Rebirth 90: I opened a hospital in Shencheng
Chapter 585 Orthopedics can also top!
Chapter 585 Orthopedics can also top!
"be careful."
After Nie Chen finished speaking, he put on his gloves and helped the patient up.
Wei Ting opened the medical box and prepared to bandage the patient's wrist.
"The wound is not deep, the bleeding is not much, and there is no need for stitches. You put on gloves, help her clean the wound, and then bandage it."
Wei Ting nodded: "Okay."
Nie Chen put the patient down on the sofa, and then said to Lin Xuan: "Prepare normal saline, it is recommended to open the veins."
"Okay!" Lin Xuan replied.
Venous dredging is a medical term. Simply put, it means giving patients infusions, drips, and needles.
Because the patient has AIDS, be extra careful when bandaging the wound.
The reason why Nie Chen asked Wei Ting to wear gloves was because the patient was already bleeding. If the patient suddenly struggled and scratched his hand while bandaging the wound, it would be dangerous!
Therefore, doctors should not be lax when dealing with any disease.
"What's the blood pressure?"
"90~70" Lin Xuan replied.
The patient had obvious pinholes and bruises on her right arm, purple lines around her face and mouth, and thick dark circles under her eyes, which indicated that she was indeed quitting...because she was enduring great pain.
Wei Ting asked, "Sent to the hospital?"
Nie Chen shook his head: "No, it's not necessary."
Wei Ting glanced at it strangely, and finally nodded.
Because she remembered the patient's family situation.
Their situation does not allow them to go to the hospital anymore because they really have no money.
"Haihong just feels uncomfortable. You can see that all the things that can be smashed at home have been smashed." Aunt Zhao said.
Nie Chen asked, "Did you smoke today?"
"No, it's all my fault that I didn't hide the mirror frame properly. When she saw her appearance, she smashed the glass directly."
"It's not about cutting your wrists, is it?" Nie Chen asked.
Aunt Zhao said: "No, I came back from shopping and saw that her wrist was cut and there was blood. I thought it was a wrist cut..."
Nie Chen nodded and said, "It doesn't matter if you cut it yourself, at least there is still hope of living."
"Doctor Nie, I'm bothering you again." Aunt Zhao said embarrassedly.
In fact, looking at her appearance, both Wei Ting and Lin Xuan felt very uncomfortable. After all, when encountering such a thing, everyone is very desperate and painful.
So, be sure to stay away from drugs!
This thing is not a good thing.
After the infusion was given, Nie Chen and the others left.
Back to the emergency department.
It was past four o'clock.
Lin Xiaoxiao found him.
Hastily tugged at him and said, "Doctor Nie, there is a patient here..."
Nie Chen asked, "What's wrong?"
"A patient had a broken leg and a swollen ankle, which looked serious," Lin Xiaoxiao described.
Nie Chen said, "Then why don't you let the orthopedic department come for consultation?"
"The orthopedics department said that their director is on the operating table, and the rest of the doctors have patients in their hands. If they want to see a doctor, they have to be sent back there. But the patient is in pain now. Even if they pass, they have to wait for the orthopedics department to finish their work before they can be checked."
After Lin Xiaoxiao finished explaining, Nie Chen nodded.
In other words, the orthopedics department is very busy today, and there are no doctors available for consultation.
This also shows the lack of medical personnel in the hospital.
"Let's go, I'll go take a look."
Lin Xiaoxiao brought Nie Chen to the disposal room.
The patient was sitting on an examination table with injuries to both legs.
The ankle of the left leg was swollen and the calf of the right was congested.
"Doctor, please show me quickly." The patient's family members said hurriedly when they saw Nie Chen in a white coat coming in.
Nie Chen nodded and asked, "How did you do it?"
The patient bared his teeth in pain, unable to speak.
The family members said: "Playing football, isn't it a bit colder? Their coach finds a wild team to train with them. During the training process, when the opponent's player attacks the goal, he goes up to tackle the ball and directly asks someone to give his leg to the goal." It hurt you, look it's swollen!"
"Okay, let me take a look."
Nie Chen asked the patient to sit on the examination bed, and said to Lin Xiaoxiao, "Take a cushion to lean on, so it will be more comfortable."
"Doctor, can I still play football?" the patient asked through gritted teeth.
Nie Chen looked up at him. He was a young man with short hair and looked energetic.
"I definitely can't kick it for the time being." Nie Chen replied.
"Then, what about after that? I'm cured, can I still play?" the patient asked anxiously.
Seems eager to hear an answer.
Unfortunately, the result Nie Chen gave was ambiguous, and he said, "I don't know for now, you have to wait for me to check."
Lin Xiaoxiao took the cushion and placed it behind the patient's waist, which could relieve blood circulation. Otherwise, the patient would sit for a long time, which would easily cause the injured leg and the blood circulation would not be smooth.
