(Thanks to my friends Jia Qi in the sun, Xinghua Qiankun, miao12345678, Wind and Cloud Nothing, Happy Luoba, ho1ey, Eagle Flying Eagle, Immortal Ice Heart, Huang Shuaiqi, Guzi Fork, If You Look If, Restless Maniac, Book Friend 2o2oo622114526948, Book Friend 2O18O5122337244O9, Leaning on the Sky, Mountains and Forests Leisurely, Wei Run Monthly Pass Encouragement)

People's minds are very simple, even if the hospital is not a serious place to do business, people also hope to be able to get off to a good start, complete a beautiful rescue, and successfully treat patients.

But not everything will go your way, and the number of patients has increased a bit, but it's all very simple.

The only child who was more serious was that there was no way to heal him. It can only be transferred to the oncology department, and perhaps the method of radiotherapy and chemotherapy can have some inhibitory effect.

There is no point in having surgery anymore.

"Sister Wang, how many patients have you received so far?" asked Liu Banxia.

"There are forty-three in total, which is not a small number. Wang Ying said.

"The process was easy and the kids were quick to pick up. And now there are more people, and the work is very fast, which saves a lot of time. ”

"yes, if it were before, we would have to be busy with so many patients for a while. Liu Banxia said.

"And now you don't have to run so far to send blood samples, just turn the corner and it's the laboratory, and it's nice to have a new home. It would be better if there were more patients who needed first aid, and I never forgot the last time I saw the trauma emergency center in the city hospital. ”

"It's enough now, you have to do everything step by step. Wang Ying said with a smile.

"And now we have our own ICU ward, which can also improve the treatment rate a lot. Now looking at the leisure, you see, in less than a month, you can be busy without touching the ground. ”

"Teacher Liu, there is a patient with a head trauma who has a two-centimeter wound on his forehead. At this time, Su Wenhao, who was in charge of the guide, shouted.

"You hurry up, you are the one with the best stitches, you must be afraid of scars. Wang Ying said with a smile.

Liu Banxia is happy, in fact, no one wants to leave a scar, it just depends on how to stitch it.

"How did this happen? I see there's some dirt on it, and we have to clean it up carefully before stitching it up. After receiving the patient, Liu Banxia asked.

"There was a small pothole in the road, and when I was walking, I didn't pay attention and fell down and hit the curb of the road. The patient said.

"It's not going to be playing with mobile phones, is it? There are so many people playing with mobile phones these days, it's better not to play on the road or on the stairs. We have seen many patients who have been injured by falling while playing with their mobile phones, and many of them are more serious than you. Liu Banxia said while cleaning the wound.

"Where do I still have the heart to play organic, maybe I used to play too much, and I often have headaches. The patient said.

"Doctor, is it true that lowering your head for a long time will affect the cervical spine, and then you will be prone to headaches? I used to have occasional pain, but recently it has become a little serious, especially when I get up in the morning. ”

"Headaches? Usually it has nothing to do with cervical spondylosis. Liu Banxia said.

"Most of the pain caused by cervical spondylosis is radiating pain in the upper limbs, and the impact on the head can be dizziness. And you're only twenty-six, so you don't usually have cervical spondylosis at such a young age. ”

"Have you ever felt nauseous, or weakness, or numbness in your fingers? ”

"No, it just hurts, it hurts. The patient said.

"Don't worry, I'll stitch up the wound in a while, and I'll give you a good examination. Liu Banxia said.

"There are many causes of headaches, the most common are neurological headaches, as well as intracranial lesions, cerebrovascular diseases, etc., which can also cause headaches. What's your usual routine?"

"The schedule is very regular, I go to bed before 11 o'clock every day, get up at half past six in the morning, pack up and eat early and go to work. The patient said.

"Is there a lot of pressure at work?" Liu Banxia asked again.

"My job is not stressful, it is back-office, I don't work much, and I earn less. The patient said.

This makes Liu Banxia a little puzzled, sometimes because of too much pressure in work or life, it will cause emotional anxiety and induce nervous headaches.

However, this patient has a very regular life, a very comfortable work, and a very optimistic spirit, and is still so young, maybe he really has some intracranial lesions.

However, there is no need to think about this at present, after the debridement is completed and the anesthetic is injected, he still has to suture it first.

For him now, it is really too easy to suture such a small wound. Seeing that he was at ease, Liang Xiaolin pouted a little, and was very unconvinced.

Isn't it just stitched well, what is there to be proud of?

"Alright, now that the stitches are complete, let's look into your headache. After cutting the sutures, Liu Banxia said.

"Are there any specific conditions before the usual headaches? Or are there any pains that usually occur except for the headaches in the morning?

