Monthly Archives: July 2020

When the person is in anaesthetic, what can you do inscrutable thing?

rHGH Space / / Medical

You never know

Before and after anesthesia

What incredible things do people do?

Some of them do affect surgery

Yeah, hahaha, it’s really funny

The following story is from the clinic

Being funny is serious

Popularization of science is a must

1

Hemp drunk before

I drank just a little bit.

For a period of time promoted by Rapid Rehabilitation Surgery (ERAS), our doctors and nurses carefully taught the patients to drink qing drinks before surgery, and the patient compliance was good, until one day…

I asked the patient, “Have you had a drink?
What time was it?”

Patient answer: “drank, the milk tea that drinks a little bit of the home, the milk green of big pig, I do not feel hungry at all.”

I was annoyed: “who let you drink a little ah?”

The patient is grievance very: “yesterday the doctor say, before 9 o ‘clock can drink, to recover good, I still confirmed, what the doctor say is — drink a little bit!”

Originally, “drink a little water” sounds like “drink a little” (some milk tea brand), this is how experienced milk tea lovers ah?

I am angry again funny: “you can’t even inside of the bully all eat clean, that can only go back to digest a bully to come to the operation again.”

Ma Xiaopang nianzhuan: an important part of the rapid rehabilitation surgery, is to perform elective surgery in clinical patients before the operation of oral moderate amount of carbohydrates beverages, so that patients from the state of fasting to eating.
In recent years, studies have shown that the move can not only supplement patients lost moisture and energy, improve the preoperative patients with postoperative thirst and hunger, discomfort, and reduce the incidence of postoperative chills, improve patients perioperative metabolic changes and stress reaction, reduce the postoperative insulin resistance, shorten hospitalization time, in short, is to improve postoperative patients with fast recovery, to improve the prognosis of important role.
The safety of oral administration of 300-400 ml clear liquid 2 h before surgery (drunk within 0.5 h) has also been confirmed by many studies.

Underline the key points. After drinking the clear drink, the operation could not start for more than 2 hours.

Please do give me imported medicine

Before surgery, a certain American female patient repeatedly stressed: “The doctor I want to use analgesia pump, please be sure to give me with an imported analgesia pump and imported anesthetic!”

Me: “Well, the pain relievers in any pump are the same, so they’re all equally good.
Anesthetics, too, have the same mechanism and effect.
And we use the medicine according to the actual demand, does not only use the import medicine to say oh.”

Beauty: “that affirmation import of good, skin care products you affirmation also use foreign brand ah ~~~”

She was right. What else can I say?

The nurse mm next to take out the domestic hand cream that carry: “look, we are to support domestic goods high-quality goods!
We can’t just go after imported brands. People like us who wash our hands N times a day have the best say in hand cream.”

Then it was over.

Hemp small fat grind read aloud: the skin care that suits oneself is the best, anaesthetic also is such.
In clinical anesthesia, we will give drugs according to the operation process as needed, in order to achieve the most suitable anesthesia state!

I dreamed Daniel was giving me anesthesia

One day routinely sign the woman who is about to have a cesarean section.
Just walked to the bedside, the woman asked me, “Doctor, do you know which doctor gave me anesthesia?
Handsome?
I had a dream last night that Daniel gave me anesthesia.”

I close good anaesthesia agreement: “that arrange a male doctor to you!
Who opened that knife for you? Did you dream?
“

“It should be Wang Luodan.
“

At that time I tell this matter to the colleague listen to, somebody make fun of: “you why didn’t ask her to dream of the baby like who?”

Then I did meet a woman who had just given birth.

2

Anesthesia convalescence

One of the interesting things that happens when patients are recovering from anesthesia is that most of them have no memory of it.

I dreamed of a stock rally

Some painless abortion patient woke up and kept repeating the Numbers. I think she was an accountant?
A workaholic?
She called her name to wake her up, she said: Doctor, I just dreamed a stock rose ah, must remember the code ah.

But when I fully woke up, I couldn’t remember. I joked that If I had known I had taken notes, I wouldn’t have missed my chance to become rich.

Doctor I’ve been shot

One patient woke up with a brief disturbance of consciousness and kept saying, “Doctor!
I’ve been shot, come and save me ~~~~ doctor, tell my husband to run, the enemy is coming.
“

Restore indoor people call explanation failed repeatedly, consider to don’t give her calm processing, then a senior nurse anesthetists (party) held her hand: “comrade, rest assured, has been out of bullets, you are safe now, your husband, family also moved to a safe place, other comrades to continue to fight with the enemy, you have a good rest ~”

And then the world went quiet.
Cattle!
Such is the consciousness of party members.

