If the physical cooling is really ineffective, take this medicine again. ”

The family frowned slightly and said:

"I tried it at home...... Physical cooling doesn't work. ”

Lin Yi said: "The physical cooling method you use is wrong, let me tell you a way."

You go straight to the pharmacy near the hospital and buy two bottles of 75% alcohol and some medical gauze back.

Then put an alcohol-soaked gauze on the carotid arteries of the child, that is, on the sides of the neck, and in the elbow socket, and behind the knees.

Rub more while sticking, mainly near the aortic blood vessels.

Keep changing the gauze, dip the gauze in alcohol and then wipe it again.

Or buy an ice pack and hold it with a pillow towel to stay around these major arteries.

These are physical cooling, not that the child does not reduce fever by sticking a fever-reducing sticker, or that physical cooling is useless.

Physical cooling is very useful for children, but you don't do it right, you know? ”

The woman nodded smugly:

"Oh...... That's what it means, okay, thank you, doctor, then I'll buy it back and try it first, and if it doesn't work, I'll take medicine again. ”

"Well, your child is only in his early years, his organs are not mature, and he can't metabolize it if he eats too much medicine."

"I see, okay, okay, thank you, doctor!"

With that, the woman went out with the child in her arms.

Ten minutes later.

The last patient with constipation came back.

I came back with a checklist.

A few people take a look!

Good guys, substantial off-white shadows appear on the entire CT sheet.

And the intestine is still enlarged, isn't this a bet, what else can it be??

Lin Yi hurriedly arranged an enema.

Enemas are the work of nurses, so after giving the doctor's order, Lin Yi and the others continued to sit in the consultation room.

Twenty minutes after the result......

An emergency nurse rushed in with a painful look on her face.

As she rushed in, she could faintly smell a little ...... The smell of......

Lin Yi hurriedly put on an extra layer of mask to prevent poisoning.

"What's wrong? What's the situation? ”

Looking at the nurse in a panic, Lin Yi asked.

I saw that the nurse said with a painful and tearful face:

"Dr. Lin, go see that constipation patient, I used a lot of paraffin oil, but the tube of the enema can't be inserted into the anus!"

Several doctors in the consultation room were stunned.

Wu Jiang asked:

"What's wrong? Why can't it be plugged in? ”

The nurse said with a crying voice:

"I don't know, I feel like it's too hard to plug in."

Lin Yi sat on the chair and sighed helplessly:

"Okay, I see, I'll go over and have a look right away."

"Good!"

The nurse looked at Lin Yi like a savior, and then walked out first.

"Doctor Wu, you can go ahead, I'll go and see the situation first."

Then, Lin Yi turned his head to look at Chen Qiang and the others:

"You two come with me."

The three of them hurried to the emergency room.

The paralyzed female patient was already lying on the bed in the middle of the treatment room.

Sideways, the butt with pressure ulcer marks is exposed.

A little yellow fluid can also be seen around the anus.

In the air, the smell is a little hard to describe.

Lin Yi tightened his mask, put on gloves, walked to the bedside, and said to the nurse:

"Give me the enema."

The nurse immediately changed to a clean enema bag and handed it to him.

The liquid of the enema is basically diluted soapy water, and the water temperature is about 35°C.

It can also be used with salt water, or directly with warm water.

For patients with constipation, adding a little lubricating glycerin to soapy water works better.

Lin Yi took the pipe and stuffed it into the patient's anus.

After inserting it, and then opening the pipe valve, soapy water can be continuously poured into the intestines like an infusion.

But here's the problem!

The pipe can't get in!!

Oh, my God.

What kind of does this woman eat, can it be so hard??

Blocked pipes can't get in!

Lin Yi exerted a lot of strength to barely get in seven or eight centimeters.

For a normal enema, it is best to put 10-15 cm into the pipe, so that the liquid can enter the intestine and fully dilute the feces for discharge.

But after this patient enters the pipe for seven or eight centimeters, the resistance is very obvious.

Lin Yi continued to exert his strength and then asked the patient:

"Does your stomach hurt?"

The patient nodded: "A little, but it doesn't hurt very much, doctor...... Haven't I pulled it for too long...... So the is too dry, huh? ”

"Yes, you'll have a defecation soon after the liquid is poured in, but you have to be patient a little bit. It's best to wait for 10 minutes and let it dilute well before going to the toilet, the effect will be much better. ”

The patient gritted his teeth and nodded, "Okay, I'll do my best." ”

On the side, family members can only watch from the sidelines.

