(Thanks to my friends for the 10,000 coin reward)

Last night's hypothyroidism patient will leave a heavy mark in Liu Banxia's practice, and this is the case with the profession of a doctor. Sometimes you do the right thing and forget it within a few days, but if you make a mistake, you will remember it for a lifetime.

Doctors can't make mistakes, and if they make mistakes, it's the patient's life that matters.

Today's Liu Banxia has nothing to do during the day, and there is no surgery scheduled at present. Whether you can spend a day in the hospital in peace depends on God's arrangement.

"Liang Xiaolin, how was your recent surgery?" asked Liu Banxia.

"Tired, there will be one more today. I'm going to the orthopedic department tomorrow for an internship, so I shouldn't be too busy. Liang Xiaolin said.

"We don't need to make too much noise here, and the rest of the one is counted as one, and no one can be less. Liu Banxia said.

"Actually, it's nothing, you don't have to set such high requirements for yourself, you can simply deal with fractures. At least one level lower than the promise of them, this is all in preparation for the future of a large number of trauma patients. ”

"Teacher Liu, what those people said on the Internet is so excessive, are you really not angry at all?" Xu Yinuo came over.

"You, just inquire about these gossips. Liu Banxia glanced at her helplessly.

"Actually, I think we should adjust it and let you go to an internship with Wang Chao. At that time, you will be able to take down all the gossip from our second hospital, which should be good. ”

"What are you calling me for?" asked Wang Chao, who had just returned from breakfast.

"It's nothing, you have to treat us to chicken drumsticks at noon. Liu Banxia said seriously.

"Why did I invite it? I didn't do anything?" Wang Chao was worried.

"Xu Yinuo plans to worship you as a teacher and let you teach you one more masterpiece. Liu Banxia still flickered without changing his face.

"Xiao Xu, don't worry, you can say it directly if you like my skills. In the face of Mr. Liu...... , what are you looking at me like that?" Wang Chao said halfway through, unable to continue.

"Shoutian is teasing you, and let you teach Dr. Xu to study the grapevine. Zhou Li said with a smile.

Wang Chao glanced at Liu Banxia resentfully, "If I meet someone unladylike and make friends carelessly, my good youth will be harmed by Mr. Liu." ”

"Oh my God, I get goosebumps when I hear it. But I have to remind you, has your stomach gotten up lately? Liu Banxia said and patted Wang Chao's stomach.

"Hey...... , Mr. Liu, I wonder what to do. Why is my stomach so angry, and I am very tired from work every day. Wang Chao said with a sad face.

"Teacher Wang, don't worry about your stomach yet. Teacher Liu was arranged so on the Internet, why don't we think about how to fight back? Why let them talk nonsense. Xu Yinuo said.

"Then it depends on what you Teacher Liu thinks, doesn't he? He doesn't care, it's useless for you to be anxious. Wang Chao said with a smile.

"Actually, you Teacher Liu are like this, sometimes you have a small belly, and sometimes you are very generous. It's better to persuade Qiaoqiao to go than to stare at him. ”

Liu Banxia glanced at him helplessly, "Are you really restless, do you have to toss a round?"

"Originally, it was, but at worst, it was a slanderous report against you personally. To put it mildly, this is a slander against our entire industry, who can bear it. Wang Chao said righteous words.

"You just have nothing to do, and if you have three surgeries in a row, you won't have so many ideas. Liu Banxia said.

"Hehe, isn't this a grievance for you? Wang Chao said with a smile.

He was really worried that Liu Banxia would give himself three surgeries in one go, so he didn't dare to resist, so he could only bear it silently.

"Don't think about it, I'll think about it later, it's really not like that's what they can do. Liu Banxia said.

"Cheer up, there has been a lot of increase in both cold and drunk patients these days. Be sure not to slip through the cracks. ”

The interns responded with a giggle.

It can also be regarded as a special morning meeting of the emergency center, because the patient information is followed up in real time, but it will not be so troublesome. And Liu Banxia also intends to reduce the time taken up by the handover, so that the big guy can get enough rest.

He was also really worried that these interns would be tired in the future, even if he told them to choose for themselves, he hoped that they would be able to stay in the emergency center of the second hospital.

Now they have been cultivated, and the people personally selected by Chen Zhenxing have been trained for such a long time, and they will be able to take charge of themselves after graduation in the future.

After explaining this, Liu Banxia returned to his office, and he still had to review the patients who needed to be discharged from the hospital today. As the number of patients admitted to the hospital increases, there is a lot of time spent processing these documents every day.

That is, he has insisted on intensive training every day in the past few months, and he has undergone a lot of surgeries, otherwise it is really difficult for him to balance his work and surgical ability, and he must have affected each other.

