Doctor, my hand hurts, it doesn't seem to be my own ......"

In the emergency room of the emergency building of Dongzhou Jihua Hospital, the attending physician Li Ruiquan is watching an emergency patient.

In the emergency department, Li Ruiquan, who is in his thirties, is mainly responsible for fractures, trauma infections, various multiple injuries and compound injuries caused by trauma, and various new braces for non-displaced fractures. He is now looking at a patient with pain in his right hand, probably a fracture, an undisplaced fracture.

"How did you get hurt?" Li Ruiquan asked, there was still a steady stream of emergency patients waiting outside, so he spoke as fast as usual.

In the case of this patient, it should still be the same old-fashioned, go to take an X-ray first, and it is best to do a CT examination to see what the bone injury is and whether it is displaced.

......The patient was a young man who looked like a college student, his face was blue with pain, his face was full of anxiety, depression and fear common to emergency patients, his upper body was long-sleeved sportswear, there was no blood stains caused by trauma, etc., his left hand grabbed his right upper arm, and he grabbed it very hard, and the blood vessels on the back of his right hand were congested.

The patient gasped in pain as he spoke, "Since this morning, I have felt that my right hand is weird...... That's how this hand feels on me...... Then, slowly it started to hurt, it hurt more and more, and I didn't want this hand......"

Li Ruiquan's stay in the emergency department has not been short, and all kinds of patients have seen it, and it is common for patients to listen to inexplicable words.

He didn't listen as strangely as Xiao Yuan, the intern next to him, and asked, "Do you mean that you didn't have any external injuries or collisions, and your right hand suddenly hurt?" ”

"No, no......" The patient hissed, his right hand trembled slightly, and his left hand seemed to be unable to suppress this hand, and his voice was crying: "Doctor, can you help me cut it off quickly?" I don't want this hand anymore, it's not my hand......"

"What exactly does it hurt? Still all hurt? Li Ruiquan asked again, if it is a case of poisoning, it should not be limited to this hand.

"It hurts...... Start with the shoulder......" The patient said in a trembling voice, again requesting an amputation: "Can you just amputate it?" ”

Li Ruiquan does not compare this truth with patients, and some patients will talk nonsense when they are in pain.

He asked some more questions, the patient's right hand has no old problems, it has been fine before getting up this morning, and now at three o'clock in the afternoon, it seems that it has completely changed a hand, it is someone else's hand, and the patient feels that he has never had a right hand, only because he was connected to this foreign limb, it is extremely painful.

In this case, there may be an acute onset caused by a chronic injury.

It's mostly a neurological problem, and you may need to see a neurologist or a psychiatric department.

"Let's go shoot first." Li Ruiquan took the pen and wrote down the medical records on the table, and said as he wrote: "Take an X-ray first to see what the condition of the bones is." I haven't seen the film, and I can't give you a correct judgment. You took a film, go to the trauma orthopedic department on the third floor and I'll turn it around for you. ”

At that time, whether to transfer to other departments or not is up to the trauma orthopedic department to decide.

"Don't, don't!" The patient said anxiously, "How long does it take to shoot, I can't stand it, doctor, help......"

Li Ruiquan saw that the patient was in such pain, and he was afraid that his judgment would be wrong, and he had not seen the affected limb until now, so he stopped writing and said, "You roll up your sleeves, I'll take a look." ”

"No... No, I can't let go......" the patient said in a hurry, his face turned even bluer, "as soon as I let go, this hand, this hand...... I don't know ...... either."

Li Ruiquan was helpless, the noise of the patients waiting outside kept coming in, he was not a psychiatrist, he was an emergency doctor, and he couldn't take too much time to slowly establish a doctor-patient relationship with each patient, otherwise the people behind him would not be able to see a doctor.

At this time, Nurse Ma, who was in charge of the emergency room, came over suspiciously, and Li Ruiquan said, "Minyi, you help him take off his clothes and let me look at my right hand." ”

"No, it really doesn't work...... the patient's face was full of pain and struggle, "this hand is not mine...... I can't control it......"

Nurse Ma walked up to the patient, but the patient still resisted and did not let anyone touch the painful limb.

"I can't show you this." Li Ruiquan is not complaining, but he is really in a hurry, "Let's go film, let's make a film." ”

The patient who was driven away struggled and hesitated, and finally slowly let go of his left hand, but the strange thing is that the right hand, which should have calmed down because of the unblocked blood, was even more bruised, and the back of the hand even quickly turned a little black.

Li Ruiquan has been paying attention, and suddenly feels strange......

Xiao Yuan's eyes were also suspicious, and before they could think about it, the patient's right hand suddenly burst out and slammed into the neck of the nurse next to him.

At this moment, Nurse Ma, Li Ruiquan and others were stunned, their hearts tightened, and they thought of those doctor-patient events that would not be pleasant......

But now the patient himself is so anxious that he yells, "Let go, let go!" His left hand gripped his right arm again, pulling hard, his face flushed from the impact of anxiety and pain, as if he were mad.

"Hmm......" Nurse Ma's face also turned red rapidly, and she grabbed the hand around her neck with both hands to untie it.

At the same time, Li Ruiquan and intern Xiao Yuan both rushed forward and pulled the patient away together, but to their surprise, they and the patient were about the same size, but the two of them couldn't pull this guy. To be precise, you can pull your body, but you can't pull away from that hand.

"I'm sorry, I'm sorry!" The patient wept urgently, looked around, and suddenly copied the pen on the table with his left hand, gritted his teeth, and plunged it into the back of his right hand.

The patient immediately screamed, and blood gushed out on the back of his right hand, which loosened one of them, and Li Ruiquan and the two pulled the patient away.

Nurse Ma coughed violently, rubbing her neck, still a little confused......

Because the hospital has trained them in a few grappling movements in recent years, Li Ruiquan firmly controlled the patient on the floor with both hands, and said urgently: "Call the security guard ......" but it didn't feel appropriate, the patient didn't seem to be intentional, it seemed to be an acute mental disorder, "fix him, notify the psychiatric department ......"

At this time, the outside heard the movement here, and there were security guards, nurses, and patients approaching.

Among them came another patient on the waiting list, a middle-aged man, also with an anxious face, his left hand tightly holding his right arm.

"Doctor, doctor...... My hand hurts...... It's not mine, I want to cut it off, help me cut it off......"

Li Ruiquan looked up at the patient, and then at the crying patient who was being controlled by himself, and his heart was cold.