12 hours ago, Boston, United States.
Smoke billows from a house in West Roxbury.
The electrical wiring in the basement may be in disrepair, causing electrical fires. The hostess here quickly discovered that there was an accident and immediately turned off the power switch. Then she carried a bucket and put out the fire that did not get serious.
It just has a strong rubber smell that makes people feel extremely uncomfortable.
After putting out the fire, she felt exhausted all over. The high tension just now made her body overwhelmed.
The basement was full of smoke, and I choked and coughed every time I took a breath.
He tried his best to walk out of the basement, but in the end he was so weak that he almost fainted on the basement steps.
However, her strong desire to survive kept her going.
She sat at the door, breathing the fresh air and feeling very happy. Although the basement needs to be thoroughly cleaned, and I seem to have something to do these days, it is really a wonderful thing to be able to come out alive.
But sitting at the door, her lower abdomen began to hurt.
The severe pain consumed the last bit of energy in the body, and the endless fatigue surged like a tide, drowning the whole person.
She didn't panic.
Two or three months ago, she also encountered this situation and suffered severe pain in her abdomen. He was taken by ambulance to Massachusetts General Hospital for treatment. The doctor said it was abdominal pain caused by cyclic vomiting syndrome.
Damn cyclic vomiting syndrome, damn insurance!
She sat at the door, not thinking of calling an ambulance, but preparing to let time heal everything. Once the ambulance comes, it will issue a receipt that scares me.
As long as she still had the strength, she didn't want to take the ambulance to the hospital, it would be a terrible experience.
But after enduring it all night, she didn't see any improvement, so she had to contact her former attending doctor the next day and go to Massachusetts General Hospital for treatment.
There was no appointment to see a doctor, because Dr. Mark, who diagnosed her with cyclic vomiting syndrome last time, thought this case was very interesting, so he told her that if she had any problems again, she should go directly to herself.
Soon, Dr. Mark began to regret his decision.
During the last hospitalization, he gave the female patient ondansetron, hydromorphone and intravenous fluids. After taking the medication, the patient's nausea, vomiting and abdominal pain were relieved. On the second day of hospitalization, the patient was able to eat normally and was discharged home.
Dr. Mark is only interested in cyclic vomiting syndrome, and he plans to conduct a long-term follow-up investigation on it.
But when the female patient was hospitalized again and underwent corresponding examinations, Dr. Mark discovered that something was wrong with the patient.
She is alert and oriented. But he was emotionally unstable, laughing and crying sometimes.
The patient's gaze is intensified, and his speech is fast, urgent, and sometimes slurred. And as time went on, she became agitated and was seen violently twisting on the bed and pulling at equipment and clothing.
Cyclic vomiting syndrome does not have this problem, and Dr. Mark, as the attending physician, became embarrassed.
I asked for a consultation, and after consultation with a neurologist, I thought it had nothing to do with neurological diseases.
Soon, the patient's condition further worsened.
Dr. Marks gave her intravenous fluids and gave her ondansetron, pantoprazole, fentanyl, and lorazepam. The patient was admitted to the intensive care unit and diagnostic tests were performed.
The doctor in the intensive care unit was very unhappy. It was dark, but he admitted a patient with a strange condition.
None of this was critical. What made him most angry was that he was about to watch a live surgery, a live broadcast of a liver abscess with no history of trauma or surgery, but he saw a foreign body on the liver.
"Damn it!" the ICU doctor said. The live broadcast of the surgery was about to begin, and the female patient was also sent over.
He could only put down his cell phone with regret, hoping that the surgeon could perform the operation more slowly this time. He examined the female patient as quickly as possible, and after giving her symptomatic treatment, he returned to his room.
Sure enough, the operation was completed.
Damn it, I can only watch the recording. But he felt that watching the surgery recording had no soul at all, it was just an ordinary teaching video.
"Jason, I previously diagnosed this patient as periodic..." Dr. Mark said his judgment, but was interrupted irritably by Dr. Jason in the ICU.
"I don't want to know what your diagnosis is. Now I'm going to watch the surgical recording. Just because of your stupidity, it affects me from watching a wonderful surgical operation!" Dr. Jason roared.
"Live broadcast of surgery? Is it the surgery of the young doctor who just became a tenured professor in our hospital?" Dr. Mark asked.
"Yes!" Jason's face turned pale as he began to watch the "soulless" surgery recording.
"Liver abscess? What's so good about this kind of surgery?" Mark leaned over and saw the scene of the surgery on Jason's phone.
It was just a liver abscess. Dr. Mark had never seen the live broadcast of surgery from across the ocean, because the live broadcast mainly focused on interventional surgery, and he was not a doctor in the interventional department.
There are some surgeries, but Dr. Mark doesn't think interdisciplinary surgeries will be that exciting.
"Shut your stinky mouth! This is an operation for a tenured professor. If you don't want to be fired by the board of directors, you'd better go to the operation with a pious heart." Dr. Jason's expression was very wonderful, and the operation was quite good. Fast, in line with his expectations.
What he was curious about was that there was no history of trauma or surgery, so why would there be foreign bodies on the liver.
Where did this foreign object come from
Soon, Dr. Jason saw the deft forceps grasping the free abscess, and then after sucking part of the thick juice, he accurately grasped the foreign object and took it out directly.
"Jason, what is that?" Mark asked, "How did it get there?"
"Who knows! There is no history of surgery or trauma, but a foreign object can appear in the body and cause a liver abscess!" Jason stared at the picture intently. Then the surgeon did not continue the operation immediately, but started using hemostatic forceps. Use a piece of gauze to remove any pus attached to the foreign object.
A partially corroded toothpick appeared on the screen.
"It turned out to be a toothpick!" Dr. Mark raised his hands and expressed his surprise in an exaggerated gesture.
Although Jason was also surprised, he said as calmly as possible: "Mark, our newly hired tenured professor is actually very capable."
"Just him?" Dr. Mark said, "I heard..."
"Please keep your respect for tenured professors, if you don't want to be fired." Jason watched the operation intently. The surgeon changed sterile gloves and continued to clean the abscess.
The focus of the surgery is to remove the foreign body. Even so, Dr. Jason is still interested in all the operations of the surgeon.
After watching the operation, Dr. Jason felt that he was still satisfied.
Suddenly, a strange idea appeared in my mind.
Could you tell him about the condition of patients with cyclic vomiting syndrome via email