Chapter 135 mental patients
Huang Haitao gave the correct answer when he saw Chen Qun. Then he looked at the young couple waiting in the ward from a distance across the ward, and finally sighed.
"The disease is very simple, but it's a technical skill to explain the patient clearly. I'll invite Dr. Sun from the obstetrics and gynecology department to come here. You'll learn how to communicate with patients
Chen Qun and several other young people listened to it, and then they understood why Mr. Huang suddenly took them to deal with this special situation today.
Otherwise, if you think about it, when a pregnant woman with a big belly walks into the hospital, you say that there is no baby in her stomach. It's a big blow just for pregnant women. It's also very common for family members and various reasons to make big trouble.
Dr. Li, who was invited by Huang Haitao this time, is a 60 year old woman with a kind face. Her gray hair adds a trace of time to her. After listening to several students' explanations, I immediately understood the difficulty of this special situation.
After thinking about it, Dr. Li called the girl Qi Hong and walked into the ward together to explain this rare special situation for the patient. As for a few men around, they were all pushed aside to prevent them from getting in the way and causing other more intense conflicts.
After 40 or 50 minutes of communication, Dr. Li beamed at the couple and transferred the patient to the Department of Obstetrics and gynecology. First, he did some physical examination for the pregnant woman, and then discharged after a day or two of rest.
As for this result, Chen Qun Cai saw the huge difference between large hospitals and small hospitals. If they were replaced by the county hospital, they would comfort the pregnant woman and let her go home. If the tone was not good, they would also let her go to see her mental state.
Dr. Li Qinli, an expert doctor in obstetrics and Gynecology, perfectly explained the causes and consequences of the patient's pseudo pregnancy purely from the patient's physiological state, and gave a proper treatment plan and follow-up plan, which made the two young couples with sad faces smile, and did not notice the middle problem at all.
It seems that a good doctor is also an excellent psychologist. Chen Qun thinks that if he encounters this kind of thing, he is likely to quarrel with the patient's family members at this time, and finally end up in a bad mood.
Just as the group was taking the patient out of the emergency center, an ambulance suddenly stopped by the side door. A noisy woman was yelling: "get rid of these mice, don't climb on me, get rid of these mice, don't climb on me!"
They heard and saw clearly. In the bright sunlight, where was the mouse on her? What's more, the woman dressed as an urban white-collar has a bleak face and a frightened face, which is quite different from the ordinary mental patients.
As soon as the talent was pushed out of the ambulance, many people came to watch.
Huang Haitao took a look at it and immediately waved to several hens, "don't you come here to help, so that you don't have anything to do all day long! Lao Zhang, are you going to take the patient or am I going to take it
The last sentence was said to a group of medical staff who were standing at the door.
At the head, a male doctor, who was like a bamboo pole, waved his hand and laughed and scolded, "you're going to take away all the people, and you have to ask hypocritically who is in charge? Thanks for your good intentions, the patient will be handed over to you. You owe me one. "
Huang Haitao nodded, took the medical record from the ambulance staff and recited it.
"Liang Li, 31 years old, is paranoid and manic, with a tear in her arm. What's the next step? I'll give you five ten seconds. "
"IV four milligrams of risperidone!"
"Give the patient diazepam!"
"Tranquilizers first!"
"Anesthetics for emergencies!"
……
Huang Haitao showed a disappointed expression, shook his head, and said aloud, "olanzapine 5 mg, benazepam 50 mg, lorazepam 2 mg, direct injection!"
While talking, looking at the nurse holding the syringe, she hesitated and did not dare to start. She snatched the syringe and stuffed it into Chen Qun's hands. "Shoulder injection, everyone hold the patient!"
Chen Qun didn't think much about it. He picked up the syringe, clamped the patient's dancing arm in his chest with his left hand, and then fixed it. His right hand stabbed it with a needle, pushing the medicine into the patient's small arm vein.
Blinking, dancing and roaring patients, settle down.
Huang Haitao's eyes lit up, but he saw the simple name of Chen Qun.
The boy had learned the orthopedic technique and practiced a lot, so that he could firmly grasp the patient and easily inject the needle water into the patient's small arm vein. Strength is also very big, far less than he showed as weak.Huang Haitao, who has been pressing on the patient's other arm, certainly knows how much strength the patient's arm swings around. He can hold the patient's arm like an iron hoop. Although he has used a little wrestling and catching technique, he can't hold the patient without any strength.
In the twinkling of an eye, the patient was placed, and all kinds of instruments were linked to the patient. When it was running, the readings looked very normal.
Huang Haitao clapped his hand and began to instruct several students, "well, now the patient has a good response to olanzapine. What should we do next? Which directions should we check? The new Xiao Chen, you are really proficient in using anesthetics. I don't know how many times you have practiced. Just answer first. "
As soon as these words came out, several pairs of big white eyes immediately appeared around Chen Qun.
Chen Qun thought about it and pointed to the electronic screen.
"The patient's temperature is a little bit high, it should be a low fever, but just now he showed hallucination, and he has been beating non-existent mice with his hands. It's supposed to be a combination of vision and hearing. If auditory hallucination is a manifestation of mental abnormality, then visual hallucination should be considered as an organic abnormality, which is caused by physiological reasons. "
Huang Haitao stares at him and says, "maybe he drank too much, or ate some wild bacteria to hallucinate! The more you think about it, the more ideas you have. Another person will answer, Xiao Qi, what's your opinion? "
Qi Hong's big eyes turned twice and said with a little hesitation, "I want to check the patient's plasma ceruloplasmin level. Of course, for the sake of safety, I also need to do a fluorescence spirochete antibody absorption test, and then carry out the poison test, blood test, nuclear magnetic resonance imaging and electroencephalogram..."
Huang Haitao clapped his hands and began to laugh, "The hospital needs you to be a good employee who can generate income. A set of inspection has been done, and one year's salary is gone! Next, Xiaotie, you can diagnose... "
Niu gaomada's Iron Army rarely saw Qi Hong eat shriveled, immediately expressed himself, "I think the first thing is to unlock the patient's mobile phone, find her relatives and friends, first ask about the situation, we'll talk about the detection and diagnosis."
"Good, no more patients! Next, Zhou Lin, you'll make a diagnosis. "
"The possibility of epilepsy should be ruled out first, and the drug test and blood test should be carried out at the same time."
"You are stupid to read! Which company will find an epileptic employee? Next
Chen Qun looks at Huang Haitao and knows that there is no wrong nickname in the world. Huang Shiren is really cruel and ruthless. When he trains them, he doesn't give them any face.
However, what he said is really reasonable, and his medical skills are not generally brilliant. No wonder he is responsible for leading a group of top students around the hospital.