397 A Doctor's Intuition?
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The two-day vacation time, at the beginning, Liu Banxia felt that it would be very surplus and sufficient. But when I really needed to go to work, I found that it passed quickly, and it disappeared in a flash.
Liu Banxia originally wanted to call a car and go to work directly, but Qiao Qiao insisted on sending him over. Now he's sick and has to listen to Dr. Joe.
As soon as he walked into the door of the emergency center, the medical staff applauded Liu Banxia again.
In the past two days, the topic about him has become a little unusual after fermentation. Today's Liu Banxia is a real celebrity in the emergency center, and his name has to overshadow Zhou Shuwen.
"Alright, alright, don't make a fuss, everybody. Go out and two people go to Qiaoqiao's car to carry fruits, bring a lot, and you can also replenish water when the big guy is tired from work. Liu Banxia said with a smile.
"Doctor Liu, you can be sweet with Qiaoqiao at home, and we can only continue to work here. Chrykova leaned in.
"Who are you learning this strange thing from? stupid, teach you what to learn. Liu Banxia said helplessly.
Qingkova frowned, a little unintelligible. Where are you stupid? I'm very smart.
"I'll be able to relax when you're here, I'll go back first today. Shi Lei walked over.
"Okay, are there any patients that need attention?" asked Liu Banxia.
Shi Lei shook his head, "It's all routine, there are four surgeries today, but it's not your share." The director said, when will you remove the stitches, when will you come to the stage again. ”
"Hey...... , then how bored I am these days, it is better to let me stay at home. Liu Banxia sighed.
This is also a situation he expected, after all, there are wounds on his body now, and under normal circumstances, he has to avoid the surgical task. He wanted to take advantage of a loophole or something, but he didn't expect to be sealed by Zhou Shuwen in advance.
"What's the hurry? If it's okay, just mess with our internist. Wang Huan came over.
"You're pretty good at finding a chance, I'll go first. After Shi Lei finished speaking, he went to change his clothes.
"It's been a hard few days, and it's probably impossible to get together for a good drink, so I can only find a chance to drink alone. Liu Banxia looked at Wang Huan and said.
"I don't expect to drink alcohol, just help me with advice when I encounter difficult cases. Wang Huan said.
"In the past few days, I have repeatedly studied the medical records of those previous patients, and one of the interesting things is that the diagnosis time has been shortened a lot after you participated. ”
"There are more and more patients coming to our emergency center, and now people are basically going wherever they see where there is less queue, regardless of whether they need emergency or not. ”
"Now that you're famous, you've really tired us for the past two days. Listening to the director and their chat, it will take more than a year for the fame of our emergency center to accumulate. Just because of you, this time has also been shortened. ”
"Brother Wang, can I laugh a few times proudly?" asked Liu Banxia very resentfully.
"Haha, I know you want to keep a low profile now, but there is no way, you are so famous, why are you still low-key?" Wang Huan asked rhetorically.
Liu Banxia was very helpless, this matter was really not something he could control. Can he not accept new interview assignments? But he couldn't stop the hospital from publicizing him.
While chatting, the emergency personnel walked in from outside pushing the gurney, and Liu Banxia also followed.
"I lost consciousness after eating breakfast in the morning, and I had been hydrated and given oxygen on the way over. Somewhat high blood pressure? Temporary blood glucose monitoring was done and the value was 760. The first responder said.
"Push it to the consultation bed, blood sugar is so high? It's diabetic ketoacidosis. Wang Chao, who was in charge of this reception, said.
"Physical examination, connected to ECG monitor. Do blood routine, blood biochemistry, venous blood glucose, hemoglobin, glycosylated hemoglobin, peripheral blood glucose test, troponin, electrocardiogram? Prepare for insulin injections. ”
Liu Banxia nodded? Even if it were me, I would do it. Is the patient a little obese? When blood sugar and blood pressure are high, these need to be considered.
"I have some stomach pain. That's when the patient spoke.
"I'll check your stomach now? If I feel pain wherever I press, you can just show me. Wang Chao said.
The patient nodded.
"Normal airways, normal lung auscultation? Heart sounds are normal. Su Wenhao said.
Wang Chao nodded and began to percussion the patient's abdomen.
"Right? It's here, it hurts here. ”
When Wang Chao pressed to the stomach, the patient spoke.
"Push the ultrasound over here. Wang Chao said.
Wait until you see the picture on the ultrasound? Wang Chao couldn't help grinning.
"Has the patient's family arrived?" Wang Chao asked.
"On the way here? Not yet there. Su Wenhao said.
