(Thank you friends for your encouragement with a dream of life, yi, jjmj monthly pass)

Liu Banxia, who came to the cafeteria, was also beautiful, and his interns had not finished eating, so he directly announced the good news.

I really didn't expect it to be so much earlier, and I thought it would have to be postponed to mid to late September. For people in the emergency department, this is tantamount to a shot in the arm, and it is still a very powerful kind.

"I've finally made it through, and when I move in, it should be easier and I'll be able to go to work normally. Zhou Li stretched after hearing the news.

"It's really a bit painful to always be on a single shift, but aren't you worried that the nurses from the other departments will threaten your position after they are transferred?" asked Liu Banxia curiously.

"What's there to worry about, I've decided to focus on my family now. Let our old king charge into battle, or our family will be ruined. Zhou Li said indifferently.

"But you're really funny to your boss, call me and help him with a look. There is still a down payment of 200,000 yuan, let's help make it together?"

"Sister Li, do you still have spare money at home?" asked Liu Banxia curiously.

"Nonsense, I've already decided to take out a loan anyway, and I can't leave some money to hold back my waist? Anyway, the small stones can be returned, and it's not like borrowing them and they're gone. Zhou Li said.

"I'll give you 80,000. Liu Banxia said categorically.

"Wow, Shoutian, you're impressive. How much has you earned in the past two months?" Zhou Li was more surprised than him.

"Of course I don't have that much myself, so I'll have to make a couple of dollars with my friends. If Dean Xu is over there and helps me arrange a few more surgeries, it will be about the same. Liu Banxia said with a wry smile.

Zhou Li nodded, "Okay, this is your mind, you have the final say." This is according to the current situation, and it will not be so bad to give some discounts when the time comes. ”

She will not insist on this, this is the love between Liu Banxia and Shi Lei. And for Liu Banxia now, tens of thousands of yuan is really nothing.

There are no patients now, and people in the emergency department are talking about the upcoming move. Liu Banxia didn't interfere either, after all, this is really good news.

After the actual move, the emergency department will be truly independent from the rest of the departments and become an emergency center with separate financial accounting.

The salaries of medical staff will also be reflected accordingly, and whether it will be profitable or lost in the future depends on the operation of the emergency center.

The reputation of the hospital is not something that can be established in a day or two, and the second hospital is somewhat famous in Binhai City, but the business of the emergency center belongs to a special category.

When the 120 emergency center is allocating patients, it is impossible to tilt too much at once. It is still necessary to consider the ability to receive patients and the level of medicine.

"Do you all do things like this, I already know that I have diverticulitis, and I used to see it in your hospital, why do you need to get checked?"

At this time, there was a shout from the internal medicine clinic, which startled Liu Banxia and hurriedly ran over.

"You do have a diagnosis on your medical record, but it was a previous diagnosis. It's been a month now, you want to prescribe medication, we have to have a check. Wang Huan's voice came out.

"Doctor Wang, what's going on?" Liu Banxia hurriedly walked in.

"Diverticulitis, didn't want to do any tests, just wanted to prescribe metronidazole. Wang Huan said helplessly.

"Hello, what can you tell me? Liu Banxia nodded at Wang Huan, and then looked at the patient.

This is also a difficult type of patient, not that it is not good to take the medical record to see a doctor, this is actually the best choice. But if you take the medical record and treat the disease according to the medical record, it will not work.

Past cases can only be used as a reference for doctors to diagnose, and cannot be used as the basis for diagnosis in this consultation. Regardless of the condition, even if it is something that can recur, you will need to be re-examined if you come to the doctor after a while.

But some patients don't understand and just treat the doctor as a tool, in order to prescribe drugs.

In fact, antibiotics such as metronidazole are not so strictly managed in some pharmacies. But in the hospital, every doctor has to be responsible for his or her own prescription, and it is his responsibility to prescribe it.

"You are the leader, why haven't I seen you, what about you Director Qin? You can give him a call. Or I'll fight?" the patient looked at Liu Banxia.

"You may not know that Director Qin has retired. If you insist on fighting, you can. Liu Banxia said in a flat tone.

No wonder this patient is so confident, and the co-authorship has something to do with Lao Qin.

The patient glanced at him and took out the phone, which should have been dialed to Qin Hai.

"Brother Wang, don't take it to heart. Liu Banxia said.

"Haha, I haven't experienced any scenes? Wang Huan said with a smile.

"I just don't know why Qin Hai didn't recommend him to have surgery, three attacks in half a year, this kind of diverticulitis can't be controlled by drugs, and it can't be so economical to save money. ”

Liu Banxia nodded, agreeing with Wang Huan's words.

