297 There is no way to return to heaven
(Thanks to my friend Ou for the encouragement, thanks to my friends, heel party monthly pass encouragement)
Liu Banxia had only seen this disease in books, but because the indications were too obvious, he was directly diagnosed after discovering that the skin could be broken with a cotton ball.
But he didn't expect that the disease would progress so quickly during the attack. By 1 a.m. the next morning, seven more erythema had appeared on the patient's body.
Liu Banxia was very hesitant, if one or two pieces appeared, they could be removed directly, but now there are so many at once, and the oral mucosa and cornea also have symptoms, is it too late?
Finally, after discussing with the ICU doctor, the conclusion was that the patient should be observed again and further blood tests should be done to see how the patient's physical condition is.
This test is terrible, there is inflammation in the lungs, and there are signs of decline in liver and kidney function. More critically, the patient's body temperature has risen.
Combined with the judgment of these symptoms, there is no way to recover. The patient's toxic epidermal necrosis laxity has reached the stage of a full-blown outbreak. Even if these seven macules are disposed of, there will be more to come.
What can be done at present is electrolyte regulation, cooling, continued shock therapy, and critical illness notice.
Liu Banxia didn't go back to the emergency department again, so let's stay up all night today.
By 6 o'clock in the morning, the patients had countless red spots and ulcers. At this time, there was no point in any treatment, and after the last critical illness notice was issued, the patient's time was left to the family.
At this time, there is no need to pay attention to any bacterial infection, the body has been widely infected, and there is no chance of saving life.
"Hey...... , this night is busy in vain. After returning to the emergency department, Liu Banxia stretched.
"Didn't your parents come home today? Zhou Li said.
"Still don't toss, I'll just make a phone call. Actually, I'm used to staying up late now, just eat breakfast for a while and squint for a while. Liu Banxia said.
"Teacher Liu, why is this disease progressing so quickly?" asked Su Wenhao.
"Normally, patients are only given about 72 hours after the macules are found. This patient must have had a change in his constitution at a later stage, causing adverse reactions to the drug. Liu Banxia said.
"I would also like to remind you that no matter what medicine is prescribed to patients in the future, you must consider some of the conditions that may be caused. Instruct the patient to notify him immediately if there is an unusual phenomenon. ”
"Medicine is a cure for diseases, but many of them will have complications of varying degrees. Some reactions are obvious, while others are subtle. ”
"I've stayed up all night, let's go eat first. It's time for you two to rest during the day, right? I can't remember a little, I'm too lazy to flip through the book. ”
"Teacher Liu, it's for us to rest. However, I still feel that I am on duty well and can study quietly. Su Wenhao ropeway.
Liu Banxia patted him on the shoulder, "The talents of the six of you are very good, but medicine, to paraphrase Director Zhou's words, is to live and learn until you are old." ”
"Nowadays, medicine is developed enough, but there is still no cause for many diseases. Even if the cause of the disease is found, there is no effective cure. ”
"You have to learn slowly, don't put too much pressure on yourself. Later, I learned that you were all carefully selected by the dean, and they were all very good, anyway, I was very satisfied, and the dean was also very satisfied. ”
Hearing Liu Banxia praise like this, he was a little embarrassed for the two. Because their benchmark is Liu Banxia, and now the height of Liu Banxia is still too far away.
On the way to the cafeteria, Liu Banxia took out his mobile phone and videotaped with his father and mother for a while. Seeing that his eyes were red, Peng Xiuqin was also distressed.
To Liu Banxia's surprise, Qiao Qiao actually opened a room directly in the hotel, just to avoid delays in sending to the station in the morning.
Let Liu Banxia also boast fiercely, this friend is not bad, and he is definitely a good brother. Even if you are usually very aggressive, your mind has a delicate time.
A big bowl of millet porridge went down, and the whole person was in a lot of energy. After eating four tea eggs in a row, he picked up the second bowl of millet porridge and ate it with steamed buns and pickles.
Even if they have been eating with Liu Banxia for a long time, they are also a little frightened by Su Wenhao and the two of them now.
In fact, the amount of food they ate was much larger than when they were in school, but compared to Liu Banxia, it seemed that it was not even a fraction of a fraction.
returned to the emergency department and saw that Shi Lei had also come to work, so Liu Banxia was able to go to the lounge to catch up on sleep for a while. It's just that when he was sleeping soundly, he heard a noise coming from the emergency room.
