Chapter 1711： Periodic vomiting syndrome
12 hours ago, Boston, USA.
In the WestRoxbury district, a house smoked.
The wires in the basement should be in disrepair and cause an electrical fire. The hostess here quickly found the accident, and the first time the brakes were pulled off, and then the bucket was extinguished without a slow fire.
It is just a strong rubbery smell that makes people feel very uncomfortable.
After putting out the fire, she felt tired all over the body, and the height of her nervousness made her body overwhelmed.
The basement is full of smoke, and the cough is a straight cough.
Every effort was made to get out of the basement, and finally the body was weak and weak, and almost did not faint on the steps of the basement.
However, the strong desire to survive made her insist on coming out.
She sat at the door, breathing fresh air and feeling very happy. Although the basement needs to be thoroughly cleaned, I seem to have something to do in the past few days, but it is a wonderful thing to be able to come out alive.
But sitting at the door, her lower abdomen began to hurt.
The intense pain consumed the last trace of energy in the body, and the endless exhaustion was as tidal as the tide, drowning the whole person.
She is not panicked.
Two or three months ago, she also encountered this situation, severe pain in the abdomen. He was taken to the Massachusetts General Hospital for treatment by an ambulance. The doctor said it was abdominal pain caused by periodic vomiting syndrome.
Hell cyclical vomiting syndrome, hello insurance!
She sat at the door without the idea of calling an ambulance, but was prepared to let time to heal everything. Once the ambulance comes, it will open a receipt that will make you feel scared.
As long as she still has the strength, she doesn't want to go to the hospital with an ambulance. The experience is terrible.
However, she had to endure the night and did not see any improvement. She had to contact the former doctor on the second day to go to the Massachusetts General Hospital.
There was no appointment for treatment, because Dr. Mark, who had diagnosed her periodic vomiting syndrome last time, thought the case was very interesting, so told her that if she had another problem, she would look for herself.
Soon, Dr. Mark began to regret his decision.
The last time he was hospitalized, he used ondansetron, hydromorphone and intravenous infusions for female patients. After 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 periodic vomiting syndrome, and he is prepared to do a long-term follow-up investigation.
However, when the female patient was hospitalized again and had a corresponding examination, Dr. Mark found that the patient was in a wrong condition.
Her mind is clear and directional. But the mood is unstable, crying when laughing.
The patient's gaze is enhanced, the speech is fast, the words are urgent and sometimes ambiguous. And as time went on, the emotions stirred up, and someone saw her violently twisting in bed and pulling equipment and clothes.
Periodic vomiting syndrome does not cause this problem, and Dr. Mark began to struggle as a doctor.
I consulted with a consultation with a neurologist and thought it was not related to neurological diseases.
Soon, the patient's condition was further aggravated.
Dr. Mark gave her intravenous infusion and given ondansetron, pantoprazole, fentanyl and lorazepam. The patient was admitted to the intensive care unit and a diagnostic test was performed.
The doctor in the intensive care unit was very upset, and the weather was bright, but he received a strange patient.
This is not the key. What makes him most angry is that he is going to watch live surgery, a live episode of a liver abscess that has no history of trauma, history of surgery, but a foreign body seen on the liver.
"Damn!" the doctor at the ICU snorted, the live broadcast was about to begin, and the female patient was sent.
He can only put down his mobile phone very unfortunately, hoping that the surgeon's surgery can be done slowly. The female patient was examined at the fastest speed, and after the symptomatic treatment, he returned to his room.
Sure enough, the surgery has been done.
It’s damn, I can only watch the recording. However, he feels that there is no soul at all in the surgery recording, that is, an ordinary teaching video.
"Jason, this patient I had diagnosed periodically..." Dr. Mark said his judgment, but was interrupted by Dr. Jason of ICU.
"I don't want to know what you are diagnosed. Now I am going to see the surgery. Because of your stupidity, it affects me to see a wonderful surgery!" Dr. Jason growled.
“Surgery live broadcast? Is it the surgery of the young doctor who just became a tenured professor in our hospital?” Dr. Mark asked.
"Yes!" Jason turned his face and began to watch the "no soul" surgery recording.
