200 patients who could have been avoided

(Thanks to my friend Silence529 for encouragement)

Not to mention, Wang Jingxian's wontons taste really good. The girls have a bowl for each person, drink some soup, and eat two small pieces of pig's trotters.

But what about Liu Banxia? The wonton directly ate the three bowls of the PULS version and nibbled on two whole pig's trotters. Let the little baby of the Qiu family sit on the side and look a little dazed, it is the first time to see someone who eats so many things.

"This wonton is really good, it's not in a state, otherwise you can eat some. Liu Banxia said after drinking the soup in the bowl.

"Thanks to you for buying pig's trotters, you won't even want to eat anymore. Wang Jingxian said with a smile and a smile.

"This guy eats so much, I really don't know where he eats. Qiaoqiao said helplessly.

"The last time there was a fire in Jinshui District, he ate a pound of rice, and he didn't know how much beef and potatoes he ate. Liang Xiaolin said with a smile.

"I'm still growing my body, so I'm eating a bit of a lot. Liu Banxia said seriously, and by the way, he picked up a yellow peach on the side and nibbled on it.

He was also a little depressed, as if after strengthening himself, his food was a little bigger than before. If you keep doing this, will you become a rice bucket sooner or later?

Forget it, I still don't want to think about it for now, the taste of this yellow peach is very good, take a few with you when you go.

"Brother Qiu, the anesthetic has passed, right? Hold on a little, and if it doesn't work for a while, you will take a pill to relieve the pain." Then find a chance to sleep for a while, and when you fall asleep, it doesn't hurt. After glancing at Qiu Huaili, Liu Banxia said.

Qiu Huaili nodded, "It's just very swollen, how much gauze did you stuff me? And can this strap be loosened? ”

"You go to sleep first, and when you wake up, I'll come and relax you. The gauze is to stop the bleeding, and I will pull it out for you tomorrow morning. Liu Banxia said.

"I don't need to tell anything else, Dr. Guan must have said it. I'll leave the dressing change to me, and that's it for today. Don't hold back if you have urine, urination and gas are important indicators, and you can call me when the time comes. ”

"Banxia, you take more fruits. So much, how can I finish eating. Wang Jingxian said.

"Sister-in-law, don't worry, I'm the last person to pretend to be. After Liu Banxia finished speaking, he began to search.

For the fruits that Liu Banxia brought back in the evening, the nurses in the emergency department were very welcome.

It's not that you have to take advantage of this little bit to be happy, but the night shift is really boring, and you can pass the time by eating a little snack or something.

"I heard that you did something earth-shattering again this afternoon?" asked Chen Jianxin, who came to be on duty at night, with a smile.

"It's a model for my generation, if only the movements were more neat. Xu Hui also joked.

"Hey...... , my first name. Liu Banxia glanced at the two of them helplessly, and then looked at Liang Xiaolin and Qingkova.

"If you don't have anything to do, you can rest for a while, I'm here with Dr. Chen, as long as it's not a major traffic accident, you can handle it." ”

"Today is my first day on duty, and I'm going to stay awake all the time. Chyokova waved her fists, which can be described as scrappy.

Qingkova's cheerful appearance is not good for the big guys, because of the difference in national conditions, it is very fresh.

"Then how will you deal with this matter today?" Chen Jianxin asked again.

"If the patient's family sues, the hospital will deal with it. Resolutely not give a penny of compensation, this is what the director said. Liu Banxia said with a smile.

"They beat me and I'm going to sue them too. You have to apologize, and you will be compensated with 100 yuan per person. Tomorrow the lawyer will come and I'll figure out what to do, that's what I said. ”

Xu Hui smiled and patted him on the shoulder, "Okay, it doesn't matter if you have money or not, the key is to fight for this breath." ”

This is their wish, just like Liu Banxia said, the feelings of the patient's family can be understood, but their behavior cannot be forgiven. These are two different things and cannot be confused.

Today it is considered clean, and the mainstream patients are still ordinary debridement and drunkenness. Now this month, there are too many people who drink too much.

At first, Qingkova was still in good spirits, but when it was past ten o'clock, she dozed off a little. It's just that even if Liu Banxia asks her to rest first, she has to persist tenaciously.

"Looks like the patient listened to you. Liang Xiaolin said.

"yes, that's good. If all patients can listen to the doctor's advice, we will be able to save a lot of worry in the future. Liu Banxia said with a smile.

"When you come back to your heart in a few days, you will have to show them a good hand and let me follow with a long face. It's a talent that I specially trained, and I don't have to be bad. ”

"Doctor Liu, is the date set for the future?" Xu Hui asked curiously.

"It should be this time, and it will be almost the same when all the doctors are in place. In the future, our department will be relatively sound, and these accompanying doctors will rotate in various departments of the emergency department. Liu Banxia said.

