1711 Periodic Vomiting Syndrome
12 hours ago, Boston, USA.
West A house was smoking in roxbury.
The wires in the basement should have been disrepaired, causing an electrical fire. The hostess here soon discovered an accident and immediately pulled out the power switch. Then she carried a bucket to extinguish the fire that did not become slow.
It's just a strong smell of rubber, which smells very uncomfortable.
After extinguishing the fire, she felt tired all over, and her high tension just now made her body overwhelmed.
The basement was full of smoke, and I was choked and coughed when I took a breath.
I tried my best to walk out of the basement, but in the end I was weak and almost fainted on the steps of the basement.
However, her strong desire to survive made her persistently come out.
She sat at the door, breathing the fresh air, feeling very happy. Although the basement needs to be cleaned thoroughly, she seems to have something to do in the past few days, but it is really a wonderful thing to be able to get out alive.
But sitting at the door, her lower abdomen began to hurt.
The severe pain consumed the last trace of energy in the body, and the endless fatigue surged like a tide, flooding the whole person.
She was not panicked.
Two or three months ago, she also encountered this condition, with severe abdominal pain. She was taken to Massachusetts General Hospital by an ambulance for treatment. The doctor said it was abdominal pain caused by periodic vomiting syndrome.
Hell periodic vomiting syndrome, hell insurance!
She sat at the door without the idea of calling an ambulance, but was preparing to let time soothe everything. Once the ambulance came, she would send out a receipt that made her frightened.
As long as she still has the strength, she doesn't want to take an ambulance to the hospital. The experience is terrible.
But after enduring it for a night, she didn't get better, so she had to contact her former attending doctor the next day and go to Massachusetts General Hospital for treatment.
There was no appointment for a doctor because Dr. Mark, who diagnosed her with periodic vomiting syndrome last time, thought this case was very interesting, so he told her if there was any problem, he would just look for herself.
Soon, Dr. Mark began to regret his decision.
Last time he was hospitalized, he used ondansetron, hydromorphone and intravenous infusion for the female patient. After taking the medication, the patient's nausea, vomiting and abdominal pain were relieved. On the second day of the hospitalization, the patient was able to eat normally and went home.
Dr. Mark is only interested in periodic vomiting syndrome and he is preparing to conduct a long-term follow-up investigation.
However, when the female patient was hospitalized again and had the corresponding examination, Dr. Mark found that the patient was in a wrong condition.
She is sober and has directional force. But she is emotionally unstable, and she laughs and cries.
The patient's gaze was strengthened, his speech was fast, his speech was urgent and sometimes vague. And as time went on, he became more and more emotional, and someone was seen twisting violently in the bed and pulling the equipment and clothes.
Periodic vomiting syndrome does not have this problem, and Dr. Mark, as the attending physician, began to feel embarrassed.
After consultation, after consultation by a neurologist, I thought it had nothing to do with neurological diseases.
Soon, the patient's condition further worsened.
Dr. Mark gave her an intravenous infusion and gave her ondansetron, pantoprazole, fentanyl and lorazepam. The patient was admitted to the intensive care unit and underwent a diagnostic test.
The doctor in the intensive care unit was very unhappy. It was dark, but he accepted a patient with a strange condition.
This is not the key. What makes him angry the most is that he is about to watch the live operation. A live operation of a liver abscess with no history of trauma or surgery, but he sees a foreign body on his liver.
"Damn it!" the doctor of the icu nagged, the live broadcast of the operation was about to begin, and the female patient was sent here.
He could only put down his cell phone with regret, hoping that the surgeon's operation would be slower. He checked the female patient as quickly as possible. After giving the symptomatic treatment, he returned to his room.
Sure enough, the operation has been completed.
It's really damn, I can only watch the recording. But he felt that watching the recording of the surgery had no soul at all, it was just an ordinary teaching video.
"Jason, my previous diagnosis of this patient was periodic..." Dr. Mark said his judgment, but was interrupted irritably by Dr. Jason of ICU.
"I don't want to know what you diagnosed. Now I'm going to watch the surgery recording. It's because of your stupidity that I'm going to watch a wonderful surgical operation!" Dr. Jason roared.
"Live operation? Was it the operation of the young doctor who just became tenured professors of our hospital?" asked Dr. Mark.
"Yes!" Jason's face turned pale and 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 on Jason's phone.
It's just a liver abscess. Dr. Mark has never watched the live broadcast of the surgery from the other side of the ocean, because the live broadcast is mainly about interventional surgery, and he is not a doctor in the interventional department.
There are some surgical procedures, but Dr. Mark does not think that interdisciplinary surgery will be very exciting.
"Shut your stinky mouth! This is the surgery of a tenured professor. If you don't want to be fired by the board, it's better to go to the surgery with a pious heart." Dr. Jason's expression was very wonderful. The surgery was done quite quickly, which was in line with his expectations.
What he was curious about was that there was no history of trauma and no history of surgery, so why did foreign objects appear on the liver?
Where did this foreign object come from?
Soon, Dr. Jason saw the free abscess of the capture forceps, and then after sucking a portion of the thick juice, he accurately clamped the foreign object and took it out directly.
"Jason, what is that?" Mark asked, "how did it come out there?"
"I know! There is no history of surgery or trauma, foreign objects appear in the body to cause liver abscess!" Jason looked at the picture in a daze. Then the surgeon did not continue the operation immediately, but instead used hemostasis forceps to remove all the pus moss attached to the foreign objects on a piece of gauze.
A partially corroded toothpick appears on the screen.
"It turned out to be a toothpick!" Dr. Mark raised his hands and expressed his surprise in an exaggerated posture.
Although Jason was also surprised, he tried his best to say: "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 concentratingly. The surgeon changed into sterile gloves and continued to clean up the abscess.
The focus of the operation is to remove foreign objects. Despite this, Dr. Jason is still interested in all the operations of the surgeon.
After seeing the operation, Dr. Jason felt that he was still unsatisfied.
Suddenly, a strange thought appeared in my mind.
Chapter completed!