After all, he can't help with this thing.

After a while, Lin Yi saw that the distance between the pipes was almost there, and then he began to open the valve to put soapy water.

Lin Yi asked Chen Qiang to hold the enema bag, and after a while, all the five hundred milliliters of liquid were poured in.

Immediately, the patient has a sense of defecation!

"Ouch, doctor...... I want to go to the toilet. ”

"No, hold it for a while!"

"No...... I feel bad and my stomach hurts......"

Say it's too late, then it's too soon!

Lin Yi hurriedly asked the family to bring a bedpan over.

Sometimes the patient can't hold it back and can't do anything, so he can only pull.

Fortunately, the family responded quickly and immediately hugged the patient into a wheelchair.

The wheelchair can be opened in the middle and pulled by placing the bedpan underneath......

And then......

That's how the patient pulled......

The doctors and nurses in the entire disposal room furrowed their brows......

In an instant, the smell of the whole disposal rushed straight to everyone's heads.

Lin Yi motioned to the nurse: "Hurry up...... Turn the ventilation system on. ”

The nurse retched and ran to open the ventilation.

Wang Qiaoya admitted that she had never seen this kind of scene since she was a child, and she couldn't help it for a while and began to retch.

"Vomit ......"

In the consultation room, two female staff members took the lead and couldn't hold on.

Chen Qiangqiang held back the nausea in his heart, looked at it a few more times, and then said with a slight breath:

"Doctor Lin, this person still has some bloody stool."

Lin Yi brought two layers of masks, and he felt better than them.

"It's really a little bloody, it may be caused by inflammation, so let's wait for the patient to finish pulling, and then pour a bag of normal saline to clear it."

The nurse was slightly stunned, then nodded painfully.

Families and patients are also a little embarrassed.

"I'm sorry, doctor...... I can't stand the stomach ache...... So I couldn't hold back. ”

"It's okay, I understand, when you meet the family, you can take her to the toilet next to you to flush it."

The family nodded again and again: "Yes, yes, don't worry, it's just that this room is smelly, it's weird." ”

Lin Yi waved his hand, then turned around and walked out of the disposal room.

In an instant, fresh air rushed in.

Lin Yi and Chen Qiang immediately took off their masks and took a few gulps.

Lin Yi turned his head to look at Wang Qiaoya, who was retching non-stop, and Wang Qiaoya, who was holding her breath and blushing, said:

"What? Can't help it? Can't stand the smell? ”

Wang Qiaoya and the two were stunned for a moment, and shook their heads:

"No...... I can't hold back ......."

"If you can bear it, I'll go in for another minute!"

"Huh?!"

The two almost burst into tears.

Lin Yi's expression was serious, and then he said:

"This is a hospital, there will be any patient, anyone can meet it.

Remember, you're doctors, and no matter how stinky you are, you know?

I also admitted a patient with fascial necrosis before, and the smell is even worse than this, rotten and smelly!

Didn't I still have to do a few hours of surgery in the operating room before I came out?

That's the work ethic, you know? ”

Yeah!

Dr. Lin, you're right, as long as you don't let us in!

Next Second......

"Go ahead, go in and watch the nurse pour another round of saline, and then pay attention to see if the patient has more blood in the stool."

Lin Yi had just come out of the rescue room.

I heard a young man's scolding sound from the emergency clinic:

"Just kidding! Your hospital is crazy about money, aren't you? I just accidentally hurt my leg, and you made me do so many tests?!

It's blood drawing again, and what kind of culture is it that still asks me to do CT??

It's crazy! I won't do what you want!

It's really annoying, I wanted to get a tetanus injection, and I still prescribed so many blood tests for Lao Tzu?

Blackheart Hospital! Lao Tzu is not coming! ”

As he spoke, the young man limped out of the gate.

Hearing the voice, the doctor on the ward also glanced at the young man.

Suddenly, Lin Yi frowned.

The young man looked like he was in his early twenties.

Came to the hospital wearing shorts and slippers.

The wound was on the calf, as if it had been scratched by some sharp blade.

Although the incision is not deep, the area around the wound has begun to become red and swollen.

It is obviously a sign of inflammation.

And that's just what you can see.

In Lin Yi's sight, the calf skin and fat around the wound seemed to be different from normal calf tissue.

