冠状病毒肆行之际,常规的手术都停了,也没有了门诊,可是创伤还是有。平时,各类创伤都是先去急诊室,那里处理不了的或者需要随访的病人,再安排去当天或次日的创伤门诊。在家隔离期间,创伤的诊治,亦是如此,只是病人比平时少了些。
我已经有几年不值夜班了,所以通常也不到创伤门诊,只看在我自己的手外科门诊看手外伤的病人,这些病人都是别人在创伤门诊看过后,需要进一步诊治而转诊的。尽管疫期创伤病人不多,可我拿着工资,也得有点事,于是就去了创伤门诊。
没有了普通门诊,创伤门诊的病人也不少。各种伤都有,手外伤要占门诊量的1/3至1/2,只不过大多是轻伤。原则上,在这个时期,尽可能的保守治疗,不做手术。即便是需要手术,也尽可能地用局麻,在门诊做,避免住院。
除了伤得比较轻,和平时没什么太大的区别。常见的腕关节(桡骨远端)骨折,都不需要手术,受伤原因都是日常活动,有走路绊倒的,有在家粉刷墙从梯子上摔下来的,还有遛马让马给撞倒的。受冲击的能量都不大,所以骨折移位不大,个别的需要局麻复位,大多数只需要石膏固定。
手部切割伤也不少,有的工厂已开工,工人不小心划破皮肤,只需简单缝合,平时这些都是在急诊室就处理了的,除了深的切割伤,需要住院手术,一般不会转诊。当然,这时期也有较深的切割伤,需要手术。上周有一病人,是退休了的法官,在家用手锯,不小心锯到自己的手,伤口还挺深,肌腱都断了,需要缝合。好在是伸指肌腱,能在局麻下缝合。手术不大,当过几十年法官,见过不少杀人犯,也还是很紧张。为分散他的注意力,手术中聊着天,说说他审过的案子,据说他还真被人恐吓过。庆幸他不是电锯伤的,那样会重得多。实际上他也用了电锯,知道其危险性,小心防护了,倒是用手锯时大意疏忽,才不幸伤了自己!
疫情之中,尽管是小事,做点事总比闲待着好。
疫中日记七
Really great shoes, in a color combo I couldnt get locally.
- Switzerland
Finally an athletic shoe that gives me the fit and comfort I wanted.
- Liberia
Husband says this is the most comfortable sneaker he's ever worn. Loves them!!!!
- Guam
My husband loves these sneakers and allows me to buy at a good price,will buy again
- Samoa
The Nike Air Monarch IV 415445-001 Men's Performance Running Shoes feels comfortable and great for walking
- Singapore
Ordered the 4e for extra width and they are as expected. Comfortable and easy to slip on with shoelaces tied loosely,
- Singapore
I love the Air Monarch 4, especially now that it doesn't seem to have the squeeking problem that plagued them before. Very comfortable.
- Singapore
These are exactly as described. The 4E means extra wide, but 3E was not available so I went for these.I now have a fresh bounce in my air step.Best Regards,
- Switzerland
Been wearing these for about 20 years..best wide fitted shoe I've found...buy a pair about every 18 months or so...always a perfect fit and the most comfortable I've ever put on..
- Switzerland
I purchased this for my son and he loves them. He wants another pair in a different color but although the price was right, I'm a disabled single mother on a limited income so these were a humongous splurge but he deserves it.
- Singapore
2024-01-03 23:28:37--
Very cute. Wish it came with the Cartier dust bag.
Product update. My bracelet just randomly popped open and now it will not close. One of the screws just turns and turns. If I could I would change my star ratings. Really loved the bracelet at first but it’s useless now
2024-01-03 23:27:47--
Nice quality
2024-01-01 00:51:16--
It doesn’t tarnish and I wear it all the time even during work, it’s also true to size
2024-01-01 00:49:49--
Perfect all the way
2024-01-01 00:49:38--
Beautiful necklace as described.
2024-01-01 00:48:36--
No tag, bad
2024-01-01 00:44:49--
The print is not exactly like the authentic one.
2024-01-01 00:38:27--
Love!!! Great quality
2024-01-01 00:35:58--
very good shoe i got em as a late bday gift from my lover and i love them so much already got another pair coming in he makes good replicas
2024-01-01 00:33:18--
Very good quality
2024-01-01 00:32:23--
Shoes are great, comfortable, and look amazing. Seller is great with communication. took about 3 weeks to get. will definitely buy from seller again.
