127 How would you react if you were terminally ill?
Everyone looked at each other and was speechless.
Fortunately, the patient was a household, with no children and no wife, so he couldn't make trouble alone.
What's more? The whole Yicheng people know, how can he live?
"Has this been verified?" At this time, Yang Xia, the head nurse of the emergency department, asked.
"Checked!" Li Xiuli said calmly.
Once a patient is found to be positive for HIV antibodies, the hospital's laboratory must re-examine and re-examine the positive test and send it to the city's CDC for three tests.
The final result of the test will be fed back to the hospital.
"Has the city's e-report been delivered?" Yang Xia said calmly.
Li Xiuli: "Not yet."
"That's it. Remember to maintain confidentiality and take precautions against healthcare workers." Deng Qingmei said solemnly, she turned her head to look at Li Xiuli, "That Xu Hai's situation was told by you, the physician in charge."
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Xu Hai is asymptomatic and belongs to the virus carrier.
If you are lucky, it is very likely that you will not get sick for ten or twenty years.
Li Xiuli opened his mobile phone, found a medical app, found the latest HIV treatment guidelines, and reviewed them again.
What he can do is to stabilize the patient's mood and take precautions.
As for Chinese medicine, as for HIV infection?
At least for now, there is no cure.
When he returned to the first floor, he saw Xu Hai, who was already lying on the treatment bed, and he looked expectant, Li Xiuli was very uncomfortable.
"Xu Hai, are your hands numb better?"
Xu Hai smiled: "It's a lot better, it's not so numb today."
"It works well, but how tight is your face?"
In the past few days, Li Xiuli has helped Xu Hai acupuncture his face, but the effect is average.
"It's still the same on the face. Doctor Li, my right hand and right foot still don't have the strength, you can quickly find a way for me!"
Li Xiuli began to think about Xu Hai's condition.
Before he came to the hospital, he had an electromyography done at the county people's hospital, which showed neurogenic damage, that is, his nerve damage mainly occurred in the brain.
Weakness in the hands and feet, numbness and discomfort, similar to the symptoms of stroke, but somewhat different.
Problems such as increased muscle tone, foot drop, and inversion that may occur in a stroke are not obvious in him.
Facial tightness is paresthesia, but the muscles of the face are not tight.
"You can make plum blossom needles on this face."
"Plum Blossom Needle?" Xu Hai looked at Li Xiuli suspiciously.
"Hmm. It's the plum blossom needle."
Plum blossom needle, also known as skin acupuncture, refers to the use of skin needles to puncture the acupoints of the human body or a specific part of the body, so that the skin of the percussion site is congested and red or slightly bleeding, so as to prevent and treat diseases.
In the "Neijing", there are records of "burrs, semi-thorns, and thorns" and other methods of shallow pricking of the skin, which is one of the earliest records of plum blossom needles.
"Does that work?"
Xu Hai obviously didn't believe it.
The tightness on your face can be solved with needles, and it sounds mysterious!
"Doctor Li, do you want to help Xu Hai make plum blossom needles?"
At this time, assistant Liu Qin passed by and heard the conversation between the two.
When she passed by Xu Hai, she consciously stayed away from Xu Hai's treatment bed, "The plum blossom needle is going to bleed, you should be careful."
"Oh. Okay."
Li Xiuli smiled and nodded. He naturally understood what Liu Qin meant.
If you can not see blood, you don't need to use it, especially the plum blossom needle, which is very easy to injure the operator, and you need to be cautious.
However, the plum blossom needle is the most suitable method for Xu Hai that he can think of at present, and he can't stop using it because the patient is suffering from infectious diseases, right?
Isn't this a violation of medical ethics?
In order to persuade the blood sea to agree to the plum blossom needle, Li Xiuli had to quote scriptures.
If so, you can elicit a few more!
"It is recorded in the "Treatise on the Skin" that 'all those who have the twelve meridians, the skin is also the first of all diseases, and the skin must be the first to be fur.'" γ
"To put it simply, many diseases in the human body, the initial onset, are manifested in the fur, so many diseases can start from the fur."
Concise and to the point, Xu Hai nodded hurriedly, he understood the reason.
Li Xiuli entered the third consultation room and saw Kuang Li, who was still busy.
"Dr. Kwong, I'll help you later." Li Xiuli greeted with a smile.