"Liver abscess? What kind of surgery is good." Mark went over and saw the picture of surgery on Jason's cell phone.
It’s just a liver abscess. Dr. Mark hasn’t seen the live broadcast from the other side of the ocean, because the live broadcast is mainly based on interventional surgery, and he is not a doctor in the intervention department.
There are also some surgical operations, but Dr. Mark does not think that the interdisciplinary surgery will be wonderful.
"Close your mouth! This is a lifelong professor's surgery. If you don't want to be dismissed by the board of directors, it is best to go to the surgery with a sincere heart." Dr. Jason's expression is very exciting, the surgery is quite Fast, in line with his expectations.
His curious point is that there is no history of trauma, no history of surgery, and why there are foreign bodies on the liver.
Where did this foreign object come from?
Soon, Dr. Jason saw the dexterous free abscess of the grasping pliers, and then, after sucking a part of the syrup, accurately pinched the foreign body and took it out directly.
"Jason, what is that?" Mark asked. "How did it appear there?"
"Ghosts know! There is no history of surgery, no history of trauma, there will be foreign bodies appearing in the body causing liver abscess!" Jason looked at the picture without looking at it, and then the surgeon did not immediately continue surgery, but started with hemostatic forceps. A piece of gauze removes the lint from the foreign body.
A toothpick that has been partially corroded appears on the screen It turns out to be a toothpick! Dr. Mark raised his hands and expressed his surprise in an exaggerated posture.
Although Jason was also very surprised, he tried to calmly say: "Mark, our newly hired tenured professor is actually very capable."
“Just on him?” Dr. Mark said: “I heard...”
"Please keep your respect for the tenured professor, if you don't want to be dismissed." Jason looked at the operation with enthusiasm, and the surgeon continued to clean the abscess after changing the sterile gloves.
The focus of the surgery is on the removal of foreign bodies. However, Dr. Jason is still interested in all the operations of the surgeon.
After reading the surgery, Dr. Jason felt that the meaning was still unfinished.
Suddenly, a weird thought appeared in my mind.
Can I give him a look at the condition of patients with periodic vomiting syndrome by mail?
In the WestRoxbury district, a house smoked.
The wires in the basement should be in disrepair and cause an electrical fire. The hostess here quickly found the accident, and the first time the brakes were pulled off, and then the bucket was extinguished without a slow fire.
It is just a strong rubbery smell that makes people feel very uncomfortable.
After putting out the fire, she felt tired all over the body, and the height of her nervousness made her body overwhelmed.
The basement is full of smoke, and the cough is a straight cough.
Every effort was made to get out of the basement, and finally the body was weak and weak, and almost did not faint on the steps of the basement.
However, the strong desire to survive made her insist on coming out.
She sat at the door, breathing fresh air and feeling very happy. Although the basement needs to be thoroughly cleaned, I seem to have something to do in the past few days, but it is a wonderful thing to be able to come out alive.
But sitting at the door, her lower abdomen began to hurt.
The intense pain consumed the last trace of energy in the body, and the endless exhaustion was as tidal as the tide, drowning the whole person.
She is not panicked.
Two or three months ago, she also encountered this situation, severe pain in the abdomen. He was taken to the Massachusetts General Hospital for treatment by an ambulance. The doctor said it was abdominal pain caused by periodic vomiting syndrome.
Hell cyclical vomiting syndrome, hello insurance!
She sat at the door without the idea of calling an ambulance, but was prepared to let time to heal everything. Once the ambulance comes, it will open a receipt that will make you feel scared.
As long as she still has the strength, she doesn't want to go to the hospital with an ambulance. The experience is terrible.
However, she had to endure the night and did not see any improvement. She had to contact the former doctor on the second day to go to the Massachusetts General Hospital.
There was no appointment for treatment, because Dr. Mark, who had diagnosed her periodic vomiting syndrome last time, thought the case was very interesting, so told her that if she had another problem, she would look for herself.
Soon, Dr. Mark began to regret his decision.
The last time he was hospitalized, he used ondansetron, hydromorphone and intravenous infusions for female patients. After 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 periodic vomiting syndrome, and he is prepared to do a long-term follow-up investigation.