"Hey......? Let's push to do an MRI first. Now the ultrasound is not very clear? However, there seem to be a lot of gallstones, mainly concentrated in the pancreaticobiliary ducts. Wang Chao said.
Su Wenhao nodded and began to ask the patient for advice.
"Okay, you're very sophisticated. Liu Banxia praised.
"We've been busy flying for the past two days, Mr. Liu, I have a laparoscopic appendix surgery in a while, do you want to stare at this patient?" Wang Chao said.
Liu Banxia nodded, "Go with confidence, leave it to me, otherwise I'll be bored." ”
He's a serious doctor, and he really needs to find something to do after being idle for so long.
At this time, there was a gurney pushing the patient outside, and Wei Yuan greeted him.
To Liu Banxia, although he has only been away for more than two days, the emergency center seems to have really become busier than before.
Wang Huan was able to chat with him just now, and now there are seven or eight patients waiting to be treated on the chairs at the door of the internal medicine clinic.
"Teacher Liu, I have already sent the patient for an MRI examination. At this time, Su Wenhao walked over.
"Predict the patient's condition. Liu Banxia said.
"Just now I also looked at the patient's ultrasound interface, and there are so many stones that can only be removed from the gallbladder. It's just that now it is also necessary to monitor the patient's blood sugar in real time to see how much it can eventually come down. Su Wenhao said.
"The patient has a lot of oil on the corners of his mouth, and the patient's physical condition may be that he likes to eat fried and greasy foods, which is why he is in this situation. ”
"If I could, I would think the patient would need to be given an ultrasound of the heart. The patient was too fat and I felt that his heart, although normal auscultation, could also have problems. ”
Liu Banxia nodded, "Okay, this patient will be handed over to you, just follow this line of thought." Very well done, you are my savior, I will treat you to dinner when I rest. ”
"Teacher Liu, don't be so polite, whoever is on the side will do that. Su Wenhao hurriedly said.
"Haha, who let you come up on the side? Then I have to thank you. Liu Banxia said.
"Mr. Liu, come over here. At this time, Wang Huan came out of the internal medicine clinic and shouted.
"The patient just now has a situation that can't be handled and can contact me directly, and then I have to train you to receive the treatment independently. Liu Banxia dropped a sentence and ran into the internal medicine clinic.
"The patient is 34 years old and presents with a cold. The medical history is that I have taken some cold medicine, but the high fever persists for almost a week. Wang Huan said.
"I just checked my body temperature of 38 degrees 4, I breathed quickly, and there were rales in my lungs, so my suggestion was to do a corresponding examination and stay in the hospital for observation first. ”
"What do you mean?" asked Liu Banxia to the patient.
"I just have a cold, and I'm busy with work these days, so I haven't had time to rest. Can't you give me an intravenous drip?" the patient asked.
"Well, even if it's an intravenous drip, we'll need to check you accordingly. There are many types of colds, and we can't just use them indiscriminately, because it will hurt you. Liu Banxia said.
"And now you probably already have inflammation in your lungs, plus the current body temperature and duration, I don't think that's going to happen with the common cold, and you definitely have that in mind. ”
"We have our own rules and regulations in our hospital, and if we fool you into giving you an infusion, you may be delayed. ”
"Is that just a check-up, do you have to be hospitalized?" the patient asked.
"It's necessary to admit you to the hospital, your current situation is a bit complicated, but I don't think it's a cold. Wang Huan hurriedly said.
"A day in our hospital allows us to monitor your physical condition at all times and also allows us to understand your condition better. ”
"Maybe I didn't explain it clearly, this kind of stay in the hospital is not a hospitalization, but it requires you to stay in the hospital for a little more time. ”
The patient frowned and thought for a moment, then nodded, "Well, I still have a lot of work to do." At this time, the company is busy, and if I miss a day, I have to make up for many days later. ”
"Okay, let's do a blood test, a urine test, and then a chest X-ray. Wang Huan said.
The patient went out for an examination, but Liu Banxia did not leave in a hurry, "Brother Wang, is there something wrong?"
"I always felt that this patient's condition might be serious, and it was definitely not as simple as it was now. Wang Huan said with a wry smile.
"To put it mildly, it's the doctor's instinct, but to put it bluntly, I'm blind. This patient gave me a really bad feeling, and the fatigue and high fever for a long time, even if it was just a cold, should have changed now. ”
"I was wondering why you called me over. Liu Banxia nodded.
"This patient is really worse on the outside, pale and tired, and he really needs to pay more attention. You go ahead first, and I'll help you keep an eye on it. ”
Wang Chao's statement is not nonsense, sometimes there is really such a feeling. It's always a big mistake to be careful, but if it's really negligent, it's a small accident.