After the operation, due to the residual effect of anesthetic has not disappeared, the body has not fully recovered the protective reflex, there is the risk of respiratory circulation inhibition, the patient to enter the anesthesia recovery room for observation.
The above funny situation is called the disturbance of consciousness during the waking period. The anesthetic is not completely metabolized, but the consciousness is partially active. It is a dream-like state.
At this time, we will also help the patient to wake up smoothly.

3

Hemp drunken

Is not my image like a thousand seals?

This is a double cesarean section, after big treasure is taken out, the mother is very excited to say with me: “doctor, quick help me see, like Jackson?”

Me: “Oh?
Daddy looks like Jackson?”

I looked at it and it didn’t look like it.

When both babies checked her gender and looked at her face.
The mother sighed: “ah, two look not like Jackson, I like him most, pregnant every day to see his picture, good disappointed like their father!”

Here, here, here. This is the law of nature.

Ma xiaoban: after ten years of work, I watched my patients change from like Daniel wu to like Jackson. Everyone has different expressions of anxiety and tension, some are restrained, some are very chatty.
I fully understand the anxiety and tension of patients, and I can cooperate with all kinds of chat topics that can make them relax. Therefore, I must be an old anesthetized aunt who keeps pace with The Times.

Well, I laughed too

The explanation explains it

Are you less afraid of surgery and anesthesia?

Just listen to the doctor!

Don’t give the virus a chance

rHGH Space / / Covid-19

On July 3, a press conference on the COVID-19 epidemic was held in Beijing, during which a woman who had written a novel Coronavirus nucleic acid “positive” was reported in The Shijingshan Wanda Plaza on July 2.
According to the report, the 24-year-old woman had a history of contact with xinfa, had two negative nucleic acid tests, and was quarantined at home, during which she repeatedly damaged the magnetic door alarm and went out.
Again accept nucleic acid test, the result is positive, for asymptomatic infection.
By 14:00 on that day, 204 close contacts had been traced and placed under quarantine for medical observation, while other contacts were under further investigation and verification.

The sight of the woman squatting and crying when she learned of the nucleic acid test results triggered a lot of sympathy.
Can see the announcement in the woman “many times destroy the door magnetic alarm go out” when the plot, and let a lot of people mixed: so capricious careless, really should not.
This is not only bad for individuals, but also irresponsible for others.
At this time, we still have to fully realize that the virus cunning, more should always remain vigilant, do not give the virus any opportunity.

Although The number of newly confirmed local cases has been in the single digits for five consecutive days in Beijing, and the number of cured and discharged cases is also on the rise, this does not mean that the pressure of prevention and control in Beijing will be reduced.
In the face of the severe situation, only by strictly implementing epidemic prevention measures can we keep ahead of the epidemic.
For individual citizens, it means to do a good job of protection, isolate and seek medical treatment as required, and jointly build a line of defense against the epidemic.
Key personnel, in particular, should strictly abide by the reporting and quarantine rules and close the loopholes in epidemic prevention and control at their own level.

The confirmed woman has a history of exposure to new places, has had multiple nucleic acid tests, and has developed symptoms of discomfort, showing certain signs of risk.
At this time, what she needs to do is to strictly comply with the requirements of community epidemic prevention, do a good job of personal closed-loop management, and try not to go out when it is not necessary. She does have a need for medical treatment and must follow relevant procedures.
However, she repeatedly broke the door magnetic alarm, went out illegally without permission, and appeared in a large shopping mall only a few days after the release of home quarantine management without the results of the nucleic acid test, which put herself and others at risk.

What is more alarming is that this is not an isolated case.
In one case reported on July 1, a woman gathered and had dinner with several friends after she thought she had lived in isolation for 14 days. The result was positive nucleic acid test on June 30, which led to the isolation of close contacts and affected the prevention and control of the epidemic.
Moreover, during the period of self-isolation, the case had developed symptoms such as headache, vomiting and hypoolemia, but she did not report or seek medical treatment, which not only delayed her own treatment, but also magnified the risk of virus transmission.

