(Thanks to book friends for 20200818151820324 commuter pass encouragement)

"The situation is not optimistic, this section of the colon can only be cut off, about 30 centimeters. After looking at the results of the colonoscopy, Liu Banxia said.

"The key is later. Wang Chao answered.

"At first, I thought that I would cut this intestine directly, and I would be able to recover after the flora was adjusted. But it looks a little difficult, I'm afraid I'll have to hang the bag all the time. ”

"This adjustment also takes time, and considering the current situation of the patient, it is really difficult to achieve a curative effect, and it is dangerous to do it this time. ”

Liu Banxia frowned, this is the last thing he wants to see, but this is the current result.

"No matter what you do, now that the intestine is showing signs of necrosis, the first thing to do is to remove this part of the intestine, the stoma. Liu Banxia said after thinking about it for a while.

"You did this patient's first operation, and you should do this one too. I'll take a closer look at it and see if there's any other way to save it. ”

Wang Chao nodded, "I'll do it when the patient's hydration and electrolyte adjustment are completed." Can the use of probiotics make a difference?"

"There will be a little, but it won't work very well. Liu Banxia shook his head.

"Now that the clostridium difficile in the patient's intestine has reached the level of outbreak, it is better to see if it can be controlled after taking the drug. I've gone to ask Director Xiao, and he doesn't have any other way. ”

Wang Chao grinned, this matter is really difficult to do.

Liu Banxia came to the bathroom and washed his face, wanting to clear his mind. When he got back to the office, he started looking up all sorts of materials.

"Teacher Shi, it's time for dinner, do you want to call Teacher Liu?" Miao Rui came to Shi Lei's side and asked.

"Don't call him, now I'm fighting Clostridium difficile. Shi Lei said.

"You eat first, I'll be watching here. When you're done eating, just bring him some food, and by the way, bring me one too. Now even if he is asked to go, he will choke enough and have the heart to eat. ”

"Teacher Shi, what kind of food do you bring to Teacher Liu?" Miao Rui was a little worried.

"He, you can buy whatever you want, I haven't seen him pick eater. Shi Lei said.

Miao Ruile was happy, and rushed to the cafeteria with the rest of the people.

Do you really have to hurry up to eat in this situation now, Wang Chao went to have surgery, and Liu Banxia was specializing, which also made the reception a little nervous.

"Change your mind, you can't think about one thing at a time. ”

After Miao Rui and the others came back, Shi Lei walked into the office with his meal.

"Eh, it's all eaten? I forgot about it. Boss, do you have any constructive suggestions?" asked Liu Banxia.

Shi Lei shook his head very dryly, "Clostridium difficile is a superbug, if only it were that simple." Being able to control the outbreak without causing an outbreak in the hospital and help the patient stabilize his condition is already very successful. ”

"The guy is only in his thirties, and if he keeps living like this, I'm afraid the future will not be easy. Liu Banxia said.

"Actually, when I was collecting information just now, I had a method, but it was a bit risky. You're here just in time, let's discuss?"

"Don't discuss with me? What about my meal? Consult with someone else. Shi Lei glared at him.

Liu Banxia grinned a little embarrassedly, holding back the urge to continue? Begin to eat with a stuffy head.

Shi Lei glanced at him helplessly? It can only speed up the pace of eating. Knowing that this product must be uncontrollable, I finished eating it first? He said it would be fine.

The two of them are like hungry for a long time to grab food, which will definitely be startled if someone else sees it.

"Okay? You can tell. Shi Lei said after drinking the soup in the soup bowl.

"What's wrong? How can you be the boss like this? Liu Banxia muttered.

"I see a lot of people in the United States who use fecal transplants to deal with the third recurrence of Clostridium difficile, what do you think about our patients?"

"I knew you were going to say this. Shi Lei said.

In fact, many people will think of this method, but the mechanism of fecal transplantation is still not clear. Everyone understands that beneficial bacteria prevail and suppress the reproduction of Clostridium difficile. ”

"But is there one thing that still can't be ignored? What's good about this? There is also a bad side. Because there are so many bacteria in the feces, we don't even know which bacteria are working. ”

"One of the likely outcomes is that there will be an outbreak of microflora, and the patient's life will be directly reimbursed. That's why foreign countries choose to try it when they relapse for the third time, and treat dead horses as live horse doctors. ”

"Another consideration? It's just that donors are hard to find. How do you know who is providing healthy stool? Everyone's body is different, and the amount and proportion of bacteria in the gut are different. ”

"What is the success rate of this thing? There is a good chance that it will fail. Anyway, I advise you to be cautious, because in addition to success and failure? I don't see anything else. ”

Liu Banxia nodded, what Shi Lei said was not bad? It's too risky. Not that you can succeed in every adventure? Even if you don't care about proportions anymore? It also needs to be considered.

