Doctor, my hand hurts so much, it doesn't seem to be my own..."
In the emergency building of Dongzhou Jihua Hospital, in this emergency room, the attending physician Li Ruiquan was attending to 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 new braces for non-displaced fractures. The patient he is looking at right now has pain in his right hand, probably a fracture, a non-displaced fracture.
"How did you get hurt?" Li Ruiquan asked. There were still a steady stream of emergency patients waiting outside, so he spoke as fast as usual.
As far as this patient's situation is concerned, it should be the same old way, first go to take a film, it is best to have a CT examination to see how the bone is injured and whether there is any displacement.
"I don't know..." The patient is a young man with the appearance of a college student. His face is blue with pain, full of anxiety, depression and fear common to emergency patients. He wears a long-sleeved sportswear on his upper body and has no blood stains caused by trauma. He is holding his right upper arm with his left hand. , Grabbing so hard, the blood vessels on the back of his right hand burst with blood.
The patient gasped in pain as he spoke, "Since this morning, I've felt a strange feeling in my right hand... that's the kind of feeling that this hand is growing on my body... Then, it started to hurt slowly. Get up, it hurts more and more, I don't want this hand..."
Li Ruiquan had been in the emergency department for a long time. He had seen all kinds of patients, and it was common for patients to speak inexplicably.
He didn't hear strangely like the intern Xiao Yuan next to him, and asked, "You mean, you didn't have any trauma or collision, 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 restrain the hand, and his voice became crying: "Doctor, can you help me cut it off quickly? This hand I don't want it anymore, it's not my hand..."
"Where does it hurt? Or does it all hurt?" Li Ruiquan asked again. If it was poisoning, it shouldn't be limited to this hand.
"It hurts... starting from the shoulder..." the patient trembled, and asked for amputation again: "Can I just cut it off?"
Li Ruiquan didn't compare the truth with the patients. Some patients would talk nonsense when they were in pain.
He asked some more questions. The patient's right hand had no old problems. It was fine until 3 o'clock in the afternoon. It was someone else's hand, and the patient felt that he had never I used to have a right hand, but it hurt so much only because I was attached to this alien limb.
In this case, there may be an acute onset caused by some chronic injury.
It's probably a problem with the nervous system, maybe you need to find a neurologist or a psychiatrist.
"Let's take an X-ray first." Li Ruiquan began to write on the medical record on the table, and said while writing: "Take an X-ray first to see what's going on with the bones. I haven't seen the X-ray, so I can't give you a correct judgment You took a film, go to the Trauma Orthopedics Department on the third floor to see it, and I will transfer it for you."
At that time, whether to transfer to another department will be decided by the Department of Traumatology or Orthopedics.
"Don't, don't!" the patient said anxiously, "How long does it take to take a film, I can't take it anymore, doctor, help me..."
Seeing that the patient was in such pain, Li Ruiquan was also afraid that he had made a mistake in his judgment, and he hadn't seen the affected limb yet, so he stopped writing and said, "Roll up your sleeves, and I'll take a look."
"No... no, I can't let go..." the patient said anxiously again, his face turning blue even more, "Once you let go, this hand, this hand... I don't know..."
Li Ruiquan was helpless immediately. The voices of the patients waiting outside kept coming in. He is not a psychiatrist, but an emergency doctor. He can't take too much time to slowly establish a doctor-patient relationship with each patient, otherwise the people behind I can't see the disease anymore.
At this moment, Nurse Ma, who was in charge of the emergency room, came over suspiciously, and Li Ruiquan said, "Minyi, help him take off his clothes and let me see his right hand."
"No, really not..." The patient's face was full of pain and struggle, "This hand is not mine... I can't control it..."
Nurse Ma walked to the side of the patient, but the patient still resisted, not letting anyone touch the painful limb.
"I can't show you what you're like." Li Ruiquan didn't complain, but he was a little anxious, "Let's make a movie, let's make a movie."
The driven patient finally loosened his left hand slowly after struggling and hesitating, but the strange thing is that the veins in his right hand, which should have calmed down due to the unblocked blood, became more bruised, and the back of the hand even turned black quickly.
Li Ruiquan had been paying attention, and suddenly felt strange...
Xiao Yuan's eyes were also suspicious, and before they could think about it, the patient's right hand suddenly jumped up, strangling Nurse Ma's neck next to him.
At this moment, Nurse Ma, Li Ruiquan and the others were stunned, their hearts tightened, thinking of those unpleasant doctor-patient incidents...
But now the patient himself yelled anxiously, "Let go, let go!!" His left hand grabbed his right arm again and pulled it vigorously.
"Hmm..." Nurse Ma also blushed rapidly, grabbing the hand on her neck with both hands to release it.
At the same time, Li Ruiquan and the intern Xiao Yuan both rushed up and pulled the patient together, trying to pull him away, but to their surprise, they were about the same size as the patient, yet they couldn't pull him away. Move this guy. To be precise, he could move his body, but he couldn't move his hand.
"I'm sorry, I'm sorry!" The patient cried anxiously, looking around, suddenly copied the pen on the table with his left hand, gritted his teeth, and stabbed it on the back of his right hand.
Immediately, the patient let out a scream, blood gushed out from the back of his right hand, and it became loose, Li Ruiquan and the two pulled the patient away.
Nurse Ma coughed violently, rubbed her neck, and was a little dazed...
Because the hospital has trained them a few grasping movements in recent years, Li Ruiquan firmly controlled the patient on the floor with both hands, and said anxiously: "Call the security guard..." But it felt wrong. Mental disorder, "fix him, notify the psychiatrist..."
At this time, the outside heard the movement here, and security guards, nurses, and patients all came.
Another waiting patient poured in, a middle-aged man with an anxious face, his left hand tightly holding his right arm.
"Doctor, doctor... My hand hurts so much... It's not mine, I want to cut it off, cut it off for me..."
Li Ruiquan looked up at the patient, and then at the crying patient under his control, feeling a chill in his heart.