303 Responsibility is heavier than the mountain
(Thanks to book friends for 20171217135953921 tips and encouragement, thanks to friends for their promises, self-elimination, and Afu monthly ticket encouragement)
I didn't see Liu Banxia at noon, and after settling down in the ward, Peng Peng's parents came over to thank him again. After receiving a basket of thanks, Liu Banxia's mood was even more beautiful.
This is really life-saving, if this disease is not on the defibrillator, maybe that time it will happen, it may not be able to survive.
And for their family, it is not only Peng Peng who has been helped, but also his parents.
This is a dominant genetic disease, although the incidence is not very high, and his parents are also past the age of the high incidence period, but that statistics are only the high incidence period, and everyone will have different manifestations.
It's just that the family doesn't have that much money now, so just cure the child first. When the two of them really get sick in the future, they can have a clear diagnosis, and they don't have to look at it randomly.
"Happy, happy, and praised again. Liang Xiaolin said.
"I think you should be happy, you have benefited a lot from watching this operation, right?" Liu Banxia asked rhetorically.
Liang Xiaolin nodded, "That's true, Director Zheng is really amazing." And tomorrow I will be implanted with a hypodermic defibrillator, so let me go on stage. ”
"It's good, after moving to a new building, it will be a bit difficult to go to the department for surgery. Unless there are many patients on the other side, they can't be busy. Liu Banxia smiled and nodded.
"Qiaoqiao came over at noon, let me tell you when you will rest and then go over to the waves to play. Qingkova can't wait, and I don't know why you girls love to take a big bath so much. ”
Liang Xiaolin glanced at him, "Are we taking a big bath? We are going to do nursing and maintenance, where will you live as roughly." ”
"The SPA of the women's department is really good, although Qiaoqiao is very fun, but he has invested a lot in doing business, and it is also very powerful. ”
"Originally, the main customer group of Lang Taosha was men, but now it has changed, it is women. There are two lounges, one of which is for ladies. ”
"Didn't you ask how much it costs to live in a set?" asked Liu Banxia with a smile.
"What's the point of being more expensive? Anyway, I have to go over when I have time, and I have a good sleep after SPA, which is very relieving. Liang Xiaolin said.
"Go, go, I can't control it, I'd better take stock with Sister Wang." It's not very big, and there's a lot of stuff, but I can't get a stubble on my hands. ”
The inventory work is also very important, and some of the equipment here will continue to be used in the new building if it can be brought to the new building. If you can't take it, you will leave it here for the next physical examination center.
This time, the reform of the second hospital is really not small, and the establishment of the physical examination center can be regarded as catering to the trend of the times.
People are concerned about their health, and spending hundreds or thousands of dollars on a real physical examination package is very good. It can also make use of these instruments in the hospital to make up for some investment.
"Shoutian, these infusion tubes are really not good, I'll react later. Wang Ying raised the infusion tube in his hand.
"There is no need for it, it is said that there is also a meeting in the hospital to discuss, and the next batch will improve the quality. Liu Banxia said.
"Let's take care of ourselves when we use them, and the control of these consumables after moving is up to you. In particular, some iodophor, iodophor cotton balls, and debridement kits are financially accounted for separately, and the pressure is also very great. ”
"You know, it's best to use it. Wang Ying said with a smile.
"I will review this matter, and I am sure that this will not be the case in the future. Liu Banxia said.
In order to achieve a good effect during his debridement, many times he carried the saline directly with the bottle. There will definitely be some waste in use, and it will have to be corrected later.
"By the way, that Xiao Han upstairs did a blood test again today, and the number of white blood cells is a bit high, have you seen it?" asked Wang Ying.
Liu Banxia nodded, "It's nothing, it's just that I have to stay in the hospital for two more days." It seems that running Didi's work is really hurtful, and I used to be a boxer, but now it's much worse. ”
This is also normal, and it stands to reason that you can be discharged from the hospital three days after surgery. However, the patient's physical fitness is poor, and if he has inflammation, he has to deal with it.
Some people may be misinterpreted as saying that the patient has not stayed for enough days and must stay for two more days, which is. Especially for some popular departments, it is even more impossible when there is a shortage of beds.
Don't look at the empty beds in the emergency department, but I really don't dare to let the patients go casually.
Are they all recorded in medical records, the patient's various examination reports do not meet the standards for discharge, but if there is even a little condition after discharge, Liu Banxia has to be responsible.
Especially after the incident of the patient who had a suspected drug reaction to metronidazole, this must be done well. Is this the evidence, save yourself from falling into the mud pit?