As for the media reports, he can only talk about it for now. I really can't control those people's mouths, if you respond and explain, they will be more energetic.

"Mr. Liu, you need to come to the stage, two sisters were injured while riding an electric car. My sister's CT scan found that she had a liver laceration and her sister had an intestinal perforation, and Dr. Wei had taken her to the operating room. While he was busy, Wang Chao ran in.

"Okay, you can come on stage with me, and you can increase your experience in this area. How big is the laceration?" asked Liu Banxia.

"It should be about 1.5 centimeters. Wang Chao said.

"When we crossed the intersection, we ran a red light, and the car in the first lane saw it, but the car in the second lane hit them directly. People nowadays are too impetuous, wait a few more seconds and you'll be fine. ”

"I found that you are very socially qualified now, very good. Liu Banxia said with a smile.

"No, it doesn't. Can you say a few more words when you have surgery today?" asked Wang Chao.

"If it's not serious, you'll be left with the liver stitches. Liu Banxia said.

Wang Chao nodded happily.

The first choice for liver surgery in the emergency center is Zhou Shuwen, followed by Liu Banxia, and then Shi Lei. If all three of them were busy, they would have to ask for someone from the general surgery department in the hospital.

If the doctors over there who can perform this level of surgery are also busy, they will have to save the patient first, and whoever catches up will come. But this is only the last resort, and is it better to put the patient first?

There are not so many opportunities to practice in ordinary times, but Zhou Shuwen can't do it, basically everyone is staring at Liu Banxia.

came to the operating room, and today's anesthesiologist is still Li Liwei.

"I thought it was Lao Wang next door, but after reading the inspection report, the amount of bleeding was not very large. Liu Banxia said.

"The other patient seemed to have some spleen damage, so Wang Lei went to that station. Li Liwei said.

"The patient's vital signs are good, and with your speed, there will be no delays in today's lunch. It's a lot easier for everyone, so come on. ”

Liu Banxia smiled and nodded, it was already a very gratifying thing to be able to eat and rest normally in the hospital.

But there will be a little accident today, he will be responsible for supervision, and the main knife will be Wang Chao. Therefore, the speed has not yet been determined, and it depends on Wang Chao's craftsmanship.

The abdominal cavity opens, and the laceration is presented in front of everyone.

"Super, what the hell should I do? It's two centimeters long. It should be that the capsule has cracked a little after CT, but fortunately, the depth is not very deep. Liu Banxia said.

"Repair with a pedicled omentum, you can't bother me. Wang Chao said lightly.

"Yo, Wang Chao, congratulations. After getting off the stage, don't you say anything about lunch?" Li Liwei quipped.

Wang Chao nodded, "No wonder Mr. Liu asked me to add chicken legs in the morning, it seems that this is the will of God." If it goes deeper, I can't handle it, and I have to add chicken legs. Rinse it. ”

Now he is really confident that this operation is fine. I can also add a liver suture to my own surgical experience, and the practical operation is definitely deeper than the practice.

"Didi...... Didi Di ......"

What everyone didn't expect was that as soon as they were flushed, the monitor on the side began to alarm.

"It's not good, tachycardia, too high partial pressure of carbon dioxide, elevated body temperature. Li Liwei shouted.

"Start with ice packs to help cool down. Liu Banxia also became nervous.

"Damn, malignant high fever, body temperature is already 42 degrees. Cooling blankets, ice packs, and air conditioners are turned to the lowest, and dantrolene is injected to prevent organ failure, quickly. Li Liwei shouted coldly.

This time everyone is frightened, because malignant hyperthermia will cause a series of complications such as acidosis, hypoxemia, hyperkalemia, arrhythmia, organ failure, etc., and eventually lead to the death of the patient.

No one is idle, everyone is busy together, and the patient's body temperature must be controlled.

"I used sevoflurane as an anesthetic. Li Liwei said with a wry smile.

"Don't think about it, it's important to cool down first. Liu Banxia nodded.

Malignant hyperthermia does not usually manifest itself, but it is likely to be induced by exposure to volatile anesthetics or muscle relaxants during general anesthesia.

"Wang Chao, go to the operating room next door and inform them to pay attention to malignant hyperthermia, this thing is genetic. Liu Banxia was helping the patient cover the cooling blanket, and suddenly thought about it.

Wang Chao was stunned for a moment, then turned his head and ran over there.

Just now, I was only concerned about treating patients, but I forgot that it was a genetic disease. Today's injured are two sisters, this one has been induced by malignant hyperthermia, and the other is also dangerous.

Because the surgery they need to do needs to be treated under general anesthesia, as long as there is danger, they must stop in time, change the anesthetic, and avoid the risk in this regard.

Now that the patient's liver is sutured, the priority is to bring her temperature down. Otherwise, if your life is gone, what's the use of anything else?