(Thanks to my friend 08a for his encouragement)

In Shi Lei's eyes, Liu Banxia is a very difficult person. But no matter how hard he is, what happened today, he also knows that he has to be restrained.

In the eyes of the patients, today is a little farce, and these medical staff today know what is going on. Don't think that nurses are just done with a needle and an infusion, and they also know a lot of pathological knowledge.

Liu Banxia turned into a good baby, took out the book and read it very seriously. Although he said that he could watch it at home, it would be a waste of glory points, and now he also needs to recharge all the time.

Today I am going to learn about two surgeries in orthopedics. One is fasciotomy and decompression under the guidance of Zhang Yun, and the other is tendon suture.

These two surgeries are also common in the emergency room and are slightly less frequent than debridement and suturing, but more often they are directed to orthopedics.

Liu Banxia's tranquility also attracted the attention of Zhou Li and them, in the past, Xiao Shoutian was happy to chat with everyone to pass the time, what happened today?

With such an idea, a small group led by Zhou Li focused their eyes on Liang Xiaolin on the other side. She is the only variable in the entire emergency room, and she is still a little unclear with Xiao Shoutian.

Even if the girl is a little silly, she can feel that the eyes of these people are constantly patrolling between herself and Liu Banxia. I'm so worried, what's even more worried is that today's out, how can I talk to my family when I go home tomorrow.

"Xiao Shoutian, Dr. Liang is here. Zhou Li came to Liu Banxia's side.

"Hmm...... , help me keep an eye out for patients with acute abdominal pain. Liu Banxia replied casually.

"Why do you have the leisure to read today?" asked Zhou Li.

"Now look at tendon sutures, which are also common in our emergency department, I'll see if I can figure it out, and help the orthopedic department worry when the time comes." Liu Banxia said with a smile.

"Are you really studying, aren't you pretending to show Dr. Liang?" asked Zhou Li in surprise.

Liu Banxia was very depressed, "I show her something, and I don't want to eat." Sister Li, tell the sisters that you must not let go of any patients with acute abdominal pain, and my boss may take me out to earn extra money. ”

Zhou Li patted him on the shoulder and nodded with a smile. This is a good thing, it is rare for Shi Lei to think about it, and take Xiao Shoutian with him.

Liu Banxia picked up the book again and watched it with relish. With the enhancement of spiritual attributes, it is really different.

I've seen live practice before, but I don't understand it thoroughly as I read books now. He almost gave the remaining 6 attribute points to the spirit, but fortunately he controlled himself.

As I was watching, the phone rang. Glancing that it was Uncle Jiang calling, Liu Banxia sighed in his heart.

"Uncle Jiang, is there something wrong?" asked Liu Banxia after connecting.

"Dr. Liu, we decided to operate on the child anyway. Uncle Jiang said.

"Cheng, then you can come directly to our second hospital, and then meet Director Xiao for a while. Liu Banxia said.

"Dr. Liu, I just wanted to ask you what the chances of success of this surgery are. We can't look at the baby...... I ......"

"Uncle Jiang, don't worry. The chances of success are high, but we should also be aware of the possible risks associated with surgery. When you arrive at the hospital for surgery, you will be told by a doctor who is more professional than me. Hearing the cry, Liu Banxia hurriedly said.

"My level is not enough right now, and the baby needs to be further examined to make sure. If I tell you now, a lot of things are speculation, and I don't want to be responsible for you. ”

"Okay, Dr. Liu, where are you in the hospital? Give Uncle a hand, Uncle really has no backbone. Uncle Jiang said.

"Don't worry, just come here. Liu Banxia said.

Uncle Jiang thanked him on the phone again, and then hung up the phone.

The mood that was still a little good suddenly became a little bad, and the baby was really cute, even if he knew that the smile was a "fake smile", it was also very cute.

At this time, Liu Banxia saw a young man walking in, holding his hand on the lower right side of his abdomen, and the facial features on his face were almost wrinkled together because of the pain.

All the thoughts in my mind ran out in an instant, what tendon sutures, fasciotomy and decompression, cute baby, and the simple Liang Xiaolin, all ran away.

"The place where your hand is covering hurts badly?" Liu Banxia tried his best to restrain his surprise.

The guy nodded, "It hurts, it started to hurt yesterday, and it hurts even more today." ”

"The family members go to register, come, I'll help you go. Liu Banxia hurriedly said.

From Zhou Li's point of view, this is a painstaking effort, and Liu Banxia is about to be enchanted by the appendectomy operation. Even if she just watched Liu Banxia percussion the patient, she knew that she didn't run away.

"It's almost appendicitis, let's do a B-ultrasound again. After the percussion, Liu Banxia said.

Ultrasound shows that the patient's appendix is mildly enlarged and has a uniform weak echo in the appendix cavity. Liu Banxia marked it, and the outer diameter was more than 0.8 centimeters.

In fact, as long as there is an echo in the appendix cavity, it proves that there must be a condition in this appendix. Coupled with the ultrasound examination just now, Liu Banxia was very sure that this was acute appendicitis.

"You have acute appendicitis and need to be removed. There are two surgical methods, one is laparoscopic minimally invasive, with small incision and easy recovery. The other is a conventional excision to see what you think. Liu Banxia said.

Ding! Gain 100 XP and 150 Diagnostics Skill Mastery

"Doctor, can I not have surgery or surgery? I haven't renewed my medical insurance, can I take anti-inflammatory drugs first?" The patient endured the pain and said.

Liu Banxia frowned, "Although I understand your situation, the swelling of the appendix is not particularly serious now. I was worried that if the antibiotics were not controlled, it might become purulent and complicated by intestinal perforation, and the cost would be higher at that time. If you are concerned about the cost, we can do a conventional excision. ”

The patient hesitated and looked at the female companion who had rushed over after registering.

"If you want me to say it, just do it, the doctors say it's dangerous. I'll think about the rent. The patient's female companion said.

"Doctor, there's a chance to take anti-inflammatory drugs first, right?" The patient looked at Liu Banxia again.

Liu Banxia nodded, "Although there is a certain chance, the chance is very small." Moreover, the effect of oral anti-inflammatory drugs is less obvious, and it is necessary to hang the bottle. ”

"And once it gets to the stage of perforation, it is likely that there will be other complications, which can be life-threatening. Although appendicitis is not a major disease, it has a high mortality rate of complications. ”

"Doctor, I really don't have that much money in my hand, so let's do what you say first, just in case. The patient said.

Liu Banxia felt a little helpless in his heart, not because he was helpless because he refused to do the surgery patients who arrived, but because through his experience over the years, the probability of the patient's infusion getting better was really too low.

If the symptoms of suppuration do appear, I am afraid that it will cost more money at that time, and it will be very dangerous.

But now the patient's choice must be respected.