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

If physical cooling is really ineffective, then take this medicine again. "

The family members frowned slightly and said:
"I tried it at home... Physical cooling doesn't work."

Lin Yi said: "The physical cooling method you used is wrong, let me tell you a way.

You go directly to the pharmacy near the hospital to buy two bottles of 75% alcohol and some medical gauze to go back.

Then stick gauze moistened with alcohol on the child's carotid arteries, that is, on both sides of the neck, in the fossa of the elbows, and behind the knees where there are large arteries.

Wipe more while sticking, mainly around the aorta.

Constantly changing the gauze, dipping the gauze in alcohol and rubbing it again.

Or buy an ice pack, hold it up with a pillow towel and stay properly around these major arteries.

These are the physical cooling. It doesn't mean that if the child does not have a fever after putting on a fever-reducing sticker, it means that physical cooling is useless.

Physical cooling is very useful for children, but your method is wrong, you know? "

The woman nodded resentfully:

"Oh...so that's what it means. Okay, thank you, doctor. Then I'll buy it and try it. If it doesn't work, I'll take the medicine again."

"Well, your child is only in his early one year old, and his organs are not fully developed. If he takes too much medicine, he won't be able to metabolize it."

"So that's the case, okay, okay, thank you doctor!"

After speaking, the woman went out with the child in her arms.

10 minute later.

The previous constipated patient returned.

Came back with the checklist.

How many people have a look!
Hey guys, substantial off-white shading all over the CT sheet.

And the intestinal body is still enlarged, isn't this a bet by feces, what else could it be? ?
Lin Yi quickly arranged for an enema.

Enema is the nurse's job, so after the doctor's order, Lin Yi and the others continued to sit in the consulting room.

Result two 10 minutes later...

A nurse from the emergency department rushed in with a painful expression on her face.

When she rushed in, she could vaguely smell a little... feces...

Lin Yi hurriedly put on a mask to prevent poisoning.

"What's wrong? What's the situation?"

Seeing the panic of the nurse, Lin Yi asked.

The nurse looked pained and wanted to cry but said without tears:
"Doctor Lin, go and see that constipated patient. I have used a lot of paraffin oil, but the enema tube can't even be inserted into the anus!"

Several doctors in the consulting room were stunned.

Wu Jiang asked:

"What's the matter? Why can't it be inserted?"

The nurse cried and said:

"I don't know, I feel like it's too hard to get in."

Lin Yi sat on the chair and sighed helplessly:
"Okay, I see, I'll go and have a look right away."

"it is good!"

The nurse looked at Lin Yi as if she was a savior, and then walked out first.

"Doctor Wu, you can continue to see a doctor, I will go to see the situation first."

Afterwards, Lin Yi turned to look at Chen Qiang and the two:

"You two come with me."

The three of them hurried to the treatment room of the emergency department.

The paralyzed female patient was already lying on the bed in the middle of the treatment room.

Sideways, revealing buttocks with pressure sores.

A little yellow fluid can also be seen around the anus.

In the air, the smell is a bit indescribable.

Lin Yi tightened the mask, put on gloves, went to the bed and said to the nurse:
"Give me the enema tube."

The nurse immediately gave him a clean enema bag.

The liquid of the enema is basically diluted soapy water, and the water temperature is about 35°.

Salt water can also be used, or warm water directly.

For patients with constipation, it is better to add a little lubricating glycerin to soapy water.

Lin Yi took the pipe and stuffed it into the patient's anus.

After stuffing it in and then opening the pipe valve, soapy water can be continuously poured into the intestine like an infusion.

But that's the problem!

The pipe can't get in! !

Omg.

What the hell is this woman eating that makes shit so hard? ?

Blocked pipes can't get in!

Lin Yi used a lot of strength to barely get in seven or eight centimeters.

For normal enema, it is best to enter the pipe 10-15 cm inward, so that the liquid can enter the intestine and fully dilute the feces to be discharged.

However, the resistance of this patient was very obvious after the pipeline was inserted seven or eight centimeters.

Lin Yi continued to exert force and then asked the patient:
"Does your stomach hurt?"

The patient nodded: "A little bit, but it doesn't hurt too much, doctor... I haven't pooped for a long time... so the shit is too dry?"