"It's still good to be a current student, just four certificates in one, and you will have a certificate after graduation, so you don't have to worry about it in the future. However, the academic qualifications are getting higher and higher, and I really don't know what kind of jobs will be able to be mixed with future undergraduate graduates. ”

The issue of academic qualifications is always an issue that cannot be ignored. There are many people who are studying for bachelor's and master's degrees, and some people are studying for bachelor's, master's and doctoral degrees, and the way out for undergraduate medical students is really getting narrower and narrower, and many people are directly admitted to graduate school after graduation.

Now all the patients have been disposed of, and even if they take turns to rest, most of them start in the second half of the night. is also a sentence, called what to be afraid of.

Liu Banxia was very worried about the eating and broadcasting patient today, and it was almost 11 o'clock at night, so there must be nothing wrong with it. Then she rushed in from outside, supported by her boyfriend, with blood still on the corner of her mouth.

"Damn it"

Liu Banxia couldn't help but burst into a foul mouth.

"Liang Xiaolin, contact Xinwai and make an appointment for the operating room. Sister Li, even the monitor, opened venous access, rehydrated and prepared blood replenishment at the same time, and rapid blood test. How much blood do you vomit?"

"I vomited several times, at home, in the car that came in. The patient's boyfriend said in a panic.

"Prepare two more bags of O-negative blood. Liu Banxia shouted again and helped the patient to sit.

"Don't be nervous, what did you eat at night? Did you vomit after eating? When you come to the hospital, we can solve any difficult problems. ”

"She ate shrimp, with the shell. The patient's boyfriend spoke again.

"Dr. Liu, I have started to rehydrate, and my blood pressure is still a little low, 50/80. Chen Jianxin said.

"The amount of bleeding is indeed a bit large, so let's intubate it first to protect the airway. 100 ml of skolin, 20 ml of etomidate. The patient showed difficulty swallowing, severe chest pain, and was afraid that it was perforated, and it was too late to do CT. Liu Banxia said and tore open an intubation bag.

"Don't be nervous, it's so that your blood doesn't rush into your windpipe and block your breathing. Now that it's plugged in, you don't have to plug it in the operating room. The blood has also arrived, so I will replenish your blood and boost your blood pressure now, and we will do surgery to repair it immediately. ”

"Okay, it's done, don't be nervous. If you understand, you wink, and we'll be in the operating room. ”

The patient blinked, and also kept staring at Liu Banxia, grabbing his hand.

"Doctor Liu, the operating room has been contacted, and the doctors outside the heart are rushing to the operating room. Liang Xiaolin said.

"Okay, go to the operating room immediately, bring out the gastroscope lenses made this afternoon, and you follow on stage. Liu Banxia said.

After the order, Liu Banxia and the others began to push the gurney to the operating room, and the patient's hand always grabbed his hand and did not let go.

"I can't get in here, I'm not sanitized. Don't worry, the doctors inside are also very powerful doctors in our second hospital. Liu Banxia said with a smile.

"Now your blood pressure has risen a lot, which proves that you have passed the acute bleeding phase. You just understand it as a small patching operation, just get some sleep. ”

The patient stared at him for a few seconds before letting go of his hand.

After the consultation is completed, you will receive 100 experience points and 10 diagnostic skill proficiency points

"Doctor, will it be okay?" asked the patient's boyfriend.

Liu Banxia glanced at him, "I told you, but you didn't listen, you had to eat." Don't stay here anymore and go through the procedures for her to be hospitalized. ”

"I'll have to wait here, if there's anything I need to know. The patient's boyfriend said.

"It's useless for you to wait, the first aid procedure has been activated, and I won't come out to ask for your opinion. You're just her boyfriend, not her husband, and don't have any decision. Liu Banxia said.

"Fortunately, if you find out about the situation, you will come to the hospital directly, so don't let her do this in the future. Even if it is repaired, the esophagus will be very fragile in the future, and you must be careful when eating. ”

After finishing speaking, Liu Banxia didn't care about him, and walked directly to the emergency department.

Today's situation could have been avoided, but they were disobedient and repeatedly emphasized to them that they also wanted to do that eating broadcast.

Esophageal perforation is very dangerous, but in order to stabilize the patient's mood, he didn't say it directly. Otherwise, the patient will lose his vital signs in a panic.

I hope that there is not a lot of blood and food leaking into the chest cavity, and they will see a doctor in a timely manner, so it will not cause complications such as mediastinitis and empyema.

"Is this the one you talked about at night?" Chen Jianxin asked.

Liu Banxia nodded, "It must be that I often induce vomiting to form a conditioned reflex, and when I eat more, I vomit on my own." ”

"There was a tear in the esophagus, but now it's okay, and it's directly perforated. I don't understand, isn't what our doctor says scary enough, why are so many people not taking it seriously?"

"Actually, it may be because what we said is too scary, and some people are slowly taking it seriously. By the way, you have completed all the formalities during the day, right?

Liu Banxia grinned bitterly, "How dare you not write, such a patient is a red line, and I dare not be negligent." ”

Chen Jianxin patted him on the shoulder, everything he could did was done, and God took care of the rest.