【495】The result of the inspection shows that the diagnosis is correct
"You write the doctor's order. I checked and I went to bed. You write the medical record yourself. I will read it after I get up. After you finish writing the medical record, go to bed with that kid." Sun Yubo told her.
It's 12 o'clock. If you are asleep, go to bed quickly. Don't wait until midnight when you lose energy to rescue.
He took out his pen and quickly wrote a medical order for the extra bed and bed 49, and asked Teacher Sun to review it. 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 questions, Xie Wanying can call again. Call him and ask him to get up and take care of it.
After the teacher left, Xie Wanying walked into the doctor's office to write the electronic medical record. Click, click, click, her hands quickly hit the keys on the keyboard. She did not print the completed medical record until Teacher Sun had reviewed it in the morning.
The person with the extra bed came back after being sent for examination. You can hear the patient's sister in the corridor constantly nagging: "Yes, three young doctors. I thought Director Shen's arrangement would be better. I didn't expect to come to the ward and see above. The doctor was younger than the doctor in the emergency room below. I told them to give my brother pain relief first, but they didn’t agree. My brother was in so much pain that he had to be sent for a check-up, and they said nothing could be done until the check results came out. Do it. Oh my God, isn’t this just leaving my brother to die?”
When a doctor arranges a patient for examination, is that called leaving the patient to die?
The understanding of the family members is this: "If nothing is wrong with this examination, won't it cause my brother to die of pain?"
Seeing that the patient was back, Xie Wanying got up from the office and walked to the nurse's station to call the CT room to inquire about the situation. Because the CT room was not quick to issue paper reports. At the same time, the patient had blood drawn in the emergency department before, and some tests could provide urgent results. The nurse went to the laboratory department and got it back. After making the call and checking the test results, Xie Wanying confirmed that she and Teacher Sun were right, it was a hiatal hernia.
In a normal human body, the chest and abdominal cavities are separated by a thin layer of muscle, called the diaphragm. However, the esophagus needs to travel from the chest cavity to the abdominal cavity to connect to the stomach, so there is a physiological hole in the diaphragm for the esophagus to pass through, called the esophageal hiatus.
As the name suggests, hiatal hernia is a problem with the esophageal hiatus. Generally, the stomach moves upward from the hiatus and runs from the abdominal cavity to the chest cavity. This does not squeeze other organs in the chest cavity and causes pain. What is even more frightening is that the stomach If it gets stuck in the hole, the stomach and esophagus will suffer together, which is called incarceration. If it is serious, the esophagus, stomach, and duodenum will become blocked, the patient will vomit, and some organs may become necrotic.
However, the current indicators of this patient do not seem to be serious enough to require surgery. The symptoms of most patients with hiatal hernia can be treated conservatively. This patient is.
Just follow the medical advice she had discussed with Teacher Sun before.
The patient's sister stood in front of the nurse's station and asked the doctor: "What should I say? Does my brother need surgery? I heard the doctor in the CT room said it is more serious."
"No, fasting, gastrointestinal decompression, injections, and correction of electrolyte imbalance." Xie Wanying said affirmatively.
"My brother has been sent to your surgery. Doesn't he need surgery?" the patient's sister said doubtfully. "It would be quicker to have surgery. He's in so much pain, doctor."
"I have explained to you before that once the cause of the pain is identified and the right treatment is used, it will not hurt anymore." Xie Wanying reassured the patient's family, "It is not necessary to have surgery when you come to the surgery. Some patients do not have this option after investigation. I will definitely not do surgery if it is necessary.”