It's also a bit of a headache, but I still have to get up and see what happens.
"When a man dies, you will give us an explanation. Whether you are taking the wrong medicine and what the real cause of death is, you must make it clear. ”
"Is it because you have delayed the treatment of diverticulitis, so that my dad has worsened all of a sudden, you have to explain. ”
"Why didn't you cure my brother-in-law later? Don't you see that we don't have enough money in our account, so you just watch him die? ”
......
As soon as he walked out, the chaotic sound poured into Liu Banxia's ears, but he was very bored.
Although I had a hunch yesterday when I saw the performance of this family, I knew that there might be some trouble, but I didn't expect this family to be so difficult.
"What are you arguing about? Something told me that I am the attending doctor and the person in charge. If it's noisy again, we'll call the police. Liu Banxia shouted.
It didn't matter if he shouted, this group of family members surrounded him again. And the number of family members now is significantly more than the family members who accompanied the clinic last night.
"In the middle of the summer, the patient died a quarter of an hour ago. Shi Lei, who squeezed over, reminded.
Liu Banxia nodded, "Who was here last night? You are the patient's immediate family, and I will only answer your questions." ”
"Dr. Liu, my husband can't just die like this. The patient's wife began to cry.
"I can understand your feelings, but your unexplained fuss is not a solution to the problem at all. Liu Banxia said.
"Yesterday in the reception room, I explained the details of the patient to you very clearly. It's almost an hour to explain, and it's three doctors telling you, what do you don't understand?"
"We performed debridement immediately after you signed the consent form. I also told you that at that time, there were only a few patches of macules, but in the subsequent treatment, new macules will appear, which is a process of disease outbreak. ”
"Then why didn't you have another operation? Didn't you say there would be a second or third operation?" said a young man next to him.
"I didn't see you yesterday and I refuse to answer your questions. After finishing speaking, Liu Banxia looked at the patient's daughter again.
"When we issued the first critical illness notice, did we explain to you why we didn't have surgery in the future? ”
"Dr. Liu, but my husband has diverticulitis, why did he get this poisoning disease, how can we live in the future......" The patient's wife cried again.
"There are many causes of toxic epidermal death laxity, and if you want to find out the real cause of the patient's trigger, you can only do an autopsy. Liu Banxia hesitated a little and said.
"When we were seen yesterday, we were able to make a diagnosis of this condition. As for the patient's diverticulitis, there is no need to think about it in the face of this disease. ”
"If you have any objections to our reception and disposal process, you can contact our medical department, and they will cooperate with you in the follow-up investigation. ”
"Now we need to maintain normal reception, and you can't make trouble with me, and we can't solve any problems. I ......"
"You are shirking your responsibilities, anyway, people walk in well, and after being treated by you, they will die. If you are worried about collecting money, you will know that you will be critically ill, and who knows what your idea is. The lad spoke again.
"Call the police, we won't answer any of your questions. If you have an idea, go to our medical department and proceed with due process. Liu Banxia said calmly.
He has not dealt with medical disputes once or twice, and now he has a lot of experience.
When you encounter such a patient's family, you have no reason at all. Those who can reason with them are police comrades.
The reason why he hesitated just now was because even he was not sure whether the patient's illness was directly or indirectly related to the use of metronidazole.
So he didn't dare to say anything like that. If you say it, you will be caught, and then it will be difficult to deal with.
Don't look at him shouting to call the police, but before the police arrived, these family members did not relax at all, and still kept besieging him. Fortunately, they were also restrained, they were just noisy, and they didn't do anything.
When the police arrived, they could be persuaded to let these people go. But this is temporary, and the next step is not over, and we have to continue to make trouble. This family is much tougher than the one that fought with Liu Banxia last time, even if they didn't do it.
"Hey...... , I regret it a little now, our kindness last night should have been taken away by the wolf. Wang Huan said with emotion.
"Our emergency department is often the most prone to similar situations, but what's the problem, we can only bear it silently. Liu Banxia was also very helpless.
"Doctor Qi, you can contact Director Qin. Let him be mentally prepared, take this matter out of order, and don't make a mess when the time comes. ”
Qi Wentao was stunned for a moment, looked at Liu Banxia and nodded, "Thank you." ”
Liu Banxia waved his hand, "Public is public, private is private." ”
That's all he can say, and this one will definitely not let go easily. Whether Lao Qin will be dragged in at that time depends on Lao Qin's own creation.