Kwong Li was stunned for a moment, and an unnatural smile appeared on her face.
Yesterday's incident, she can see it clearly, why did she go to the breeding base with Li Xiuli, Li Xiuli didn't take herself in, but wanted to bring that Dr. Sun in, she still has some trouble.
"Hehe... Okay, okay."
She chuckled twice, then nodded in agreement.
What is the loss for a while, she is in the same room with Dr. Li!
Li Xiuli took out a plum blossom needle handle from the drawer on the desktop and installed the disposable needle.
"Knock on the plum pin?"
Kwong Li was obviously a little surprised. This was the first time she had seen Li Xiuli use plum blossom needles.
After three years of colleagues, in her impression, Li Xiuli can only use traditional Chinese medicine and acupuncture to treat diseases, and there is no other way.
"Hmm. I'm going to bleed Xu Hai's face."
"Xu Hai?" Kwong Li was obviously stunned, and she whispered, "Is that the patient who was diagnosed with HIV?"
"yes, what's wrong?" Li Xiuli was very surprised, she thought that Kwong Li would support him, but she didn't expect Kwong Li to do it either!
Although it is said that patients should be treated equally, everyone knows that some old stubborn and special patients, doctors and nurses are afraid of troublesome themselves, and they are eager to be discharged immediately.
"Take precautions yourself, since others trust you, you must treat them with your heart." Kwong Li comforted.
"Dr. Kwong." Li Xiuli suddenly looked into Kuang Li's eyes and said meaningfully, "I didn't expect you to be such a virtuous female doctor."
"That's!" Kwong Li pouted and smiled.
was praised by Li Xiuli, and her whole person was in good spirits.
"Do you need my help with bloodletting?" At this time, Kuang Li took the initiative to ask Yingdao.
Li Xiuli shook his head, "No need, I can do it alone."
He planned to finish the treatment, take Xu Hai to a hidden place, and tell him about his HIV diagnosis.
Li Xiuli took the plum blossom needle prepared in advance and placed it on the curved plate, and also prepared iodine phor, disposable medical rubber gloves, cotton swabs, sterile gauze and other items.
There are many tools for skin needles, the most commonly used of which is the plum blossom needle core), of course, the Seven Star Needle (seven needle cores) and Luohan Needle (eighteen needle cores).
"Xu Hai, if you lie down and don't move, it may hurt a little later."
Li Xiuli calmed his emotions a little, then put on disposable rubber gloves and spread the small sheet under Xu Hai's head to avoid bleeding and contaminating the treatment bed.
After disinfecting the upper part of the right side of his face twice with iodine, Li Xiuli began to beat the plum blossom needle.
"Ah! Oh my god!"
A thunderous sound of killing pigs sounded, and everyone present looked in the direction of Li Xiuli.
I saw him holding the needle in one hand, his wrist shaking at high speed, and the plum blossom needle with a black soft handle turned into an afterimage, crackling and hitting Xu Hai's face.
"Ahh It hurts me to death!"
......
The sound of killing pigs was incessant, which frightened the other patients present.
"Oh my god! I'm scared to death, and I won't do plum blossom needles if I am killed in the future!" The old lady on the side glanced at it, goosebumps rose all over, and even the wrinkled old face was frightened.
Li Xiuli's left hand was holding Xu Hai's forehead tightly.
For this painful plum blossom needle, the patient's head must be pressed, otherwise people will turn their heads, and it will hurt other parts of the patient, and then it will be a medical mistake!
Seeing this, Liu Qin hid far away.
At this time, she was afraid that if the needle of the plum blossom needle suddenly fell off and landed on her head, it would be a big trouble.
People have a psychological reaction to seek advantages and avoid disadvantages, and she does not feel that she has done anything wrong.
"Dr. Lee, do you need help?"
Kuang Li hurriedly came out of the third consultation room, and saw Li Xiuli's right hand waving an afterimage.
Oh my god!
At this speed, I'm afraid that my right hand has trained the unicorn arm!
This is how long it takes to be single to practice hand speed!
Kuang Li was dumbfounded.
She knew that her appearance was superfluous, and Li Xiuli could handle it alone.
She thought in her heart, this Doctor Li, why did he operate so much, first there was Xiao Li Fei Needle, and now there is the afterimage plum blossom needle knocking method.
