Plague Doctor

“Doctor, my hand hurts so much, it doesn't seem to be my own...”

Dongzhou Jehua Hospital Emergency Building, in this emergency room, attending physician Li Ruiquan is looking after an emergency patient.

In the Emergency Department, Li Ruiquan, in his 30s, is mainly responsible for the fixation of various multiple injuries and composite injuries caused by fractures, traumatic infections, trauma injuries, and various new types of non-displaced fractures. The pain in the patient's right hand, which he's looking at now, could be a fracture, no displacement fracture.

“How did you get hurt?” Li Ruiquan asked that there were a lot of emergency patients waiting outside, so he spoke as fast as he always did.

As for the patient's condition, it should still be the same. Go ahead and take a CT to see what the bone injury is and if it has been displaced.

“I don't know…” The patient was a young man who looked like a college student, and his painful face was filled with anxiety, depression and fear common to emergency patients, long-sleeved sportswear on his upper body, no traumatic blood, etc., his left hand grabbed the upper arm of his right hand, he grabbed it very hard, the blood vessels on his right back were all congested and bursting.

The patient said, "From this morning onwards, I thought my right hand was weird... that kind of thing, how could this hand grow on me... then it started to hurt slowly, and it started to hurt more and more, I don't want this hand..."

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

He didn't sound as strange as the intern next door, Xiaoyuan, asked: "You mean you didn't have any trauma, collision, sudden pain in your right hand? ”

“No, no...” The patient hissed, his right hand trembled slightly, his left hand seemed to be losing control of this hand, and he cried: “Doctor, can you cut it off quickly? I don't want this hand anymore, it's not my hand...”

“Where exactly does it hurt? Or does it hurt?” Li Ruiquan asked that if it was poisoning, it should not be limited to this hand.

“It all hurts… starting from the shoulder…” The patient trembled and made another request to amputate the limb: “Can you amputate it? ”

Li Rui doesn't compare this to his patients. Some patients talk nonsense when they are in pain.

He asked some more questions. The patient's right hand had no old illness. He was fine until he woke up this morning. It was more than 3: 00 p.m., but it looked like he had completely changed hands. It was someone else's hand. The patient felt that he had never had a right hand. It was only because he had been attached to this extremity that he was in great pain.

In this case, there is a possibility of acute morbidity due to chronic injury.

That's mostly a nervous system problem, maybe a neurologist or a psychiatrist.

“Go ahead and make a film.” Li Rui wrote a full pen to the medical records on the table and wrote as he wrote: “Let's take an X-ray to see what the bones look like. I haven't seen a movie, and I can't give you the right judgment. You took a film, went to the trauma orthopaedic department on the third floor, and I turned you around. ”

It's up to the traumatologist to decide whether or not to turn to another department.

“No, no!” The patient was anxious, “How long does it take to film, I can't stand it, doctor, help me...”

Li Rui saw that the patient was in such pain, and he was afraid that his judgment would be wrong. Before he saw the limb, he stopped writing: “Roll up your sleeves and let me see. ”

“No... no, I can't let go...” The patient is in a hurry, his face is even bluer. “Once I let go, this hand, this hand... I don't know...”

Li Rui Quanton was helpless. The murmurs of the patients waiting outside had been coming in. He was not a psychiatrist, he was an emergency doctor. He could not take much time to establish a doctor and patient relationship with each patient. Without that, the people behind him could not see the disease.

At this time, the nurse in charge of this emergency room walked in confused. Li Ruiquan said: “Min Yi, help him take off his clothes and let me see his right hand. ”

“No, I really can't...” The patient's face is full of pain and struggle, "This hand is not mine... I can't control it...”

Nurse Ma walked next to the patient, but the patient still resisted letting anyone touch the severely painful limb.

“I can't show you like this.” Li Ruiquan isn't complaining, but it's a bit urgent, "go make a film, go make a film. ”

The patient being expelled, struggling with hesitation, finally slowly loosened his left hand, but strangely, the right hand, which was supposed to calm down because the blood was clear, was more bluish-muscular and even a little dark quickly on the back of his hand.

Li Rui has always noticed that his heart feels strange...

Xiaoyuan's eyes were also suspicious. Without waiting for them to think too much, the patient's right hand burst out of nowhere and suddenly strangled the next nurse's neck.

At this moment, Nurse Ma, Li Rui Quan and others were all stunned, their hearts tightened, reminiscent of the doctor and patient events that would not make people happy...

But now the patient herself screams, “Let go, let go!!” His left hand grabbed his right arm again, pulling it hard, and his face rose red from anxiety and anguish, seeming insane.

“Hmm...” Nurse Ma's face also rose rapidly. Grab this hand on her neck with both hands and release it.

Meanwhile, Li Ruiquan and intern Xiaoyuan rushed up and pulled the patient together, trying to pull it apart, but they were both surprised that they were about the same shape as the patients, and they couldn't pull the guy. I was able to pull my body precisely, but I couldn't pull that hand.

“Sorry, sorry!” The patient burst into tears, his eyes looking at him, his left hand suddenly copied the pen on the table, bit his teeth, and stabbed him in the back of his right hand.

The patient immediately screamed, blood poured out on his right hand back, one of which loosened, Li Ruiquan and the other two pulled the patient apart.

Nurse Ma coughed violently, rubbing her neck, and a little bit of blatantness...

Because the hospital has trained them a few times in recent years, Li Ruiquan firmly controlled the patient on the floor with his hands. He said, "Call security...” But it didn't feel right. The patient didn't seem intentional, it seemed to be an acute mental disorder. "Secure him, notify the psychiatric department...”

At this point, we heard movement outside, security guards, nurses, patients coming.

Another patient, a middle-aged man, was also anxious, holding his right arm tightly in his left hand.

“Doctor, Doctor... my hand hurts so much... it's not mine, I want to cut it off, help me cut it off...”

Li Rui looked up at the patient and saw the crying patient under his control.