Chapter 237: An Eventful Man!
"The most important thing is that for at least three months, there should be no major activities or labor, so as not to aggravate the fracture dislocation."
"Of course, if you choose to be hospitalized, you can also be observed. After a few days of observation, if there is no hemothorax and pneumothorax, you can be discharged. ”
The woman now felt no discomfort other than severe pain, so she said:
"Doctor, you should prescribe me some painkillers, and we won't be hospitalized."
But the man immediately said to her:
"You have broken bones, your body is so weak, how can you not be hospitalized? I have to be hospitalized and given a few days to rest in the hospital. It's better to gain weight in the hospital! ”
"Okay then."
Seeing that her husband was so resolute, the woman had no choice but to nod obediently in agreement.
"Okay, I'll go find a female doctor to come and wrap your chest around your chest with a chest strap."
After speaking, Lin Yi walked out.
Because chest wrapping requires the patient to be naked in front of the doctor.
For this situation, Lin Yi naturally avoided it if he could, so as not to think too much.
After arranging, Lin Yi walked through the emergency hall and wanted to return to the consultation room.
I happened to meet a 60-year-old man lying on the ground, convulsions all over, and the corners of his mouth were foaming at the mouth.
An aunt of about the same age next to her was at a loss, just standing aside and shouting.
Lin Yi knew as soon as he saw this situation that this uncle should have had a seizure.
Epilepsy is commonly known as lamb's wind.
The specific cause of the seizures is not clear to Lin Yi for the time being.
But he needs to deal with the situation of the uncle in front of him as soon as possible.
He hurriedly pushed aside everyone and stepped forward, leaving the uncle lying flat on the ground.
Tilt your head to one side and keep an eye on his mouth so that he doesn't bite his tongue and bleed.
Then Lin Yi did not carry out special treatment.
At this time, a nurse saw the situation here and quickly ran over.
Lin Yi hurriedly said to her:
"Quickly give him ten milligrams of diazepam."
"Acute seizures like this usually only last a few minutes, not more than half an hour at most.
"Although it can be treated with or without medicine."
"But now after all, it's in the emergency department, and if there is medicine, it's better to sedate him with sedatives to prevent further convulsions."
"Okay!"
The nurse said yes, and then hurried to the emergency room to get the medicine.
At this time, the uncle was still twitching.
A middle-aged man watching next to him saw that Lin Yi did not move, but let the uncle twitch.
Then he said to Lin Yi:
"Doctor, when I saw other people having seizures before, they were all pinching, why didn't you pinch people?"
Lin Yi glanced up at the middle-aged man.
The man was thin and tall, wearing a pair of gold-rimmed glasses, and he looked very knowledgeable.
After Lin Yi glanced at him, he said:
"If you're a doctor, saying that means you're not good at it."
"If you're not a doctor, don't challenge my profession with your ignorance."
"Also, please don't go so far away from the front, so as not to block the patient's ventilation."
Lin Yi hates this kind of person who doesn't know where to hear a little bit of medical common sense, but comes to guide him, a professional doctor.
It's nonsense!
The middle-aged man was said by Lin Yi in public, and his face suddenly felt a little unbearable.
So he was not convinced:
"It's written in TV dramas or books, when you have a seizure, you have to pinch people, and now you haven't got the sedative back, why don't you do it?"
Lin Yi took a deep breath and forcibly suppressed the anger in his heart.
You are a melon eater, but you are questioning the doctor's operation here? Who gives you confidence!
So Lin Yi said angrily:
"Please be quiet."
"How can I save the patient, it's not your turn as an onlooker to teach."
Lin Yi was angry when he looked at him.
Although his doubts are unreasonable, they usually have a negative impact on the patient's family.
Sure enough, the aunt next to her, who was anxious and confused, believed the middle-aged man's words.
She also began to hesitate and said, "Doctor, I seem to have seen this situation before to pinch someone, don't you need it?" ”
Regarding the aunt's questioning, although Lin Yi held his breath in his heart, he was not angry, so he had to patiently explain:
"For patients with seizures, according to studies, pinching only prolongs the duration of the seizure and does not terminate the seizure."
"If you want the seizures to stop, you have to use sedatives or wait for it to recover on its own, you know?"
"You have to listen to our doctors, don't listen to the wind or rain, that will harm you."
Lin Yi said, and glanced at the middle-aged man next to him.
The middle-aged man subconsciously took a few steps back.
By this time, the nurse had already walked over with Valium.
She picked up the infusion needle and was about to prick the needle to push the medicine for the uncle.
At this moment, the uncle stopped convulsing and slowly opened his eyes.
The uncle slowly opened his eyes and looked around, a little dazed.
This is also a sign of waking up after a seizure.
The aunt hurriedly helped the uncle up and said nervously:
"You just fell backwards all at once, and you pumped up, scared me to death!"
Fortunately, the uncle has now fully sobered up, but he doesn't know what happened to him just now.
The look in his eyes was very confused.
"I don't know what's wrong with me, I just feel like my head is twitching, and I don't know anything."
The uncle said in a daze.
The aunt helped the uncle, slowly sat on the stool, and then said to Lin Yi:
"Doctor, my wife had a cerebral infarction a year ago and has been completely cured."
"I brought him here for a follow-up examination today, who knew that he suddenly became ill, you should check him out and see what is wrong with him."
I heard that the uncle had a history of cerebral infarction, and Lin Yi knew the cause of his seizures.
So he said to his aunt:
"The reason why your wife has a seizure is considered to be the sequelae caused by cerebral infarction, that is, secondary epilepsy."
"Although he had no sequelae in his limbs, he was left with seizures."
"This is also a matter of concern. You'd better take him for an EEG as soon as possible to confirm the diagnosis. ”
If this has never happened before, you can skip taking medicine for the time being, and observe for a while.
If seizures are frequent, more than two or three times a month, you need to continue to take anti-epileptic medications.
If you only have a seizure once in a few months, then you can do without medication.
Usually let the patient keep his mood comfortable, don't let him get too emotional, and induce seizures.
Secondary seizures after cerebral infarction are a very common condition.
If you want to diagnose this uncle, it is indeed a seizure, and you must take advantage of the fact that the abnormal EEG activity has not disappeared, and you can make a clear diagnosis by doing an electroencephalogram as soon as possible.