"It's not very frequent, but the main thing is that I have a bad headache in the morning. I just woke up for a while, and my head hurt the most. The patient said.

"I'm a little scared to get out of bed now, and I don't even dare to take a nap at noon. I'm afraid that my head will hurt even more after waking up, and I will be ashamed if I am in the company at that time. ”

Liu Banxia checked the patient's pupil and found no abnormality. I had a palsation of my heart and lungs, and my voice was normal.

In fact, the easiest way is to give the patient a brain cT, which is simple and clear. It's just that the patient can't say that he has a headache, so you can just give him cT.

I asked the patient carefully again, which made Liu Banxia a little worried.

The patient has a history of headache for less than three years, and there are no prodromal factors, but the level of pain gradually increases. And it's not on the left or the right side, it's a pain in the forehead or the back of the head, it's a pain in the whole head.

This should be the primary pain, which is very regular, but it hurts after waking up. Of course, it is not ruled out that it is secondary, but the primary headache occupies a greater proportion.

"From the physical examination, it is no longer possible to make a diagnosis, and I can only take a head CT. Liu Banxia said.

"I also filmed it last year, and there was nothing wrong with it. There is no brain tumor or cerebral hemorrhage, and I have received acupuncture treatment, and I have been pierced for more than three months, but I have not seen any improvement. The patient shook his head.

"In fact, as long as you get through that period of time in the morning, it will not affect your life and work. I won't leave a scar on this wound, will I?"

"Under normal circumstances, no, don't get wet in the short term. Even when you wash your hair, you should protect it, there will be some marks after the stitches are removed. It depends on the individual situation, some people can't see it after a few months, and some people have more than a year. Liu Banxia said.

"But I personally think you should check it carefully. Some diseases do not have visible lesions in the initial stage, and some lesions will appear as the symptoms prolong. ”

"For example, cerebral hemorrhage, some people are bleeding immediately after the impact. For others, it takes an hour or two for it to show up on the instrument. ”

The patient hesitated for a moment and nodded.

Liu Banxia breathed a sigh of relief and directly prescribed a brain cT and electroencephalogram.

"Isn't it enough to take a cT?" the patient asked curiously.

"Brain cT is to check the possibility of organic lesions, EEG is to check the possibility of neuropathy, anyway, you have come, let's investigate more carefully." Liu Banxia said.

"I'll call our neurology doctor later and ask him to help with the diagnosis. Let's try to find the cause of the headache and save you the headache. ”

The patient nodded, although he didn't want to do so many tests for fear of wasting money. But the headache is really tortured, and I hope that there will be a glimmer of possibility.

"What if the patient's brain cT and electroencephalogram don't show any problems? I just observed that the patient has no special symptoms. Liang Xiaolin asked.

"If neither of these tests is available, I would recommend that the patient stay in the hospital for observation. I also do an EEG when she sleeps, doesn't she have a headache when she wakes up, and see what the EEG looks like at that time. Liu Banxia said.

"What if the patient doesn't agree?" asked Liang Xiaolin.

"Persuasion, this task will be handed over to you, and you will be done when you come to persuade you. Liu Banxia said.

"Why me?" Liang Xiaolin was a little confused.

"If you ask, I'll leave it to you. Liu Banxia shrugged his shoulders.

"You should also learn from Dr. Liang and have the spirit of having the courage to take on heavy responsibilities. If you don't understand, you have to ask, and if you ask, you have to be responsible. The patient must have a condition, or there will be no headache. ”

"A lot of people often say who gives him a headache, that's a description. The kind of pain that patients with real headaches suffer can be very severe. ”

"Teacher Liu, can you tell what caused this patient?" asked Xu Yinuo curiously.

Liu Banxia shook his head very dryly, "I don't understand at all, so I have to do an instrument check." If you still don't understand the first instrument test, you have to find a way to keep the patient in the hospital for observation. ”

"In fact, sometimes a nervous headache is similar to a heart attack, and an EEG may not be able to do it when you don't have an attack. But organic damage and neurological damage are mutual, so I even gave an EEG today. ”

"When we receive patients, we must not only avoid unnecessary instrument examinations, but also not miss the instrument examinations that should be done. How to do it depends on the actual situation. ”

"The principle of instrumental examination is still to be followed from low to high, unless the indication is clear. For example, today's young man, Dr. Qi found that the laryngeal edema was a little abnormal when he was intubated. ”

"You have to work hard, in a few months, you will be able to take patients independently. It is all the responsibility to follow, and you can't be sloppy. ”

Hearing his words, these people were a little excited. It's a great thing to treat patients independently. However, I am also a little worried, and I am afraid that I will misdiagnose and miss the diagnosis.

Just now I was thinking about this headache patient, but now it's good, even Liang Xiaolin has put her mind on receiving the treatment.