029 Insurmountable psychological obstacles
The rest of the time passed in a bit of a trance, and my heart was a little chaotic.
"Ah, Brother Yong, it's your old man sitting in the emergency department today. I went to the cafeteria and took a casual sip, and when I came back, I saw Chen Jianyong, the attending doctor of the general hospital.
"You kid is not bad today, this hand stitching is so beautiful. Chen Jianyong said with a smile.
"Brother Yong, don't praise me, I must be proud of you. Liu Banxia said with a smile.
"It's really uplifting today, otherwise some people always say that we are just messing around. Chen Jianyong's accompanying doctor Wang Chao said.
"What's wrong with you? There should be no problem staying in the hospital this year, right?" asked Liu Banxia.
"It should be about the same, but I can't say until the end. Boss, Shoutian, you take it first, I'll go buy some fruit. After Wang Chao finished speaking, he ran out.
"Do you kid have to work hard?" asked Chen Jianyong.
"Brother Yong, it's not that I don't work hard, it's that the enemy is too cunning. Luckily, after all, my hardware isn't up to par. Liu Banxia said with a wry smile.
Chen Jianyong patted him on the shoulder, "There's nothing wrong tonight, right?" Shi Lei was very worried about you, and told me several times to let me look at you. ”
"Brother Yong, it's okay, what's going on, you can't follow the excitement when you come to the patient. Liu Banxia said with some embarrassment.
I was also very moved in my heart, Shi Lei is a good boss, and he has recognized him in this life.
Wang Chao's speed was not slow, and after a while, he brought two large bags of fruit, which made the nurses in the emergency department very happy.
"Dr. Chen, a 36-year-old man with abdominal pain came. While chatting, Xu Dan walked over.
"Wang Chao, you take the consultation, we watch. Chen Jianyong said.
Wang Chao nodded excitedly, and then ran over. Liu Banxia doesn't mind, today's main person is Chen Jianyong, so he naturally gives priority to taking care of the people he brings.
When I came to the bedside, I saw the eldest brother curled up on the hospital bed, his hands covering his abdomen, and his mouth kept humming. His wife was with him.
"Hello, how do you feel?" asked Wang Chao.
"My stomach hurts, it used to hurt intermittently, but today I hurt badly after eating. Recently, I don't like to eat much, and sometimes I feel bloated. Sometimes I'm nauseous, and I've vomited twice from yesterday to today. The patient said.
"Lie down, I'll see. Wang Chao said, with a hint of excitement in his eyes.
There are still some benefits to being on duty in the emergency department. It is often possible to meet some patients with appendicitis, so that they can participate in the surgery.
Wang Chao frowned after careful percussion, "Doctor Chen, the patient has upper abdominal pain, and there is no rebound pain in the right lower abdomen to rule out appendicitis." Just now, I seem to feel a hard lump in my upper abdomen, so I can do an ultrasound to preliminarily determine whether it is a gastric stone. ”
Chen Jianyong smiled and nodded, and directly asked the patient to drink water for gastric ultrasound.
Looking at the display on the ultrasound, although it was not particularly clear, Liu Banxia was startled. There are two egg-sized hyperechoic masses in the stomach, as well as some small arc-shaped, short-striped echoes.
Wang Chao's judgment is very accurate, this is a gastric stone, or is it multiple.
"What are your usual eating habits? Do you like persimmons, black dates, hawthorns, and other kinds of food? Hmm...... , are there any?" asked Wang Chao after making the mark.
"I used to love persimmons, and I had persimmon trees at home. I've been here for more than four years, but I haven't eaten much. The patient said.
"You have two large stomach stones in your stomach, as well as some small pieces, most likely caused by persimmons that you used to eat regularly. Given the large size of the stones, I recommend that you be admitted to the hospital first and then have surgery to remove the stones. Wang Chao thought for a while and said.
"One way is to lithotripsy through a gastroscope, and the other is to make an incision in the stomach to remove the stone. Because the stones in your stomach are really too big to do extracorporeal lithotripsy. Even if you take some medicines, it is difficult to get rid of the stones. ”
"Doctor, can you do it now? It's so uncomfortable. The patient asked.
"Tomorrow, if you do it now, you can only make an incision in the stomach, which will cause a lot of damage to your body. Observe for one night, and the family members will be admitted to the hospital. Start fasting now, and do a gastroscopy when the time comes, it is best to be able to non-invasive lithotripsy. Wang Chao said with a smile.
Gain 30 XP and 40 Diagnostics Skill Proficiency
Looking at the system prompt, Liu Banxia is also very beautiful in his heart, is this considered an experience?
The patient nodded, although it is also very uncomfortable now, it is still good to be able to go without surgery.
"The year before last, I saw a female patient who liked to eat hair, and nearly a third of the space in her stomach was filled with broken hair, so she had to go through surgery. After the patient left, Chen Jianyong said.
"Hehe, I almost asked. Seeing that the patient was inch-headed, he held back again. Wang Chao said with some embarrassment.
"Actually, it's okay to ask, sometimes many patients with gastric stones also have pica. Chen Jianyong said indifferently.
"Dr. Chen, immediately arrived at two car accident patients, one is pregnant, and the first aid officer initially checked and suspected internal bleeding. At this time, Shen Lin ran over.
"Be ready to take care of the patient. Chen Jianyong said in a deep voice.
After waiting for more than three minutes, the door of the emergency department opened, and the first responder rushed in with a stretcher bed.
"The patient was unconscious with blunt trauma to the head, chest and abdomen. Blood pressure was low when he was removed from the car and recovered to 90/60 after lying on his left side and getting fluids. The first responder said.
"Rescue a room. Liu Banxia, protect the airway, and do a full examination of trauma. Blood crossmatching, 2 units of O-negative blood preparation. Chen Jianyong said.
"Ah...... , Dr. Chen, and a patient with a head laceration, let me look at this. Liu Banxia said a word and walked over to the patient who followed up.
Chen Jianyong frowned, and originally wanted to use this patient to help Liu Banxia with his psychological disorder. Now it seems that the last emergency patient also had a really big impact on him, and he flinched as soon as he saw the patient.
There was no time to dwell on these anymore, so he led Wang Chao and the patient into the rescue room.
Liu Banxia let out a sigh of relief, and just looked at the patient lying on the stretcher bed, he seemed to have returned directly to the day before yesterday, and his palms were sweating.
"Doctor, is that girl alright......? That's why I'm going to do this. The patient in his fifties who covered his head with gauze said with a sad face.
"You're knocking your head? Liu Banxia said.
When the gauze was removed, there was a wound about five centimeters long on the left side of the head, and blood was still oozing out.
"I'll help you treat the wound first, and then let's take a head CT, do you still feel uncomfortable?" asked Liu Banxia on the way to the treatment room.
"There's nothing else, I'm driving an online car-hailing, it's not serious on my side, the co-pilot hit hard, these Yuanguang dogs." The patient complained.