179 discerning patients
(Thanks to my friend Wisp Cloud Carving Monthly Pass for encouragement)
"Liu Banxia, come to my office. ”
Liu Banxia was in a daze, and Zhou Shuwen, who walked in with his bag, greeted him. He was shocked, although he was thick-skinned enough, he never dared to be presumptuous in front of Zhou Shuwen.
"Director, what's the matter? After coming to the office, Liu Banxia asked with a little weakness.
"Sit, I heard that a child was misdiagnosed yesterday? Zhou Shuwen asked.
"I didn't expect you to hear about it, I will definitely be more careful in the future. Liu Banxia hurriedly said.
"It's enough to be careful, don't you feel ashamed?" Zhou Shuwen glanced at him.
Liu Banxia grinned, "At first, I felt quite embarrassed, but then the big guy persuaded me." ”
"It's okay, you didn't quibble that the kid had a nasal endoscopy and found a polyp, which could be sinus cancer. Zhou Shuwen smiled and nodded.
"Ah...... , Director, do you know that?" This surprised Liu Banxia a lot.
"Nonsense, otherwise you think I'm just a decoration, what is the use of me? Isn't it good for you to let a cat sit here?" Zhou Shuwen glared at him.
"That...... That one...... I thought you were going to criticize me. Say I'm too rampant, I deserve it. Liu Banxia said with some embarrassment.
He really thinks so, Zhou Shuwen has always been a person who is resolute and does not rub sand in his eyes. Yesterday, this matter was really faceless, and it was split.
"We doctors, sometimes we are allowed to make mistakes. Even the instrument may fail under certain circumstances. Zhou Shuwen said.
"But there are some mistakes that must not be made. Because our work is very tiring and tedious, but it is related to the health of patients. ”
"In the course of our practice, we encounter a variety of patients, and each person has their own way of dealing with it. For example, your method is to keep the patient's mood as relaxed as possible, always smiling, I will not comment. ”
Liu Banxia was a little embarrassed, thinking that Zhou Shuwen was very busy every day, but he didn't even know these little things.
"In addition to those mistakes of principle, those that are made are committed. But it's not that these innocuous little mistakes can be made arbitrarily, we need to learn from these mistakes and let us grow. ”
"This is something you need to be aware of, and it is something you need to think about in the future when you instruct your doctor. In the next two days, the list of attending doctors who will be assigned to the emergency department will be sorted out, and some people will come first. ”
"Later, the accompanying doctors will also officially arrive at the post, and you are the general person in charge of these accompanying doctors. How they are distributed, how they are assessed, you figure it out for yourself. Let's go, it's okay. ”
Liu Banxia walked out in a gray manner, and now he feels the pressure again, and this pressure is still the kind that comes to his face.
Zhou Shuwen has a "dual identity", he is his own teacher and his own leader, and he has just brought this dual identity into full play.
What I said earlier is my care and guidance, which is the teacher's job. It's just that after I cared about it, I took a bunch of things over.
I used to be a little worried, and I was a little more entitled to be hospitalized. And now, this pressure is directly in front of me.
"What's wrong, was criticized by Director Zhou?" Wei Yuan asked with a smile.
"Hey, I haven't criticized, and you still encourage me. But there are so many things in the emergency department that I don't know what to do. Liu Banxia said with a wry smile.
Wei Yuanle was happy, "Then you can figure it out yourself, I can't help you." ”
Liu Banxia glanced at him helplessly, he couldn't be worried, fortunately, even if it was a shift, it was not a year to allocate so many people at once.
It was really because the foundation of the emergency department of the second hospital was too thin, and it was a bit laborious to set up the trauma emergency center all at once. Now, even if it is a downsized operation, after finding experience, it can be directly expanded.
At this time, he saw Lu Gang coming out of the passage again, and although he had a smile on his face, it was a bitter smile.
"The results are out?" asked Liu Banxia.
Lu Gang nodded, "Stage 2, I have chemotherapy, and I can live for a few days." ”
Ding!Strange Wound quest completed
Gain 1,000 XP and 300 Diagnostics Skill Mastery
This mission is rated as Perfect, gaining 1000 XP points, 500 Diagnostics skill proficiency points, and 10 Glory points
Looking at the prompts given by the system, Liu Banxia's heart was not happy at all. Compared to the experience and rewards obtained at this stage, this quest is already a lot more rewarding.
"Doctor Liu, don't worry, I will definitely live tenaciously. Lu Gang, in turn, began to comfort him.
"In terms of treatment costs, I can still hold on for the time being, and I don't need imported drugs, just use domestic ones. Medical insurance can reimburse some, and the commercial insurance that used to be available can still give 200,000, which should be enough. ”
"Come on. Liu Banxia patted him on the shoulder hard.