"Yes, you will feel the need to defecate soon after the liquid is poured in, but you have to be patient. It's better to wait for 10 minutes, let it fully dilute before going to the toilet, and the effect will be much better."

The patient gritted his teeth and nodded: "Okay, I will try my best."

On the side, family members can only watch from the sidelines.

After all, he can't help with this.

After a while, Lin Yi saw that the distance between the pipes was about the same, and then he started to open the valve to release soapy water.

Lin Yi asked Chen Qiang to hold the enema bag, and after a while, all [-]ml of liquid was poured into it.

Immediately, the patient has the desire to defecate!

"Ouch, doctor... I want to go to the toilet."

"No, hold on for a while!"

"No... I feel uncomfortable, my stomach hurts..."

It's too late to say it!

Lin Yi hurriedly asked his family members to bring a potty over.

Sometimes patients really can't hold back and have nothing to do. If they can't hold back, they can only pull.

Fortunately, the family members reacted quickly and immediately carried the patient into a wheelchair.

The middle of the wheelchair can be opened, and the bedpan can be pulled under it...

then……

This patient just pulled it off...

The doctors and nurses in the entire treatment room frowned...

In an instant, the smell of the whole disposal rushed straight into everyone's heads.

Lin Yi motioned to the nurse: "Hurry up...turn on the ventilation system."

The nurse retched and ran to open her mouth for ventilation.

Wang Qiaoya admitted that she had never seen such a scene since she was a child, and she couldn't hold it back for a while and began to retch.

"vomit……"

In the consulting room, two female staff members were the first to be unable to hold on.

Chen Qiang held back the nausea in his heart, looked at it a few more times, and said slightly holding his breath:
"Doctor Lin, this man still has some blood in his stool."

Lin Yi wore two layers of masks, and felt better than them.

"There is indeed a bit of blood in the stool, which may be caused by inflammation. Let's wait for the patient to finish urinating, and then pour a bag of normal saline to clear it."

The nurse froze for a moment, then nodded painfully.

Family members and patients are also a little embarrassed.

"I'm sorry, doctor... I can't stand the pain in my stomach... so I can't hold back."

"It's okay, I understand. After the family members meet, you can take her to the next toilet to flush."

The family members nodded again and again: "Yes, yes, don't worry, it's just that this room is stinking, it's strange."

Lin Yi waved his hand, then turned and walked out of the disposal room.

In an instant, fresh air rushed over.

Lin Yi and Chen Qiang immediately took off their masks and took a few deep breaths.

Lin Yi turned his head to look at Wang Qiaoya, who kept retching and blushing, and said:
"What? Can't bear it? Can't bear the smell?"

Wang Qiaoya and the two were taken aback, then shook their heads:
"No... I can't bear it..."

"If you can't bear it, go in and stay for another minute!"

"what?!"

The two almost cried.

Lin Yi looked serious, and then said:
"This is a hospital, where there are all kinds of patients and everyone.

Remember, you are doctors, no matter how stinky you are, you will get it, you know?

I also accepted a patient with fascia necrosis before, and the smell is even worse than this, it is rotten and smelly!

Didn't I come out after hours of surgery in the operating room?
That's work ethic, you know? "

exactly!
Dr. Lin, you are right, as long as we are not allowed in!
next second...

"Go ahead, go in and watch the nurse pour another dose of salt water, and then pay attention to see if there is still a lot of blood in the patient's stool."

When Lin Yi just walked out of the emergency room.

Then I heard a young man scolding from the emergency department:

"Just kidding! Your hospital is crazy about money, isn't it? I just accidentally hurt my leg, and you asked me to do so many tests?!

Another blood draw, what kind of culture, and let me do CT? ?
It's insane!I will not do what you want!
It's really annoying, I wanted to get a tetanus shot, and why did I prescribe so many blood tests for my mother?
Black heart hospital!I'm not coming! "

While speaking, the young man limped towards the gate.

Hearing the sound, the doctor who made the rounds also glanced at the young man.

Suddenly, Lin Yi frowned.

The young man looked like he was in his early twenties.

Hospital in shorts and slippers.

The wound is in the calf position, and it looks like it is scratched by some sharp blades.

Although the incision was not deep, the area around the wound was already red and swollen.

Obviously it's an inflammation.

And this is only visible on the surface.

