"Mr. Liu, when will your old man's madness end?" Wang Chao asked during lunch at lunch.

"It's only been the past two days, what's wrong? can't bear it?" Liu Banxia asked with a smile.

Wang Chao nodded pitifully, "I didn't think it before, but now I think it's a miracle to survive." Fortunately, there were not many patients who needed trauma first aid, and there were four car accident injuries, all of which were not serious. ”

"Don't worry, this side will be over soon. Now the situation in general surgery is much better, the pressure on the ward has been reduced, and more doctors are doing surgery in a proper manner. Liu Banxia comforted.

"Then it means that there is nothing wrong?" Wang Chao asked curiously.

"I guess so, the dean also talked to them separately. I don't know the specifics, you know I've been in the operating room. Liu Banxia nodded.

How the whole process is, Liu Banxia really doesn't know. However, the utilization rate of operating rooms is indeed higher again. It is precisely because of this that the pressure is really relieved.

There are many excuses to avoid surgery, and it can be regarded as a kind of silent resistance. I didn't expect the hospital to really get used to them, you don't do pull-down.

The end result seems to be a victory for the hospital, but the overall salary scale will be adjusted appropriately.

These are also what he heard from Wang Lei in between operations, and compared to him, Wang Lei talked more about their anesthesiology department.

And this time it was not only the doctors of general surgery, but also the people of other departments. The movement of the drum is not small, just because the attraction outside is too great.

It can't be said that these people are not doing authentically, everyone has the right to pursue higher salaries. It's just that some people don't want to leave, and they want to take the opportunity to toss, so this matter has to be discussed a little.

"How many more are there in the afternoon?" Wang Chao asked.

"Two appendectomy and four laparoscopic cholecystectomy. Liu Banxia said.

"If you have itchy hands, I'll give you an appendix. I did so much during this time that I was almost numb, and I was sleepy when I did it. ”

Wang Chao rolled his eyes and showed off, this is the display of Chiguoguo. But there is no way, Liu Banxia's results are obvious to all, and he has really been too urinous in the past ten days.

"Shoutian, are you busy, are you talking about a case?" At this time, Xu Hui also came over with a plate.

"I'm not busy, it's all minor surgeries in the afternoon, and I can hold on. Liu Banxia hurriedly said.

Xu Hui and his internists are also supporting them in the emergency room, and they really help a lot. Even if he really wanted to lie on the bed and squint for a while after eating, he had to listen to Xu Hui finish speaking.

"A week ago, I saw a patient, a 42-year-old man, who was in good health, with a history of dry cough for half a month, and a chest x-ray showing slight inflammation of the lungs. The body temperature was 38.3 degrees Celsius, and the blood routine showed a high white blood cell count, and the diagnosis was pneumonia. Xu Hui said.

"After four days of antibiotic treatment, the symptoms did not resolve, and new symptoms were induced. The cough worsens, the joints of the body are sore, tired, and listless. ”

"After two more days of observation, I now have symptoms of edema of the lower limbs. The patient has depressed edema in both the feet and lower legs. Now that I've admitted him to the hospital, help me with the staff. ”

Listening to Xu Hui's story, Liu Banxia frowned, "This is not simple pneumonia, pneumonia can't make patients edema, and general edema is like this when the internal organs have a condition." ”

"The patient also has no history of high blood pressure, heart disease, diabetes, etc., and it is normal to have an ECG. Xu Hui said.

"On ultrasound examination, the liver, gallbladder, pancreatic and spleen did not show any conditions. The new test results showed that the patient had a very low albumin level of 28 grams per liter and a serum creatinine of 230 micromoles per liter. ”

"So I think there must be a kidney problem, and I'm waiting for the results of the urine test. But I also think that his kidney problems are related to his pneumonia. ”

Liu Banxia nodded, "I'm really a little uncertain, what about the emergency ward, right? I'll go over and have a look after eating." If you just listen, you can't see it intuitively. ”

"Teacher Xu, don't you need to call someone from the nephrology department to come and have a look?" Xu Yinuo asked curiously.

"We have to wait and make a clear judgment before we can call them for a consultation. Xu Hui said with a smile.

"In the future, you should also pay attention to the fact that now our emergency department is some distance from other departments, and if you really need consultation, it must be on the premise that the indications are as clear as possible. ”

"Your respected Teacher Liu called someone to come for a consultation because of unclear indications, and then he was murdered, aren't you a little unimaginable?"

Liang Xiaolin, who was nibbling on steamed buns, was happy, and glanced at Liu Banxia beautifully.

"I've said so much anyway, so I'll say a little more. Xu Hui continued.

"Wow, is Mr. Xu still Mr. Liu's gossip? aren't you worried about him losing his mouth?" Liu Yiqing added.