What's going on??

Could it be ......

Is it fasciitis??

Lin Yi immediately hurriedly walked up to the young man and said:

"Please wait."

The young man glanced at Lin Yi up and down, and asked Lin Yi disdainfully:

"Seeing that you are so young, you are probably a regular trainee! Do you have any experience? ”

Lin Yi didn't bother to answer his inconsequential question, but said directly:

"What did you scratch this wound?"

The guy glanced at Lin Yi, and then said casually:

"Yesterday I went fishing in the river, and I swam twice, and I didn't see what it was in the river at the time.

But I think it must have been cut by a piece of iron or a stiffer plastic plate that fell into the river, right? ”

I saw Lin Yi say very seriously:

"I don't think there's something wrong with your wound, so I suggest you hurry up and check your blood and do a bacterial culture or something."

Hearing Lin Yi say this, the guy instantly became impatient.

He stared at Lin Yi and said:

"I wondered, what could be wrong with a young man like me?

Doesn't it all say that young people have high immunity? I got a cut and wanted to come and get tetanus.

Is there so much mess of tests to do? Your hospital is crazy about money! ”

Hearing that the young man was unwilling to go for an inspection, Lin Yi had no choice but to persuade him again:

"You can see for yourself that your wound is not deep, why is it so red even a small wound?

Look at the area around your wound, it's so red and swollen, if there's an abscess in it, you have to make another cut to drain it.

Don't take it lightly, it's your own body. ”

The guy glared at Lin Yi and said:

"You have a lot of words! I don't need your fake kindness!

I'm just a small wound, so I'll have an infusion at most!

Clean up some civet fox whistle checks, and I won't fall for you!

If you don't call me, I'll call another hospital! ”

After saying that, the guy was ready to leave the hospital.

Lin Yi looked at his wounds, and he really couldn't bear to let this person go.

Because it really looks a bit like the early stages of fasciitis.

In particular, people with low immunity are prone to fasciitis due to some trauma or insect bites.

This fasciitis can be very serious.

Be sure to treat it early!

Otherwise, this guy's leg will be amputated at least or die at worst.

After thinking about it, Lin Yi still patiently stopped the young man and said:

"We didn't cheat on you at the hospital, because you're not sure what this scratched thing is.

So the hospital can't blindly give you tetanus.

Not only is your wound severe, but it's also scratched in the river.

I think you should know how dirty and how many bacteria are in this river, right?

Now I'm afraid that you'll be infected by parasites in the river or a combination of bacteria.

If you don't get checked early now, treat it early.

When the time comes, it will be very troublesome to cure.

Now it's just a blood draw, a bacterial culture, and even a CT scan to find the cause.

And then give you the right medicine.

We're really doing it for your good, and we really didn't cheat you. ”

Lin Yi persuaded him bitterly.

I hope this young man will listen to the persuasion.

Don't delay treatment, don't be like that old aunt.

Wait until the whole pelvis is rotten and smelly before coming to the hospital.

Then this young man may not be as lucky as the aunt.

Who knew that this kid really didn't appreciate it at all.

"I'm not going! It's really annoying to your hospital, and the problem that can be solved by a tetanus infusion with some penicillin is so troublesome!

As if I'm dying!

How old am I? I'm only 24! I'm in good health!

What a neurotic you guys!

Especially you young doctors!

If you don't have experience in seeing a doctor, you just know to let us patients do this and that checkup!

If there is an old director or an old Chinese medicine doctor, you can directly see what is wrong with me.

At most, just infuse some liquid and take some anti-inflammatory drugs!

You young doctors are the most troublesome! ”

After saying that, this guy really left without looking back.

"Alas, you ......"

"Lin Yi, forget it."

Wu Jiang stepped forward and grabbed Lin Yidao:

"Forget it, this person doesn't appreciate it, no matter how much we say, it's useless, and if we talk too much, we think we're cheating on his inspection fee.

Say that we young doctors do not know how to diagnose inexperienced.

Forget it, why do you tell him so much, leave him alone.

If he wants to go to the clinic for an infusion, he will go to him, and it has nothing to do with us if something happens anyway. ”

"Well, but he'......"

Lin Yi stared at the young man's back and stopped talking.

Ay!

Let's hope something big doesn't happen to this guy.

Hopefully he's just an ordinary infection and not fasciitis.

After seeing him leave, Lin Yi returned to the consultation room.