(Thanks to my friends, the road is tortuous、Silence529 monthly pass encouragement)

Yesterday had a hard time, and Liu Banxia was lazy at night and slept a little longer.

In fact, he is always quite comfortable in this hospitalization, everyone is very sympathetic to him, and generally the situation that can be handled alone will not come to him, so let him sleep well.

I also know that he looks energetic every day, but he bears a lot of pressure, otherwise he wouldn't have been lying on the ground for so long yesterday, which is something that everyone has never seen.

After all, Liu Banxia usually showed the opinions to the big guys with fighting spirit and passion, as if nothing could stump him here.

"Mr. Liu, I just received a call from a nursing home, and I will send an old lady who thinks she is 75 years old. There was a lump on the neck and their health care practitioner suspected a thyroid nodule. The dispatch nurse said.

"Was it a nursing home or an emergency call?" asked Liu Banxia.

"The nursing home was sent to the hospital, and the old lady's children returned later. The dispatch nurse said.

Liu Banxia nodded, "Okay, understood, I'll come to the clinic after a while." ”

This matter really needs to be asked, because there is a certain amount of cost involved, which is the difference between medical delivery and first aid.

After waiting for less than ten minutes, a group of people came in from outside. The old lady walked in by herself, looking at her body and bones, and her children should be followed by her.

"Actually, I'm so old, and I've had this bag for several years, so it's nothing. The old lady said.

"Mom, you have to check it out, or we'll have to worry about it. The slightly older daughter said.

"yes, it's coming. Doctor, take a good look at us. The patient's son said.

"Okay, don't worry. After a while, I will do a simple physical examination for the old lady, and then I will do some instrument tests. If the body allows, we can do it today. Liu Banxia said.

It feels good to him, and the atmosphere of this house is very good.

Otherwise, he was still summing up just now, and he sent the old lady to a nursing home if he had children and daughters, and there were some family conflicts. Now it doesn't seem to be like that, and today they are all with a bunch of people.

Liu Banxia did a simple examination, and found that it was not just a lump through manual examination, it may be a multiple lump, and there are both sides of the left and right.

I measured the old lady's blood pressure and body temperature again, not to mention, the old lady was really in good health, and her blood pressure was normal.

This is also not common in the elderly, the common ones are high blood pressure, diabetes, and the old lady has no problems in this regard.

"I just felt a few lumps on both the left and right sides. Later, take a CT scan for the old lady, determine the location and quantity, and then you can do it when there is an operating room. Liu Banxia said.

"Doctor, is this surgery dangerous?" asked the patient's youngest daughter.

"There are some risks associated with any surgery, but there are fewer complications associated with this surgery. Liu Banxia said.

"Thyroid cysts or nodules are actually a common disease, if the old lady has only one or two small nodules, we can observe them first, and leave it alone. Now the amount is a bit large, so it's better to cut it off. ”

"There are single and multiple cases of this condition, and the incidence of multiple cases is high, but the chance of cancer is not as high as that of a single disease. So you don't have to worry, I will tell you the detailed surgical plan after the location is determined and the examination is done. ”

"Doctor, how many days will I have to stay in the hospital if I have surgery?" asked the patient's son.

"It's a bit hard to say this, but normally it's about three to seven days of hospitalization for similar surgeries. According to the old lady's recovery after surgery, everyone's physical condition is different. Liu Banxia said.

"Alright, I've finished the list. You can think about it, if you decide to do it I will be admitted to the hospital. Don't worry, you can discuss it carefully. ”

This was the only thing he could say, if it was a young man, he would choose to suggest surgery, and now he is a seventy-five-year-old lady after all.

Surgery for elderly patients is inherently risky, not to mention that it is surgery on the thyroid gland, which is not as simple as cutting a subcutaneous lipoma.

However, any surgery will have a certain harm to the human body. The younger and stronger people recover faster, the older and frail recover more slowly, and the chance of related complications is higher.

After receiving the old lady, I happened to see Zhang Xiao coming over, and Liu Banxia greeted her directly.

"You're worried about that girl, isn't it? We did some tests in the morning and everything worked fine. Zhang Xiao said with a smile.

"Thank goodness yesterday was so dangerous. Do you know how it happened?" Liu Banxia said with emotion.

"I found out, the girl accidentally knocked her head while playing, and she didn't care when she saw that there was no bleeding. Because it's been a long time, I didn't think about it. Zhang Xiao said.

