"Mr. Liu, the patient insisted on natural reduction. ”

After waiting for a while, Qi Wentao came over.

Liu Banxia sighed, "Have you explained the danger to the patients and their families?"

"Yes, but the patient himself is very firm. Qi Wentao nodded.

"Then observe at any time, tell the nurses to have more snacks, and also tell the patient's family to stay by your side at all times, if there is something wrong or the illness is aggravated, go directly to the operating room. Liu Banxia said.

"Mr. Liu, if it's a real operation, will you do it?" Qi Wentao asked cautiously.

"What's there to worry about? Your strength is no worse than mine. This is just a routine operation, and if it can be reduced, it will be reduced, and if it cannot be reduced, it will be removed. Liu Banxia said with a smile.

"You just need to pay more attention to the process of surgery, and you don't have to worry so much. If you have the opportunity, bring more interns with you, which is also a good internship opportunity. ”

"And there are some risks of performing surgery on pregnant women, so I should talk to them more about the possible problems that come to mind. Bring them all out, and we'll have peace of mind after July. It's been a long time since you've had a normal vacation, have you?"

Qi Wentao smiled and nodded, "Sometimes I think it's good to be able to sleep for three days and three nights in one breath, so I'll explain to the patients and their families first." ”

Don't look at Qi Wentao just going through a process to ask for instructions, Liu Banxia is still very pleased at this point. The relationship between the two is a little complicated, but now it seems that there is really no problem.

He didn't think he had to worry about the hapless porcelain man, but after less than an hour, he still had to worry about it.

The thing is also very simple, the cost of the operation has not been made up, but it is still required to go with the highest specifications. The difference here is not a star, including the choice of equipment, the choice of drugs, and so on.

Then the choice of this matter was pushed to Liu Banxia's side.

"Restore blood vessels, suture tendons, and allow enough time for them to scrape together the money. If you still can't make it, you can only go according to the rules of the hospital. Liu Banxia said after thinking for a while.

"The patient's family is very emotional, and I'm afraid I won't be able to communicate with them. Wu Mingyu said.

"It's okay, Officer Xu is still here, just look for Officer Xu if you have something. Liu Banxia said.

"In fact, there is not much difference in quality between domestic steel plates and imported ones. If he has all this arm, he will get more than 100,000 yuan, not counting the rehabilitation expenses in the later stage. ”

"If they use high standards in the selection of drugs, I really don't know what they will think in the future when they are faced with huge drug and equipment costs. ”

"Just follow the rules, if anyone wants to trouble you to push me again. I guess I'm still thinking about getting a sum from the owner, so I want to touch it for the better. ”

"Okay, then I'll just convey it. Wu Mingyu nodded.

With Liu Banxia's approval, he will have confidence. This is also a procedural issue, and if the program is done correctly, there is nothing wrong with it.

I paid attention to the child with abdominal pain again, and now there is nothing wrong. It's a strange thing, it's like a heart attack.

Sometimes this is also the helplessness of the doctor, it is not omnipotent, so you have to wait for the onset of the disease to give you the direction, after all, the instrument examination is qualified.

If I were a parent, I would probably suspect that the child was faking illness.

The morning passed like this, and each department also brought together the dishes they wanted to eat. Liu Banxia didn't eliminate the duplicates, and directly printed them out and took them to the canteen.

"Mr. Liu, just now Dr. Wang explained, I have to add a chicken leg to you, but you have to pick the smallest one. Zhou Qiang greeted him.

"Haha, it's okay. Anyway, it's free, and it's fragrant to eat. Liu Banxia said with a smile.

"This is a dish counted by our emergency center, you can filter the duplicate dishes yourself. This half-day I will give everyone a good duty schedule, let's strive to start the Chinese New Year's Eve to the fifth day of the new year, so that everyone can have a good mood. ”

Zhou Qiang, who took the paper, glanced at it and nodded, "No problem, it will be freshly fried when the time comes." Where's the dumplings? Thirty packs? I'm worried that I won't be able to wrap them. ”

"It depends on the situation at that time, in fact, the big guy can't eat much, just a scene. There shouldn't be a lot of patients that day, and many patients are currently being discharged. ”

"When the time comes, I'll send some people over and help out. In particular, there are still a lot of interns in our department, so I don't have to care so much if people from the society come to train me. ”

"Okay, Brother Zhou must do this for you. Zhou Qiang said seriously.

It's no joke, it has to be done really.

I also know that when it comes to the Spring Festival, the big guy will be emotional when he is on duty in the hospital, and the current emergency center is also a serious big customer of his canteen, so he must do a good job.

Liu Banxia's meal is very simple, for him now, he really doesn't care much about what he eats, as long as he can eat enough. With Wang Chao's chicken legs to help him eat, he ate more energetically.

