normal human body, the chest cavity and abdominal cavity are separated by a thin layer of muscle called the diaphragm. However, the esophagus needs to go from the chest cavity to the abdominal cavity to connect to the stomach, so there is a physiological hole on the diaphragm for the esophagus to pass through called the esophageal hiatus.
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As the name suggests, hiatal hernia is a problem with the esophageal hiatus. Generally, the stomach moves upward through the hiatus and from the abdominal cavity to the chest cavity, which squeezes other organs in the chest cavity and causes pain. What's even more frightening is that if the stomach is stuck in the hole, the stomach and esophagus will suffer together, which is called incarceration. In severe cases, the esophagus, stomach, and duodenum will become congested and the patient will vomit, and some organs may even be necrotic.
However, the patient's current indicators do not seem to be serious enough to require surgery. Most patients with hiatal hernia can be treated conservatively. This patient is.
Just follow the doctor's instructions that she had discussed with Teacher Sun before.
The patient's sister stood in front of the nurse's station and asked the doctor: "What's going on? Does my brother need surgery? I heard from the doctor in the CT room that it's quite serious."
"No need. Fasting, gastrointestinal decompression, injections, and correction of electrolyte imbalance." Xie Wanying said affirmatively.
"My brother is here in your surgery department. Doesn't he need surgery?" The patient's sister was suspicious. "He will get better faster if he has surgery. He's in so much pain, doctor."
"I've explained this to you before. Once the cause of the pain is identified and the right treatment is used, the pain will go away." Xie Wanying comforted the patient's family, "It's not necessary to have surgery when you come to the surgery department. Some patients will definitely not have surgery if they find out they don't need it."
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