It can only be said that her luck is a little worse, although it is easy to cause edema like this, but the probability is not very high, and then she caught up. ”

"The remaining fluid was drained out after the surgery yesterday, and now with the addition of medication, it will be fine for another day or two. ”

"If you hadn't made a move yesterday, it would be really hard to say. I chatted with Director Xiao for a while, and Director Xiao said it's a pity, you should come to our god, it's a pity for these hands. ”

Liu Banxia rolled his eyes, "Although this is a compliment, I'm not happy." You don't know what it became to worry about me yesterday and what it became to be tired. ”

Zhang Xiao patted him on the shoulder, "This is you, if I do it instead, it may cause some brain damage." This is not a compliment to you, this is the truth. ”

"This is a last resort for herniation, but whenever possible, it should be sent to the operating room for a rapid craniotomy. Just like the cricothyrotomy you have outside, isn't it a show on TV, and you insert a pen tube or something after the incision. ”

"I can't say that there are no such first aid measures, but the danger is really great. If you're not there, I'll be hard. But you're here, and your hands are steater and better than mine. ”

"Brother Zhang, you don't think I'm going to be angry with you, do you? Liu Banxia said.

"You don't want to be your business, I have to remember this, right?" Zhang Xiao asked rhetorically.

This is not a joke, because if this patient really had a problem yesterday, the responsibility would be on Liu Banxia. But this responsibility is not a medical responsibility, but a humanitarian responsibility.

After all, Liu Banxia performed emergency surgery, even if he was not a surgeon outside the gods, under the guidance of Zhang Xiao, a doctor, he could also perform the operation.

But sometimes that's not the way things are, even if it's reasonable, you can't say that there is nothing. The rescue was successful, haha laughed, the rescue was unsuccessful, according to the patient's mother's temperament, it must be another story.

"Brother Zhang, to tell you what I mean from my heart, I really resent you. Liu Banxia's face tensed.

"You said I worked so hard yesterday, why didn't you add me a chicken leg or something at night? I waited for a long time, and no one cared about me. ”

Zhang Xiao glared at him angrily, and began to skin again.

"Didn't I get a chance to help the director, you were already asleep when I had the operation. Add chicken thighs at noon and add two. Zhang Xiao said.

"Haha, it's decided, two. Liu Banxia responded with a smile.

Even if this matter was discussed, Liu Banxia didn't care about it. If Zhang Xiao hadn't mentioned it, he wouldn't have thought about it.

"Mr. Liu, a car accident patient. The driver was in a car accident with a convulsion while driving, and he had a laceration on his head and was being sent over. At this time, the dispatch nurse shouted again.

"Brother Zhang, don't be in a hurry to leave, let's finish treating this patient. Liu Banxia hurriedly shouted.

Zhang Xiao, who had just walked not far, hurriedly turned back.

"37 years old, had spasms while driving, and was in a coma after a car accident. Head laceration, elbow dislocation, woke up after being given oxygen in an ambulance, and his vital signs are stable. Said the first responder who pushed the patient down.

"Okay, then you don't need to go to the emergency room first, let's go to the bed. Are there any special signs before the spasms?" Liu Banxia said.

"No, I just didn't know anything all of a sudden, and when I woke up again, I was rescued. The patient said.

"Even the monitor, blood collection, Dr. Zhang examined the head and neck, promised a preliminary trauma examination, and I would reduce the elbow dislocation. Liu Banxia said.

Big guy operates.

Liu Banxia only touched the elbow area and didn't remind the patient. Pull and pull and then support, and the direct reset is successful.

The reduction was also a little painful, and the patient was stimulated to inhale for a long time.

"Get another X-ray of your elbow. Liu Banxia said.

"There is nothing wrong with the neck, the head wound is not very serious, I recommend just doing a head MRI. After doing this, I treated the head wound, and now it is no longer bleeding. Zhang Xiao said.

"Physical examination and ultrasound showed no abnormalities, and vital signs were stable. Xu Yinuo said.

Ding! Completion of the consultation

Gain 200 XP points, 100 Diagnostics Skill Proficiency, and 100 Osteopathy Skill Proficiency

"Okay, then follow Dr. Zhang's arrangement, MRI, X-ray. Liu Banxia nodded.

"When the results come out, if you don't need me, you can arrange it directly, and call me if you need me. Zhang Xiao said.

"Okay, you can get busy first. Hopefully I don't have to look for you, then this patient will be too lucky. Liu Banxia said.

So far, this patient is still lucky, and the trauma will basically not affect him.

The next step is to see if there is any problem in the head, not because of possible edema or bleeding, but because of brain tumors.

Sudden onset of spasticity is mostly related to organic lesions of the brain. Of course, it may also be that there is a problem with the rest of the parts, but the probability of brain lesions is relatively high, otherwise Zhang Xiao would not have directly arranged an MRI.

Whether he can stay lucky or not depends on the results of his examination.