"Doctor, my hand is in so much pain. It doesn't feel like mine …"
In the emergency building of Eastern State's Jihua Hospital, the attending physician, Li Ruiquan, was attending to an emergency patient.
In the emergency department, Li Ruiquan, who was in his thirties, was mainly responsible for bone fractures, infections, multiple injuries and compound injuries caused by trauma, as well as new types of braces for non-displaced fractures. The patient he was looking at was suffering from pain in his right hand. It was probably a non-displaced fracture.
"How did you injure it?" Li Ruiquan asked. There was still an endless stream of emergency patients waiting outside, so he spoke as fast as he could.
Based on the patient's condition, it should be the same old routine. He would go for a scan first, preferably a CT scan to determine the extent of the bone injury and whether it was displaced or not.
"I don't know …" The patient was a young man who looked like a university student. His pained face was filled with the usual anxiety, depression, and fear of emergency patients. He wore a long-sleeved tracksuit, and there were no signs of blood or trauma. His left hand gripped his right upper arm tightly, and the veins on the back of his right hand were bulging.
As the patient spoke, he gasped in pain. "Since this morning, I've been feeling weird in my right hand … It's the kind of feeling that this hand is growing on my body … Then, it slowly started to hurt. It's getting more and more painful. I don't want this hand …"
Li Ruiquan had been in the emergency department for quite some time. He had seen all kinds of patients, so it was not uncommon for a patient to say something like this.
Unlike the intern beside him, Little Yuan, he asked, "You mean, there are no external injuries or collisions, but your right hand is suddenly in pain?"
"No, no …" the patient hissed. His right hand was shaking, and his left hand seemed to be on the verge of collapsing. He sounded like he was on the verge of tears. "Doctor, can you please help me amputate it? I don't want this hand anymore, this is not my hand … "
"Where exactly does it hurt? Or does it hurt everywhere? "Li Ruiquan asked again. If it was a case of poisoning, it should not be limited to this hand.
"It hurts everywhere … starting from my shoulder …" the patient said with a shaky voice. Once again, he requested for amputation. "Can you just amputate it?"
Li Ruiquan did not argue with the patient. Some patients would talk nonsense when they were in pain.
He asked a few more questions. The patient's right hand did not have any old injury. It was fine before he woke up this morning, but it was now past three o 'clock in the afternoon. However, it was like a completely different hand. It was someone else's hand, and the patient felt like he had never had a right hand before. It was only because this abnormal limb had been reattached that the pain was unbearable.
In this case, it could be an acute illness caused by some chronic injury.
It was most likely a problem with the nervous system. He might have to look for the neurology department or psychiatry department.
"Let's go take the film first." Li Ruiquan picked up a pen and wrote down the medical record on the table. As he wrote, he said, "Let's take an X-ray first to see what's going on with the bones. I can't give you the right judgment without seeing the radiographic films. After you take the X-ray, go to the orthopedic trauma department on the third floor. I'll transfer you there. "
At that time, it would be up to the Orthopedic Trauma Department to decide whether or not to transfer to other departments.
"No, don't!" The patient said anxiously, "How long will it take to take an X-ray? I can't take it anymore. Doctor, help me …"
Seeing that the patient was in so much pain, Li Ruiquan was also afraid that his judgment was wrong. Up until now, he had not seen the affected limb, so he stopped writing and said, "Roll up your sleeve and let me see."
"No … No, I can't let go …" the patient said anxiously again. His face turned even greener. "Once I let go, this hand, this hand … I don't know …"
Li Ruiquan suddenly felt helpless. The noise of the patients waiting outside kept coming in. He was not a psychiatrist, but an emergency doctor. He could not spend too much time to slowly establish a doctor-patient relationship with each patient. Otherwise, the people behind him would not be able to see the patients.
At this time, Nurse Ma, who was in charge of the emergency room, came over in confusion. 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 did not let anyone touch the limb that was in pain.
"I can't let you see it like this." Li Ruiquan was not complaining, but he was really a little anxious. "Go and take the X-ray, go and take the X-ray."
The patient who was being driven away finally let go of his left hand after struggling and hesitating. But the strange thing was, the veins on his right hand that should have calmed down due to the smooth flow of blood had become more prominent, and the back of his hand was even turning black.
Li Ruiquan had been paying attention and suddenly felt strange …
Little Yuan's eyes were also filled with doubt. But before they could think further, the patient's right hand suddenly rose up and grabbed Nurse Ma's neck.
At this moment, Nurse Ma, Li Ruiquan, and the others were all stunned. Their hearts tightened as they thought of those unpleasant doctor-patient incidents …
But now, the patient was also shouting anxiously, "Let go, let go!!" His left hand grabbed his right arm again and pulled it forcefully. His face was flushed due to the anxiety and pain, looking like he had gone mad.
"Ugh …" Nurse Ma's face also quickly turned red. Both of her hands grabbed the hand on her neck, wanting to release it.
At the same time, Li Ruiquan and the intern, Little Yuan, rushed forward and pulled the patient together, wanting to pull him away. But to their surprise, they couldn't pull the guy away even though they were about the same size as the patient. To be precise, they could pull the patient's body, but they could not pull the hand away.
"I'm sorry, I'm sorry!" The patient was so anxious that he cried. He looked around and suddenly grabbed the pen on the table with his left hand. He gritted his teeth and stabbed the back of his right hand.
Then, the patient let out a scream and blood gushed out from the back of his right hand. The hand loosened, and Li Ruiquan and Little Yuan pulled the patient away.
Nurse Ma coughed violently and rubbed her neck, still in a daze …
Because the hospital had trained them on grappling techniques in recent years, Li Ruiquan firmly restrained the patient on the floor with both of his hands and said anxiously, "Call security …" But he felt that it was inappropriate. The patient did not seem to be doing it on purpose. It seemed to be an acute mental disorder. "Hold him in place and inform the psychiatry department …"
At this time, the security guards, nurses, and patients heard the commotion outside and walked over.
Another patient rushed in. It was a middle-aged man. His face was also filled with anxiety, and his left hand was tightly holding his right arm.
"Doctor, doctor … My hand hurts so much … It's not mine. I want to amputate it. Help me amputate it …"
Li Ruiquan raised his head and looked at the patient, then looked at the crying patient under his control. His heart turned cold.
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