【495】The examination results are correct and the diagnosis is correct

"You write the doctor's order. I saw that everything was fine and I went to bed. You write the medical record yourself. I will read it after I get up. After you finish writing the medical record, go to sleep with that kid." Sun Yubo told her.

It's 12 o'clock. If you have some sleep, go to bed quickly. Don't wait until midnight when you lose energy to rescue.

He took out his pen and quickly wrote out medical orders for the extra bed and 49th bed, and asked Teacher Sun to review them. 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 get up and deal with it.

After the teacher left, Xie Wanying walked into the doctor's office to write electronic medical records. Click, click, click, her hands quickly hit the keys on the keyboard. The completed medical records will not be printed until Teacher Sun has reviewed them in the morning.

The extra bed was sent for inspection and came back. You can hear the sister of the patient in the corridor constantly nagging: "Yes, three young doctors. I thought Director Shen's arrangement would be better. I never expected that when I came to the ward, the doctor above me was younger than the doctor in the emergency room below. I I told them to give my brother pain relief first, but they didn't agree. My brother was in so much pain that he had to be sent for a check-up. They said nothing could be done until the check results came out. Oh my god, this is not a way to let him go. Is my brother waiting to die?”

When a doctor arranges a patient for examination, is that called leaving the patient to die?

The understanding of the family members is this: "If nothing is wrong with this examination, won't it hurt my brother to death?"

Seeing that the patient was back, Xie Wanying got up from the office and walked to the nurse station to call the CT room to inquire about the situation. Because the CT room is not happy to issue paper reports. At the same time, the patient had had blood drawn in the emergency department before, and the nurse went to the laboratory department to get some of the test orders that could provide urgent results. After making the call and checking the test results, Xie Wanying confirmed that she and Teacher Sun were right, it was a hiatal hernia.

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

As the name suggests, a hiatal hernia is a problem with the esophageal hiatus. Generally, the stomach moves upward from the hiatus and runs from the abdominal cavity to the chest cavity. This does not squeeze other organs in the chest cavity, causing pain. What’s even more frightening is that if the stomach gets stuck in the hole, the stomach and esophagus will suffer together, which is called incarceration. If it is serious, the esophagus, stomach, and duodenum will become blocked, the patient will vomit, and some organs may become necrotic. of.

However, the patient's current indicators do not appear to be serious enough to require surgery. Most patients with hiatal hernia can be treated conservatively. This patient is.

Just follow the medical advice she had discussed with Teacher Sun before.

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

"No, fasting, gastrointestinal decompression, injections, correcting electrolyte imbalance." Xie Wanying said affirmatively.

"My brother has been sent to your surgery. Doesn't he need surgery?" the patient's sister said doubtfully. "It would be quicker to have surgery. He's in so much pain, doctor."

"I've explained to you before that once the cause of the pain is found out and the right treatment is used, it won't hurt anymore." Xie Wanying reassured the patient's family, "You don't necessarily have to have surgery when you come to the surgery. Some patients don't have it after investigation. I definitely won’t do surgery if I need it.”