The patient is wailing.
Her voice is high and she has the charm of singing Peking Opera.
As soon as the nephrologist heard the wailing sound, he immediately rubbed his temples in pain.
"Lao You, can you please stop howling? I've told you that no matter how loud you scream, the pain will not be relieved. Instead, it will consume your own energy."
It's a pity that the patient doesn't care about this. The wailing sounds are louder than the last, and the magic sound fills the ears, making people feel dizzy.
Su Jie did not see the consultation sheet and did not know the patient's condition, so he looked at Li Minghui doubtfully.
Li Minghui explained: "The forearm is broken. Logically speaking, after such a long time, it should not hurt so much."
The nephrologist whispered at this time: "This patient is too pretentious. His pain threshold is extremely low. He usually yells when he gets an IV drip. This morning he hid in the toilet and smoked. When his family found him, he was shocked and his feet slipped.
, fell and broke his arm."
Most patients in the Department of Nephrology suffer from kidney failure, and a common complication of kidney failure is osteoporosis. Often, an inadvertent fall can cause severe fractures.
This patient is very lucky. He only has a fractured forearm. With manual reduction and plaster immobilization, he can recover with a high probability.
Lao You was still wailing heartbreakingly, especially when he saw three doctors in white coats walking in. His desire for expression seemed to be further aroused. The wailings became louder and louder, and Su Jie was actually able to get rid of them.
Hear some rhythm...
Move and hit again and again.
What a strange patient, Su Jie couldn't help but think to himself.
Li Minghui spent many years in the orthopedics department before working in the emergency department. He was no stranger to minor injuries such as distal radius fractures. He walked over and started checking the patient's condition.
But as soon as he touched the patient Lao You's arm, Lao You felt as if he had been stabbed, and his shrill scream frightened Li Minghui to death. He thought he had used too much force and broke the patient's arm again.
"You have to be patient for a while. How can I check you if you are like this?" Li Minghui said with a slight frown as he showed the aura of an emergency doctor.
"Doctor, it hurts me so much, I really can't stand it anymore." The patient, Lao You, was sitting on his home court, not caring about Li Minghui's momentum at all, and continued to wail.
At this time, the nephrologist couldn't help but said: "Old You, you can't bear it. You can't even bear the examination. I'll reset it for you later. What should you do?"
The patient, Lao You, grimaced and shook his head: "Do the surgery for me. It hurts too much. Go to the operating table and get anesthesia. This is how I cut my appendix before. I don't feel anything at all."
Li Minghui couldn't laugh or cry and said: "This is not a big problem for you. I just checked it out and found that it's just a fracture of the radius. All it takes is a manual reduction. I'll give you local anesthesia at most, so you don't need to go to the operating room at all."
Normal patients are afraid of the operating room and the operating table, but patient Lao You is obviously not an ordinary person. As soon as he heard that he did not need to go to the operating room and could not undergo general anesthesia, he immediately screamed very hard, as if he wanted to tell the doctors in decibels,
How much pain does he have now?
Li Minghui was at a loss. He couldn't touch this patient, so how could he treat him?
At this time, the nephrologist walked over and said, "Forget it, I'll call the orthopedics department later. They often face patients with this kind of fracture, and maybe there is a way."
Li Minghui curled his lips, not really agreeing with this statement: "I can also handle radius fractures, and the manual reduction is very difficult. The problem is that this patient in your department is too pretentious. He can't touch it, and no one can do it."
The nephrologist had been tortured by this magic sound for almost an afternoon. She was extremely irritable at this time. When she heard Li Minghui's complaint, she immediately said with a straight face: "Then what should I do? I really asked him to go to the operating room and put him under general anesthesia. This
Isn't this a joke?"
"That's not what I meant." Li Minghui smiled bitterly.
Su Jie has been listening silently, roughly understanding what happened, and at the same time feeling a little helpless to complain in his heart. MDT sounds very high-end, but he didn't expect it to be so unbearable in practice. The nephrologist obviously dislikes Li Minghui.
.
But after thinking about it for a moment, Su Jie can understand.
The inherent clinical thinking is that there are specialties in the field, and the emergency department should just do its job well in the emergency department, dealing with simple trauma, difficult emergency, and major rescue patients. For example, patients with more specialized skills should still be handled by specialists.
It is more appropriate to handle it.
Patients with fractures should be handled by orthopedic doctors, and you should not come over to join in the fun.
This may be the crux of the problem that the MDT model has not been implemented in China for so long.
The nephrologist's temples were so noisy by the patient's wailing that he rubbed his brows and wanted to leave the ward quickly. When the patient saw that three doctors had finally come, but no one gave him an accurate treatment plan, he immediately became unhappy.
, shouted:
"I've been falling for almost an hour and no one cares about me. Doctors, you can't leave. You have to give me an explanation!"
The nephrologist was also a little anxious, and there was a hint of gunfire in his words: "How can I give you a treatment plan if you don't even want to check it out for you?"
The patient was both aggrieved and angry: “Isn’t this painful?”
The nephrologist shook his head helplessly and said to Li Minghui: "You can figure it out. I'll call the orthopedics department."
Leave professional matters to professional doctors. In the final analysis, nephrologists still cannot trust the emergency department or MDT.
After saying that, he ignored Li Minghui and turned around and left.
Feeling ignored, Li Minghui felt a little embarrassed and said to Su Jie in embarrassment: "At the beginning of any great career, there will always be some small bumps. This is normal."
Su Jie gave the other party a roll of his eyes, and then walked straight to the patient who was still wailing.
When the patient saw Su Jie, who had been silent, walking over, he immediately turned up the decibel level again.
Su Jie didn't say anything, just took a stool and sat beside the bed, silently watching the patient Lao You wailing.
This lasted for three minutes.
After all, the patient, Lao You, had never studied Peking Opera. He did not rely on his breath, but relied solely on his voice to produce high notes. After a few minutes, he became unbearable and his voice gradually weakened.
Only then did Su Jie say crisply: "Let Dr. Li from our department examine you carefully. I will give you local anesthesia later to ensure that there is no pain during the reset. How about that?"
The patient, Lao You, had used too much force before and now his voice was hoarse. He doubted: "Local anesthesia...can local anesthesia work? Will it still be very painful?"
"I will give you a nerve block anesthesia, which is similar to general anesthesia, but more precise and guaranteed to be painless at all." Su Jie promised confidently.
The patient Lao You looked at Su Jie's eyes exposed outside the mask, which were bright, clear and confident, and he felt a sense of trust in the young doctor for no reason.
What's more, he has been yelling for more than an hour, and he is actually very tired. From the tone of the nephrologist just now, it seems that the possibility of going to the operating room for general anesthesia is really low, and there will be nothing good to gain if he continues to make trouble...
…
After weighing the pros and cons and thinking for a moment, he said:
"Then please be gentle. I'm really in pain. If local anesthesia doesn't work, you have to help me talk to the operating room. Special patients should also be treated specially."
Su Jie nodded and winked at Li Minghui. Li Minghui immediately understood and walked forward to check the radial fracture.
Chapter completed!