roccoschili Chapter 141 likely refers to headaches caused by cervical spondylosis.
Chapter 141 likely refers to headaches caused by cervical spondylosis.
Zhuangzhuang has been placed in the neurology department. The hospital's departmental division is still relatively rudimentary.
The Department of Neurology at Zhejiang Provincial Military Hospital was established less than a year ago.
And yet, this is still the earliest neurology department in the entire province.
In fact, the establishment of this department was initially made with the injuries of many wounded soldiers in mind, which is why it was separated into its own departments.
Ye Nuan had visited this department a few times and had interacted with the head of the neurology department several times.
"Dr. Ye, Director Xiao from the neurology department is looking for you. It seems to be about that patient with headaches. He wants to discuss with you whether we can work together to develop a treatment plan."
"Okay, I understand. I'll come over after I finish writing this medical record."
Ye Nuan knew which patient Duan Gang was referring to.
He was actually a hero, but during the capture of enemy agents, he was thrown away by a suicide attack. Although he survived, he suffered severe brain damage.
The external injury has healed, but the headache is getting worse.
Ye Nuan went directly to the neurology department office. Since it was newly established, the doctors here shared one office, and Director Xiao was also in the office.
"Xiao Ye is here, come and sit down. We can discuss the patient's condition in bed number six. By the way, Director Su came by yesterday. He said he couldn't see anything wrong on the scans, so he believes it's still a concussion."
"Is the headache in patient number six getting worse again?"
"Yes, the frequency of the attacks is higher now. But Director Su came for a consultation yesterday and confirmed that there is no problem with his cerebral blood vessels or skull. The blood pressure measured by the nurses is also relatively stable. Even if it is occasionally a little high, it is around 140, which will not cause the headache to worsen."
Ye Nuan nodded; it did sound rather troublesome.
She had seen this patient a few days ago; she was working alongside Director Su, taking notes.
"Alright, I've finished reviewing his medical records. Shall we go to his ward together?"
"Let's go."
This patient's condition is special, so Director Xiao is currently in charge of the case personally.
As soon as he moved, two young medical students followed suit.
Ye Nuan knew them; they were senior medical students who spent most of the year accumulating experience in the hospital, and probably only attended classes at school for two or three weeks a semester.
When they arrived at the ward, the patient in bed number six was having a headache again, and he looked like he was in a lot of pain. Otherwise, a tough guy like him wouldn't be grimacing in pain.
After asking the nurse on duty today, Ye Nuan began to massage the patient's temples directly. After the patient's pain was relieved, she tried to touch the back of his head.
"Does it hurt here?"
The patient dared not move his head easily and said weakly, "It hurts. But it doesn't hurt on the left side."
"Okay, lie on your side now, let me take a look."
The patient obediently lay on his right side, and because of the poor lighting, Ye Nuan took out a small flashlight to carefully examine his scalp.
Because of previous surgery, the patient's head was shaved, but after these days, it has grown back a bit, though it is still very short.
Therefore, Ye Nuan's examination was completed very quickly.
"Someone come here, help him unbutton the top two buttons."
This task is naturally done by the interns.
With his clothes loosened, Ye Nuan began to pull at the back of his collar.
Then Ye Nuan started to touch him directly, from the back of his head all the way down to his cervical spine.
Ye Nuan's eyes lit up, and she looked up: "Director Xiao, please come and take a look."
Director Xiao specializes in neurology and is not very proficient in orthopedics, but he has some knowledge of common diseases.
Just by touching it, you can get a general idea of what it is.
"Help the patient sit up."
Afterwards, the two took turns confirming the diagnosis. Director Xiao nodded and said, "It should be a cervical spine problem, but I'm not very good at this. I can only confirm that he has a problem with his cervical spine, but for specifics, we may need to refer him to the orthopedics department."
After Director Xiao finished speaking, he asked, "Did the nausea only start in the last two days?"
The patient, holding his forehead with one hand and looking pained, said, "Yes."
"Headache, nausea, and vomiting caused by cervical spondylosis are usually considered to be symptoms of discomfort caused by compression of local blood vessels and nerves in the cervical spine. Depending on the severity of the condition, general treatment, drug treatment, or surgical treatment may be performed. However, his condition is not serious enough, and I don't think surgery is necessary."
After Ye Nuan finished speaking, Director Xiao nodded. He agreed with the assessment, and since cervical spine surgery is extremely risky now, he did not recommend it.
"Xiao Ye, what do you think about using a hot compress?"
This is one method, but it's not enough.
“I don’t think it’s necessary to transfer him to another ward, and the orthopedic wards are also quite full. Besides, his condition doesn’t require surgery, so we can manage on our own.”
Director Xiao nodded: "Then what's your opinion?"
"For general treatment, we can apply heat to the neck and combine it with local massage, physical therapy, acupuncture and other methods to relieve symptoms. We can try it first, but this also requires the patient's cooperation."
The patient's attention was now highly focused, and his eyes were exceptionally sincere: "Please tell me, I will definitely cooperate!"
Ye Nuan smiled and said, "It's very simple. Just pay attention to adjusting your posture, avoid looking down for long periods of time, and move your neck appropriately. Adjust the height of your pillow to about a fist's height when you sleep. I see you have two pillows here, so you must have been in the habit of using a high pillow for a long time, right?"
The patient smiled sheepishly: "Yes, that's right. I'll remove one, I'll be right away."
There was no need for him to lift a finger; a nurse nearby simply removed one of them!
"Pay attention to maintaining the normal physiological curvature of your cervical spine and prevent it from straightening. Eat a light diet and supplement with calcium appropriately. If these things can improve your cervical spine, then your headaches and nausea symptoms will be relieved."
If you're in a hurry, we can supplement with acupuncture treatment. Regular massage is very simple; your family can help you. Each session should last 20 to 30 minutes, not too long, and three to four times a day is sufficient.
Director Xiao nodded in agreement: "I think it's a good idea."
As for massage techniques, they are actually quite simple, and nurses can directly teach them to the patient's family members.
As for the hot compress mentioned earlier, you can use a hot towel directly or moxibustion; it doesn't matter which method you choose.
"If using a hot towel, family members should also be careful not to burn themselves. I'm talking about applying heat; as long as it's not cold, it's fine. There's no need to make it too hot, but it might be a bit more difficult for the family."
The family of patient in bed number six was very supportive; they were willing to do anything to help the patient recover.
As soon as they left the ward, Director Xiao praised Ye Nuan highly.
"Sure, Xiao Ye! How did you come up with the idea of checking his cervical spine?"
"He probably had a pre-existing problem with his cervical spine, and this fall made it worse, which is why he's experiencing headaches and nausea. I was just lucky!"
Director Xiao shook his head: "It's fine for the young comrade to be modest, but there's no need to be overly modest!"