(Thanks to my friend Country Guardian monthly pass for encouragement)

"I regret it, I should have stayed down and followed Teacher Liu to treat my ears. "Xu Yixin was very depressed after the operation.

"What is there to regret, you didn't look at the child's state at the time, you have to die of distress. Liu Banxia said.

"I really have to thank Dr. Peng today, otherwise I don't know how many times I would have circled. The biggest possibility is that the child has been examined a lot, and then the child is sent home. ”

"At the beginning, I didn't have the slightest concept in my head, I was basically guessing, Dr. Peng called diagnosis, two different levels. ”

"Teacher Liu, aren't we so modest and arrogant?" Liu Yiqing was a little helpless.

Now she also has the same feeling as Liang Xiaolin before, and she began to feel that Liu Banxia's inspiration for diagnosis sometimes seemed to come too suddenly, as if she was blind. But if you think about it, everything is traceable.

Let's just talk about this child today, if it weren't for Liu Banxia's subtle differences from schizophrenia from observation, he would have been stitched up after the initial diagnosis.

Not all cases will actually show all the symptoms, so you can easily sit in the right seat. Including the teratoma in the front, is it really that easy to diagnose?

These two patients both have a medical history, so why were they not diagnosed by others when they were hospitalized in the past? Could it be said that those doctors are not as skilled as Liu Banxia?

It's not like that, Liu Banxia is a surgeon, and his main job is to cut and sew. How can he be able to notice the subtleties of a patient? That's kung fu.

"Why are you looking at me like that?" asked Liu Banxia, who was gnawing on chicken legs and nibbling on Zhengxiang.

"It's nothing, Xiaoqing was right just now, our teacher Liu is very arrogant and talented, why didn't you find it before. Xu Yinuo said.

The rest of the male interns nodded in unison, although they didn't dare to say it directly, not as bold as Xu Yipromise and Liu Yiqing, but they were able to agree.

Liu Banxia glanced at them, "Be careful, I have to take a rest tomorrow." Go outside and make some extra money, or where will you have the money to eat chicken legs?"

"Teacher Liu, what kind of surgery?" Miao Rui asked curiously.

"Two appendices, a gallbladder, and a liver cyst. Tomorrow you have to work hard for the day, and when I come back, I will bring you iron plate dishes, which are delicious. Liu Banxia said.

"Teacher Liu, can we take a little leave and follow over to take a look?" Xu Yinuo asked tentatively.

"Stay here honestly, you've seen appendectomy and gallbladder removal many times. The reason why liver cysts can be done is because they cooperate with Jinshui District Hospital, and they have to bring their doctors to it. Liu Banxia said with a smile.

"After all, I also used to work for other people, so I have to listen to other people's arrangements. It's really hard to make two money, and you have to take care of your chicken legs. ”

Listening to Liu Banxia's words, these interns were still a little disappointed. Liver cyst removal is really not common for them now.

However, Liu Banxia is right, it is also a rare favor that Jinshui District Hospital can keep the patient and call him over for such a major operation.

"Just come on, be ready at all times, testing is everywhere. Maybe when I will ask for an appendectomy with Puwai, whether it will show my face or be ashamed, whether I will be complained by others, it depends on you, and I don't know who this lucky person is. Liu Banxia smiled again.

Hearing his words, the interns became nervous again. Liu Banxia can really do such a thing, this Teacher Liu is very unobtrusive and casual.

If it really goes wrong, the people behind it will have to be postponed for a month. How long is the rest of the internship time, and no one will be able to do it at that time.

Looking at their appearance, Liu Banxia felt a sense of accomplishment. This pressure must always follow them, and only when there is pressure can they grow quickly.

Let's just talk about himself, although he said that there is a system, but if there is no pressure, he will not have the current performance.

They have a good foundation, don't look at it as an intern now, and seriously speaking, it's no worse than before they got the system. As long as there is no fork in the practice, it will be a great general surgeon in the future.

Today's meal is not on time, and it is already two o'clock in the afternoon when the big guy finishes eating. Just like getting off work, you really can't come on time to eat.

It's just that for Liu Banxia and them, this is already a habitual thing. Some of them can be eaten, but don't you have to stand up if you don't have to eat?

"Eh, what did Wang Chao do?" asked Liu Banxia after returning to the emergency center.

"You came back just in time, you went out with the car for first aid, there was a car accident. Wang Ying said.

Liu Banxia nodded, "It's okay, I thought our ambulance would have to wait a few more days." A few of you pay attention, and when Wang Chao comes back, you will cooperate well. Brother Wei, it's hard for you to look at it. ”

Wei Yuan smiled and nodded, "Don't worry." ”

After waiting another two minutes, the phone rang again.

"Dr. Liu, there are three injured people at the scene. Dr. Wang said to be prepared for surgery and suspected that two patients had internal bleeding and one had an open fracture of the leg. The dispatch nurse said after listening.

"Oh my god, update the information, big guy get ready. Dr. Qi, Li Hao, and Miao Rui received one, Dr. Wei, Xu Yinuo, and Liu Yiqing received one, and the rest followed Dr. Wang. Liu Banxia clapped his hands.