The afterimage plum blossom needle knocking method was made up by her brain, but it did not affect her firm belief that Li Xiuli had changed someone.
In the past, Li Xiuli had no sense of existence, but now Li Xiuli, how considerate he is, it's so good!
She was so fascinated that she forgot what she should do for a while.
Li Xiuli's operation broke her understanding of plum blossom needles.
The reason why I say this is mainly the traditional plum blossom needle, which has three stimulation intensities.
The first is a weak stimulus. The force of percussion is small, and the needle tip is in contact with the skin for a short time. The skin is often slightly flushed at the area where it is applied, and there are no obvious bleeding spots or oozing, and the patient feels slight pain.
The second is strong stimulation. Percussion is strong, and the tip of the needle is in contact with the skin for a slightly longer time. The skin will be visibly flushed, moist, with significant bleeding spots or oozing, and the patient will also feel significant pain.
The last one is the medium stimulus. Medium stimulation is somewhere between light stimulation and strong stimulation.
In terms of the amount of stimulation, Li Xiuli's shadowless knocking method obviously reached the category of strong stimulation, and even far beyond.
However, strong stimulation is only suitable for muscle-rich areas such as shoulders and back, waist and hips.
The face is a must be weakly stimulated.
"Dr. Li, you are really a master of art and bold!"
After Kwong Li was amazed, she was ready to do her own thing.
At the same time as hitting the plum blossom needle, bright red blood began to ooze from Xu Hai's face, and the blood gathered, and soon blood flowed downward.
For a while, the small slip under Xu Hai's head was already soaked in blood, and his cheeks were full of holes, and he couldn't bear to look at it directly.
"Alright."
Li Xiuli withdrew his hand, carefully held the plum blossom needle, and then clamped the needle of the plum blossom needle with a pair of pliers, twisted his wrist slightly, and removed the needle.
This process is the most careful, if you accidentally prick your finger with a needle, it is really a calf!
"Woo woo......
Xu Hai, who was in his thirties, had tears in his eyes, and the pain just now was intense, which made him feel painful.
If he could experience the pain of a smooth birth, he would definitely say that a smooth birth was not as painful as Li Xiuli's beating of the plum blossom needle.
"Dr. Lee, what are you doing?"
At this time, Deng Qingmei walked up.
Just now, Liu Qin, the assistant protector, told everything about what happened here, and she knew about Li Xiuli's abnormal operation.
Let's not say that Xu Hai has HIV, let's just say that beating the plum blossom needle like this is afraid that it will scare people to death.
"Report Director, I'm knocking on the plum pin, and I'm done."
"How can you knock on plum blossom needles like this!" Deng Qingmei had a straight face, her face was bruised, the textbook didn't say that she could knock it to death, it really knocked out people's lives, how to do it?
"This patient's face is tight, the time is long, and the local meridian blockade is not very satisfactory if it is simply stimulated."
"You even know how to talk back!"
Deng Qingmei was very angry, you clean up the mess, come to the outpatient clinic later, I have something to say to you.
"Okay."
γDing! γ
Just as Deng Qingmei was about to leave, the system prompt in Li Xiuli's mind sounded again.
[The system detected a negative review from Deng Qingmei.] γ
[The system determines that it is untrue. γ
[Reward: 1 skill point.] γ
The system's Lolita said in a milky voice, and Li Xiuli was soft when she heard it.
[Excuse me, is it a lottery immediately?] γ
Draw out!
He shouted in his heart.
You have to smoke, and you will come to a new skill later, and your level of traditional Chinese medicine is rising again!
At this time, a large turntable appeared in his mind, and the big turntable rotated autonomously, and after a while, the turntable slowly stopped, and finally landed on a line of labels that said "Thank you for participating".
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Sure enough, it was a lottery!
Li Xiu's face was like ashes, and this hard-won reward was dropped by himself!
Li Xiuli opened his eyes, with a bitter smile on his face, "Xu Hai, don't move, I'll help wipe the blood off your face."
At this time, Xu Hai was also like ashes, and he had nothing to love.
The right side of his face was full of holes, and hundreds of red dots were like pockmarks, which were very obvious.
"Damn, Dr. Li, you almost didn't kill me just now!"