2024-01-01 00:30:54--
Never got the package
2024-01-01 00:29:53--
Delivery was like 2/3 months. But good quality
2024-01-01 00:29:24--
great shoes
2024-01-01 00:28:48--
Pretty good noticed that the material was a little off and it was a bit uncomfortable at first but once I broke them in they were pretty nice
2024-01-01 00:27:32--
Fantastic good quality
2024-01-01 00:26:28--
Thanks homies
2024-01-01 00:22:13--
Good quality. Would buy again.
2024-01-01 00:21:29--
Good enough product for the price
2024-01-01 00:20:53--
Beautiful just like the picture
2024-01-01 00:20:35--
speedy delivery excellent quality
2024-01-01 00:18:22--
Great Shoe! I definitely recommend haha
2024-01-01 00:18:03--
Came in a week ! Best vendor out here never fails me
2024-01-01 00:16:18--
The shoes are of good quality, comfortable, top!!
2024-01-01 00:14:51--
Perfect. Just like the picture and so fast. Very good quality
2024-01-01 00:14:50--
Perfect. Just like the picture and so fast. Very good quality
2024-01-01 00:12:45--
Amazing! Wey fast shipped, I love the shoes great quality. I will buy more from this seller I highly recommend! Thank you so much!
2024-01-01 00:09:15--
Very good quality! Not disappointed.
2024-01-01 00:08:49--
This jersey looks pretty authentic unless you’re picky about every single detail. Compared to a Nike Game Jersey, it is the same size as a medium sized NFL jersey just in case you want perspective. I usually wear large normal shirts but this small fits me well with an undershirt on. I compared it to my official jerseys and they are similar. My friends loved it and I love it. Perfect for the price and it’s stitched! Shipping took two months but only because of COVID.
2024-01-01 00:08:39--
great stuff
2024-01-01 00:07:25--
Nice, thanks!
2024-01-01 00:07:24--
great quality!
2024-01-01 00:07:20--
Perfect thanks
2024-01-01 00:05:01--
Jersey just came and I’m in love with it I definitely will be ordering more
2024-01-01 00:04:55--
Jersey looks great! Happy with my purchase. Great seller. Thank you!
2023-12-15 14:24:32--
Very Satisfied
2023-12-15 14:22:54--
Very Satisfied
2023-12-15 14:21:12--
Very Satisfied
2023-12-15 14:18:51--
This sweater was not in stock.
2023-12-15 14:17:29--
It is very well achieved. I do not distinguish it from the original and reasonable price. Many thanks to the seller and I will take into account for future purchases.
2023-12-15 14:16:44--
Very good quality and I arrive very fast
2023-12-15 14:15:04--
Satisfied
2023-12-15 14:13:00--
Quality is great. Delivery took a very long time. I know thereamp;apos;s a world wide slow down in shipping, it tok almost two months to get order. The post says on time delivery of 30 days. Everything else is great. If you donamp;apos;t mind waiting a bit longer, this is the quality you are looking for.
2023-12-15 14:11:37--
Perfect
2023-12-15 14:09:56--
Very Satisfied
2023-12-15 14:09:03--
Very Satisfied
2023-12-15 14:05:01--
Very Satisfied
2023-12-15 14:03:33--
Excellent quality, great fit.
2023-12-15 14:01:24--
Excellent product. Didn’t take long to arrive. My boy loves it. Highly recommend.
2023-12-15 14:01:13--
Happynbsp;asnbsp;always,nbsp;justnbsp;wouldnbsp;likenbsp;shippingnbsp;tonbsp;happennbsp;faster
2023-12-15 14:01:11--
Very good quality, happy with it, my first ordering a jersey from here and not bad at all, will order again!
2023-12-15 14:01:10--
Love them. Since we've got these arsenal have won 3 and drawn one. I'll take that - bargain. Arteta can we have the players wear these?
2023-12-15 13:59:38--
All good.
2023-12-15 13:58:01--
Good Quality, and I am happy with my purchase.
2023-12-15 13:56:31--
100% recommend this seller. Great and fast communication and delivery. Guarantee satisfaction. High quality goods. perfect
2023-12-15 13:54:06--
Excellent
2023-12-15 13:50:33--
Boy doesn't pay to read reviews anymore...What a big waste of time and money. Why did they even bother to try and make these shoes. The pictures tell it all!!!!
2023-12-15 13:49:28--
Satisfied
2023-12-15 13:46:14--
Very Satisfied
2023-12-15 13:45:20--
Very Satisfied
Displaying 61 to 120 (of 810 reviews)