"Prepare 6 bags of O-positive blood, contact the operating room to prepare, and notify the two first. The CT room reported in advance, and when there was time, the CT was done before going on stage. Call out to Dr. Wu of the Department of Orthopedics. ”

He also didn't expect that either he didn't have a job, or he would be a big job.

Wang Chao is not an idle eater, the judgment on the spot is very important, which can save a lot of time.

After waiting for nearly ten minutes, three ambulances drove up.

"A 38-year-old man with 60/90 blood pressure and a distended abdomen. The temporal artery ruptured, which has been clamped, is given fluids on the spot. After pushing the patient out, Wang Chao said.

"Doctor Wei, let's go straight to the operating room. Liu Banxia said.

Wei Yuan led Xu Yinuo and Liu Yiqing to hurriedly greet him.

"The second injured person, a 23-year-old female, has stable vital signs, and is the driver of the car. The main person reported that his neck hurt, and he wore it off. The third place, 10 years old, had stable vital signs and an open fracture of the leg. Wang Chao began to introduce the latter two patients.

"The second was treated by Dr. Qi, and the third was treated by me and Dr. Wang, in the first and second rooms. After Liu Banxia finished speaking, he pushed the gurney and walked in.

"The first patient was a box driver, and the girl and her younger brother wanted to plug it, but the driver squeezed in without seeing it. The scene was not tragic, and the injuries caused were somewhat serious. Wang Chao said.

Liu Banxia nodded, "You will do other examinations in a while, and I will come to see the child's fractures." One, two, three, move the bed. ”

"Mr. Liu, do you need surgery?" At this time, Wu Mingyu also ran over.

"Had surgery, an open fracture. However, I just checked that the child's foot had no pulse, and it was because the arteries and blood vessels were entangled after the fracture. Doctor Wu, are you coming?" asked Liu Banxia.

"Come on, your hands feel better. Wu Mingyu said.

Liu Banxia did not postpone, "2 mg Mida file, 25 mg fentanyl, I will first reset the blood vessels in the child's legs, and then take an X-ray and send it to the operating room." ”

After that, he was not idle, but carefully examined the part of the child's fracture.

What is an open fracture? Simply put, a broken bone has been exposed. The current situation of this little patient is that the two truncated bones are dislocated, so the phenomenon of blood vessel entanglement is caused.

It is very dangerous to do reduction and restore blood circulation without any instrumental examination and without knowing the actual condition of the blood vessels.

Because there is a broken bone, the cross-section of the broken bone is very sharp, and if you don't operate it well when you reduce it, it is likely to cut the blood vessel.

Now the child's vital signs are very stable, and if the blood vessel is cut, it will be hemorrhage.

However, if the blood vessels are not restored, the child's foot may die of avascular necrosis, and then the leg will have to be amputated.

It is precisely because of such difficulty that Wu Mingyu let Liu Banxia go. It's not that he's shirking responsibility, but that he believes in Liu Banxia's hand, and his own grasp is not very big.

At this time, fentanyl also worked, and the child's crying voice was lowered.

Liu Banxia grabbed the child's foot, stretched it down gently, and then pinched the fractured part with his hand and felt it carefully, and then gently pushed it up.

After doing this, he checked the pulse of the child's feet again.

"Well, the blood vessels were restored, and there were no blood vessels. Wang Chao, how did you check it?" asked Liu Banxia.

"The child was lucky enough to have a broken leg that got caught between the seat and the door. Wang Chao said.

"Angkor, you can go directly to the stage when you make a film. Liu Banxia said.

Wu Mingyu nodded, "Everyone is a little behind, and now we will make a film." ”

In fact, even if he didn't need to say it, everyone leaned to the side. Even just bedside X-rays are radiation-sensitive.

"Banxia, beautiful, the reduction is so good, it's OK to do an internal fixation. Looking at the displayed images, Wu Mingyu couldn't help but praise them.

Ding! Patient reception is done

Gain 100 XP, 100 Diagnostics Skill Proficiency, 300 Osteopathy Skill Proficiency, and 5 Glory Points

Liu Banxia took off his gloves and came outside, just in time to see Qi Wentao also come out.

"Just now, this patient was able to move his hands and feet, and there was no problem with the initial diagnosis of the cervical spine. However, in order to be safer, I still gave some painkillers to do cervical and thoracic spine CT. Qi Wentao said.

Liu Banxia nodded, "It's good, now I'm waiting for the good news from Brother Wei's side." Super, today's performance is good, and the three patients are also very good on the spot. ”

"But the next time you go out, don't just think about yourself, you have to take the intern with you. Let them have more experience in on-site disposal, and the big guys will take turns. ”

Wang Chao nodded, "Be sure to pay attention next time." I'll need to rest for a while, I'm tired. The heart is tired, the body is tired, the heart is beating too fast. ”

Liu Banxia is happy, in fact, his whole person is also excited, this is the effect of adrenaline.