Fortunately, Li Xiuli informed Xu Hai in advance that his plum blossom needle was extremely painful, even several times more painful than giving birth to a child. After knocking, there will be hundreds of red spots left on the face, which will take about ten days to dissipate.
At that time, Xu Hai swore and said, "I have strong willpower, what am I afraid of having a child!"
Li Xiuli smiled. Women give birth to children, you haven't experienced it, it doesn't hurt to look at others, people just don't shout out.
After cleaning up the mess, Li Xiuli walked towards the office.
The group of patients and family members waiting for treatment in the treatment area, seeing that Li Xiuli was about to pass by him, all subconsciously hid far away, and looked at this demon with fearful eyes.
Li Xiuli smiled and treated it indifferently.
Shi Lao's lifelong learning, how can you imagine?
Inpatient Building, 1st Floor, Acupuncture and Moxibustion Outpatient Department.
Deng Qingmei was idle, turned on her mobile phone, and recently she also downloaded a cloud hospital app.
"Hey, someone in our department downloaded it!"
She looked curiously at the information of her peers that was about to pop up, and she had already thought of who that person was.
Kwong Li!
The next moment, she pulled down her old face.
"How could it be Lee Xiu-li?"
At this time, Li Xiuli's graphic consultation had risen to 20, and the telephone consultation had risen to 100.
The praise rate and average waiting time are among the top 100 departments of the same category in the country!
She felt a little unreal.
She also signed up for the software, but has yet to receive any inquiries.
At this moment, Li Xiuli suddenly appeared outside the office door.
"I didn't expect the director to use the cloud hospital app."
There are many cloud hospital apps, and the one they use is the first in China, and there are many users.
"Well, whatever you want."
"Director, did you call me over to talk about Xu Hai?"
Deng Qingmei bowed, "Yes. You know that this patient has been diagnosed with HIV, and our department is a department that sees blood, and one has to do hanging injections, and the other is to do acupuncture, both of which can easily lead to nosocomial infection."
"I know that."
"If you can understand, you can tell the patient later, pay attention to calming his emotions, and then suggest that he register with the city CDC."
Li Xiuli frowned, he understood what Deng Qingmei meant, that is, to rush the patient out of the hospital
γ
"Director, isn't that right?" Li Xiuli was also afraid that he would be pricked by needles, but the patient trusted him so much that he couldn't bear to do it.
If he expelled Xu Hai from the hospital, he would be a doctor with no medical ethics.
"Just do it, there is no shortage of this patient in our department." Deng Qingmei's tone became cold, and her eyes looked directly at Li Xiuli.
"I refuse!"
At this time, Li Xiuli cut the railway.
"You!" Deng Qingmei was speechless for a moment, "In case you are stabbed, don't blame me for not reminding you!"
"Thank you for the reminder." Li Xiuli still replied with a smile, "Director, I'll go back first if there's nothing to do."
"I forgot to remind you. I have stopped Xu Hai's needle, and the nurses in the emergency department will not help him with injections in the future."
γ......γ
Li Xiuli was completely speechless. This Deng Qingmei is too scared!
"No slings, my patients don't need slings!"
He put down his words and walked away.
Return to the acupuncture treatment area again.
It's time to pull out the needle.
Li Xiuli carefully pulled out the needles, put the milli needles on the tray, and then poured them all into the sharps box.
"Please Xu Hai come to the office with me, there is something wrong with your inspection."
"Huh?" Xu Hai was obviously stunned, but he wasn't too surprised, "Okay."
Office.
On a hot summer day, it's an absolute heat outside.
Li Xiuli and Xu Hai sat on a stool in the office.
As the only office in the whole of Yicheng without air conditioning, there is only an old hanging fan that squeaks and spins.
"Dr. Li, what do you think is wrong with my examination?"
Li Xiuli's expression was serious, "You have to be mentally prepared, don't worry too much."
He had a small reminder beforehand
"Huh? Am I dying of cancer?"
γ......γ
"There is no cancer, but there is no cure for this disease."
Silent.
Xu Hai's face froze and he didn't speak again for a long time.
There are many incurable diseases, such as various neurological diseases, rheumatoid, ankylosing spondylitis, and many more.
Even diseases such as coronary heart disease, high blood pressure, and diabetes can be classified as incurable diseases.
Li Xiuli's tone made him very worried.
After all, he had a vague worry in his heart.