248 Liang Xiaolin who grew up
This fruit meal is very happy for the big guys, just to pass the time, otherwise the night shift is really difficult.
"Doctor, my dad has a bruised head, and the wound is not small. At this time, the door of the waiting hall opened, and a voice of anxiety came.
Liu Banxia hurriedly greeted him, "Is it still bleeding? Why don't you use something clean, this is a towel, right?"
"It's still bleeding, and it's on the kitchen counter. That's all I was anxious about, and we came to the hospital when we were done. The patient's son said.
"Lose it first, I'll take a look?" Liu Banxia said with gloves on.
On the upper right side of the forehead, there is a cut about four centimeters long. This knock was hard enough, and now it's still bleeding, so it can only be stitched.
"Liang Xiaolin, debridement and suturing. Liu Banxia said after reading it.
"Doctor, don't you want to sew it?" asked the patient's son worriedly.
"It's okay, Dr. Leung's suturing skills are also very good. And it's normal suturing, did you have any symptoms of dizziness and headache before?How did you fall?Did you have diabetes and high blood pressure?" Liu Banxia asked.
"There was some water on the kitchen floor, and I tried to pour some water to drink after eating, and my feet slipped. Blood pressure is a little high, but diabetes is not. The patient's son said.
"I really have to pay more attention in the future, I didn't see the scene at that time. After a while, we have done a simple examination after the sutures, and if necessary, we will take a CT scan. Liu Banxia said.
"Just knock it out, you don't need to take a CT scan. The patient's son hesitated.
"We young people don't have much to do, but as we get older, it's better to pay more attention. Okay, you register first, and we'll help the uncle deal with it here. Liu Banxia explained.
This is also a routine operation, although most of the time ordinary bumps do not cause cerebral hemorrhage. But sometimes it's so coincidental, which is what the folk often call "catching up with the inch".
However, the final decision is still in the hands of the patient and the patient's family, and the doctor only has the right to make recommendations.
It was already past eight o'clock in the evening, and with the old man entering the door, the horn of tonight's work was also sounded. As is customary, the next wave was another wave of drunk patients.
To deal with such a patient, there is no need for Liu Banxia and Wei Yuan to come forward. If you are willing or not, you have to lead the interns to deal with it.
Of course, if there is a drunk dishonest person who wants to make trouble, he has to be controlled by the big guys. This kind of situation is not uncommon, scolding and scolding are acceptable, as long as you don't beat people and destroy things.
In fact, even now Liu Banxia doesn't understand what Qi Wentao still has to insist on in the emergency department. I don't say that it is to the level of bullying that is isolated, but the two of them rarely speak.
After receiving a round of drunk patients, a few more people came in to fight. Come in line, whether it's suturing or debridement, you need to go to the disposal room. Fortunately, they were all minor injuries and did not reach the point where surgery was required.
I have to say that the wine is really too peculiar, some people are getting closer and closer to drinking, and some people are drinking farther and farther. It's just that this group of people know each other, and they just start drinking and drinking, what's the way?
"Dr. Liu, come and have a look. At this time, Liang Xiaolin poked her head out of the disposal room and beckoned to Liu Banxia.
"What's wrong, are you in trouble?" Seeing that the patient's son also followed, Liu Banxia asked very vaguely.
"No, it's already been stitched, but the uncle is asleep. And the corners of the uncle's mouth will twitch unconsciously, the left corner of the mouth. Liang Xiaolin said.
Liu Banxia took a closer look, and it was indeed the case. Although the frequency of tics is not very high, there is indeed a phenomenon of tics.
"I suggest you do a brain CT scan of your father and see how it goes. Liu Banxia said.
"Doctor, my dad drank two taels of wine at dinner, is it up to the wine? And the corners of his mouth have been twitching like this for two or three years, and it is not in the way. The patient's son said.
"It's not as simple as not getting in the way, who do you see can fall asleep during the stitching? Even if you have anesthetic, when the needle is inserted, it will pull the skin, but it doesn't hurt, you still feel it. Liu Banxia said.
"Now I'm showing drowsiness and involuntary twitching of the corners of my mouth, and I suspect there may be something wrong with my head. And according to you, there is such a long medical history, let's do a CT. ”
"Doctor, it's been like this for two or three years, so it's fine. The patient's son said with a frown.
"That's all, if something happens, it's too late. If you insist on not doing it, we will give you a copy of the document, fulfill the obligation to inform, and you can go back after you sign. Liu Banxia's face turned cold.
"That'...... , let's make one. Seeing Liu Banxia like this, the patient's son hesitated for a moment, but still agreed.
Liu Banxia also breathed a sigh of relief, sometimes acting indifferent, but it can attract the attention of patients or family members.
In the old man's current situation, Liu Banxia didn't dare to guarantee that there was a problem 100%, but there was already a clear indication, so he had to follow the process.
