005: Too much deception
"Uncle, it's a little cold. Liu Banxia said and lifted Liu Liyou's clothes and applied some couplant on them.
"Uncle, I usually notice that the bean-sized mole on your neck is not there? This is called spider angioma, and patients with cirrhosis of the liver have such symptoms. ”
"There's a lot of fluid in your abdomen, and it's all up to your lungs now, so you're gasping for air. But that's okay, we'll just pull it out later. ”
Even if this patient does not provide himself with the opportunity to perform surgery, he has to do his best to receive the treatment. As a doctor, the first thing is to be accountable to the patient.
"Doctor, do you still have to have surgery? Can you do that kind of minimally invasive surgery?" asked Liu Liyou's wife worriedly.
"Dandan, what is the blood pressure just measured?" Liu Banxia asked Xu Dan.
"Ah, my blood pressure was 130/80 just now. Xu Dan hurriedly said.
Liu Banxia looked at Liu Liyou's wife, "Don't worry, we can remove the ascites in a while." Although this is also a surgery, it is a minor operation, and it looks similar to ordinary sutures. ”
"We don't have to go to the operating room, we can be admitted to the hospital in a while, and we can smoke it in the ward. However, this is your first time pumping ascites, so you won't pump too much, and you will pump more slowly, otherwise it will not be good for your health. ”
"After the ascites is removed, you stay in the hospital for a day of observation. Do not move around to avoid ascites leaking out of the puncture hole and causing other symptoms. ”
Ding! Gain 30 XP and 50 Diagnostics Skill Mastery
"Sister Li, take the patient's family to the hospital. Liu Banxia looked at Zhou Li again.
Shi Lei, who was watching from the side, frowned slightly, and Liu Banxia also noticed it and gave him a bright smile back.
Liu Banxia stood up, walked to Liu Liyou's wife's side and lowered his voice, "When you get to the ward, let the uncle urinate more, so that the bladder will not be hurt when the ascites is pumped." Seeing that the uncle seemed a little nervous, I didn't tell him to save him from worrying. ”
"Thank you, doctor. Liu Liyou's wife is very happy.
Don't look at the doctor is very young, he is really thoughtful. His boss is chattering, but he is actually very timid.
"Come on, Sister Li, let's go, I'll go up in a while, and Dandan will give me a hand when the time comes. Liu Banxia said.
Abdominal puncture is not a difficult job, if there is pericardial effusion, Liu Banxia will not dare to start it himself.
"I thought you had forgotten. After Liu Liyou and his family left, Shi Lei said angrily.
"How can I, who brought me out? Liu Banxia said with a smile, and then looked at Xu Dan again, "Dandan, when the doctor asks you to measure your blood pressure in the future, you must inform the doctor in time after the measurement, so that the doctor can make a judgment." ”
"Ah...... I'm sorry, Dr. Liu, I won't forget it next time. Xu Dan was taken aback.
"You're welcome, I've helped me so much, just remember. Just ......"
"Liu Banxia, come over for a moment. ”
I still have to encourage Xu Dan, her aunt-in-law is outside the gods. It's just that before he finished speaking, the voice of Qin Hai, the director of the emergency department, came.
Liu Banxia turned his head and looked at him, he was startled, it was not only Qin Hai who came over, but also his boss's boss, Zhou Shuwen, the deputy director of the Department of General Surgery, and Qi Wentao, who was standing beside Qin Hai.
"The two leaders came over in person, send me a message and I will appear in front of the leader with a whoosh. Liu Banxia hurriedly ran over and said with a smile.
If it was only Qin Hai, he wouldn't care. Anyway, it doesn't like to look at yourself, what else can you do? But there is also a famous knife Zhou Shuwen on the side, so you have to make a gesture.
Zhou Shuwen can be said to be the real descendant of the Second Hospital, and after graduating from Binhai Medical College, he went to Hopkins to get a doctorate. The medical skills are also really clever, and in a short period of time, he became the deputy director of the general department, if it weren't for the prestige of the old director, I am afraid he would have become the big director long ago.
"Don't smile, let me ask you, Wang Xingxing, who just received the consultation, based on what medical judgment did you make him do abdominal CT with enhanced abdomen. Qin Hai asked with a calm face.
Qin Hai's voice was not small, and the doctors and patients in the rest of the consultation room also followed the sound.
"Director Qin, I made my judgment based on the patient's slight jaundice in the eyeball, recent weight loss, and the death of his mother from breast cancer the year before last, and I suspect that the patient has some problems with his liver and gallbladder. Liu Banxia also put away his smile and said seriously.
"That's all it takes, how can you do that?" Qin Hai glanced at him.
"Although you are a regular doctor, you also represent the image of our second hospital. Do you know what the patient's family says? Say that because the child didn't speak lightly during the consultation, and offended you, you gave you an over-treatment. ”
"This is a serious problem, and it is something that our hospital has always taken seriously. If I hadn't rushed over in time to appease the patient's family, I don't know how much of a mess I would have caused. ”
"Lao Zhou, Liu Banxia is your general doctor. I often come to our emergency room to help, and I am still very welcome. The emergency department is so heavy that no one wants to come. But you should also manage it well, if you want to become a doctor, you must first be virtuous, I don't welcome such people. ”
This was a bit heavy, and even Zhou Shuwen's face sank. At the same time, he was also a little curious in his heart, what did Qin Hai, the director of the emergency department, really do with the doctors?
No one is a fool, Qin Hai hurriedly closed the coffin, the intention was too obvious, the purpose was to shake the pot. If this matter can't be handled well, you have to carry this pot from the outside.
In fact, this is nothing, although Liu Banxia's reason just now sounds a bit far-fetched, but it is also a legitimate reason. The key is the impact of this matter on Liu Banxia, and he may not be able to successfully complete the regulations in the second hospital.
This also means that his three years in the Second Court have been wasted. You come to accompany you, but you can't get the escort certificate, what are you playing?
"Director Qin, Liu Banxia was brought by me. The arrangement of the patient for an abdominal CT with contrast was also done after the consent of the patient's family, and I don't think he was responsible. Shi Lei spoke.
"Xiaoshi, whether there is responsibility or not, it depends on the result. Qin Hai glanced at Shi Lei lightly.
"It is completely possible to wait for the blood test results to come out and then make the next diagnosis based on the blood test results. Otherwise, what will happen to our hospital after it gets out? If you have a sprained foot, you will have to do an enhanced CT of the abdomen? If you hurt your hand, do you have to do an MRI of your head?"
"Doctor Liu, our old man is ready, when will we pump water for him?"
At this time, Liu Liyou's wife walked over with Zhou Li.
"Eldest sister, for a while, I still have some things here for the time being. Liu Banxia hurriedly said.
"What kind of water is pumped?" Qin Hai frowned and asked.
"The patient had severe ascites and mild cirrhosis. Now the ascites has squeezed into the lungs, and it is difficult to breathe. Shi Lei said stiffly.
Qin Hai glanced at Shi Lei, then looked at Zhou Shuwen, "Old Zhou, I don't think it is appropriate to let Liu Banxia treat the patients in our emergency department in view of the current situation. ”
After all, Wang Xingxing's father still needs to be appeased, and it doesn't look good. It is true that Wen Tao is my nephew, but among the current doctors, medical skills are also possible, and they are completely able to do abdominal puncture for this patient. Wen Tao, go upstairs and get ready. ”
Liu Banxia's eyes widened all of a sudden, and he couldn't wait to pull it down when he looked at the lonely and stubborn hair on the top of Qin Hai's head from left to right.
Don't you take such a bully, do you? Now you have to grab even a paracentesis? Or do you want to rob openly?