059 Slightly swollen fingers
(Thanks to my friend 08a for his encouragement)
Liu Banxia had already strengthened his confidence, but he also knew that Qin Hai must not be caught in the wrong place during this time.
After looking around, it seemed that he didn't see Qin Hai. Something is wrong, Qi Wentao is not here. Where are you hiding to plot?
"Doctor Chen, what is Director Qin doing?" Liu Banxia walked up to Chen Jianxin, who was on duty today, and asked.
Qi Wentao received a patient with gallbladder polyps complicated by acute cholecystitis and went to gallbladder removal surgery. Chen Jianxin said with a smile.
Liu Banxia's face suddenly became bitter, and he gave Qi Wentao the lead again. He just had an appendectomy, and he started to remove his gallbladder.
This is a tertiary surgery in general surgery, which is the convenience of having a backstage. Otherwise, which attending officer is willing to let go of such an operation and let a doctor who has been with him for two years do it?
"Haha, regret it, don't you? Take your time. Chen Jianxin quipped.
"Why don't you regret it, huh...... What about Wang Chao?" Liu Banxia then asked.
"They ate meat, so they had to let us drink a mouthful of soup and let Wang Chao be the second assistant. Don't slip away, boy, it's just the two of us now. Chen Jianxin said.
Liu Banxia smiled and nodded, "There were no patients last night, and I was in good spirits." ”
As soon as he finished speaking, he saw Qiao Qiao running in from outside, carrying a large bag of snacks in his hand.
"The problem of jelly beans solved?" asked Liu Banxia.
Jojo gave a thumbs up, "You're amazing, I'm all happy." ”
Liang Xiaolin, who happened to walk by, happened to hear this sentence and shivered directly. Is the world so open now? I'd better change the patient's dressing.
"When the film came, the pet hospital said that the bone seams were correct, and they didn't need to deal with it at all. To you, I thank you on behalf of Jelly Bean. Qiao Qiao sent the snacks to Liu Banxia.
Liu Banxia was not polite, and took it directly, "You have suffered from this time, and you have to show it." You're still in the car, aren't you? ”
As soon as Jojo turned around, he ran out again.
"What do you mean?" asked Chen Jianxin curiously.
"Hehe, Dr. Chen, I've been thinking about some osteopathic techniques when I'm fine, and I couldn't get enough of Director Xu's techniques last time. Liu Banxia said with a smile.
"You kid, you're going to be a surprise. Are you sure? If you are sure, there are similar patients today who will also give you practice. But you have to be realistic, and you have the responsibility to follow it. Chen Jianxin said.
"You can rest assured, whether it is orthopedic or fasciotomy decompression, tendon suturing, I have practice. I've been reading the book for many days, but I didn't pay much attention to it before, so I didn't know it in so much detail. Liu Banxia was overjoyed.
Chen Jianxin nodded and didn't say anything more.
In this way, Liu Banxia was already happy. It's not that general surgeons can't do such surgery, it's just that sometimes they want to save their worries, so they are directly transferred to orthopedics.
But whether it can be turned or not depends on the attitude of the attending doctor. Chen Jianxin spat out, which means that there is no problem. Indeed, as he said, it is all responsible to follow.
Liu Banxia also went directly into the disposal room, and he also had to "guide" Dr. Liang Xiaolin. Anyway, I don't have the proficiency to receive patients now, so it's better to take this opportunity to get close to Liang Xiaolin.
After three dressing changes and one stitching, a pair of young men entered, and the fingers of the young man's right hand were wrapped in gauze.
"What's wrong with your fingers?" asked Liu Banxia.
"I don't know what's wrong, it's a little itchy these days, I applied some ointment yesterday, and it's hot today. The patient said.
"I'll take a look first. Liu Banxia put on sterile gloves.
The gauze is opened, and the patient shows slight signs of swelling at the first knuckle of the index finger of the right hand, and the skin tone is slightly darker. There were also some rashes that stopped at a distance of 0.5 cm from the second knuckle.
Rinse it with normal saline first, and then carefully wipe it with sterile cotton dipped in normal saline.
"Doctor, it's very comfortable to wipe up, am I using the wrong medicine? The patient asked.
"Still have to look, I always feel that the color of your fingers is wrong. How many days has it been?Is it still caused by trauma?" asked Liu Banxia.
"All of a sudden, it's been four days today? It was a little itchy at first, and I didn't take it seriously. The medicine I took yesterday had a hot and swollen feeling. The patient thought for a moment and said.
"In this way, let's observe first, the current swelling should be some signs of infection. We mark the border of infection, and you stay in the hospital for hours. As he spoke, Liu Banxia flipped out a marker and drew a line at the border.
"Don't erase this line, and keep an eye on it. Just wait in the observation area, and if you find that you have crossed this line, you have to tell me whether it is swelling or rash. ”
"Doctor, is it serious?" asked the patient's female companion.
"Now we are only in the examination stage, and if the line is not crossed, it means that it is a mild infection, and we can control it with antibiotics. If the line is crossed, the infection is somewhat erosive and a tissue biopsy is needed to determine the treatment option. Liu Banxia said.
Ding! Gain 50 XP and 30 Diagnostics Skill Mastery
"Don't worry too much, normally it's fine. You don't have an infection caused by trauma, so you don't usually have any problems. Seeing that they were worried, Liu Banxia comforted them again.
"You say, it's not really very infected, right? If that's the case, will you have to cut your finger?" Liang Xiaolin asked with some concern after the patient went out.
Liu Banxia shook his head, "It's not good to say now, if it's caused by trauma, I will directly prescribe a biopsy." I just looked at it carefully, and there are no symptoms of paronychia. ”
"Let's observe first. Although it is true that it is necessary to describe the condition to the patient in a terrible way at all times, so that they do not pay attention to it, it is not too frightening. It's not easy to be a doctor. ”
Liang Xiaolin nodded, although she has not been in the second hospital for a long time, she has also experienced some cases. Postmortem cesarean section, congenital heart disease baby, plus yesterday's appendicitis, every patient has their own troubles.
Thinking of this, she was a little depressed, because these impressive cases had something to do with this unobtrusive Liu Banxia.
The first two times he came into contact with him, was he just eating his own tofu? At first glance, he was eating and drinking with his face, and he hooked his girlfriend to the hospital.
The girl was full of thoughts, and her eyes when she looked at Liu Banxia were also unpredictable.
gave Liu Banxia a circle, and he didn't say anything just now, what's wrong with this.