In the case of the life and death of the patient, even the smallest danger must be taken into account.

Sometimes things are so helpless, every patient has a special situation of each patient, and doctors also want to treat patients, but where is it so easy.

After eating, Liu Banxia also put away these books and materials. That's all it takes to do it, and it's useless to spend more time.

Even with the help of the system, he is just a doctor, not a god. For such a condition, there is no current medical breakthrough.

"Don't look at me like that, I didn't find anything that worked. Has Wang Chao stepped down?" asked Liu Banxia after coming out.

"Not yet, although Mr. Wang is also very good, you can't measure it by the time you have had surgery. Li Hao said helplessly.

"Although you are right, it does not give you extra points. Alright, dear children, debridement begins. Liu Banxia waved his hand.

"Teacher Liu, you can't cheat me like this. Li Hao said resentfully.

"Hehe, it's going to be like this. Liu Banxia said with a smile.

The rest of the interns looked at Li Hao and sneered, and Xu Yinuo waved his small fist.

I also know that this is just fun, so let's liven up the atmosphere. Otherwise, the atmosphere created by the Clostridium difficile patient would be too oppressive and would affect the reception of the rest of the patients.

"Although they are all very good, it seems that Qingkova is the best at the moment. Shi Lei sighed.

"The foundation is different, Qingkova's technique can be regarded as the traditional style of their side, it is more rough, and their teaching method seems to be this style. Liu Banxia said.

"The director reminded me last time, and now I have a lot of surgeries on these interns. Although nothing has happened yet, it is because they have been selected. ”

"We need to pay more attention to it in the future training, otherwise there will be a problem. Boss, you can look at me when the time comes, sometimes I will ignore it when I get angry. ”

Shi Lei nodded, "You don't have to care too much about these, in fact, your assessment of their level is still very accurate." To put it another way, if you had been more serious and had the way they are doing now, would you still be worried about not having surgery?"

Liu Banxia grinned, this is a bad boss, who picks on other people's scars and pokes and pokes.

"Go ahead, there's a patient to be treated, I'll take a break. Shi Lei said.

Liu Banxia nodded, and ran up to receive the consultation. also knew that Shi Lei cared about himself and wanted to adjust his mood through smooth treatment.

"16 years old, what about junior high school, what's uncomfortable?" asked Liu Banxia after sitting down.

"There's nothing uncomfortable anywhere, she just doesn't want to study hard to be angry with me. Said the patient's mother, who accompanied the patient.

Liu Banxia frowned slightly, and a smile appeared on his face again, "It's all here, I have to say it after all, I can't come in vain." ”

"Headaches, confusion, sleepiness. The girl spoke.

"You say, are you falling in love behind my back? I asked your homeroom teacher, and he said that you have not been concentrating for a while, and you still like to slip in class. The patient's mother spoke again.

"What did you do on Christmas Eve? Why don't you feel sorry for your mother? In order for you to have more time to study, you have moved to live in front of the school, and I even quit my job, are you worthy of me like this? ”

Liu Banxia had a brain ache for a while, and what he was most afraid of was encountering such a patient's family. Not only will it affect normal medical treatment, but it will also be misleading.

"Eldest sister, why don't you go to the side and rest first?"

"Doctor, you help me persuade her. It's not that she won't be allowed to fall in love, she can talk about it when she gets to college. It's only junior high school now, so how can I live in the future if I can't get into college. The patient's mother said.

Liu Banxia hurriedly nodded, "Don't worry, this is also my job, you go to the side to drink saliva first." ”

The patient's mother left, but not far.

"I admire you a lot, it's a lot of bombardment, is it usually like this?" asked Liu Banxia with a smile.

The girl nodded, "I've always had a headache and confusion lately, and then she said I'm in love." ”

"This is understandable, and I will be worried if I have a beautiful girl like you in the future. Liu Banxia said.

"In the current popular parlance, what do you say? Are you afraid of other people's pig arches? Anyway, that's pretty much what it means. Parents, don't look at you, they really care about you. ”

The girl glanced at her mother, but said nothing.

Otherwise, Liu Banxia would have a headache, he is a general surgeon, and he has to work part-time psychological counseling.