"Well, I'll go first. I have to eat well for a few days, and I heard that after starting chemotherapy, people will not be able to do it. Lu Gang waved his hand at him and left the emergency department with a smile.
Liu Banxia scratched his scalp, and his mood was a little complicated.
"What do you want?" asked Liang Xiaolin, who was at work.
"I was bitten by a dog last time, 2nd period. It's a little sad, there is a patient with a swollen ankle, I'll take it. Liu Banxia said casually.
The chubby young man came in with his feet in his hands, wearing slippers on his left foot, and his ankle was swollen and high.
"How did it happen?" asked Liu Banxia.
"Yesterday I went down the stairs and there were a few steps. The young man said with a wry smile.
"At first, it wasn't so swollen, but it hurt a little. I took some ibuprofen and woke up so swollen. Do you have to make a film?"
Liu Banxia nodded, "If it is swollen like this, you have to take a film, and there will be fractures." Doesn't your face look very good, do you have anything else that is uncomfortable, why do you sweat so much, do you have diabetes, high blood pressure or any other medical history?"
"I'm on a diet to lose weight now, and I keep exercising every day, and I haven't had any other diseases. The young man said.
"Hey...... , your capital is big enough. It still hurts after taking ibuprofen?" asked Liu Banxia after touching it slightly.
The young man nodded, "I still have a toothache, is it that I have drug resistance after taking too much ibuprofen?"
"How did you eat it?" asked Liu Banxia.
"I eat it even if I have a toothache, and sometimes I eat it when my muscles hurt after running. Well...... , Ibuprofen isn't addictive, right?" the young man asked with some hesitation.
"It's a medicine that is three parts poisonous, you eat it almost every day, right? Do everything you can, it's because your diet and exercise cause too much burden on your body, and the nutrition is not replenished, which will make your bones so brittle. Liu Banxia said.
"Weight loss can be done, but only if you are healthy. Otherwise, even if you lose weight and your health is ruined, what's the use? Do a blood check of the vitamin level in your body, and then take a film. ”
"Otherwise, if you're so young, there's a good chance you'd avoid it. When the results of the examination come out, let's discuss what to do next. Xu Dan, you lead him through the formalities. ”
That being said, he also admired the young man's perseverance. There are many people who want to lose weight, but there are not many people who can really keep their mouths shut.
But admiration is admiration, his blind weight loss is definitely not the right posture.
"Dr. Liu, there is a patient here who needs to be consulted. At this time, Wei Yuan shouted.
"What's the situation? Do you still need me for this strength?" asked Liu Banxia after walking over, and glanced at the patient's case by the way.
"The situation is a bit complicated, a 32-year-old man came to the doctor with acute abdominal pain and just had a high blood pressure. There was no bowel movement for three days, and a simple physical examination estimated that he had intestinal obstruction, and he was not subjected to any instrumental examination. Wei Yuan asked.
Liu Banxia was stunned for a moment, and he knew the reason why he called himself a consultation, and met a patient who refused to be examined.
"If it's really an intestinal obstruction, if you refuse to have an instrument, it could be life-threatening. Are you worried about the radiation from the X-rays or what? We need to determine the location of the obstruction so that we can proceed with the diagnosis. Liu Banxia looked at the patient and said.
"Doctor, can't you just prescribe me some medicine to moisten my intestines?" asked the patient lying on the bed, glancing at Qingkova, who had followed up.
"It's not like that. We need to look at the actual situation of the obstruction, three days, not a short time. If intestinal necrosis is caused, we can only do laparotomy to deal with it. Liu Banxia said.
"X-rays have radiation, but we don't do them every day. Without instrument examination, our human intestines are so long, how can we determine which section it is. ”
"I just don't want to take X-rays, you can think of something else. The patient shook his head, still resolute.
"Then let's do CT, CT is much less radiation than X-rays. It's about spending more money and taking longer to do it. Liu Banxia said.
What he didn't expect was that the patient still shook his head firmly, "Didn't this doctor just say that he could do an enema or what to do, can't he do it directly?" ”
Liu Banxia was so worried, it was the first time he had encountered such a picky patient. When this is the place?
"I would like to explain to you that we are not able to do anything to treat you without a clear condition. Because of improper treatment, your condition may be aggravated. Liu Banxia said very seriously.
"And now that you're so uncooperative, we can't even find out the cause. If it is really intestinal obstruction, if you delay it for a little longer, the possibility of intestinal necrosis is greater. ”
"You have to think about it for us, who would dare to give you an enema without a clear indication. Isn't it? It's all about the responsibility to follow. ”
He can only try his best to persuade him, and if the patient still insists on it, he can only ask the patient to sign the notice.