Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Therefore, the conditions for prescribing this medicine were stated, and the man was allowed to figure out a way by himself.

Anyway, he definitely can't prescribe this medicine.

The thin man stared at Lin Yi twice, bit his lip, thought for a while, picked up the medical card and left without saying a word.

Looking at him like this, without even an explanation, I'm afraid the possibility of being an addict is very high.

For a person like him, no matter which hospital he goes to, it is impossible to prescribe this kind of medicine.

After Lin Yi saw a few more patients.

The patient who had a stomachache before came to the consulting room with his hands on his stomach and the film.

Lin Yi found that the man's expression was really painful, but he showed an embarrassing expression.

He lowered his head, not daring to look into Lin Yi's eyes, but silently handed the film to him.

After Lin Yi put the CT film on the viewing light, his eyes immediately widened.

This... what's going on!

This guy is too good at playing!

On the CT film, there was a long strip-shaped object in the descending colon of the man's left lower abdomen.

I saw this object, about thirty to forty centimeters long, with a pointed head and a thin tail, which looked like a snake.

In an instant, Lin Yi thought of a creature in the water, and that was the rice field eel!

Suddenly, Lin Yi understood everything!
Why did this man prescribe laxatives as soon as he came in, without mentioning the cause?
And after the inspection, he showed an embarrassed look, and he hesitated between words.

It turns out that the root of everything is here!
It got the eel in from below!
will play!

It was an eye-opener!

Lin Yi looked at the eel-like object in the man's colon, and was speechless for a while.

However, as a doctor, his profession must respect the privacy of patients.

Lin Yi calmed down his emotions, straightened his face, and made himself look serious.

"Did you see that your stomach hurts, which is caused by this thing in your stomach. You have to explain what it is and how it got in? We can study the next treatment plan for you."

Seeing that his affairs were completely exposed, the man could no longer hide it.

Besides, his stomach hurts really badly, if he doesn't solve it in time, he's afraid it will kill him.

Then he hesitated and said:

"Doctor, here's the thing. I bought a few rice field eels at the vegetable market. I wanted to cook them and put them in the bathroom to soak."

"Who knew that when I was defecating in the toilet, the eel jumped out and went straight into me..."

"I feel embarrassed, so I dare not tell you. I just want to take some laxatives and pull it out."

"Doctor, don't believe it. What I said is true. It really got in by itself."

What a talent you are!

I believe you are to blame!
Lin Yi couldn't help giving this man a thumbs up in his heart.

His reason is really high-sounding!
Am I a fool?

If the eel does not drill into a good sewer, it will drill into yours? !

Is there a female eel in yours?

Lin Yi had no choice but to endure, not to expose the man's lies.

"You see, if you tell me earlier, what's your situation, you don't have to suffer these hours of pain in vain."

"The vitality of the rice field eel is very tenacious. I don't know if it is still alive in your intestine. I suggest you perform an operation immediately to take out the rice field eel."

"Otherwise, if you drill your intestines and cause abdominal infection, it will be life-threatening."

The man's already painful face became even more distorted.

"Doctor, do I need an operation?"

According to his idea, just take some strong laxatives to have diarrhea, and just pull out the rice field eel.

The less people know about embarrassing things like him, the better.

If an operation is performed, more doctors will know about his embarrassment.

He really didn't want to face so many people!
Lin Yi shook his head.

"At present, your intestines should not be broken. You don't need an open surgery. Instead, you need to go to the endoscopy department for a colonoscopy to take out the rice field eel."

"However, you must go through hospitalization procedures. I will transfer you to the gastroenterology department now and arrange colonoscopy surgery for you as soon as possible."

When he heard that he had to be hospitalized for the operation, the man was so sad that he had to go through the hospitalization procedures.

His stomach is really hurting badly now, and he is also very worried about the eel, biting a hole in his intestines.

If you risk your life just for a moment of excitement, it's not worth it.

If you are ashamed, you can be ashamed, it is more important to save your life!
The man clutched his stomach, lowered his head, and hurried to the gastroenterology department.

When the man walked away, Lin Yi closed the door of the consulting room and couldn't help shaking his head.

"This man is really good at playing. He almost lost his life playing."

Lin Yi had heard before that some people would use all kinds of things to find excitement.

But today I really saw it.