Again, being a doctor is really difficult. Everyone is happy when it's fine, and if you don't follow the process, it's all your responsibility.
"Okay, that's enough for now. After the patient's son took the patient to do a CT scan, Liu Banxia praised it.
Liang Xiaolin wrinkled her nose, although she was praising herself, she had a strange feeling. After all, the taxi driver at the beginning behaved similarly to the current one, but he didn't notice the situation at that time.
"Take turns with debridement and sutures, all hands-on, and be more energetic. I'll help you clean up, the smell of alcohol is so big. Liu Banxia sighed.
Although it is said that drunk patients are easy to deal with, it is enough to find a way to reduce the metabolism of alcohol in the body. But they tend to be a lot of by-products, and even if you clean up the vomit, the smell will waft through the emergency department.
Liu Banxia turned into a hard-working little bee, mopping and disinfecting the floor very seriously. He took the initiative to take on the work that could be given to the nurses.
"If you can keep it like this in the future, we'll save it. I'll take a look around the upstairs ward for you and see if you have any rest. Zhou Li said with a smile.
"Trouble Sister Li, don't forget, you have to eat sauce bones tomorrow, gluttony. Liu Banxia said.
"I know, I can't forget. Zhou Li responded with a smile.
"Doctor, doctor, I fell on my motorcycle and broke my leg. Before Zhou Li went upstairs, another person popped into the waiting hall.
"Qi Wentao, let's take the consultation. Liu Banxia said.
It was because of the relationship between the two that Liu Banxia was also very awkward. Although he is a little thick-skinned and not afraid of other people's arrangements, he must be as fair as possible.
But is justice so easy to do? Who has a ruler to measure it?
Let Qi Wentao receive more consultations, some people will say that he squeezes. There are fewer consultations, and some people will say that he is a bully. More and less, and only relatively, are also impossible to measure.
For some patients with simple conditions, it may take more than an hour to receive treatment. For example, the patient who just came in was basically just a consultation with an orthopedic surgeon after the initial consultation.
If there is then internal abdominal trauma, internal bleeding and the like, it is the direct operating room. It can be regarded as giving Qi Wentao a chance to go on stage for surgery.
But now, you can't tell if the patient has internal bleeding.
Don't look at the patient who came to the doctor after he fell and injured himself, it may not have been a big bleeding point, but after he jumped, it would turn from a hematoma to a hemorrhage.
This patient was still relatively lucky, there was no problem on the abdominal ultrasound, and the blood circulation in the leg was normal, and there was no blood vessel injury. He also wore a helmet on his head, but he had a broken leg and extensive abrasions.
Qi Wentao was not responsible for the debridement and suturing, and was directly handed over to his intern Li Hao.
After processing here, the CT film of the first patient also came out, and Liu Banxia was shocked after reading it.
"Sister Li, help me call the gods, it should be a meningioma, about 4 centimeters in diameter. Liu Banxia said.
"Doctor, is this benign or malignant?" the patient's son was now also full of sorrow.
"The chance of benign is relatively large, benign tumors grow slowly, and they are so big that they should have been growing for several years. Liu Banxia thought for a while and said.
"Your father hasn't talked much in the past two years, right? I don't think the hospital has been talking much since then, probably because of a brain tumor. ”
"However, the specific situation has to wait for our extraterrestrial doctor to see it, and then do a detailed examination, and then we can give you an accurate judgment. ”
"Thank you, doctor, thank you. The patient's son said gratefully.
"Thank you Dr. Liang, if she hadn't found out, although the current impact on patients is more drowsiness, but in the near future there will be more impact. It's really too big, and such a big thing in the head will definitely squeeze the brain tissue. Liu Banxia said.
"Thank you, Dr. Leung. The patient's son turned his head and thanked Liang Xiaolin.
"You're welcome, this is also the responsibility of our doctors. Liang Xiaolin hurriedly said.
The doctor outside the gods also came over quickly, and it was another attending doctor surnamed Xiao outside the gods, named Xiao Jun.
"A tumor of this size can only be removed by surgery. If you agree to have surgery, we will do some detailed tests before scheduling your surgery. After watching the CT film, Xiao Jun said.
"Surgery, surgery, you have to do it. The patient's son hurriedly said.
"Doctor Liu, then I'll take us in?" Xiao Jun asked.
"Done. Liu Banxia nodded.
If other patients can still stay in the emergency department, this patient has such a large brain tumor, it must be in the ICU after the operation, and then transferred to the department ward, it is still safer for Shen Wai to be responsible.
"I have really grown, and my hard work has not been in vain. Liu Banxia gave Liang Xiaolin a thumbs up.
Although Liu Banxia's praise is a little out of tune, Liang Xiaolin is also beautiful. After all, this patient found something wrong on his own, and he does have his own credit.