However, when the female patient was hospitalized again and had a corresponding examination, Dr. Mark found that the patient was in a wrong condition.
Her mind is clear and directional. But the mood is unstable, crying when laughing.
The patient's gaze is enhanced, the speech is fast, the words are urgent and sometimes ambiguous. And as time went on, the emotions stirred up, and someone saw her violently twisting in bed and pulling equipment and clothes.
Periodic vomiting syndrome does not cause this problem, and Dr. Mark began to struggle as a doctor.
I consulted with a consultation with a neurologist and thought it was not related to neurological diseases.
Soon, the patient's condition was further aggravated.
Dr. Mark gave her intravenous infusion and given ondansetron, pantoprazole, fentanyl and lorazepam. The patient was admitted to the intensive care unit and a diagnostic test was performed.
The doctor in the intensive care unit was very upset, and the weather was bright, but he received a strange patient.
This is not the key. What makes him most angry is that he is going to watch live surgery, a live episode of a liver abscess that has no history of trauma, history of surgery, but a foreign body seen on the liver.
"Damn!" the doctor at the ICU snorted, the live broadcast was about to begin, and the female patient was sent.
He can only put down his mobile phone very unfortunately, hoping that the surgeon's surgery can be done slowly. The female patient was examined at the fastest speed, and after the symptomatic treatment, he returned to his room.
Sure enough, the surgery has been done.
It’s damn, I can only watch the recording. However, he feels that there is no soul at all in the surgery recording, that is, an ordinary teaching video.
"Jason, this patient I had diagnosed periodically..." Dr. Mark said his judgment, but was interrupted by Dr. Jason of ICU.
"I don't want to know what you are diagnosed. Now I am going to see the surgery. Because of your stupidity, it affects me to see a wonderful surgery!" Dr. Jason growled.
“Surgery live broadcast? Is it the surgery of the young doctor who just became a tenured professor in our hospital?” Dr. Mark asked.
"Yes!" Jason turned his face and began to watch the "no soul" surgery recording.
"Liver abscess? What kind of surgery is good." Mark went over and saw the picture of surgery on Jason's cell phone.
It’s just a liver abscess. Dr. Mark hasn’t seen the live broadcast from the other side of the ocean, because the live broadcast is mainly based on interventional surgery, and he is not a doctor in the intervention department.
There are also some surgical operations, but Dr. Mark does not think that the interdisciplinary surgery will be wonderful.
"Close your mouth! This is a lifelong professor's surgery. If you don't want to be dismissed by the board of directors, it is best to go to the surgery with a sincere heart." Dr. Jason's expression is very exciting, the surgery is quite Fast, in line with his expectations.
His curious point is that there is no history of trauma, no history of surgery, and why there are foreign bodies on the liver.
Where did this foreign object come from?
Soon, Dr. Jason saw the dexterous free abscess of the grasping pliers, and then, after sucking a part of the syrup, accurately pinched the foreign body and took it out directly.
"Jason, what is that?" Mark asked. "How did it appear there?"
"Ghosts know! There is no history of surgery, no history of trauma, there will be foreign bodies appearing in the body causing liver abscess!" Jason looked at the picture without looking at it, and then the surgeon did not immediately continue surgery, but started with hemostatic forceps. A piece of gauze removes the lint from the foreign body.
A toothpick that has been partially corroded appears on the screen It turns out to be a toothpick! Dr. Mark raised his hands and expressed his surprise in an exaggerated posture.
Although Jason was also very surprised, he tried to calmly say: "Mark, our newly hired tenured professor is actually very capable."
“Just on him?” Dr. Mark said: “I heard...”
"Please keep your respect for the tenured professor, if you don't want to be dismissed." Jason looked at the operation with enthusiasm, and the surgeon continued to clean the abscess after changing the sterile gloves.
The focus of the surgery is on the removal of foreign bodies. However, Dr. Jason is still interested in all the operations of the surgeon.
After reading the surgery, Dr. Jason felt that the meaning was still unfinished.
Suddenly, a weird thought appeared in my mind.
Can I give him a look at the condition of patients with periodic vomiting syndrome by mail?
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