Lin Yi couldn't say anything about this kind of people, after all, they didn't break the law.

Just as Lin Yao picked up his water glass and was about to drink, there was a sudden commotion outside.

"Doctor, doctor, what's wrong with my wife?"

Lin Yi rushed out of the ward in a hurry.

I saw a female patient sitting on the floor of the emergency room, with her mouth open, panting heavily, with a terrified expression.

Lin Yi hurried over, picked her up, and carried her back to the hospital bed next to her.

At this time, Wu Jiang, Yin Liang and others had already heard the news.

A group of trainee doctors and interns were stunned when they saw this situation.

This patient is called Huang Shuang, who was just seen by them, and was discharged from the hospital just now.

But why did he suddenly have difficulty breathing as soon as he left the ward?

The nurse has connected Huang Shuang with oxygen.

But she was still panting with her mouth wide open, her face was painful, and her head was profusely sweating.

Standing aside, Wu Jiang and Yin Liang frowned, not knowing why.

They are all familiar with this patient's condition!
He was already discharged from the hospital, why did he suddenly become like this?

Should not be!

The drugs that Huang Shuang took were not very toxic at all.

Besides, it has already been metabolized, so there will be no such complications!

Zhou Chao also rushed over, and after learning about the situation in detail, he also frowned.

"Look, the patient has obvious inspiratory dyspnea, has three concave signs, and the blood oxygen saturation is not high"

"This must be a problem with the large airway. If it doesn't work, re-intubate her, and then do a lung CT to rule out pulmonary embolism!"

Yin Liang and Wu Jiang also had to nod their heads.

Even though Yin Liang has been working for several years, he has never seen such a situation.

In his cognition, the patient was fine, why did he suddenly have difficulty breathing?
Even if Zhou Chao suspected that the patient had pulmonary embolism, in Yin Liang's heart, he did not particularly agree.

After all, the patient's condition was not serious, and he was completely cured within three days after coming to their hospital.

There was no lower extremity venous thrombosis, so why did pulmonary embolism occur?

It's not in line with common sense!

But the patient's situation was so sudden that any doctor was caught off guard.

For a while, I couldn't think of the reason why the patient had sudden dyspnea.

Just when several doctors were frowning and thinking about the cause.

The frequency of Huang Shuang's breathing with his mouth open has dropped significantly, and his blood pressure has also become shock blood pressure!
"The patient is about to stop breathing, hurry! Emergency intubation!"

Wu Jiang yelled and prepared to intubate the patient.

Huang Shuang's breathing seemed to stop soon.

And her face had almost turned purple.

Is caused by obvious hypoxia.

Several doctors suddenly panicked.

He hurriedly cooperated with Wu Jiang and prepared to intubate Huang Shuang.

Otherwise, once her breathing stops, it will cause ischemia and hypoxia damage to the brain.

Although Wu Jiang has not yet clarified the cause of Huang Shuang's dyspnea, the current goal is to intubate the trachea immediately and put him on a ventilator.

When Lin Yigang put Huang Shuang on the hospital bed, he was puzzled for a moment when he saw her breathing hard.

He thought about various causes in his mind, but he couldn't give a definite explanation.

Why does Huang Shuang appear, inspiratory dyspnea.

Inspiratory dyspnea combined with three concave signs, usually due to airway obstruction, laryngeal edema, etc., are the most common causes.

The most common cause of airway obstruction is the inhalation of a foreign body.

And Huang Shuang has no experience of inhaling foreign objects, so this reason can be ruled out.

As for laryngeal edema, the possibility of this cause is also very small.

Don't forget that before she was discharged from the hospital, she had undergone detailed examinations in all aspects, and everything was normal.

Therefore, the reason for this sudden inspiratory dyspnea for a while is really puzzling.

This period of time seems to be very long, but it is actually very short, only about 1 minute.

There should be a foreign body in the trachea!

Seeing that Wu Jiang picked up the video laryngoscope and was about to intubate Huang Shuang, who was in great pain, Lin Yi hurriedly stopped him.

"Wait a minute, don't intubate yet!"

While speaking, Lin Yi hurriedly jumped on the hospital bed.

Then straddle the patient on both sides, place the palms of both hands above the navel of the patient, and press forward and downward with the heels of the palms suddenly.