In Lin Yi's sight, the skin and fat of the calf around the wound seemed to be different from the normal calf tissue.

what's going on? ?

Is it possible...

Is it fasciitis? ?
Lin Yi immediately walked up to the young man and said:

"please wait a while."

The young man looked Lin Yi up and down, and asked Lin Yi disdainfully:

"Seeing how young you are, you must be a regular student! Do you have any experience?"

Lin Yi was too lazy to answer his irrelevant questions, but said directly:
"What scratched your wound?"

The young man glanced at Lin Yi, and then said casually:
"I went fishing by the river yesterday, and I swam twice, but I didn't see clearly what was in the river.

But I think it should be scratched by an iron piece that fell in the river or a harder plastic plate? "

I saw Lin Yi said seriously:

"I don't think there's anything wrong with your wound. I suggest that you quickly take a blood test and do a bacterial culture or something."

Hearing Lin Yi say that, the boy became impatient instantly.

He stared at Lin Yi and said:
"I was just wondering, what could be wrong with a young guy like me?
Isn't it said that young people have high immunity?I got a cut right now, so I wanted to come over to get a tetanus shot.

Are there so many messy checks to do?Your hospital must be crazy about money! "

Hearing that the young man was unwilling to go for an examination, Lin Yi had no choice but to persuade him:
"You can look at your wound yourself, it's not deep, why is it so red with just a small cut?

Look around your wound, it's so red and swollen. If there is abscess inside, you have to make another incision to drain it.

Don't take it lightly, this is your own body. "

The young man glared at Lin Yi and said:

"You talk a lot! I don't need your fake kindness!

This is just a small wound, at most I need a fluid infusion!

I'm not going to be fooled by all those fancy checks!
If you don’t call me, I’ll call another hospital! "

After speaking, the boy was ready to leave the hospital.

Lin Yi looked at his wound and couldn't bear to just let this man go.

Because it really looks a bit like early fasciitis.

Especially people with low immunity are prone to fasciitis due to trauma or insect bites.

This fasciitis is very serious.

Must be treated early!
Otherwise, this guy's legs could be amputated at least, or even killed at worst.

After thinking for a while, Lin Yi stopped the young man patiently and said:

"Our hospital didn't cheat you, because you are not sure what the scratched thing is.

So the hospital can't give you tetanus blindly.

Your wound is not only serious, but also scratched in the river.

I think you should know how dirty the river is and how many bacteria there are, right?
What I am afraid of now is that you are infected by parasites in the river or a combination of various bacteria.

If you don't check it out now, you can get it treated sooner.

After that time, it will be very troublesome to cure.

Now I just draw blood, do bacterial culture, and even do a CT scan, all to find the cause.

Then give you the right medicine.

We are really for your own good, and we really didn't cheat you. "

Lin Yi persuaded him earnestly.

I hope this young man can listen to the persuasion.

Don't delay the treatment, don't be like that old aunt.

Wait until the whole pelvic cavity is rotten and smelly before coming to the hospital.

Then this young man might not be as lucky as that aunt.

Who knows that this kid really doesn't appreciate it at all.

"I won't go! I'm so annoyed that your hospital is so troublesome for a problem that can be solved with a tetanus injection of penicillin!
It's like saying I'm going to die!
how old am iI'm only 24!I am in good health!
You guys are really crazy!
Especially you young doctors!

I have no experience in seeing a doctor, so I only know to let our patients do this check and that check!
If there is an old director or an old Chinese doctor, he can directly see what is wrong with me.

Just infuse some liquid and take some anti-inflammatory drugs at most!

You young doctors are the most troublesome! "

After speaking, the guy really left without looking back.

"Oh you..."

"Lin Yi, forget it."

Wu Jiang stepped forward and grabbed Lin Yidao:
"Forget it, this person doesn't appreciate it. It's useless to say more, and we think we are cheating him of the inspection fee.

It is said that our young doctors do not know how to diagnose and are inexperienced.

Forget it, why tell him so much, leave him alone.

If he wants to go to the clinic for an infusion, he will go to him. Anyway, it has nothing to do with us if anything happens. "

"Oh, but he..."

Lin Yi stared at the young man's back and hesitated to speak.

Hey!
I hope nothing serious happens to this guy.

Hope it's just a common infection and not fasciitis.

After seeing him leave, Lin Yi returned to the consultation room.