This is the peculiarity of working in a hospital, no matter what you do, you will have the responsibility to follow. And this responsibility is not small, it is a matter of human life.
It would be an exaggeration to say that the responsibility is greater than your own life, but if the responsibility is heavier than the mountain, then there is nothing wrong with it. This thread cannot be relaxed at any time, it must be tightened all the time.
It is responsible for oneself and for patients.
Wang Ying and the nurses have done a lot of inventory work. He didn't have to worry about it too much, and finally he signed it again, and it was OK to wait for the move.
"God's pitiful, there are finally police officers coming to take care of those people, otherwise the three big words in the emergency department will give me a headache. Miao Rui went outside to take another look, and then came back and hurriedly reported.
"Leave that alone and don't be influenced by them. Why are there so many patients in the department who are infused at this moment?" asked Liu Banxia.
"There are colds and enteritis, it is estimated that it is because the temperature difference between day and night is large now, and some people are attracted without paying attention. Miao Rui said.
"You still need to strengthen your skills training, and when you move to a new home, you can't behave worse than the interns in the rest of the departments. Otherwise...... Hmph, you're going to be very happy. Liu Banxia said with a smile.
Miao Rui shuddered, he knew that Liu Banxia was not joking.
Mr. Liu is very easy-going, which is certified, but Mr. Liu is also very strict and can play tricks on people, which cannot be escaped.
"Mr. Liu, come over for a consultation. At this time, Wang Huan shouted.
"Come on. After answering, Liu Banxia hurriedly trotted over.
"This patient is a rectal stromal tumor, these are diagnostic reports, do you think it can be surgically removed?" asked Wang Huan.
"I'll take a look. What do patients think?" asked Liu Banxia casually.
"The patient wants to cut it off, and there is a good chance that the anus will be saved. 37 years old, a little younger. Wang Huan said.
Liu Banxia carefully watched the various diagnostic reports.
The age of 37 is indeed a bit young, but the patient's tumor is indeed a little closer to the anus. Although it is theoretically possible to save the anus, it will not be known until the actual exploration.
The tumor is already very large, and it is not clear how much it has spread to the surrounding area.
"Dr. Wang, it's really hard to guarantee at the moment. The tumors are too large, and they are two not far apart. The other one, although it is a little small on the top, also needs to be taken seriously. After reading it, Liu Banxia said.
"Now I can't give an accurate judgment whether I can keep it, and if I can't keep it, I can't do it, so I have to make it clear to the patient in advance. ”
"Anyway, I have a feeling that it's enough. I have seen many cases of rectal cancer, and the tumor in this location is generally dug in the tank for safety. ”
"There are some patients who have not dug the tank, but have a high chance of recurrence within one year after surgery. Although our current medical methods are very developed, they have not reached the point of outrageousness. ”
Wang Huan nodded, "I thought that with your skills, I could increase my chances of winning." ”
"Brother Wang, you think too highly of me. Such a tumor is really uncertain, and the location is also in a very awkward position. Even if it's two centimeters taller, I'm more sure. Liu Banxia said with a wry smile.
"A friend of mine just didn't want to hang a bag, so he came to us. Wang Huan said.
"If I really choose to do it here, I can only say that I will do my best. And it seems that he had all these examinations more than 20 days ago, right? Liu Banxia said.
"I know that, I'll talk to them. If you really come to our hospital, you can do it for him. Anyway, I only recognize Director Zhou and you now, if you can't keep it, others don't expect it. Wang Huan said.
"Look, praise me. It's nothing more than a matter of cutting more and cutting less, and it's the same for everyone. It's still a little delayed, if the tumor is smaller, the grasp can be bigger. Liu Banxia said with a smile.
"Okay, you can get busy first, I'll think about it again and see how I explain it to them. Wang Huan nodded.
For this patient, Liu Banxia is really powerless, it depends on his luck.
In fact, the normal operation is to preserve the anus first, and then sample the remaining rectum for pathology. If you find cancer cells, dig the tank and if you don't find it, just take the rectum back.
But there is a problem here, and that is the cost of surgery and the issue of a second operation.
Digging the tank is also a major surgery, and even if multiple samples are done after the anus is spared, it cannot ensure that no cancer cells have spread past.
Although hanging bags will affect future life, they can be safer and more worry-free.
How to do it depends on the patient's choice. It can also be seen that the doctors he met were all conscientious, and if they were black-hearted, they would have done it directly for him.
Then make a second one, it has nothing to do with this one. In other words, when prompting, it is also to avoid the important and light.