Plague Doctor

"Doctor, my hand hurts so much, it seems like it's not my own..."

In the emergency room of Dongzhou Jihua Hospital, the attending physician Li Ruiquan is examining an emergency patient.

In the emergency department, Li Ruiquan, who is in his thirties, is mainly responsible for new brace fixation of fractures, trauma infections, various multiple and compound injuries caused by trauma, and various non-displaced fractures. The patient he is looking at now has pain in his right hand, which may be a fracture, a non-displaced fracture.

"How did you get injured?" Li Ruiquan asked. There was 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 as before. Take an X-ray first. It would be better to do a CT examination to see how the bones are injured and whether there is any displacement.

"I don't know..." The patient is a young man who looks like a college student. His face is blue with pain and is full of anxiety, depression and fear common to emergency patients. He wears long-sleeved sportswear on his upper body and has no blood stains caused by trauma. He is holding his right hand with his left hand. The upper arm was grasped so hard that the blood vessels on the back of the right hand were congested and bulging.

As the patient spoke, he gasped in pain, "Since this morning, I've been feeling weird in my right hand... It's like, why did this hand grow on my body... Then, slowly it started to It hurts, it hurts more and more, I don’t want this hand..."

Li Ruiquan has been in the emergency department for a long time and has seen all kinds of patients. It is also common for patients to hear incomprehensible words.

He was not as weird as Xiao Yuan, the intern next to him, and asked, "You mean, you didn't have any trauma or collision, but your right hand suddenly hurts?"

"No, no..." the patient hissed, his right hand trembling slightly, and his left hand seemed to be unable to restrain the hand, and his voice sounded crying: "Doctor, can you help me amputate it quickly? This one I don’t want my hand anymore, it’s not my hand…”

"Where does it hurt? Or does it hurt all over?" Li Ruiquan asked again. If it is poisoning, it should not be limited to this hand.

"It all hurts... starting from the shoulder..." the patient trembled, and once again made a request for amputation: "Can you just amputate it?"

Li Rui didn't bother to argue 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 had been fine before getting up this morning. But now at about three o'clock in the afternoon, it seemed that it was a completely different hand. It was someone else's hand. The patient felt that he had never had it before. I once had my right hand, which was in great pain just because this foreign limb was attached.

In this case, there may be an acute onset caused by chronic injury.

It's probably a neurological problem, and you may need to see a neurologist or psychiatrist.

"Let's take a X-ray first." Li Ruiquan started writing on the medical record on the table, and said as he wrote: "First take an . After you take the film, go to the Department of Traumatology and Orthopedics on the third floor to watch it, and I will transfer it to you."

At that time, it will be decided by the Department of Traumatology and Orthopedics whether to transfer to another department.

"No, no!" the patient said anxiously, "How long will it take to take the X-ray? I can't stand it anymore. Doctor, please help..."

Seeing that the patient was in so much pain, Li Ruiquan was afraid that his judgment was wrong, and he had not seen the affected limb yet, so he stopped writing and said: "Roll up your sleeves and let me take a look."

"No... no, I can't let go..." the patient said urgently again, his face turning blue even more, "As soon as I let go, this hand, this hand... I don't know..."

Li Ruiquan was helpless. The noise of patients waiting outside kept coming in. He was not a psychiatrist, but an emergency doctor. He couldn't spend too much time slowly establishing a doctor-patient relationship with each patient, otherwise the people behind him would I can no longer see the disease.

At this time, Nurse Ma, who was in charge of the emergency room, came over suspiciously. Li Ruiquan said, "Minyi, help him take off his clothes and let me see his right hand."

"No, I really can't..." 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 patient's side, but the patient still resisted and refused to let anyone touch the painful limb.

"I can't show it to you when you're like this." Li Ruiquan wasn't complaining, but he was a little anxious, "Go and make a movie, go and make a movie."

The driven patient struggled and hesitated before slowly letting go of his left hand. But the strange thing was that the veins in his right hand, which should have calmed down due to the smooth flow of blood, became more protruding and the back of his hand even turned a little black.

Li Ruiquan had been paying attention, and suddenly felt strange...

Xiao Yuan's eyes were also suspicious. Before they could think about it, the patient's right hand suddenly shot up and strangled the neck of Nurse Ma next to him.

At this moment, Nurse Ma, Li Ruiquan and others were stunned, their hearts tightening, thinking of those unpleasant doctor-patient incidents...

But now the patient himself was shouting anxiously, "Let go, let go!!" His left hand grabbed his right arm again and pulled hard. His face was flushed with anxiety and pain, and he looked like he was going crazy.

"Well..." Nurse Ma's face turned red rapidly, and she grabbed the hand around her neck to untie it.

At the same time, Li Ruiquan and intern Xiao Yuan both rushed forward and worked together to grab the patient, trying to pull him away. But what surprised them was that they were both about the same size as the patient, but they couldn't pull him away. Move this guy. To be precise, I could pull my body, but I couldn't pull that hand away.

"I'm sorry, I'm sorry!" the patient cried anxiously, looking around, and suddenly took his left hand over the paper on the table.

Gritting his teeth, the pen pierced the back of his right hand.

The patient then screamed, and blood gushed out from the back of his right hand. It loosened, and then Li Ruiquan and the others pulled the patient away.

Nurse Ma coughed violently, rubbed her neck, and felt a little dazed...

Because the hospital had trained them in several grappling movements in recent years, Li Ruiquan firmly controlled the patient on the floor with both hands and said urgently: "Call security..." But it felt wrong. The patient didn't seem to be doing it on purpose. Acute mental disorder, "immobilize him and notify the psychiatric department..."

At this time, I heard the noise outside, and security guards, nurses, and patients came over.

Another patient waiting for treatment came in, a middle-aged man with a face full of anxiety and his left hand holding his right arm tightly.

"Doctor, doctor...my hand hurts so much...it's not mine, I want to amputate it, help me amputate it..."

Li Ruiquan looked up at the patient, then at the crying patient who was controlled by him, and felt a chill in his heart.

Love the Plague Doctor.