While eating, Liu Banxia's mobile phone rang.

"Brother Wang, is the child's abdominal pain flaring up again?" Liu Banxia hurriedly asked after connecting.

"Well, it just had a seizure, and it hurts slightly. Wang Chao said.

"Wait, it's here. ”

After Liu Banxia finished speaking, he delivered the rest of the meal to Zhou Qiang, turned around and ran directly to the emergency center.

"Let's put it aside, there's still half of it left, this kid must not have eaten enough. Zhou Qiang sighed.

The usual jokes are jokes, and the relationship is very good.

It's not uncommon for doctors in the emergency center to run away after eating halfway through their meals. Sometimes you have to carefully recall which plate belonged to whom, and make sure that you don't come back to eat it before you throw it away.

"How's it going?"

Liu Banxia, who ran back, asked.

"Just had an ultrasound done and nothing changed. After auscultation, bowel sounds seem to be a little more frequent, and you listen to them again. Wang Huan said.

Liu Banxia took the stethoscope and listened carefully.

It seems that this is the case, and the bowel sounds are a little more frequent, but not as strong as expected.

"Is it the same time every day?" asked Liu Banxia to the child.

"It's a little bit late today, and it's going to be earlier every day. The child thought for a moment and said.

"And the pain now today is not as good as it used to be. Well...... , to a slightly lesser extent. Although I can bear the pain every day, it is more intense than it is now. ”

"Is the pain method at home very punctual every day?" asked Liu Banxia.

The child nodded, "It's very punctual, it's about the same time as I went to cram school." ”

After finishing speaking, he glanced at his father, and on the question of whether he lied, the father and son were still estranged in their hearts.

As soon as he turned his head, Liu Banxia inadvertently saw the unfinished fried noodles on the side of the bed, and his heart moved slightly.

"The fried noodles you had at noon?" asked Liu Banxia.

"yes, but he didn't eat much, and I couldn't eat it when I got on fire with him. The patient's father spoke.

"Then think about it carefully, is every pain after eating?" Liu Banxia's voice carried a little excitement.

The child thought about it carefully and nodded, "It seems to be about half an hour after eating." ”

"Dr. Wang, this lunch is very important. I think it's chronic mesenteric vascular ischemia, let's do a CT with contrast. Liu Banxia said.

Wang Huan nodded, "It's my negligence, just staring at the time of the attack is very regular, and I forgot to ask about the relevant things before the attack." ”

"Doctor, is it really sick?" asked the patient's father, a little nervous.

Liu Banxia nodded, "The child's current symptoms are consistent with mesenteric vascular ischemia, which caused intestinal colic after ischemia. Judging from the current performance, it should be that a certain blood vessel has been narrowed. ”

"When a blood vessel is narrowed, it naturally affects the flow of blood. After we eat food, we naturally need more blood to concentrate in the stomach, which causes ischemic pain when it decreases and increases. ”

"Contrast-enhanced CT allows us to see a little bit more clearly and see exactly what is wrong in which part of the blood vessel. At present, the attacks are not very frequent, and they should not cause intestinal necrosis. ”

"The specific treatment plan still depends on the actual situation of the child, and if we are lucky, we only need medication to unclog the blood vessels. If the stricture is severe or cannot be resolved with medication, surgery is needed to restore blood flow. ”

"Check, check quickly, I'll go and pay the money. The patient's father suddenly became nervous.

Liu Banxia looked at the lying child, but now he was very relaxed, as if he was not afraid at all.

"Don't you worry?" asked Liu Banxia.

The child shook his head, "Don't worry, it's in the hospital." I've been in pain for so long, and my intestines shouldn't be bad, but they hurt all the time. Now, otherwise my mom would have thought I'd be faking my illness. ”

Liu Banxia patted his hands, it seemed that this matter was more painful in his heart than the pain caused by the disease.

Also, the child looks like an honest child. I was obviously in pain, but my parents thought they were lying, and that wouldn't be good.

"It's really dangerous today, if it weren't for the child's insistence, I might have let the child go. Wang Huan said with emotion.

", you can think of going to me for a consultation, if you can let it go. Liu Banxia said with a smile.

Wang Huan was also happy, letting it go was just a possibility, and it had to be in the case that there was really no way. Because to let the patient go, that is to be responsible.

Now that you have a clear direction, it's easy to check. The contrast-enhanced CT is done, and the results are out.

There is a stenosis on the upper and lower mesenteric arteries, the upper artery is a congenital malformation, and the inferior artery is thrombosis and needs surgery.

Is the patient lying? Mission accomplished

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This mission is rated as Flawless, gaining 500 XP points, 500 diagnostic skill proficiency points, and 5 glory points