Seeing Lin Yi's actions, everyone understood that he was performing the Heimlich first aid method on the patient.

"Did the patient inhale a foreign object? Impossible! The patient just walked out of the ward, and the family members also confirmed that there was nothing in her mouth. How could there be a foreign object in the trachea?"

All the doctors present had the same thought.

The prerequisite for a foreign body in the trachea is that there is something in the mouth that is accidentally sucked into the trachea.

But there was obviously nothing in the patient's mouth.

There is no possibility of aspiration at all, why would Lin Yi perform such an operation? !

Everyone was puzzled, trying to prevent Lin Yi from continuing to perform Heimlich's first aid on the patient, and then quickly intubated the patient's trachea.

At this time, under Lin Yi's repeated blows, the patient's open mouth suddenly spewed out a bloody thing.

As the bloody substance spurted out, Huang Shuang opened his mouth wide, and his difficulty in breathing was immediately relieved.

Her breathing became noticeably easier.

With a few deep breaths, her cyanotic complexion gradually turned rosy.

Breathing also gradually calmed down.

Holding a piece of sterile gauze, Zhou Chao picked up the piece of bloody substance that Huang Shuang spit out.

Then he fiddled with a cotton swab, only to see that what Huang Shuang spit out turned out to be a piece of human tissue the size of a fingernail.

"This is the inner wall of the trachea that has fallen off. How could this happen?"

As a doctor in emergency surgery, Zhou Chao is certainly no stranger to this thing.

In any case, she never thought that the culprit for Huang Shuang's inspiratory dyspnea was actually this small piece of the inner wall of the trachea that fell off.

It was it that blocked the airway, caused suffocation, and almost killed Huang Shuang.

"It's the inner wall of the trachea, but, okay, why did the inner wall of the trachea fall off?"

Of course Yin Liang also recognized this organization, but he was full of suspicion.

The bloody substance that Huang Shuang spit out is the inner wall of the trachea, there is no doubt about it.

But what everyone is most puzzled about is, Huang Shuang, who has been doing well before, suddenly has the inner wall of the trachea fall off?

But at the same time feel lucky for Huang Shuang.

Fortunately, Huang Shuang had just left the door of the ward, not even the door of the emergency department.

If she took a taxi and walked halfway, and this happened, then she was definitely in danger!
All eyes were on Lin Yi, who had a calm face.

All the doctors present did not consider the foreign body in the trachea. How did he think of it?
Huang Shuang's condition has completely stabilized, his vital signs are all normal, and he no longer needs endotracheal intubation.

Lin Yi asked the nurse to continue to inhale oxygen and observe her closely.

Then, a group of people went back to the doctor's office.

Wu Jiang wiped the cold sweat off his face, walked over, and patted Lin Yi on the shoulder.

With lingering fear, he said:
"Brother Yi, you are so powerful, how did you come up with this idea? Fortunately, you are there, otherwise if Huang Shuang was intubated blindly, the detached inner wall of the trachea would be pushed deep into the trachea.

At that time, even if the patient is on a ventilator, because this tissue is blocked in the bronchi, it may be difficult for her to recover.Thanks to you this time. "

Zhou Chao, Yin Liang and other doctors all looked at Lin Yi expectantly.

Everyone wants to know how Lin Yi came up with this reason.

It was the first time they had seen the inner wall of the trachea fall off on its own after so many years of medical practice.

So when Huang Shuang first had this situation, all of them were in a daze.

No one at all thought that it was a foreign body in the airway that caused breathing difficulties.

Naturally, Lin Yi wouldn't say that he had seen it through a cheat.

However, it is not difficult to explain the patient's occurrence of such a situation after thinking about it.

He smiled and said, "Actually, I'm just guessing. Because the patient has obvious inspiratory dyspnea, and also has three concave signs.

Everyone knows that patients have inspiratory dyspnea and three depressions. The most common causes are laryngeal edema and foreign bodies in the trachea.

The laryngeal edema can basically be ruled out, because before leaving the hospital, the patient has been checked in all aspects, and there is no problem. "

"So I unilaterally considered that she had airway obstruction, which caused inspiratory dyspnea.

Huang Shuang's symptoms are obvious. The large airway is blocked, but there is no foreign object in her mouth, and her teeth have not fallen out. How can there be foreign object blockage? "