(Thank your friends for your encouragement, and thank your friends for waiting for your monthly pass)

Wang Chao's evaluation of Liu Banxia is a bit high, although he can mix in any department, but there is still a lot of distance to achieve the point of "fine".

It's just that even so, his performance is already outstanding. In fact, many doctors are more focused on their main attack.

Orthopedics is also a branch of surgery, and even cardiothoracic surgery and neurosurgery are all branches of surgery. If you go back a few years, it hasn't been so finely divided, and the doctors are also transferred around the hospital.

Coming to the orthopedic department today is actually similar to working part-time in pediatrics yesterday, doing small work, mainly dislocation. And now people's dislocation is nothing more than a higher proportion of shoulder joint and facet joint dislocation.

These jobs are also familiar to him, and the basic process is to watch the film, reset, go to the film, and the next one.

Although this is a small job, it is much faster for the interns and nurses in the orthopedic department.

Wu Mingyu will be more careful when receiving the treatment, and he will observe the film for a while before he can get started. When you get to Liu Banxia's side, you don't need it, just glance at it, touch it twice, and talk about it and it's done.

"Mr. Liu, the old man's blood test results have come out, and the white blood cell index is a little high, Dr. Shi asked me to tell you. ”

was busy working, Zhou Qian came over.

"Don't mention heavy objects, buy a waist support, and someone will take a film to see later. Liu Banxia instructed the patient who had just completed facet joint reduction, and then looked at Zhou Qian.

"Is there any abnormality in the rest of the blood test? What did Dr. Shi say? Did the patient's family find it? Did the body temperature rise again? ”

"The blood test was an elevated white blood cell index, and Dr. Shi arranged for the patient to take an X-ray to see if there was inflammation in the lungs. At present, there is no news from the police, and the body temperature has risen by another 1 degree. Zhou Qian hurriedly said.

"Okay, thank you, wait for the results of the chest x-ray to come out. Call the next patient. Liu Banxia nodded and said a word to the nurse here.

Zhou Qian hurriedly ran out again, Liu Banxia's order was the highest order for her, and it had to be done faithfully.

The patient who came in this time was a young man in his twenties, holding his waist and walking in on tiptoe.

"What's the situation?" asked Liu Banxia.

"Some time ago, I fell while playing basketball with my friends, and I didn't feel anything at the time, but it hurt a little for the past two days. The guy said.

"Back pain?" asked Liu Banxia.

"Crotch. The guy hurriedly said.

"I'll give you a physical examination first. Is the pain sporadic or that kind of constant? Is the pain intense?" asked Liu Banxia.

"It's not that kind of continuity, but if it hurts, it will hurt for a while. It's not very strong, and taking ibuprofen at home will work. The guy said.

"But it's been painful for more than half a month, and I always feel that it's not like that. Did it have a crack or something? It was a pretty strong fall. ”

"I checked the lumbar spine and saw that there should be nothing wrong, including your tail vertebrae, I also pressed it. Let's go out and take an X-ray of my pelvis later, the meat here is so thick that I can't touch it. Liu Banxia said.

"Doctor, if the pelvic bone is cracked, will it affect my life?" asked the guy nervously.

"It depends on the actual situation, if it's just a small crack, just pay attention to it in daily life. Don't be scared, let's take a film first, maybe it's a soft tissue contusion. Liu Banxia said.

The guy nodded, held his waist, stood on tiptoe, and paid for the filming.

"Dr. Liu, there are still two fracture patients left. The nurse said.

"In that case, you call the operating room and ask when Dr. Wu will be able to step down. Are these two fracture patients serious?" asked Liu Banxia.

"It's not very serious, they all came on their own initiative. The nurse said.

"In that case, I'll show them all. If internal fixation is required, call another doctor to do it. Liu Banxia nodded.

If it's too serious, he can't handle it, and he doesn't have such a high surgical authority.

Of the two patients, one was fractured by breaking his wrist with someone, and the other was fractured by stepping on the ice and slipping on the ground. After Liu Banxia had a simple hand diagnosis, he let them take a film.

This can be regarded as the particularity of orthopedics, and it must be talked about with films. And it's a serious process, and it has to be done that way.

"Dr. Liu, the old man's lungs are a little inflamed, and Dr. Shi gave levofloxacin an instillation. Zhou Qian ran over again.

"Okay, I still have three patients here, and after a while, Dr. Wu can come out. Liu Banxia said.

The old man's situation is also within the prediction, after all, he was frozen last night.

At this time, the guy who took the pelvic X-ray also rushed back, "The doctor over there said that there seems to be some bone hyperplasia on the right hip joint, but further examination is needed." ”

Liu Banxia took the film and plugged it into the viewing lamp on the side, and also looked at it carefully.

