Chapter 495: 【495】The result of the inspection shows that the diagnosis is correct

  Chapter 495 [495] The inspection results show that the diagnosis is correct

   "You can prescribe a doctor's order. I'll go to bed when I see nothing. You write the medical record yourself. I'll read it when I get up. After you write the medical record, go to bed with the kid." Sun Yubo explained to her.

  It's twelve o'clock, some people go to bed quickly, don't wait until the middle of the night and have no energy for rescue.

   took out a pen, and quickly issued a doctor's order for the extra bed and 49 beds, so that Teacher Sun could 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 problems, Xie Wanying can call him again and ask him to deal with it.

After teacher    left, Xie Wanying walked into the doctor's office to write an electronic medical record. Kakaka, her hands quickly tapped the keys on the keyboard. Don't print the finished medical records until Mr. Sun finishes reviewing them in the morning.

  The extra bed was sent for inspection and came back. I could hear the patient's sister in the corridor constantly nagging: "Yes, three young doctors. I thought Director Shen's arrangement would be better. How could I have come to the ward and see that the doctor above is younger than the doctor in the emergency department below. I I told them to give my brother pain relief first, but they didn't agree. My brother was in such pain, and he had to be sent for a checkup, saying that nothing could be done until the test results came back. Is my brother waiting to die?"

   When a doctor arranges a patient for an examination, it is called making the patient wait to die?

   The family's understanding is really like this: "If there is nothing wrong with this inspection, won't it hurt my brother to death?"

   Seeing that the patient came back, Xie Wanying got up from the office, walked to the nurse station and called the CT room to inquire about the situation. It was unpleasant because the ct room issued a paper report. At the same time, the patient had drawn blood in the emergency department before, and some nurses who could get the results urgently went to the laboratory to get it back. After making the phone call and checking the test results, Xie Wanying was sure that she and Ms. Sun were right in their judgment, that it was a hiatal hernia.

   In a normal human body, the thoracic cavity and the abdominal cavity are separated by a thin layer of muscle called the diaphragm. However, the esophagus needs to travel from the thoracic 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 hiatus.

  As the name suggests, a hiatal hernia is a problem with the hiatus of the esophagus. Generally, the stomach moves up from the hiatus and runs from the abdominal cavity to the thoracic cavity, which causes pain without squeezing other organs in the thoracic cavity. What is 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 blocked, the patient will vomit, and some organs may become necrotic. of.

   But now the patient's various indicators do not seem to be serious enough to require surgery. The symptoms of most patients with hiatal hernia can be managed conservatively. This patient is.

   According to the doctor's order that she discussed with Teacher Sun before, it can be implemented.

   The patient's sister stood in front of the nurse's station and asked the doctor, "What do you say? Does my brother need surgery? I heard from the doctor in the CT room that it is more serious."

   "No, fasting, gastrointestinal decompression, injections, and correction of electrolyte imbalance." Xie Wanying affirmed.

   "Is there no need for surgery since my brother sent you to surgery?" The patient's sister doubted, "It's better to do the surgery sooner, he's so painful, doctor."

"I explained it to you before. After finding out the cause of the pain and using the right treatment method, he won't be in pain." Xie Wanying reassured the patient's family, "You don't necessarily have to have surgery when you come to surgery. The need for surgery is definitely not going to be surgery.”

   (end of this chapter)