He has also diagnosed a patient with diverticulitis, that is, Shen Feifei. She also had recurrent seizures, and finally cut it directly, and now she is very healthy.

Similar to appendicitis, chronic appendicitis can suppurate, perforate, and die after repeated attacks, which can be life-threatening.

The same is true for diverticulitis, three attacks in half a year, which is frequent enough.

"Why is it so troublesome to see a doctor now? Do you have to have a blood draw, an X-ray, a colonoscopy?"

"If you don't have other symptoms that match the symptoms on your medical record, we do do these tests. Liu Banxia said.

"Colonoscopy can clearly see the condition of the diverticulum, and X-ray can see whether there are adhesions and fistulas with other organs. In fact, my personal suggestion is that you are often suffering from diverticulitis, so it is better to go straight to surgery. ”

"The surgically removed bowel is also not very long, and it will not have any impact on your life after recovery. The fistula of diverticulitis is often produced by the bladder, and the criteria for judging are pneumouria and fecal urine. ”

"Hehe, don't scare me, I don't have blood in my stool now, do I still need to take that knife?" Director Qin also said, just take metronidazole. The patient said with a smile.

"I've known Lao Qin for several years, and although I'm not a doctor, I know a little bit. It does not mean that surgery is the best choice for any disease, you can take medicine without injections, you can inject without infusion, let alone surgery. ”

"Actually, this time I'm almost well, it doesn't hurt much, and I don't have enough metronidazole at home, so I want to consolidate it. Some of the medicines in the pharmacies outside are unknown, although your hospital has to register, you can buy medicine with some confidence. ”

Liu Banxia was a little helpless, you said that this patient is a person who understands, right? You want to say he doesn't understand anything, he still knows something.

In this way, it is difficult to serve a patient who half-understands and half-understands, and he will insist on his understanding, no matter what your doctor says.

"Wait a minute. ”

After the nurse came over to collect blood from the patient and rolled up her sleeves, Liu Banxia shouted.

"How long have you had these spotted rashes on your arms?" asked Liu Banxia.

"Even if I got up after taking metronidazole, it's not a big deal. It is a side effect of metronidazole, hives. But metronidazole worked, and the drug went down. The patient said indifferently.

Liu Banxia frowned, "Do you feel anything about these rashes?"

"No, it's a little itchy when it first gets up, and if you don't care about it and don't get wet, it's fine. At most, there is a little burning feeling, which is much more comfortable than diverticulitis pain. The patient said.

Liu Banxia's mood did not relax, this is definitely not hives.

Hives are edematous lumps, and itching doesn't mean you can control it. This is not an adverse drug reaction caused by taking metronidazole, which is not like a normal phenomenon.

At this time, Wang Huan also carefully checked the patient's macules, and then picked up the medical record and looked at it carefully.

"The interval between your first two episodes was not very long, why did it take more than three months to relapse this time? You can't take medicine on your own after relapsing at home, have you taken any other medicine?" asked Wang Huan after reading it.

This time, the patient didn't hide it, and nodded very happily, "Otherwise, I wouldn't have to come over this time, I'll finish eating the metronidazole at home." And it was these two times that I had a rash, and the last time I stopped taking the drug, I went down. ”

Liu Banxia and Wang Huan ignored it, and they both had a very bad premonition in their hearts.

"Do you still have a rash anywhere else on your body?" asked Liu Banxia after a slight hesitation.

"Somewhere else? There are a few pieces on the chest and thighs. No, don't you have to take x-rays and colonoscopies, what the hell?" the patient asked with a frown.

"Let's take a look, this isn't hives. Liu Banxia said.

The patient looked at him in surprise, but unbuttoned his shirt and lifted his vest.

After seeing the appearance of his chest clearly, Liu Banxia and Wang Huan's hearts twitched for a moment.

"Eh, why did I have a blister this time? I didn't get wet, I didn't scratch it?" looked at his chest, and the patient couldn't help but say.

Liu Banxia put on gloves, picked up an iodophor cotton ball with tweezers, and rubbed it a little the edge of the blister on the patient's chest.

As the cotton ball is rubbed, the edge of the skin is directly wiped off a piece.

"Toxic skin necrolysis. ”

"Toxic cutaneous necrolysis?"

Liu Banxia and Wang Huan shouted out in unison, but their tones were slightly different, one was affirmative and the other was questioning.

The patient was a little confused, as if something terrible had happened. And looking at the nervous expressions on Liu Banxia and Wang Huan's faces, it really doesn't seem like a good thing.