Gou is practicing medicine in the clinic

Chapter 319: High level and high level, electrolyte disorder
After leaving Dean Jin's office, Li Jingsheng went straight to the Orthopedic Surgery Department to find his girlfriend.

I’m so busy that I haven’t eaten yet!
It's so hard to be human.

In the past, when the clinic's business was not doing well, it couldn't make any money and even had three meals a day.Now I can make a lot of money, but I have become extremely busy, and I still have irregular meals.

When I arrived at the Orthopedic Surgery Department, I saw Ou Qinglan walking briskly with medicines from a distance.

Looking at this situation, he should be entering the ward to change the patient's dressing.

Intravenous drips and the like are usually performed by nurses, but some technically demanding dressing changes need to be performed by doctors.

When changing the dressing, the doctor will check the recovery of the wound, or check the amount of drainage, color depth, etc.

He followed into the ward where his girlfriend entered, wanting to see if she had made any progress in her work.

I also want to see if the department has given her all the dirty work.

After entering, she was changing the dressing on a patient's leg wound.This is a male patient in his 50s who underwent surgery on his lower leg.You can also see the fixed steel frame planted outside.

It should be a fracture fixation operation.

Usually, severe fractures cannot be reduced manually and can only be treated by surgery.

In fact, orthopedic surgeries in most hospitals focus on surgical treatment.

Manual reduction is mostly a simple reduction of shoulder joint dislocation.

It's too difficult, too complicated, and they simply don't have the ability to reset it.

The patient's treatment method was to drill holes in the intact bones at both ends of the fracture, drill two holes at one end, install a steel frame, and tighten the screws to fix the broken bone.

The level of pain this type of treatment causes to patients is extremely high.

The hospitalization period is long and the cost is quite high.

Ou Qinglan carefully removed the gauze covering the patient and then checked the wound condition.

It can be seen that she is very serious about what she does.

The family members watched nervously.

"Well, I'm recovering well. The swelling of the wound has basically subsided. Do you feel better today?"

She asked the patient while changing the dressing and checking the wound at the fixation site.

"Everything else is fine, except that I always feel weak, unable to lift my spirits, and dizzy." The patient reflected his feelings to him.

"Maybe you haven't had a good rest since the fall and you just had surgery, so that's why you're like this. You should be fine in two days," she explained to the patient.

"I think it's the reason you mentioned. We heard that your Second Hospital's orthopedic surgery technology is very good, so we came here specifically to perform the surgery."

Family members took over the conversation.

"Lord, please bring me my kettle."

The patient told his family.

The woman is 45 years old and looks several years younger than the patient.

The dress is relatively ordinary, the figure is slightly fat, and the complexion is good.

Needless to say, this is another woman who is doted on by her husband.

"Don't drink all the water! How about I buy you some food? Doctor, can my husband eat?"

The woman handed the kettle to the patient.

The kettle has a large capacity and should be able to hold [-] ml at a time.

There is only a little water left in it.

"Okay, as long as you don't eat spicy or spicy food, there's nothing else to worry about."

Ou Qinglan replied without raising her head.

"Doctor Ou, can I eat?"

Li Jingsheng asked while suppressing a smile.

She didn't pay much attention, thinking it was the patient in the bed next door, but the voice sounded familiar.Subconsciously, he turned to look at the questioner.

"Oh, it's you! I'm going to hit you!"

She said coquettishly.

The moment she saw Li Jingsheng, she couldn't help but show an expression of surprise.

Being teased by him naturally made her a little embarrassed.

"Doctors who hit patients will be fired. Dr. Ou should think twice!"

Li Jingsheng winked and smiled.

"If you dare to say that again, believe it or not, I will treat you as a patient later? You're just in time, come and help this uncle change his medicine. I've been busy all day today, and my waist is almost broken."

She arrested Li Jingsheng on the spot.

The patient watched the two young doctors bickering and couldn't help but smile.

Perhaps, from these two young men, we can see what he and his wife looked like when they were young.

"Uncle, is the wound a little swollen and painful?"

Li Jingsheng asked the patient.

"Young man, you are really a doctor! You are absolutely right. I did feel some swelling and pain in my leg. After the operation, the nurse told me that some swelling and pain are normal. I didn’t mention it either.”

The patient was surprised when he heard Li Jingsheng explain his symptoms.

He also looked up to Li Jingsheng with admiration.

"He is Dr. Li Jingsheng of our department, he is very famous!" Ou Qinglan was quite proud when she said this.

The stronger her boyfriend is, the prouder she feels.

"Don't put a high hat on me! I can't stand compliments the most. When others praise me, I feel overwhelmed."

Li Jingsheng glanced at Ou Qinglan, and then skillfully changed the patient's dressing.

He is obviously more skilled than Ou Qinglan in all aspects of operation and appears more professional.

The only difference is that he is not wearing a white coat.

It was already off work time, so naturally he would no longer be wearing work clothes.

"I'll slightly adjust the tightness of the steel frame for you."