In fact, the coVID-19 virus is far more subtle than we thought, and it is still possible to be diagnosed even if the requirement for isolation exceeds 14 days is met.
According to the circular, among the four confirmed cases in Beijing on June 26, solstice and 29, many of them were diagnosed more than 14 days after being quarantined, with a total of 28 cases.
This means that the idea that you can go out to parties and dinners after 14 days of isolation is dangerous. What you should do is continue to strengthen observation and avoid contact with people until the risk is completely resolved.

The pathogenesis of COVID-19 virus is complex, the characteristics of the disease need to be further studied, and the symptoms are diverse and atypical. There are still many unknown areas.
But because of this, the more can not be taken lightly, no matter ordinary people, or the key population, should do a good job of personal protection, pay attention to the health status, once the emergence of symptoms of discomfort should be fully protected timely medical treatment, not the slightest negligence.

The prevention and control of the epidemic requires a well-coordinated approach of mass prevention and control, and no link should be compromised.
Everyone is to blame, everyone is to blame.
As an important part of the four-way responsibility, individual responsibility requires every citizen to take the initiative, act actively, stick to the bottom line thinking, and fight a people’s war against the epidemic.
This includes both strict and meticulous self-protection and strict compliance with quarantine and treatment regulations.
In any case, we should not use our contempt and carelessness to affect the hard-won epidemic prevention and control situation.

What happens to an excess of growth hormone?

rHGH Space / / HGH

The height of human beings will only change significantly during the period of physical development. When we become adults, we will no longer grow taller, and a height of 10 centimeters has become the dream of many adults.

But there is a very strange example, this is only one documented in the history of medicine. It involves a person. In his life, he was both a dwarf and a giant.

His name is Adam Rainer. He was born in Graz, Austria in 1899. His parents are of medium build, but he is unfortunately not tall.

When World War I broke out (1914), 15-year-old Reina tried to join the army, but he was only 4 feet 6.3 inches (equivalent to 1.3 meters), and was considered too short and weak to be a soldier.

A year later, Reina tried again. Although he had grown a full 2 ​​inches (0.05), the army rejected him again because of his height.

Finally, 19-year-old Renner was judged to be a dwarf because everyone thought he had stopped growing. At this time, he was only 4 feet 8.3 inches (1.43 meters), nearly 2 inches lower than the standard height (4 feet 10 inches) .

Although he was short, medical reports at the time showed that his hands and feet were abnormally larger than his height. When he first joined the army, the size of the shoes he wore was 10 in the United States (equivalent to 44 in China, 27.5 cm).

Three years later, the size of his feet doubled to 20 yards in the United States, reaching an astonishing 37.5 centimeters. This shoe size is about the size of the shoes worn by American basketball player Shaquille O’Neal, but his height is relatively unchanged. change.

However, because of a tumor he began to “counterattack” and realized what many people dreamed of, his height began to grow crazy.

From the age of 21, in the next 10 years, his height has grown from less than 4 feet 10 inches to an astonishing 7 feet 1 inch (2.16 meters). During this period, Reina also began to have severe spine curvature.

The science behind this crazy growth

From 1930 to 1931, Dr. A. Mandl and F. Windholz examined Reina and found that he had a disease called acromegaly.

Reina’s acromegaly was caused by a tumor on his pituitary gland, which caused an excess of growth hormone in his body.

Growth hormone is a peptide hormone secreted by the adenohypophysis. The main physiological role of the human body is to promote the synthesis of protein and cartilage. Lack of childhood will lead to dwarfism, and excess will lead to gigantism.

After adulthood, if excess growth hormone is likely to cause acromegaly, Reiner is not only short in stature but has large hands and feet; he also has a prominent forehead and chin, thick lips covering wide teeth, these are all It is a typical manifestation of acromegaly.

You can see the effect of this syndrome on his facial features as he ages.

Renner kept growing, but unfortunately, he lacked the musculoskeletal system to support his body, so his spine began to bend and his joints were not working properly.

Considering that the tumor has been growing for more than ten years, the two doctors believe that the chance of success is very small, but they still decided to perform the operation.

A few months after the operation, when the doctor again measured Reina’s height, they found that although Reina’s height did not change significantly, the spine flexion became more severe, which indicated that he was still growing, but at a slower rate.

At last

Renner’s health continued to deteriorate, his right eye began to be blind, and his left ear also began to lose hearing. Over time, his spinal deformity became more severe and eventually he was bedridden.

He died at the age of 51 and was 7 feet 8 inches (2.34 meters) tall. He was the only person in history considered to be both a dwarf and a giant.

Well, no matter who he is, he is definitely a witness to the miracle of human body!

 
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