"Come on, put your legs on the bed."
The patient took a deep breath, gritted his teeth, and with Nie Chen's help, he put his legs on the bed with difficulty.
His entire right calf was very congested, with obvious stampede marks.
Because there are several nails under the football shoes, the purpose is to enhance the friction on the lawn.
"Are you conscious?" Nie Chen pressed lightly.
"Yes, it hurts, doctor, don't press it, it really hurts." The patient winked and grinned, the pain was unbearable
Nie Chen nodded and let go of his hand, looking at his left ankle. This position is very prone to injuries, such as sprains while wearing high heels.
"Does it hurt?"
"pain!"
"Lin Xiaoxiao, find a wheelchair and send him to take a film."
"it is good."
The patient's family asked anxiously, "Doctor, how is my son?"
"At present, it seems that the left ankle is sprained, showing signs of bone fracture, and the right calf is fractured, which may have deviated, resulting in congestion of the right calf." Nie Chen said
"How long will it take to recover?"
Nie Chen said: "His right calf bone has been skewed for a hundred days, and he needs to rest for a while."
"Ten days?"
"That is to say, it needs to be raised. It won't get better in a short time, and after it gets better, it needs to do rehabilitation training."
"Doctor, can I still play football?" the patient said in pain.
Nie Chen said: "If you recover well and live a normal life, strenuous exercise should still be avoided."
"what?"
"The patient is young, just a teenager, so he is currently developing, and even if the fracture recovers quickly, but because he is developing, more attention should be paid."
"Doctor Nie. The wheelchair is here." Lin Xiaoxiao pushed open the door and walked in.
Nie Chen nodded and said, "Let's take a film first."
"Thank you doctor!"
The patient's condition seemed to be more serious than what Nie Chen said just now, because the patient kept crying for pain, so he didn't touch the bone with heavy hands, so he couldn't judge what the right calf bone looked like.
Therefore, we can only make a diagnosis by filming.
This young patient is direct violence!The fracture of a certain part due to external force is often accompanied by different degrees of soft tissue damage!
After Nie Chen got the patient's film, he put it on the lamp wall for self-study.
It was found that the continuity of the patient's right calf was completely interrupted and fractured, and the partial separation caused a backlog of leg muscles and blood vessels, which is why the serious congestion!
But there is no need for surgery, because it is more beneficial to the patient's recovery to restore the bone by manipulation.
The left ankle is much worse, only a slight bone fracture, and the swelling is caused by a sprained ligament.
(End of this chapter)
"be careful."
After Nie Chen finished speaking, he put on his gloves and helped the patient up.
Wei Ting opened the medical box and prepared to bandage the patient's wrist.
"The wound is not deep, the bleeding is not much, and there is no need for stitches. You put on gloves, help her clean the wound, and then bandage it."
Wei Ting nodded: "Okay."
Nie Chen put the patient down on the sofa, and then said to Lin Xuan: "Prepare normal saline, it is recommended to open the veins."
"Okay!" Lin Xuan replied.
Venous dredging is a medical term. Simply put, it means giving patients infusions, drips, and needles.
Because the patient has AIDS, be extra careful when bandaging the wound.
The reason why Nie Chen asked Wei Ting to wear gloves was because the patient was already bleeding. If the patient suddenly struggled and scratched his hand while bandaging the wound, it would be dangerous!
Therefore, doctors should not be lax when dealing with any disease.
"What's the blood pressure?"
"90~70" Lin Xuan replied.
The patient had obvious pinholes and bruises on her right arm, purple lines around her face and mouth, and thick dark circles under her eyes, which indicated that she was indeed quitting...because she was enduring great pain.
Wei Ting asked, "Sent to the hospital?"
Nie Chen shook his head: "No, it's not necessary."
Wei Ting glanced at it strangely, and finally nodded.
Because she remembered the patient's family situation.
Their situation does not allow them to go to the hospital anymore because they really have no money.
"Haihong just feels uncomfortable. You can see that all the things that can be smashed at home have been smashed." Aunt Zhao said.
Nie Chen asked, "Did you smoke today?"
"No, it's all my fault that I didn't hide the mirror frame properly. When she saw her appearance, she smashed the glass directly."
"It's not about cutting your wrists, is it?" Nie Chen asked.
Aunt Zhao said: "No, I came back from shopping and saw that her wrist was cut and there was blood. I thought it was a wrist cut..."
Nie Chen nodded and said, "It doesn't matter if you cut it yourself, at least there is still hope of living."
"Doctor Nie, I'm bothering you again." Aunt Zhao said embarrassedly.
In fact, looking at her appearance, both Wei Ting and Lin Xuan felt very uncomfortable. After all, when encountering such a thing, everyone is very desperate and painful.
So, be sure to stay away from drugs!
This thing is not a good thing.
After the infusion was given, Nie Chen and the others left.