After Li Jingsheng adjusted the tightness and tension of the steel frame for the patient, the patient immediately felt unprecedented comfort.The constant swelling and pain in my right leg has actually alleviated a lot.

The way he looked at Li Jingsheng immediately seemed like he was looking at a god.

"It's amazing, it's amazing. I feel much better now. Thank you Dr. Li."

The patient thanked her profusely.

Only those who have endured continuous pain can understand the patient's mood at this moment.

At this moment, he was probably greeting the nurse several times in his mind.

He had suffered for so long in vain.

"You're welcome."

Li Jingsheng's move immediately made the patient understand that he had met a brilliant doctor.

He was much smarter than the beautiful female doctor who changed his dressing.

Not a level at all.

"Because your leg bone is broken after all, and the injury is quite serious. In order for it to grow well, and to grow according to the original bone position, the broken bone needs to be reset and firmly fixed, so some swelling and pain are It's normal. But if it's too uncomfortable, you can tell the nurse about the situation and then ask the attending doctor or the doctor who performed the surgery to check it.

The tightness adjusted for you now should be more appropriate.

But be sure to avoid hitting it too hard, or moving the leg suddenly and forcefully.This can easily cause cracking and displacement of the reduced fracture site, which will affect the healing time and may affect your leg function after recovery. "

Li Jingsheng explained the precautions to the patients.

"I saw you drank a lot of water just now. Do you usually drink this much water?"

"I'm usually fine! It's just these two days that I feel particularly thirsty and I drink more water."

The patient also felt a little strange about this.

"Could it be that I didn't drink and drink before the surgery, so I felt very thirsty?"

"This possibility cannot be ruled out. Let me take a look at your medical records first."

Li Jingsheng didn't dare to be too sure.

However, if the patient has three symptoms: thirst, fatigue, and dizziness, it is at least worth investigating for hidden dangers.

It feels like there should be a problem with water and electrolyte metabolism.

Sometimes, it may be just a minor problem that resolves on its own without even requiring intervention.

Sometimes it progresses quickly, causing the patient's condition to deteriorate rapidly and even eventually lead to death.

After reading the patient's preoperative examination information, as well as postoperative urine, body temperature and other records, Li Jingsheng frowned slightly.

"Qinglan, please apply for a sodium and potassium test on him, especially the measurement of serum sodium and urinary sodium."

Li Jingsheng looked at Ou Qinglan.

He is the chief physician of orthopedic surgery, although he is not responsible for this patient and generally has no control over it.But now that a problem has been discovered, he can take care of it.

The treating doctors, department directors, and leaders of this group will all support him.

The attending physician and operating surgeon even thanked him for his help.

"Do you want to check now?"

After all, Ou Qinglan still lacks the high level of clinical crisis awareness.

Only after experiencing the death of a patient can you understand how fragile a life is.

Many people criticize older doctors for becoming more timid as they age and for practicing medicine too cautiously.As everyone knows, they also had their youthful and frivolous moments.

It is precisely because I have seen too many death cases that I become more and more timid from being frightened by life.

"If we don't check now, will we have to wait until the grave... or wait until his condition worsens before checking? Apply for a check now. For water and electrolyte problems like this, the sooner it is discovered, the better."

He originally wanted to say, should we wait until the grass on the patient's grave grows two feet high before checking?

Then I felt something was wrong and immediately changed my mind.

Many patients are taboo with dead words or words with the same meaning.

"Girl, check it out for me! My child is not married yet. If something happens to me, I won't be able to leave without worry!"

The patient is quite humorous.

Mainly because I was impressed by Li Jingsheng's medical skills and had deep trust in Li Jingsheng's words.

That's why he took the initiative to ask this young female doctor to check for him.

Ou Qinglan went back to the office on the spot to apply for the patient's examination, and then asked the nurse to draw blood and let the family members take urine samples.

Li Jingsheng was not in a hurry to return to the clinic.

Instead, he ate the food first.

My girlfriend is on duty. If something happens to that patient, he will definitely be killed.

And it will also cause the girlfriend to be scolded by the superior doctor.

So he took the initiative to stay and help check things out.

The results are uncertain and will come out soon.

It said it was fast, but it actually took more than an hour.

Li Jingsheng found that the patient's serum sodium measurement result was only 112mmol/L.

This is already much lower than normal.

It has now been confirmed that the patient has hyponatremia.It is not difficult to explain why patients experience symptoms such as thirst, fatigue, and dizziness.

Hyponatremia is generally caused by an imbalance of water and electrolytes in the body.

The specific reasons need to be investigated one by one.

There are two things that can be done at present. One is to replenish the patient with water and sodium first, and the other is to investigate the cause of electrolyte imbalance.

This is sometimes particularly difficult to find out.

Even top internal medicine experts often scratch their heads over this matter.

According to rumors, many older doctors in the Department of Internal Medicine have Mediterranean hairstyles caused by excessive scalp picking.

(End of this chapter)