He frowned slightly, "Let's do an enhanced MRI." ”

"Doctor, is it serious?" the boy asked.

"It's hard to say now, the accuracy of the NMR is higher, and you will be able to see it clearly when the new film comes out. Let's take another blood draw and do an antibody test. Liu Banxia said.

The young man glanced at him and nodded, feeling a bad premonition when he came back. Now that Liu Banxia wants him to do an MRI again, this heart is even more bottomless.

Liu Banxia sighed in his heart, the radiology department didn't make it too clear to the guy. However, it is also because the X-ray film is relatively blurry, which is a little difficult to judge.

According to his surmise, it looked like a tumor. Now the tissue has been compressed, so there is a dull pain. It's just that the tumor is still a little small, so the plain X-ray is not so clear.

The inspection he gave was done in one step, and after the inspection, we would see how it went.

The guy with a broken wrist also came back with the piece, Liu Banxia took a brief look, and as with his own judgment, just reset it and put a plaster cast.

The patient with a wrist contusion is a little more complicated, and this can only be surgically opened for reduction. Because there are a lot of blood vessels here, he can't risk the patient.

The part-time job here is okay, and it contributed 120 experience points to him, 170 points of diagnostic skill proficiency, and 800 points of osteopathy skill proficiency.

"Doctor Liu, Doctor Shi called you over. The old man's body temperature had risen by half a degree, and it was now 38.7 degrees Celsius. At this time, Zhou Qian ran over.

Liu Banxia was surprised to hear it, this is not a good sign. The drug has been administered, and after such a long time, the normal situation of the drug has already taken effect.

"Banxia, I didn't hear anything abnormal just now. At present, there are no other symptoms except high fever, and there is no cough. Shi Lei said.

"At present, if the body temperature rises again, it will be physically cooled down and a new examination will be done. Otherwise, the symptoms of high fever are a little unsatisfactory now, and I have already given a shot of compound aminobarbital. ”

Liu Banxia nodded, "I can only observe it first, this old man's situation is a bit special." It's been so long, and the family hasn't been found yet?"

The comrade policeman shook his head, "We have already contacted people in many communities, and now we can only investigate in various communities. ”

"According to the old man's dress, it should be a good community. But the community that lives well can't let the old man wander outside like this?" Liu Banxia frowned and said.

"And when he first came to the hospital, the old man was a little confused, and said that he was catching cats...... Oh my God, I'm so confused. Doctor Shi, cat-scratch disease, right?"

Shi Lei glanced at him helplessly, "I've been worried about it for a long time, so it's nothing." Sloppy, today's lunch you please. ”

"I please, I please, I must be invited. Liu Banxia hurriedly said.

He is really to blame for this, because of his negligence, the big guy was nervous for so long in vain. Even if Shi Lei sprayed him, he had to bear it.

"Doctor Liu, what is cat-scratch disease? Does a cat scratch cause a high fever?" asked the policeman next to him curiously.

That's pretty much what it means, and it's a phenomenon in which germs are scratched or bitten by cats and then enter the human body, causing fever. Liu Banxia said.

"At first, I thought that the old man was talking nonsense when he said that he was catching cats, but now it seems that he really caught cats. The wound on his hand would have pimples or small blisters after a while, but this was fine. ”

"Doctor Shi, you have to keep an eye on me for a while. There was a patient in the orthopedic department who went for an enhanced MRI, and if it was bone cancer, I had to go back and stare at it. ”

After finishing speaking, Liu Banxia ran to the orthopedic clinic upside down, and his body was slightly flustered.

There are still some people who are weak-minded, and such a "powerful" person has made such a low-level mistake. Maybe this matter will be circulating in the emergency center for a while, what can be done, this is his own black material.

After returning to the orthopedic department and waiting for a while, the patient had not come back yet, Wu Mingyu came back first.

"The glass ashtray was smashed, and it is estimated that the floor is higher, and it is smashed very hard. Wu Mingyu said.

"I've dealt with other patients for you, and there is one who has done enhanced CT, and there may be a small tumor in the right hipbone. There was also a wrist contusion, and I didn't dare to reset it directly. Liu Banxia said.

Wu Mingyu frowned, "If it's vicious, will you stay on our side or send Director Xu to it?"

"Stay here, our hospital beds are richer. And in terms of treatment, it's a universal method, right?

Wu Mingyu nodded, "If it is found in time, even if the malignancy does not metastasize, the prognosis of our hip bone replacement will be better." It's just that you still need to undergo chemotherapy, and the overall cost is a bit high. ”

There's no way around it, basically there are too few tumors on the bones.