Back to the emergency department.
It was past four o'clock.
Lin Xiaoxiao found him.
Hastily tugged at him and said, "Doctor Nie, there is a patient here..."
Nie Chen asked, "What's wrong?"
"A patient had a broken leg and a swollen ankle, which looked serious," Lin Xiaoxiao described.
Nie Chen said, "Then why don't you let the orthopedic department come for consultation?"
"The orthopedics department said that their director is on the operating table, and the rest of the doctors have patients in their hands. If they want to see a doctor, they have to be sent back there. But the patient is in pain now. Even if they pass, they have to wait for the orthopedics department to finish their work before they can be checked."
After Lin Xiaoxiao finished explaining, Nie Chen nodded.
In other words, the orthopedics department is very busy today, and there are no doctors available for consultation.
This also shows the lack of medical personnel in the hospital.
"Let's go, I'll go take a look."
Lin Xiaoxiao brought Nie Chen to the disposal room.
The patient was sitting on an examination table with injuries to both legs.
The ankle of the left leg was swollen and the calf of the right was congested.
"Doctor, please show me quickly." The patient's family members said hurriedly when they saw Nie Chen in a white coat coming in.
Nie Chen nodded and asked, "How did you do it?"
The patient bared his teeth in pain, unable to speak.
The family members said: "Playing football, isn't it a bit colder? Their coach finds a wild team to train with them. During the training process, when the opponent's player attacks the goal, he goes up to tackle the ball and directly asks someone to give his leg to the goal." It hurt you, look it's swollen!"
"Okay, let me take a look."
Nie Chen asked the patient to sit on the examination bed, and said to Lin Xiaoxiao, "Take a cushion to lean on, so it will be more comfortable."
"Doctor, can I still play football?" the patient asked through gritted teeth.
Nie Chen looked up at him. He was a young man with short hair and looked energetic.
"I definitely can't kick it for the time being." Nie Chen replied.
"Then, what about after that? I'm cured, can I still play?" the patient asked anxiously.
Seems eager to hear an answer.
Unfortunately, the result Nie Chen gave was ambiguous, and he said, "I don't know for now, you have to wait for me to check."
Lin Xiaoxiao took the cushion and placed it behind the patient's waist, which could relieve blood circulation. Otherwise, the patient would sit for a long time, which would easily cause the injured leg and the blood circulation would not be smooth.
"Come on, put your legs on the bed."
The patient took a deep breath, gritted his teeth, and with Nie Chen's help, he put his legs on the bed with difficulty.
His entire right calf was very congested, with obvious stampede marks.
Because there are several nails under the football shoes, the purpose is to enhance the friction on the lawn.
"Are you conscious?" Nie Chen pressed lightly.
"Yes, it hurts, doctor, don't press it, it really hurts." The patient winked and grinned, the pain was unbearable
Nie Chen nodded and let go of his hand, looking at his left ankle. This position is very prone to injuries, such as sprains while wearing high heels.
"Does it hurt?"
"pain!"
"Lin Xiaoxiao, find a wheelchair and send him to take a film."
"it is good."
The patient's family asked anxiously, "Doctor, how is my son?"
"At present, it seems that the left ankle is sprained, showing signs of bone fracture, and the right calf is fractured, which may have deviated, resulting in congestion of the right calf." Nie Chen said
"How long will it take to recover?"
Nie Chen said: "His right calf bone has been skewed for a hundred days, and he needs to rest for a while."
"Ten days?"
"That is to say, it needs to be raised. It won't get better in a short time, and after it gets better, it needs to do rehabilitation training."
"Doctor, can I still play football?" the patient said in pain.
Nie Chen said: "If you recover well and live a normal life, strenuous exercise should still be avoided."
"what?"
"The patient is young, just a teenager, so he is currently developing, and even if the fracture recovers quickly, but because he is developing, more attention should be paid."
"Doctor Nie. The wheelchair is here." Lin Xiaoxiao pushed open the door and walked in.
Nie Chen nodded and said, "Let's take a film first."
"Thank you doctor!"
The patient's condition seemed to be more serious than what Nie Chen said just now, because the patient kept crying for pain, so he didn't touch the bone with heavy hands, so he couldn't judge what the right calf bone looked like.
Therefore, we can only make a diagnosis by filming.
This young patient is direct violence!The fracture of a certain part due to external force is often accompanied by different degrees of soft tissue damage!
After Nie Chen got the patient's film, he put it on the lamp wall for self-study.
It was found that the continuity of the patient's right calf was completely interrupted and fractured, and the partial separation caused a backlog of leg muscles and blood vessels, which is why the serious congestion!
But there is no need for surgery, because it is more beneficial to the patient's recovery to restore the bone by manipulation.
The left ankle is much worse, only a slight bone fracture, and the swelling is caused by a sprained ligament.
(End of this chapter)
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