"How can there be so much gossip, what you should listen to and what you shouldn't listen to should have come out of Wang Chao's mouth recently, right?" Xu Huile said.

In other words, the matter of giving a diagnosis cannot be described alone. Unless the indication is very clear, in which case you can make a diagnosis. As long as there is ambiguity, you have to see the patient in person, just like you Teacher Liu. ”

"Because other people's descriptions will have some omissions to a greater or lesser extent, and these omissions may cause a certain degree of misleading, leading to a wrong diagnosis, which is likely to delay the condition and even threaten lives. ”

As a doctor, relatives and friends at home who have a headache and brain fever often send messages or call to consult.

It's not the same thing to not give a reply, so I often give certain diagnoses and recommend medications based on my own knowledge. It seems that you really have to pay attention in the future, and when you become a doctor, you have to be careful, careful, and careful.

With this matter, Liu Banxia and their eating speed accelerated a little. Then under the leadership of Xu Hui, he rumbled into the ward.

The patient lying on the bed for an infusion was shocked to see so many doctors coming in, and was already very worried when he was first admitted to the hospital.

"Hello, this is Liu Banxia, the resident chief physician of our emergency department, and I invited him to come and consult you. Xu Hui said.

The patient's wife was nibbling corn, and when she heard that Liu Banxia had brought "Zong" and followed so many people, she stood up a little nervously.

Liu Banxia carefully observed the patient and also gave the patient a simple physical examination, and the symptoms were similar to those described by Xu Hui.

"You're not from Binhai City, are you?" asked Liu Banxia.

The patient's wife nodded, "We are from Xiaowangzhuang, and we are not optimistic about it in the county, so we came to the big hospital." This disease really tortured us so much that we couldn't understand it in the county, and we couldn't see it well. ”

"I know that it costs a lot to come to a big hospital, and as long as I can cure the disease, it will be worth it. Otherwise, this money will have to be spent all the time, and I can't see any good. ”

"Have you done CT and bronchoscopy?" asked Xu Hui in Banxia.

Xu Hui nodded, "It's all done, except for what looks like pneumonia, I don't see anything else." ”

This matter is a bit tricky, the patient is in a different place, and the problem of reimbursement is involved, so it is necessary to be cautious in the process of medication and examination. The patient's family should not be very wealthy, so it is necessary to be cautious when it comes to medication and examination.

In particular, this disease may also involve the kidneys, and if it really causes kidney failure, the whole family will be over.

It's not uncommon for an illness to bring down a family, but it's a very common occurrence. Even if there is medical insurance and agricultural cooperative medicine, there may not be a limit to the amount of money spent in the process of medical treatment.

"Ah, Dr. Liu, you're back, and this is the urine test result. At this time, Xu Dan walked in.

Liu Banxia and Xu Hui looked at the test results together, with two plus signs for urine protein and three plus signs for occult blood. The results of this urine test also verified the preliminary judgment of the two that there was a problem with the kidneys.

"Doctor, is it serious?" asked the patient lying on the bed.

"I can't give you a specific diagnosis yet, have you lost a lot of weight recently?" asked Liu Banxia.

"Can you not lose weight, just seeing the money is not good, and you can't eat. The patient said with a wry smile.

"This year, I planted some early corn in the backyard, but it was cold in the spring, and the cobs were small and not easy to sell. After selling the corn, I thought about coming out to work to earn some money, and I fell ill. This is fate, and it won't let us live a good life. ”

The patient's tone was full of helplessness, although he said that he had not complained that Xu Hui had not been cured until now, but both Xu Hui and Liu Banxia's faces were a little hot.

The patient's current situation is really complicated, with high fever, pneumonia, edema, and maybe some kidney conditions. Simply doing antibiotic treatment doesn't seem to have much effect at present.

Before calling a nephrology specialist, it is also necessary to make a connection to the existing symptoms.

One of the obvious links is a cough followed by pneumonia, followed by high fever and edema, kidney problems.

At this time, Liu Banxia locked his eyes on those corns. They were all broken in two, and some of the corn had large knife marks on them, and a large piece was cut off.

"Doctor, eat if you like. Our family usually loves to eat green corn, which is delicious when cooked, roasted, and fried. Don't look at the small cobs, they are all sticky corn. The patient's wife said.

"Do you often eat it after you plant it at home?" asked Liu Banxia with a smile.

The patient's wife nodded.

"Almost, right?" said Liu Banxia after putting down the corn.

Xu Hui smiled bitterly and nodded, "Eight or nine is not far from ten, why didn't I think of it." ”

The conversation between the two is not to mention the two patients, even Liang Xiaolin and their group of interns are a little blindsided. What's going on? Is it enough to make a diagnosis just by looking at corn?

Isn't that?